Recurring concern

Unreliable road-surface grip for vehicles

Pin Get email alerts Request correction

First reported 10 Aug 2016•Latest report 10 Jul 2025

Definition

What this concern includes

Includes recurring deficiencies or hazards in public-road surfaces that make vehicle grip insufficient or unpredictable, including early-life friction changes after thin surface treatment, slippery surfaces, standing water or ice accumulation, and failures to apply or maintain surface treatments needed to preserve safe grip.

Not included

  • Excludes vehicle braking, tyre, anti-lock braking, driver-competence and other vehicle-specific failures where the road surface is not the deficient hazard.
  • Excludes general road design, visibility, signage, lighting, junction and roadside-obstacle concerns unless inadequate or unpredictable road-surface grip is the shared unsafe condition.
  • Excludes pedestrian-only slipping hazards and non-road surfaces unless the assertion specifically concerns vehicle grip on a comparable public road.
  • Excludes generic highway maintenance or adverse-weather response failures where no road-surface grip hazard is identified.
  • Do not duplicate the existing broader concern about vehicle loss-of-control risks on hazardous road sections where the assertion does not specifically concern road-surface grip.
Reports
9

Distinct published reports

Individual concerns
10

A report can raise multiple concerns

Date range
2016–2025

First to latest report issue date

Stated actions
29

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.

Cornwall Council2
Department for Transport2
Association of Directors of Environment, Economy, Planning and Transport1
Connect Plus (M25) Limited1
Cumbria County Council1
Derbyshire County Council1
Dorset Council1
National Highways1
Norfolk County Council1
Road Surface Treatments Association1
Transport for London1
Wessex Water Services Limited1

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. Hampshire, Portsmouth and Southampton

    AI-generated summary

    Paul David RANSOM · 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

    Paul David Ransom died on 24 May 2023 after losing control of his motorcycle on the A272 and colliding with a lorry. The road had received a thin surface treatment less than six hours earlier, and the slippery surface caused or substantially contributed to the collision; concerns were raised about reduced and unpredictable friction during the treatment’s early life, particularly for motorcycles, without guidance requiring warning signage.

    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

    Failure to adapt vehicle speeds to the early-life properties of thin surface treatments

    Wider context from the report

    “The resurfacing that had been carried out was an asphalt preservation treatment known as a “thin surface treatment” wherein a bituminous solution is cold sprayed onto the surface, overlaid with a silicate grit. This is a commonly used method. I heard evidence that in the initial period after laying thin surface treatment has a particular property (“early life effects”) in dry conditions the level of friction available can be akin to that of a wet road. There is no guidance that signage be provided. There is also the potential for unpredictable vehicle behaviour, particularly at lower speeds or when road surface temperatures are high, by reason of a change in the level of friction available to a vehicle during a steering manoeuvre or braking. This may have a greater effect on motorcycles. The newly applied surface looks like an ordinary tarmac road albeit pristine. There has been research into accident rates following application of thin surface treatments. The research had the effect of allaying concerns but I was informed that the research may not have been able to look specifically at motorcycle accidents, and further informed that the issue of signage has been the subject of discussion in at least some highways authorities. Thin surface treatments are to be distinguished from surface dressing wherein aggregates are applied, following which loose chipping warning signs are usually erected and a reduced speed limit applied for the days following application. Following thin surface treatment the drivers of vehicles, including motorcycles are likely to assume that in dry conditions the road surface is going to have the same properties as any established dry asphalt road surface. I am concerned that where the road is, for example, downhill and/or twisting and/or with limited sight lines it may be a particular problem if speeds are not adapted for the early life properties of thin surface treatments: particularly in the case of motorcycles. I recommend review of actions to be taken for the safety of road users, particularly motorcycles, following application of thin surface treatments, during the early life phase following thin surface treatment. ”

    Source location

    Paul David RANSOM · Prevention of Future Deaths report
    Page 1 · 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

