Recurring concern

Inadequate outdoor safety lighting

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First reported 26 Feb 2014•Latest report 28 Nov 2025

Definition

What this concern includes

Includes reports identifying absent, poor, uneven or obstructed lighting in outdoor areas such as roads, crossings, railway environs, venue grounds and other public-access locations.

Not included

  • Excludes deficiencies limited to warning signs, barriers, fencing, vegetation or other controls unless inadequate lighting is itself identified.
  • Excludes indoor or domestic lighting arrangements that are not part of an outdoor public or operational safety setting.
  • Excludes general darkness or poor visibility where no lighting deficiency or lighting control is identified.
Reports
44

Distinct published reports

Individual concerns
47

A report can raise multiple concerns

Date range
2014–2025

First to latest report issue date

Stated actions
26

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

National Highways6
Recipient name withheld5
Durham County Council4
Cumbria County Council3
Department for Transport3
Warwickshire County Council3
Bournemouth, Christchurch and Poole Council2
Bradford City Council2
Essex Highways2
Network Rail2
Transport for London2
Windsor and Maidenhead Borough Council2
Alexandra Park and Palace Charitable Trust1
Amey plc1
Balfour Beatty A50 DBFO route management1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. North London

    AI-generated summary

    Connor Peter Marron · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Connor Peter Marron was struck and fatally injured by a train on 2 January 2022 near Hornsey Railway Station after leaving a public house to return to Alexander Palace. Concerns included inadequate lighting and signage near the stream and railway fence, and a fence that was not adequate to prevent access to the railway track.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of lighting beside the stream and railway fence

    Wider context from the report

    “1. There was no lighting beside the stream or the railway fence, nor any signs identifying the stream, its depth and any warning of danger. ”

    Source location

    Connor Peter Marron · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Investigate options to improve the path and bank at location 5, including assessing lighting levels.

    Verbatim wording from the response

    “The river path at location 5 is at its narrowest, being close to the river, separated by a narrow steep bank, which shows some damage. There are also tree branches extending over the path close to head height. The path has no lighting but has borrowed lighting from the streetlights on the Chadwell Lane development and the High Street. At location 5 the river is 60cm – 70cm deep with around 20 cm of silt. On the opposite bank a brick pumping house is visible, with significant graffiti and direct access to the river.”

    Source location

    Response from Thames Water
    Page 5 · response
    Published 22 September 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The stream lighting and railway-fence adequacy matters concern assets APPCT does not own or operate and therefore do not require action by APPCT.

    Verbatim wording from the response

    “railway assets owned by Network Rail. To access the railway boundary fence, an individual must first leave the park onto public streets and cross the New River; two locations owned by third parties.”

    Source location

    Response from Alexandra Palace
    Page 2 · response
    Published 22 September 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Lighting on venue grounds is Alexandra Palace’s responsibility, while railway fencing is Network Rail’s responsibility.

    Verbatim wording from the response

    “I will address point number 1, as the other issues appear to relate to the responsibilities of Alexandra Palace and Network Rail respectively. Point 2 relates to lighting on the venue grounds, which is for Alexandra Palace, and fencing separating the venue from the railway track would appear to be the responsibility of Network Rail.”

    Source location

    Response from Thames Water
    Page 2 · response
    Published 22 September 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Lighting and signage at the stream and venue are matters for the relevant landowners, not Network Rail.

    Verbatim wording from the response

    “Addressing the matters set out in your report in turn, in relation to the first two matters listed we note that it states that there was “….no lighting beside the stream or the railway fence, nor any signs identifying the stream, its depth and any warning of danger” and “….no signs in that area to assist with locating a way out from that part of the venue’s grounds”. The stream and venue referenced are not located on Network Rail land and therefore the provision of lighting and/or signage in those locations is a matter for the relevant landowners, whom Network Rail understands are Thames Water and Alexandra Palace. With regard to lighting beside the railway fence, it is not Network Rail policy to provide lighting along its fence line and, accordingly, lighting is not in place along this particular section of fencing.”

    Source location

    Response from Network Rail
    Page 1 · response
    Published 22 September 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Lighting along Network Rail’s fence line will not be provided because Network Rail policy does not require it.

