Prevention of Future Deaths reports · 2019

Edward McGivern

Regulation 28 report to prevent future deaths, written 14 Nov 2019. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 Nov 2019
DeceasedEdward McGivern
CoronerAlison Mccormick
Coroner areaBerkshire
CategoryRoad (Highways Safety) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Slough

Borough Council 

----------------------------

Date  31 December 2019

By Email

Ms Alison McCormick
Assistant Coroner for Berkshire

Dear Ms McCormick,

Growing a place of opportunity and ambition

Department:  Chief Executive
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Re: Fatal Road Traffic Collision, Dover Road, 9 November 2018

I am writing to you to respond to the matters of concern raised in your Regulation 28 Report to
Prevent Future Deaths following the Inquest into the death of Mr Edward McGivern on 14th November
2018.

The following response has been compiled and based on a full review of the Coroner’s concerns, the
details of the circumstances, analysis of the specific junction on Dover Road in the SEGRO estate
and reference to the post collision report prepared by the Thames Valley Police Traffic Management
Officer, dated 9 November 2019.

The following points raised in the Coroner’s report have been individually addressed as set out below:

1.  There have been two collisions between bicycles and motor vehicles at the junction of

Dover Road and Buckingham Avenue.

The Council analyse contributory factors in past collisions to evaluate and prioritise resource
to address  issues on the road network. The AccsMap collision history for the junction of
Dover Road and Buckingham Avenue indicate one previous cycle incident, recorded in
January 2018 with no contributory factors recorded.

While the Council takes the safety of users of its highway network seriously, for the purposes
of prioritising limited resource, two cycling incidents, between July 1st 2013 and July 30th 2018
would not be regarded as constituting a ‘cluster’ and does not, in our evaluation, demonstrate
evidence of a systemic problem. The Council would therefore not consider this junction as a
cause for concern with regard to cyclist collisions.

This is the first recorded cyclist fatality in Slough in the last ten years (2009 -  2018), during
which time there have been a further 66 cyclists seriously injured.  Six of the 67 cyclist
casualties were involved in a collision with a goods vehicle of any weight.

2.  There are many commercial vehicles using the roads around Slough Trading Estate but

also cyclists and pedestrians.

Dover Road is located within the borough’s largest employment district, SEGRO which
employs approximately 17,000 employees working for 400 companies on the 156 hectare
Estate. It is recognised that the Slough Trading Estate experiences high volumes of traffic and

 congestion particularly during peak travel periods. Commercial vehicle activity contributes to
congestion levels.

The Council do not hold data on pedestrian and cyclist movements at this junction. However,
the Department for Transport do undertake traffic surveys on many roads in Slough, some of
which are close to the location of this incident.  A survey on Bedford road within the estate
showed daily traffic of 4530 motor vehicles, of which 130 were HGVs, plus 60 pedal cycles.  A
survey on Henley Road showed daily traffic of 1228 motor vehicles, of which 23 were HGVs,
plus 11 pedal cycles.  If these historical surveys are typical of traffic on the estate then it is
clear that HGVs and cycles make up a very small proportion of the traffic.

3.  The cycle lanes as they are marked on Dover Road may encourage cyclists to ride up
the inside of vehicles waiting to turn left at the traffic lights, and they may not be seen
by the drivers of those vehicles as they pull away form the lights and turn left,
especially during the hours of darkness

Of the 67 aforementioned killed or seriously injured cyclist casualties in Slough between 2009
and 2018, 29 were injured at a junction. While it is recognised that some collisions involving
cyclists arise from motor vehicles turning across cyclists, either through failing to see a cyclist
or failing to observe good practice on road user behaviour and priority as set out in the
Highway Code (rule 183), the numbers are very small.  The number of incidents resulting in a
seriously injured casualty of similar nature in Slough over the ten year period analysis was
two. Heavy Goods Vehicles do however present a significant danger for cyclists, particularly
when turning left at a junction.

The advisory cycle lanes that are marked along this route were introduced previously with
correct adherence to Traffic Signs and General Directions (TSRGD) guidance. Updated
guidance now advises that alternate markings should be introduced where road widths are
narrow and do not permit cyclists to take an optimum riding position, approximately 1m from
the kerb edge. Furthermore, Transport for London’s Cycling Design Standard, which is
recognised as a gold standard, advises that where a combined width of the cycle lane and
adjacent lane of 4.5 metres or more cannot be achieved, then cycle symbols should be used
rather than advisory cycle lanes to allow cyclists to take a more appropriate position on the
road. (London Cycling Design Standards, TfL).  The issue of the narrow cycle lane has been
identified in Mr David Edmond’s report (Traffic Management Officer).

The Council will undertake a review of all cycle lanes as part of the borough’s  cycling strategy
update. A comprehensive set of design standards for cycling, established on proven best
practice, will be prepared. It is anticipated  at this stage, that any resource prioritisation to
cycle lane improvements will be assigned according to (a) locations where accidents have
occurred and (b) where higher cycling levels exist and (c) to include a wider scheme of cycling
improvements programmed to update cycle lanes and aligned to the regular cycle of
maintenance, roadworks and improvement. The exact prioritisation criteria will be confirmed
once the cycling strategy has been set out.

Dependent on the findings of the cycle paths review as detailed above, it is also expected that
a recommendation will be made to replace existing narrow cycle lanes (less than 1,2m) with
more appropriate markings as recommended in guidance and good practice in TSRGD, 2016
and Cycle Infrastructure Design, Local Transport Note 02/08.

Specifically in relation to the SEGRO estate, the Council will continue to work with
representatives from the estate to promote the need for vehicles to give way to a nearside
cycle lane and to reinforce the message that cyclists should not undertake at junctions at any

 time. This messaging has been presented nationally for many years, but will be reinforced
through another local campaign to reach new cyclists. The Council will work with its road
safety partners to design separate campaigns for these different audiences.

Sharing of carriageway of Dover Road between bicycles and motor vehicles by means
of cycle lanes may put cyclists at risk.

A review of the road layout of Dover Road, including the question of whether there
should be dedicated marked cycle lanes, and if so, whether these should be positioned
in the carriageway or on the pavement (so that the carriageway is reserved for motor
vehicles and the pavement is shared between cyclists and pedestrians, with dedicated
cycle paths) may produce a road system which is safer for cyclists.

A response to this point has partially been picked up in part in point (2) above.

The Council is unable to recommend shared cycling and walking paths on narrow footways.
The roads around Slough Trading Estate must accommodate all users. Reassigning road
space or segregating cyclists and pedestrians cannot be achieved to a sufficient degree
without considerable and significant financial investment which the Council consider to be
disproportionate to the presenting problem and competing priorities. There is also the need to
consider the needs of pedestrians and to ensure footways remain safe and accessible for all.

While leading guidance emphasises that cyclists are safer when completely segregated from
vehicles, there is also the recognition that risk may increase where segregated paths intersect
with roads. Given that within Slough it is not possible to segregate a sufficient number of cycle
lanes away from motorised vehicles to produce a cohesive and attractive network for cyclists,
it is important to reiterate to motorists that the carriageway must be shared with consideration
of vulnerable road users.

The Council has an ongoing requirement to continue to promote sustainable modes. Modal
shift away from the car is a key target within the Council’s carbon reduction strategies.
Reducing congestion levels also contributes to the setting of the Council’s core principles set
out in the borough’s transport strategy and we also recognise the need to balance the use of
carriageways and footways to meet the needs of all users.

The Council takes the safety of all users on its highway network seriously and consider that
the course of action proposed for the cycle network addresses the concerns raised.

Yours sincerely

Chief Executive

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