    Unpredictable vehicle behaviour from reduced or changing friction during the early life of thin surface treatments

    Wider context from the report

    “The resurfacing that had been carried out was an asphalt preservation treatment known as a “thin surface treatment” wherein a bituminous solution is cold sprayed onto the surface, overlaid with a silicate grit. This is a commonly used method. I heard evidence that in the initial period after laying thin surface treatment has a particular property (“early life effects”) in dry conditions the level of friction available can be akin to that of a wet road. There is no guidance that signage be provided. There is also the potential for unpredictable vehicle behaviour, particularly at lower speeds or when road surface temperatures are high, by reason of a change in the level of friction available to a vehicle during a steering manoeuvre or braking. This may have a greater effect on motorcycles. The newly applied surface looks like an ordinary tarmac road albeit pristine. There has been research into accident rates following application of thin surface treatments. The research had the effect of allaying concerns but I was informed that the research may not have been able to look specifically at motorcycle accidents, and further informed that the issue of signage has been the subject of discussion in at least some highways authorities. Thin surface treatments are to be distinguished from surface dressing wherein aggregates are applied, following which loose chipping warning signs are usually erected and a reduced speed limit applied for the days following application. Following thin surface treatment the drivers of vehicles, including motorcycles are likely to assume that in dry conditions the road surface is going to have the same properties as any established dry asphalt road surface. I am concerned that where the road is, for example, downhill and/or twisting and/or with limited sight lines it may be a particular problem if speeds are not adapted for the early life properties of thin surface treatments: particularly in the case of motorcycles. I recommend review of actions to be taken for the safety of road users, particularly motorcycles, following application of thin surface treatments, during the early life phase following thin surface treatment. ”

    Source location

    Paul David RANSOM · Prevention of Future Deaths report
    Page 2 · 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

    Research and road-user safety issues concerning thin surface treatments should be addressed by the Department for Transport and the Road Surface Treatments Association.

    Verbatim wording from the response

    “We note that your report has also been addressed to ████████ Minister for the Future of Roads, Department for Transport (DfT) and The Road Surface Treatments Association (RSTA). It is appropriate that these organisations address the matters of concern, namely around the issues relating to any research and safety of road users, following application of thin surface treatments.”

    Source location

    Response from Association of Directors of Environment, Economy, Planning & Transport
    Page 1 · response
    Published 17 July 2025

    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

    Site-specific surveys and risk assessments address gradients, bends, sight lines and any required mitigation, including warning signage.

    Verbatim wording from the response

    “A site-specific survey and risk assessment is completed for all sites prior to treatment, whereby any additional risk factors and mitigation measures that may be required, including that of any signage, are identified.”

    Source location

    Response from Road Surface Treatments Association
    Page 3 · response
    Published 17 July 2025

    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

    Design, specification, safety testing and execution of road surface treatments fall outside the association’s direct role.

    Verbatim wording from the response

    “Whilst the association does not have a direct role in the design, specification, safety testing or the execution of road surface treatments, we regularly collaborate with the RSTA and provide technical commentary on their work. We do not engage with or comment on individual councils’ highways maintenance contractual requirements / specifications nor do we act as an enforcement body in any way.”

    Source location

    Response from Association of Directors of Environment, Economy, Planning & Transport
    Page 1 · response
    Published 17 July 2025

    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

    Post-treatment skid resistance was above required investigatory levels, contrary to witnesses’ claims that the road was slippery.

    Verbatim wording from the response

    “The site was closed following the collision and Police conducted testing of skid resistance during the closure as part of their collision investigation. Therefore without any vehicle actions, the surface properties would be very similar to that at the time of the collision.”