    Verbatim wording from the response

    “Addressing the matters set out in your report in turn, in relation to the first two matters listed we note that it states that there was “….no lighting beside the stream or the railway fence, nor any signs identifying the stream, its depth and any warning of danger” and “….no signs in that area to assist with locating a way out from that part of the venue’s grounds”. The stream and venue referenced are not located on Network Rail land and therefore the provision of lighting and/or signage in those locations is a matter for the relevant landowners, whom Network Rail understands are Thames Water and Alexandra Palace. With regard to lighting beside the railway fence, it is not Network Rail policy to provide lighting along its fence line and, accordingly, lighting is not in place along this particular section of fencing.”

    Source location

    Response from Network Rail
    Page 1 · response
    Published 22 September 2022

    Open published response
  2. Cumbria

    AI-generated summary

    Stephen Cloudsdale · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Stephen Cloudsdale died at the scene after his car collided with an LGV encroaching into the eastbound lane of the A66 in darkness and heavy rain. The concerns identified were the lack of lighting and warning signage, the speed of traffic, and whether the central reservation was wide enough to accommodate large vehicles safely.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of lighting at the A66 dual carriageway crossing point

    Wider context from the report

    “1) The lack of lighting near to or at the point of the A66 dual carriageway where the collision occurred which renders the presence of vehicles crossing the carriageway from the café difficult to see by approaching drivers during the hours of darkness and/or during adverse weather conditions. 2) The lack of appropriately positioned signage, warning approaching drivers of the possibility of vehicles crossing the carriageway from the café. 3) The speed of traffic on this stretch of the A66. 4) The sufficiency of the width of the central reservation to accommodate large vehicles fully without the danger of encroaching into either of the opposing carriageways. ”

    Source location

    Stephen Cloudsdale · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Road lighting cannot be justified on this A66 section because whole-life costs outweigh expected collision-reduction benefits.

    Verbatim wording from the response

    “Having assessed the site, we have concluded that road lighting cannot be justified along this section of the A66 trunk road when applying the requirements of the Design Manual for Roads and Bridges Road Lighting Appraisal guidance TA 501 (formerly TA 49/07). This is based upon the whole life costs of installation, maintenance and power over a 30-year period, offset against the potential benefits in terms of collision savings and therefore no action is proposed. It is also counterproductive to light short sections of an otherwise unlit carriageway as drivers eyesight reacts and adjusts to changes in lighting levels.”

    Source location

    Response from National Highways Ltd
    Page 2 · response
    Published 4 February 2022

    Open published response
  3. Cumbria

    AI-generated summary

    Daniel Bancroft · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Daniel Bancroft, an ex-serviceman and father of three, became extremely inebriated after a night out and was struck by a motor vehicle while walking along the A66 in the early hours. He died from the resultant injuries. The substantive concerns were the lack of pedestrian warning signage, the rapid acceleration and speed of traffic, and the lack of lighting on the initial stretch of the A66.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of lighting on the initial stretch of the A66

    Wider context from the report

    “1. There is nothing to discourage pedestrians from walking along the A66 eg signage 2. Cars are rapidly accelerating from the well-lit roundabout at Stainburn onto an unlit section of the A66 as the national speed limit sign is very close to the roundabout. 3. The speed of traffic on this initial stretch of the A66 4. The lack of lighting on this initial stretch of the A66 ”

    Source location

    Daniel Bancroft · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Assess the suitability of existing road lighting and speed-limit extents at the A66 Stairnburn Bypass in daylight and darkness.

    Verbatim wording from the response

    “We have visited the site in both daylight and dark conditions to assess the suitability of the current road lighting provision and speed limit extents. The illuminated section at the end of the bypass ensures consistent and uniform lighting levels around the full footprint of the junction, and approaches, within the restricted 30mph speed limit. This is in line with the guidance and recommendations contained within BS EN 5489-1 ‘Design of Road Lighting’.”

    Source location

    2020-0244-Response-from-Highways-England-Redacted.pdf
    Page 1 · response
    Published 24 December 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The existing road-lighting extent is appropriate and guidance-compliant, so no additional lighting is proposed; further lighting may encourage pedestrian use.

    Verbatim wording from the response

    “The current road lighting provides the interface with the roundabout lighting, specifically on the westbound approach, and supports the lighting infrastructure along the adjacent road network. Having assessed the site, we have concluded that the current extent of the road lighting at this location is appropriate and in line with guidance outlined within BS EN 5489-1 and the Design Manual for Roads and Bridges (DMRB) Technology appraisal guidance TA 501(formerly TA 49/07) ‘Road Lighting Appraisal’, and therefore no action is proposed. Lighting additional lengths of the bypass may also further encourage pedestrian use.”

    Source location

    2020-0244-Response-from-Highways-England-Redacted.pdf
    Page 2 · response
    Published 24 December 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The road network and collision concerned are outside the County Council’s responsibility.

    Verbatim wording from the response

    “Having examined the report, I wish to advise that the Road Traffic Collision that resulted in the death of Mr Bancroft occurred entirely on the road network that is the responsibility of the Highways England Authority.”

    Source location

    2020-0244-Response-from-Cumbria-County-Council-Redacted.pdf
    Page 1 · response
    Published 24 December 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Highways England will address the safety issue raised because it concerns its road network.

    Verbatim wording from the response

    “Thank you for bringing this to our attention, but in this case Highways England will address the issue raised.”

    Source location

    2020-0244-Response-from-Cumbria-County-Council-Redacted.pdf
    Page 1 · response
    Published 24 December 2020

    Open published response
  4. Lincolnshire

    AI-generated summary

    Millie TAYLOR-NOONAN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Millie TAYLOR-NOONAN, aged 18, was struck by a car while crossing the A607 near The Sir William Robertson School on 4 December 2018. She suffered an unsurvivable head injury and died following the collision; concerns included inadequate pedestrian protections, lighting and crossing arrangements near the school.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of street lighting at the school crossing area

    Wider context from the report

    “1. The location of the collision is in the immediate vicinity to the access and exit entrances to a large secondary school; 2. Whilst motorists have the benefit of advanced warning triangles indicating to road users that there is a school 100 ahead along with a speed limit repeater the location of the incident took place near a dropped kerb with a section of tactile pavement on the footpaths either side of the road, there is no indication to road users as to the imminence of what, was in reality a school crossing area and the area is also unlit; 3. The evidence demonstrated that the deceased may have been distracted by other road traffic users and in particular a school bus emerging from the school premises in the immediacy of the collision that serves to demonstrate the vulnerability of pedestrians in this location at such a time; 4. There are no other measures that exist to protect pedestrians such as: a. Railings; b. Street lighting; c. An automated zebra or other form of crossing to allow a priority to be given to pedestrians; d. A school crossing patrol officer; e. A temporary reduction in the speed limit to 20 miles per hour at the beginning and end of the school day; ”

    Source location

    Millie TAYLOR-NOONAN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Install streetlighting at the school entrance as an authorised exceptional measure.

    Verbatim wording from the response

    “b. The provision of Streetlighting at this location does not meet the requirements of the County Council's Streetlighting Policy. However, the school feel that this request would have the most significant benefit and the Executive Councillor has authorised its installation as an exceptional case.”

    Source location

    2020-0097-Response-from-Lincolnshire-County-Council_Redacted
    Page 2 · response
    Published 18 May 2020

    Open published response
  5. Dorset

    AI-generated summary

    Lorraine Anne Molyneaux and James Anthony Lewis · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 16 October 2019, Lorraine Molyneaux was struck by a motorcycle while crossing Ringwood Road near Turbary Retail Park and died at the scene. The motorcyclist, James Anthony Lewis, had consumed alcohol, suffered significant traumatic head injuries and died on 22 October 2019. Concerns related to repeated pedestrian collisions at the location, the distance of crossings from nearby bus stops and the adequacy and operation of street lighting.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Insufficient street lighting between Mountbatten Roundabout and Clock Garage Roundabout

    Wider context from the report

    “iii. I further request that the street lighting between Mountbatten roundabout and Clock Garage Roundabout is reviewed in relation to the amount of lighting and to ensure that the current lighting is working. ”

    Source location

    Lorraine Anne Molyneaux and James Anthony Lewis · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to ensure street lighting is working between Mountbatten Roundabout and Clock Garage Roundabout

    Wider context from the report

    “iii. I further request that the street lighting between Mountbatten roundabout and Clock Garage Roundabout is reviewed in relation to the amount of lighting and to ensure that the current lighting is working. ”

    Source location

    Lorraine Anne Molyneaux and James Anthony Lewis · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review the lighting design and establish whether illumination levels meet requirements for the road layout.