    Source location

    Response from Road Surface Treatments Association
    Page 2 · response
    Published 17 July 2025

    Open published response
  2. Norfolk

    AI-generated summary

    Barry John HOWARD · 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

    Barry John Howard entered flood water at an unbridged ford on 13 December 2023, after warning signs were not visible, and his car was swept into the river. He was found deceased in the almost completely submerged car on 14 December 2023. Concerns included inadequate and poorly positioned warning signs, delayed or insufficient road-closure measures, and other risks associated with the ford and road surface.

    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

    Slippery road surface

    Wider context from the report

    “iv. The slippery surface of the road. ”

    Source location

    Barry John HOWARD · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report
  3. Derby and Derbyshire

    AI-generated summary

    Matthew SCOTT · 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

    Matthew James Scott died on 11 March 2023 after losing control of his vehicle on Station Road, Melbourne, when it hit a lengthy defective and subsided section of road filled with ice. The report identifies concerns that the road defect had not been surveyed or addressed by the date of the inquest, despite concerns raised by police and the highways authority.

    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

    Defective and subsided road surface capable of accumulating ice

    Wider context from the report

    “At 6 weeks post Mr Scott's death - on the 28th of April 2023 - a discussion took place between collision investigator officers, a traffic management officer (all of Derbyshire police) with the Project Engineer of the Highways Authority of Derbyshire County Council. The officers raised their concerns that at the place where Mr Scott lost control of his vehicle (Station Road, Melbourne Derbyshire) there was a lengthy, defective and subsided stretch of road. Further that at the time of Mr Scott's death the subsided section of road was some 4 metres in width, 37 metres in length and 5 cms in depth. Further, that it was deep enough to have had standing water in it which at the time of Mr Scott's death had turned to ice. Ice in the said defect would likely cause a vehicle to lose grip on the road surface. At that section of road, the road starts to bend to the right such that losing control on the ice could cause a vehicle to veer to the offside of the road, either into the path of an oncoming vehicle, into the opposite field or as in Mr Scott’s case, a tree. The Project Engineer of the Highways Authority discussed his concerns and the concerns that had been raised by the police, with the highway maintenance department in early May 2023. As at the date of the inquest into Mr Scott' death (22 April 2024) this stretch of road had not been surveyed, no consideration had been given to the concerns of the police and no decisions taken to repair the defect so as to prevent any further accidents. ”

    Source location

    Matthew SCOTT · 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

    Conducted a laser survey of Station Road to assess whether an actionable safety defect existed.

    Verbatim wording from the response

    “Due to the inconsistency between the site report carried out by ████████ and the concerns raised by the Coroner Derbyshire County Council have undertaken a laser survey dated 26/04/2024. The results of the survey also clearly shows there was not an actionable safety defect that measured 4m wide by 37 meters in length, as that was the ice formation.”

    Source location

    Response from Derbyshire County Council
    Page 1 · response
    Published 4 July 2024

    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

    Undertake full-width resurfacing from Melbourne View Hotel approximately 200 metres eastward to level road-surface deviations.

    Verbatim wording from the response

    “Nonetheless Derbyshire County Council take road safety very seriously and the area from Melbourne View Hotel to a point approximately 200 metres in an easterly direction has been put in for full width road surfacing work to be undertaken. This will be completed by 31 October 2024 and will level some of the deviations in the road surface caused by various pot hole repairs.”

    Source location

    Response from Derbyshire County Council
    Page 2 · response
    Published 4 July 2024

    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 reported 37-metre-wide road defect was ice formation, not an actionable safety defect; pooled water was limited and typical.

    Verbatim wording from the response

    “The site report states as follows “Large patch of ice on the road surface measuring 4 metres in diameter and 37 meters in length. Commencing in the centre of the carriageway, 4 meters prior to the entrance of the Melbourne Hotel, and terminating in the south-east bound lane. The area predominantly covered the south-east bound lane. It must be noted that this had reduced in size during my attendance due to weather conditions”. This does not say that there was a defect in the road but ice formation. There were some minor differences in level within the carriageway which allowed water to stand, such minor differences in level would be typical of an evolved road network in similar settings such as this and other areas of road across the county.”

    Source location

    Response from Derbyshire County Council
    Page 1 · response
    Published 4 July 2024

    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

    Quarterly inspections by competent inspectors were sufficient to identify and repair significant road defects.

    Verbatim wording from the response

    “As referenced above the road in question, Station Road, Melbourne is subject to quarterly inspections. We have noted the following from records; 13 January 2023 – 2 customer reports of pot hole received on the same day – area put in for ad hoc inspection 17 January 2023 - ad hoc inspection – a number of separate pot holes put in for repair ref. 50186345 works completed 1 March 2023 17 February 2023 routine inspection – defect noted – 28 day repair requested ref. 50189695 - completed 20 February 2023 9 May 2023 – routine inspection – jobs raised outside Melbourne view repair requested ref 50197481– completed 30 May 2023 17 August 2023 – routine inspection – potholes repairs requested ref. 50204692 and 50204693 completed 04 September 2023. 22 November 2023 – routine inspection – potholes repairs requested ref. 50210507 completed on 21 December 2023.”

    Source location

    Response from Derbyshire County Council
    Page 2 · response
    Published 4 July 2024

    Open published response
  4. Dorset

    AI-generated summary

    Natalie Christina Mountford · 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

    Natalie Christina Mountford was struck by a vehicle while assisting at an earlier collision on an icy road and died at the scene from her injuries. The report raised concerns about repeated collisions at the location, the failure to investigate flowing water during highway inspections, and the absence of a robust process for logging and acting on reports of water leaks onto the highway.

    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

    Recurring collision hazard from ice on a steep, curved road section

    Wider context from the report

    “i. This section of the B3091 appears to be an accident “black spot”, with previous collisions likely to have occurred as a consequence of the presence of ice on the road, combined with a steep incline and a bend in the road; ”

    Source location

    Natalie Christina Mountford · Prevention of Future Deaths report
    Page 3 · 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 joint site visits with Dorset Police after every fatal collision, assess highway-condition factors, and take necessary mitigating action.

    Verbatim wording from the response

    “We work with partners to reduce serious collisions and after every fatal road traffic collision the Road Safety Team conduct a joint site visit with Dorset Police to consider any factors regarding the condition of the highway which could have contributed to the collision and take any necessary mitigating action to maintain the highway to a safe standard to prevent future collisions.”

    Source location

    Response from Dorset Council
    Page 2 · response
    Published 21 February 2024

    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

    Dig out existing and additional drainage ditches to assist water flow at the identified location.

    Verbatim wording from the response

    “On the 4 January 2023 a joint site visit was conducted by qualified Road Safety Auditors from the team during which it was identified that water flowing out of the road surface over the middle of the carriageway (leading to the possible build-up of ice/slush) was a likely contributing factor. The water appeared to be emanating from a Wessex Water (WW) trench reinstatement and therefore contact was made with WW to ensure that they would take action to address the risk with their asset. The auditors were notified by Dorset Police that water on the road was an active line of enquiry and that investigators from the Serious Collisions Investigation Team were in contact with WW. The auditors noted that as a precaution the local Highways Team would be digging out the existing and some additional drainage ditches to assist water flow.”

    Source location

    Response from Dorset Council
    Page 2 · response
    Published 21 February 2024

    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

    Resurface the road and adjust its camber so naturally occurring surface water enters the existing drainage system efficiently.

    Verbatim wording from the response

    “As part of the site investigation consideration was given to the tragic road death which occurred near to this location on the 19 December 2017. It was noted that after this collision (2017) the road was resurfaced with the roads camber being adjusted to improve the ride quality and to ensure that any naturally occurring surface water entered the existing drainage system in an efficient manner. These works were complete in September 2018.”

    Source location

    Response from Dorset Council
    Page 2 · response
    Published 21 February 2024

    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

    Review the B3091 between Sturminster Newton and Shaftesbury within three months to consider additional proportionate improvements.