    Verbatim wording from the response

    “Your report also raised that there were concerns raised by one witness about the perceived level of street lighting and the fact that some of the lanterns were not working.”

    Source location

    2020-0033-Response-from-BCP-Council-Redacted
    Page 2 · response
    Published 28 February 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Carry out a prioritised additional day-and-night survey to measure actual illumination levels at the location.

    Verbatim wording from the response

    “As a part of our normal working practice and in order to carry out a full and detailed check of the actual illumination levels on site we are required to visit the location during the day to measure and mark out several light calculation points on the road and footway then followed up with a visit during the hours of darkness for measurement to be made by use of a light meter.”

    Source location

    2020-0033-Response-from-BCP-Council-Redacted
    Page 2 · response
    Published 28 February 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing lighting levels and sensor operation are considered adequate; illumination will not normally be improved unless specifically recommended by a safety report.

    Verbatim wording from the response

    “The Council has carried out a careful review of the lighting design at this location and this has determined that the lighting levels meet or exceed those required for this type of road layout. The lighting at this location is triggered by light sensor and these sensors appear to have been working satisfactorily at the time of the incident and indeed since that time. We are aware of some lighting defects on Ringwood Road but some distance from the incident. Although not material to this incident this may possibly account for the suggestion that some lighting was not operational.”

    Source location

    2020-0033-Response-from-BCP-Council-Redacted
    Page 2 · response
    Published 28 February 2020

    Open published response
  6. Dorset

    AI-generated summary

    Beryl Fricker · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Beryl Fricker was struck by a Toyota Yaris while crossing Upwey Avenue in Poole at dusk on 20 November 2018 and died of her injuries in hospital on 30 November 2018. The principal concern was poor street lighting at the junction of Lake Road and Upwey Avenue, particularly its wide and poorly illuminated middle section, which could affect pedestrians, cyclists and other road users.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of adequate street lighting at the Lake Road and Upwey Avenue junction

    Wider context from the report

    “i. Upwey Avenue is a wide junction, with the nearest street lamps some distance from the junction itself. As a consequence the middle of the junction appears to be the least well illuminated section of that stretch of road. The surrounding area is residential and there are a number of local schools, including infant and secondary schools, so there is likely a significant number of pedestrians, cyclists and other road users travelling along Lake Road. ”

    Source location

    Beryl Fricker · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Conduct a detailed light-meter survey of the junction and investigate whether illumination improvements are sensible and safety-justified.

    Verbatim wording from the response

    “In order to carry out a full and detailed assessment of the actual illumination levels on site using light meters, we are required to visit the location during the day to measure and mark out several light calculation points on the road and footway, and then follow up with a visit during the hours of darkness. Unfortunately, the streetlighting team haven’t been able to carry out the required site inspections due to the weather conditions. This is because the inclement conditions we have experienced recently have meant the road surfaces were still fairly wet in the evenings, and this factor can easily influence the ambient lighting levels we measure.”

    Source location

    Response from BCP Council
    Page 2 · response
    Published 9 February 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Other factors may explain the collision, and improved street lighting may not have prevented it.

    Verbatim wording from the response

    “There are other possible explanations for the failure of the driver to see Beryl Fricker crossing the road which are unrelated to lighting levels. For example, the driver's visibility of the pedestrian could have been inhibited by the vehicle’s A-pillar rather than the lighting levels, and changing the lighting would not have prevented it.”

    Source location

    Response from BCP Council
    Page 2 · response
    Published 9 February 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing junction lighting meets the applicable British Standard and is considered standard and appropriate for the location.

    Verbatim wording from the response

    “BCP Council’s policy is that it illuminates subsidiary roads and footpaths to lighting class P4 in accordance with BS5489-1:2013 (Code of practice for the design of road lighting). The Council Streetlighting Engineer has checked the current street lighting provision at the Upwey Avenue Lake Road junction by way of producing a lighting report using specialist design software.”

    Source location

    Response from BCP Council
    Page 2 · response
    Published 9 February 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Required lighting inspections could not yet be completed because wet road surfaces would affect measured ambient lighting levels.