    Verbatim wording from the response

    “I will commit my team to review the B3091 between Sturminster Newton and Shaftesbury within the next three months to consider whether there are any additional proportionate improvements required.”

    Source location

    Response from Dorset Council
    Page 3 · response
    Published 21 February 2024

    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

    Review winter-service policy measures concerning water on the highway during precautionary salting operations, completing the review by September 2024.

    Verbatim wording from the response

    “Dorset Council sets out its plan for managing the highway network during winter in its ‘Winter Service Policy and Operational Plan’. This policy is reviewed annually, and we will commit to reviewing the measures and actions set out in this policy with regards to the presence of water on the highway network encountered during precautionary salting operations. This review will be complete, and any identified amendments implemented, by September 2024.”

    Source location

    Response from Dorset Council
    Page 4 · response
    Published 21 February 2024

    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

    Resources and practicability constrain winter service, so ice and snow cannot be prevented or cleared across all network routes at all times.

    Verbatim wording from the response

    “There is no positive statutory duty placed upon a highway authority to drain a highway; however, section 41(a) of the Highways Act (1980) places a duty upon highway authorities to ensure, so far as is reasonably practicable, that safe passage along a highway is not endangered by snow or ice.”

    Source location

    Response from Dorset Council
    Page 4 · response
    Published 21 February 2024

    Open published response
  5. Surrey

    AI-generated summary

    Jordan Kevin Pry · 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

    Jordan Kevin Pry died after his car aquaplaned on surface water while travelling on the M25 on 2 April 2018, left the carriageway and collided with a tree. The principal concern was an ongoing risk of further deaths at the location, where aquaplaning incidents had continued and a flat spot remained while investigations and decisions about risk management were ongoing.

    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

    Persistent road-surface flat spot and associated aquaplaning hazard

    Wider context from the report

    “As stated in my Conclusion (above), Jordan Pry died on the M25 motorway at marker post B4348, when he drove his vehicle through an area of surface water and the car began to aquaplane and rotate, causing it to leave the carriageway and collide with a tree. There is a long and significant history of aquaplaning incidents at the location, including a previous similar fatality following which, in 2010, a Prevention of Future Deaths Report was issued by the then Senior Coroner for Surrey. That report drew attention to the presence of surface water from rain and the effects of a blocked drain, and the presence of a flat spot on the road. Subsequently, changes were made to the drainage system at the location, first in 2011 by means of a small scale improvement scheme and secondly, as part of works completed in 2015, by means of the introduction of a slot drain. However, the flat spot still remains and aquaplaning incidents have continued. I was told in evidence that there are ongoing investigations concerning the risk arising at the location, that a decision as to whether or not the flat spot should be addressed is still to be taken, and that a comprehensive plan for the management of the risk at the location cannot be made until that decision is taken. The concern arising, therefore, is that there is an ongoing risk of further death at this location pending the implementation of an informed and comprehensive plan for risk management. ”

    Source location

    Jordan Kevin Pry · Prevention of Future Deaths report
    Page 3 · 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

    Commission an independent review of the existing fixed warning sign’s effectiveness and possible visibility improvements.

    Verbatim wording from the response

    “Warning Messages for Drivers”

    Source location

    Response from National Highways
    Page 2 · response
    Published 9 January 2023

    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

    Install temporary surface-water warning signs at Marker Posts 36/7 and 36/4.

    Verbatim wording from the response

    “With CP, NH have commissioned CPS to review the effectiveness of the existing fixed warning sign to identify whether any measures are possible, within the legislative provisions that govern signage, to enhance the visibility of the sign.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 9 January 2023

    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

    Implement a wet-weather monitoring protocol and activate “Surface Water – Slow” variable-message signs when appropriate.