    Verbatim wording from the response

    “In order to carry out a full and detailed assessment of the actual illumination levels on site using light meters, we are required to visit the location during the day to measure and mark out several light calculation points on the road and footway, and then follow up with a visit during the hours of darkness. Unfortunately, the streetlighting team haven’t been able to carry out the required site inspections due to the weather conditions. This is because the inclement conditions we have experienced recently have meant the road surfaces were still fairly wet in the evenings, and this factor can easily influence the ambient lighting levels we measure.”

    Source location

    Response from BCP Council
    Page 2 · response
    Published 9 February 2020

    Open published response
  7. County Durham and Darlington

    AI-generated summary

    David Stewart MOORE · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    David Stewart Moore died after being struck by a motor car while crossing an unlit section of the A693 at around 1830hrs on 28 January 2019. The principal concerns were that the location was a natural pedestrian crossing point without street lighting, was in complete darkness, and had a 60mph speed limit, leaving drivers insufficient distance to detect and stop for pedestrians.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of lighting at a pedestrian crossing point

    Wider context from the report

    “The section of the A693 where the collision occurred is: • a de facto pedestrian crossing point connecting footpaths intersecting that road; • an area to which the national speed limit applies (60mph for cars); • very dark at night, being unaffected by ambient illumination; • without street lighting The material section of road is a natural crossing point for pedestrians travelling between two footpaths leading between the collision site: and (i) the village of No Place, to the south of the A693 and (ii) the village of Kip Hill, to the north of the A693. I accepted the following evidence about the material section of road (given by a police Collision Investigator): (i) the road is approximately 12m wide, and after nightfall is “in complete darkness”, being bordered by dense trees and unaffected by discernible ambient light; (ii) drivers are entirely reliant on headlamp illumination to detect pedestrians; (iii) in reliance on his own dipped headlamps, a driver could gain first sight of a static pedestrian in the carriageway at a distance of no more than 40m from that pedestrian; and (iv) a motor car travelling at 60mph would require significantly more than 40m (around 80m) to come to a halt (taking into account driver reaction time and mechanical stopping distance). In this case, the driver first saw the deceased “just prior to the collision” when the latter was running “with large strides” towards the southern side of the A693. Despite emergency braking, he failed to avoid the collision. It was impossible to stop in the available distance. ”

    Source location

    David Stewart MOORE · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Additional street lighting or engineering measures were not considered appropriate because risk assessment, accident history, visibility and warning signage indicated existing controls were sufficient.

    Verbatim wording from the response

    “The A693 is a principal road through the County which is primarily rural in nature and follows the topography of the land through which it passes. The road bisects many Public Footpaths, Bridleways and footways linking communities. Along the route there are sections of the road which have systems of street lighting where there are areas of conflict such as at junctions and roundabouts. However, the street lighting does not cover all pedestrian or bridleway crossing points. The non-provision of street lighting along the route was considered and examined through a robust Risk Assessment process between 2013 and 2015, with this location being assessed in 2013.”

    Source location

    Response from Durham County Council
    Page 4 · response
    Published 29 December 2019

    Open published response
  8. Cheshire

    AI-generated summary

    Mr Costel Daniel Stancu · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mr Costel Daniel Stancu died at Royal Stoke University Hospital on 3 April 2019, aged 37, after sustaining injuries in a series of road traffic collisions on the M6 on 29 March 2019. The concerns identified were that the lack of lighting on that section of motorway contributed to the collisions and created an ongoing risk to life, and that the associated risk had not been reassessed following the motorway’s conversion to a smart motorway or the incident.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Ongoing risk to life from lack of lighting on the motorway section at night

    Wider context from the report

    “I determined that the lack of lighting on this section of the motorway was a contributory factor to the Second Series of Collisions; the evidence at inquest was that this section of the motorway remains unlit at night and I am concerned that this creates an ongoing risk to life. Whilst I found that none of the collisions were caused by the conversion of this section of the motorway to a ‘smart motorway’ I am concerned that this change in layout may have increased the risks posed to users of the motorway including the risk arising from the lack of lighting. The evidence that I heard during the inquest suggested that the risk arising from the lack of lighting had not been re-assessed either as part of the conversion to a ‘smart motorway’ or following the incident on 29ᵗʰ March 2019. ”

    Source location

    Mr Costel Daniel Stancu · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Revise the smart motorways design standard to require review of night-time collisions and consideration of whether road lighting is justified.

    Verbatim wording from the response

    “We revised our smart motorways design standard in 2015. The 2015 design standard has an updated lighting requirement instructing schemes to review the number of night-time personal injury collisions, and to determine whether there is any justification for introducing road lighting as part of the scheme. Subsequent changes to design standards are not applied retrospectively to operational schemes but would be considered as part of a corporate standard programme of investment for the renewal or improvement of the strategic road network at a future date.”

    Source location

    2019-0379-Response-by-Highways-England
    Page 4 · response
    Published 27 December 2019

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Carry out a lighting assessment for the M6 motorway between junctions 16 and 19 to determine whether lighting is required.

    Verbatim wording from the response

    “Given the concerns expressed following this particular incident, we will carry out a lighting assessment to determine whether lighting would now be required on this section of motorway.”

    Source location

    2019-0379-Response-by-Highways-England
    Page 4 · response
    Published 27 December 2019

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The revised lighting standard is not applied retrospectively; lighting review for this operational scheme is deferred to future renewal or improvement investment.

    Verbatim wording from the response

    “(c) The M6 motorway, junctions 16 to 19 ‘smart motorway’ scheme was designed to the smart motorway design standard in place at the time published in 2013. The 2013 design standard stated that, where the motorway is not currently lit, lighting shall not be considered. Therefore, the scheme did not undertake a lighting assessment because this section of the M6 motorway was not lit prior to the smart motorway scheme being designed.”

    Source location

    2019-0379-Response-by-Highways-England
    Page 4 · response
    Published 27 December 2019

    Open published response
  9. Berkshire

    AI-generated summary

    Jason Robert Imi and John Carl Shackley · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 2 August 2018, Jason Imi and John Shackley were struck by a motor car while crossing the A329 to return to the Royal Berkshire Hotel, sustaining fatal injuries and dying at the scene. The principal concern was the continuing risk to pedestrians because there was no footpath or street lighting by the hotel, alongside reduced visibility caused by tree canopy and a dip in the road.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of street lighting at the hotel entrance

    Wider context from the report

    “I am concerned that there is no footpath on the A329 on the side of the road where the Royal Berkshire Hotel is located, meaning that any pedestrians walking into or out of the hotel entrance have to cross the A329 to get from or to a footpath, and that there is no street lighting in the vicinity of the hotel. Street lights end 100 metres west of the hotel entrance. This means that pedestrians entering or leaving the hotel during the hours of darkness have to cross the road in a place where there is no illumination, and so they are not easily visible to motorists driving along the A329. There is also a tree canopy in the summer, further shading the road, and a dip in the road surface on the eastbound approach to the hotel which adversely affects forward visibility towards the hotel for motorists. I consider that unless some action is taken there is a continuing risk of pedestrians entering or leaving the Royal Berkshire Hotel being run over as they cross the A329 at night. ”

    Source location

    Jason Robert Imi and John Carl Shackley · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report
  10. Berkshire

    AI-generated summary

    Jason Robert Imi and John Carl Shackley · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 2 August 2018, Jason Robert Imi and John Carl Shackley were struck by a motor car while crossing the A329 near the Royal Berkshire Hotel and died at the scene. The report raises concerns about the lack of a footpath and street lighting near the hotel, reduced visibility for motorists, and the continuing risk to pedestrians crossing the road at night.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of street lighting near the hotel crossing route

    Wider context from the report

    “I am concerned that there is no footpath on the A329 on the side of the road where the Royal Berkshire Hotel is located, meaning that any pedestrians walking into or out of the hotel entrance have to cross the A329 to get from or to a footpath, and that there is no street lighting in the vicinity of the hotel. Street lights end 100 metres west of the hotel entrance. This means that pedestrians entering or leaving the hotel during the hours of darkness have to cross the road in a place where there is no illumination, and so they are not easily visible to motorists driving along the A329. There is also a tree canopy in the summer, further shading the road, and a dip in the road surface on the eastbound approach to the hotel which adversely affects forward visibility towards the hotel for motorists. I consider that unless some action is taken there is a continuing risk of pedestrians entering or leaving the Royal Berkshire Hotel being run over as they cross the A329 at night. ”

    Source location

    Jason Robert Imi and John Carl Shackley · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report
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Data last updated 7 September 2026