    Verbatim wording from the response

    “NH has implemented a specific protocol to monitor the Clacket Lane area in times of wet weather and set warning messages of the form “Surface Water – Slow” on the variable message signs in the location when appropriate.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 9 January 2023

    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

    Commission an independent review of the drainage system to identify improvements likely to reduce carriageway flooding.

    Verbatim wording from the response

    “Improvement to the Drainage System”

    Source location

    Response from National Highways
    Page 3 · response
    Published 9 January 2023

    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

    Commission investigations into carriageway reprofiling options, including outline designs and construction feasibility and cost.

    Verbatim wording from the response

    “Profile of the Carriageway”

    Source location

    Response from National Highways
    Page 3 · response
    Published 9 January 2023

    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 weekly visual inspections of slot drains and catchpit surfaces to identify debris accumulation.

    Verbatim wording from the response

    “1.1 Enhanced inspections”

    Source location

    Response from Connect Plus
    Page 2 · response
    Published 9 January 2023

    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

    Develop and operate a severe-weather surface-water response procedure covering patrol deployment, incident logging, secondary response and CCTV monitoring.

    Verbatim wording from the response

    “b) CPS and National Highways are discussing the implementation of the following procedure:”

    Source location

    Response from Connect Plus
    Page 2 · response
    Published 9 January 2023

    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

    Develop and issue an inspection guide defining acceptable debris levels for hardstrips, central reserves and slot drains.

    Verbatim wording from the response

    “c) CPS are developing an inspection guide/checklist to enable CPS ISU crews to have a clear understanding of the acceptable levels of surface debris on the hardstrip, central reserve and slot drains. This will be issued in March 2023 as an addendum to the ISU inspection check sheet.”

    Source location

    Response from Connect Plus
    Page 3 · response
    Published 9 January 2023

    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

    Trial catchpit sensors to monitor water levels and flow and inform intervention frequency.

    Verbatim wording from the response

    “d) CPS are carrying out a trial of catchpit sensors to monitor the level of water and flow at the Location. The data gathered will be used to monitor asset performance and inform any changes to intervention frequency. CPS have installed these sensors at two catchpits in February 2023.”

    Source location

    Response from Connect Plus
    Page 3 · response
    Published 9 January 2023

    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

    Maintain the newly installed temporary flooding warning signs and inspect them weekly for presence and function.

    Verbatim wording from the response

    “ii) Temporary ‘Road Liable to Flooding’ signs were installed in advance of the Location at MP436/7 & MP436/4 on the anti-clockwise B carriageway, and these are subject to a weekly driven visual inspection at prevailing traffic speeds to ensure presence and function.”

    Source location

    Response from Connect Plus
    Page 3 · response
    Published 9 January 2023

    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

    Undertake scheduled drainage inspections, cleansing of blocked or silted assets, and sweeping of the hardstrip and central reserve.

    Verbatim wording from the response

    “b) Drainage system inspection and cleanse”

    Source location

    Response from Connect Plus
    Page 3 · response
    Published 9 January 2023

    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 vegetation cutting and remove excess vegetation from the adjacent landscape plot to reduce leaf burden.

    Verbatim wording from the response

    “c) Vegetation management”

    Source location

    Response from Connect Plus
    Page 4 · response
    Published 9 January 2023

    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

    Review drainage maintenance and inspection requirements, assess best practice and determine whether enhanced requirements are justified.

    Verbatim wording from the response

    “a) Recommendation 1 – Review of, and if appropriate improvements to, the drainage maintenance and inspection regime”

    Source location

    Response from Connect Plus
    Page 4 · response
    Published 9 January 2023

    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

    Review and develop contingency plans for proactive management of heavy rain, surface water and associated warnings or restrictions.

    Verbatim wording from the response

    “b) Recommendation 2 – Development of surface water contingency plans”

    Source location

    Response from Connect Plus
    Page 4 · response
    Published 9 January 2023

    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

    Investigate flooding-hotspot anomalies and identify justified potential improvements to the drainage system.

    Verbatim wording from the response

    “c) Recommendation 3 – Improvement to drainage system”

    Source location

    Response from Connect Plus
    Page 5 · response
    Published 9 January 2023

    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

    Assess carriageway profile and develop sufficiently detailed remediation proposals for cost-benefit analysis where issues are identified.

    Verbatim wording from the response

    “d) Recommendation 4 – Cost benefit analysis of carriage reprofiling”

    Source location

    Response from Connect Plus
    Page 5 · response
    Published 9 January 2023

    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

    Review whether alternative carriageway surfacing could provide beneficial risk mitigation.

    Verbatim wording from the response

    “2.2 Complementary measures”

    Source location

    Response from Connect Plus
    Page 5 · response
    Published 9 January 2023

    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

    Undertake a standards-based review of signage requirements, including whether the fixed warning sign should be illuminated.

    Verbatim wording from the response

    “2) Investigate whether the existing fixed warning sign could be illuminated: National Highways, Connect Plus and CPS have decided to undertake a thorough review of the signage required at the Location against NH standards. CPS will discuss the findings of the CPS design team's review with Connect Plus and National Highways by 28 April 2023.”

    Source location

    Response from Connect Plus
    Page 5 · response
    Published 9 January 2023

    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

    National Highways retains control of safety-critical technology, including decisions on speed-limit signs and variable message warnings.

    Verbatim wording from the response

    “HM Senior Coroner will recall from evidence heard at the inquest that in May 2009 the Secretary of State for Transport signed a 30 year contract with Connect Plus (M25) Limited (Connect Plus) for the M25 Project Road Network. The Secretary of State's interest has since been transferred to National Highways Limited (National Highways). As is the case with privately financed projects, Connect Plus subcontracted a significant proportion of its core operations and maintenance obligations to CPS under a 30-year operations and maintenance agreement. National Highways retained control of most of the technology for the functioning of the M25 Project Road Network related to safety-critical assets, such as the setting of speed limit signs on overhead gantries.”

    Source location

    Response from Connect Plus
    Page 1 · response
    Published 9 January 2023

    Open published response
  6. Cornwall and Isles of Scilly

    AI-generated summary

    Ryan Gareth TAYLOR · 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

    Ryan Gareth TAYLOR died after his vehicle lost control and collided with another vehicle while aquaplaning on converging surface water during heavy rain. The principal concerns were that road drainage allowed surface water from Coliza Hill to converge with water on the A390, a similar aquaplaning incident had occurred previously, and feasible drainage improvements had not yet been implemented.

    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

    Converging surface water on the A390 during heavy rainfall

    Wider context from the report

    “(1) During periods of heavy rainfall surface water from the adjoining road known as Coliza Hill is likely to converge with surface water on the A390 in the vicinity of where Ryan initially lost control of his car. (2) A rear wheel drive car had been involved in an aquaplaning incident at the same location in similar conditions, four years before this collision. (3) Improvements to road drainage are feasible in this particular location but have not yet been implemented. These improvements may diminish the risks of vehicles aquaplaning due to converging surface water. ”

    Source location

    Ryan Gareth TAYLOR · Prevention of Future Deaths report
    Page 3 · 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

    Improve drainage by installing combined kerb drainage, additional surface-water gullies, and increased carrier-drain capacity.

    Verbatim wording from the response

    “Significant improvements have now been made to the drainage in the area of Mr Taylor’s accident, at a cost of approximately £370,000. Nearly 500m of combined kerb drainage has been installed, along with additional surface water gullies. The capacity of over 400m of the underlying carrier drains has been increased accordingly to take the additional water flow.”

    Source location

    Response from Cormac and Cornwall Council
    Page 1 · response
    Published 4 January 2023

    Open published response
  7. Cornwall and Isles of Scilly

    AI-generated summary

    Ryan Gareth TAYLOR · 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

    Ryan Gareth TAYLOR died after losing control of his Jaguar XF when surface water converged on the A390 during heavy rain, causing aquaplaning and a collision. The principal concerns were inadequate road drainage, a previous similar aquaplaning incident at the same location, and feasible drainage improvements that had not yet been implemented.

    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

    Converging surface water on the A390 during heavy rainfall

    Wider context from the report

    “(1) During periods of heavy rainfall surface water from the adjoining road known as Coliza Hill is likely to converge with surface water on the A390 in the vicinity of where Ryan initially lost control of his car. (2) A rear wheel drive car had been involved in an aquaplaning incident at the same location in similar conditions, four years before this collision. (3) Improvements to road drainage are feasible in this particular location but have not yet been implemented. These improvements may diminish the risks of vehicles aquaplaning due to converging surface water. ”

    Source location

    Ryan Gareth TAYLOR · Prevention of Future Deaths report
    Page 3 · 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

    Erect warning signs on both approaches alerting drivers to possible surface water on the road ahead.

    Verbatim wording from the response

    “• Signs will shortly be erected on both approaches warning of the possibility of surface water on the road ahead. This is an interim measure pending more substantial improvement.”

    Source location

    2021-0176-Response-from-CORMAC_Published
    Page 1 · response
    Published 27 May 2021

    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

    Replace existing Coliza Hill slip-road gully grids with larger-capacity gratings.

    Verbatim wording from the response

    “• The existing gully grids on the Coliza Hill slip road will be replaced with larger capacity gratings. This is scheduled to take place in October, in combination with maintenance work programmed after the summer road works embargo period.”

    Source location

    2021-0176-Response-from-CORMAC_Published
    Page 1 · response
    Published 27 May 2021

    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

    Undertake detailed drainage and topographical surveys of the main road alignment.

    Verbatim wording from the response

    “• Detailed drainage and topographical surveys will be undertaken on the main road alignment, again in combination with the scheduled maintenance work in October.”

    Source location

    2021-0176-Response-from-CORMAC_Published
    Page 1 · response
    Published 27 May 2021

    Open published response
  8. Inner West London

    AI-generated summary

    Mr Dokic · 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 Dokic was travelling by motorcycle on Battersea Park Road on 1 March 2016 in wet conditions when he lost control after entering a blue cycle lane, struck a bollard and sustained fatal injuries. The principal concerns were that the cycle highway surface had reduced grip, potentially creating a hazard for cyclists and other vulnerable road users, particularly at junctions, and that similar dangerous areas might exist elsewhere.

    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

    Failure to provide CSH road surfaces with increased grip for cyclists

    Wider context from the report

    “1. That the use of the road surface with reduced grip on the CSH compared to the usual road surface represents a hazard to road users making it more likely that they will lose control of their vehicles. 2. That the surface of the CSH with reduced grip may be widespread and as such other dangerous areas may exist. 3. That TfL should therefore undertake an urgent review of all areas treated with such road surface and replace it with the higher grip surface. 4. That the CSH should all have increased rather than reduced grip compared to the ordinary road surface since cyclists are vulnerable road users. ”

    Source location

    Mr Dokic · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  9. Cumbria

    AI-generated summary

    Kevin David RITSON · 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 4 August 2015, Kevin David RITSON lost control of his motorcycle on a bend on the A595 in Cumbria and died at Preston Hospital from unsurvivable injuries. The report raised concerns about the road surface, including poor adhesion, patched holes and the absence of a chevron warning sign removed after an earlier accident.

    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

    Failure to maintain the road surface in a safe condition

    Wider context from the report

    “(1) The deceased was riding his motor bike through Stangrah Farm near Whitbeck. This had been the scene of an earlier accident damage from which had removed a chevron warning sign. It was clear from photographs that the road surface was not in good condition and holes had been patched. Evidence also showed the road surface adhesion to be below standard. ”

    Source location

    Kevin David RITSON · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report
Back to top

Data last updated 7 September 2026