Recurring concern

Inadequate control of pedestrian crossing risks

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First reported 5 Aug 2013•Latest report 8 Jun 2026

Definition

What this concern includes

Includes crossing provision, siting, visibility, signals, markings, refuge, warnings and speed controls when the source ties them directly to pedestrian crossing safety.

Not included

  • General pedestrian-and-vehicle separation away from a crossing
  • Road hazards that do not concern pedestrian crossing safety
Reports
71

Distinct published reports

Individual concerns
113

A report can raise multiple concerns

Date range
2013–2026

First to latest report issue date

Stated actions
136

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 Highways11
Department for Transport6
Transport for London6
Network Rail5
Staffordshire County Council5
Birmingham City Council3
Recipient name withheld3
Bournemouth, Christchurch and Poole Council2
Durham County Council2
Hampshire County Council2
Leeds City Council2
Nottinghamshire County Council2
Office of Rail and Road2
Sandwell Borough Council2
Surrey County Council2

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. East Riding and Hull

    AI-generated summary

    Rebecca Lisa KIRBY · 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

    Rebecca Lisa KIRBY died after being struck by a vehicle while crossing Lowgate, Hull, on the evening of 27 August 2021. The report raised concerns about the road remaining open to traffic in a busy area where pedestrians, including people who had been drinking, had to cross among vehicles, taxis and limited crossing facilities. It also expressed concern that the danger in the area had been underestimated and that further incidents could occur without appropriate action.

    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

    Inadequate provision of suitable pedestrian crossing facilities on Lowgate

    Wider context from the report

    “(1) On a Friday and Saturday night the Lowgate area of Hull city is exceptionally busy with people enjoying the night time economy. As such many are in drink. The area of Lowgate is open to traffic, it is also the location of a taxi rank. There is only one crossing facility (aside from at either end of the road), the road narrows significantly at one end. (2) Police raised concerns as follows: - The road remaining open during a Friday and Saturday night. - The number of pedestrians using the area. - Many people in drink in the area having to cross the road. - The road is a 30 mph. - Lights of vehicles are distracting. - The location of the taxi rank, pedestrians having to navigate around the parked taxis, some with lights on, to enter the road. Taxis do 3 point turns in the road and any vehicle doing this is a danger to pedestrians. (3) Evidence was heard one doorman working in the area who stated “Having worked at the same location for some time, the area where the bars are on Lowgate is an accident waiting to happen. Members of the public are leaving the bars in a drunken state and they just wander into the road to cross, many of them not even looking for traffic on the road. Some vehicles travel down Lowgate far too fast given the evening activity” and another doorman stated “the road and both the footpaths at the location of the collision occurred on Lowgate are both very narrow. There is also a taxi rank outside O’Leary’s which doesn’t help as taxis were parked there at the time of the collision. I have seen numerous near misses over the years I have worked in the area. It is no exaggeration to say that there are between six to twelve incidents each night between cars and pedestrians, one thing which does not help and is also dangerous are taxis which do U turns in the road once they have collected their fare”. (4) The police had previously made recommendations and further felt that closing Lowgate to all through traffic on a Friday and Saturday evening, making Lowgate a total no stopping zone on an evening between certain hours, moving the location of a taxi rank onto nearby Alfred Gelder Street. (5) I note the statement from the local authority listed - They have erected 2 speed signs since the incident. Bearing in mind that this incident occurred with a vehicle travelling well within the limits, traffic is the concern not limited to the speed of vehicles. - The council was looking at developing a document that reviewed speed limits for the whole of the city centre. Lowgate has a special reason for being an area of concern and should be looked at as a priority and not in conjunction with all other city centre streets. - That engagement with the councils public transport department has commenced with the intention to relocate the taxi rank to Alfred Gelder street “but this requires consultation with the Hackney Carriage Association”. No indication was given regarding what was being done to facilitate this. - The council say that there are no resources to manage the road closure, despite acknowledging it is their responsibility. The fact the road is open at this time is a danger and I am concerned given the comments of the doormen that the danger is being underestimated. - Crossing facilities had been looked at but could not be positioned within a suitable distance. (6) I am concerned that inappropriate weight has been given to the danger arising in this area and that without appropriate action further incidents will occur. ”

    Source location

    Rebecca Lisa KIRBY · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  2. Hertfordshire

    AI-generated summary

    Steven Easdale · 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

    Steven Easdale was struck by a car while crossing the B197 Digswell Hill on 5 November 2021 and died at Addenbrookes Hospital on 12 December 2021 from injuries sustained in the collision. The principal concern was that an unlit pedestrian refuge and nearby streetlamp posed a danger to road users and pedestrians; the coroner considered that illumination may have helped the driver see Mr Easdale earlier and avoid the collision.

    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 working lights on a pedestrian refuge

    Wider context from the report

    “(1) That the lack of working lights on the pedestrian refuge on the B197 Digswell Hill (near the Red Lion Public House) poses a danger to road users and pedestrians. Specifically that neither the illuminated bollard nor the streetlamp are in working order. ”

    Source location

    Steven Easdale · 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

    Add the site to the asset inventory and inspect and maintain its bollards and beacon every 20 days, attending to faults when necessary.

    Verbatim wording from the response

    “The HCC highways team were able to confirm all illuminations were in-light on 13th January 2023. The location has been checked every 20-days since then and has been in-light each time.”

    Source location

    Response from Hertfordshire County Council
    Page 2 · response
    Published 24 February 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

    The refuge beacon is not designed to provide lighting for crossing users; it only identifies the island for motorists from a distance.

    Verbatim wording from the response

    “[Please note the reference to streetlamp in the Report is interpreted to mean the refuge beacon on the same island as the bollards. The refuge beacon is a low wattage unit with minimal light output in a downward direction to identify the island for motorists from a distance. It is not designed to provide lighting for users of the crossing]”

    Source location

    Response from Hertfordshire County Council
    Page 1 · response
    Published 24 February 2023

    Open published response
  3. Birmingham and Solihull

    AI-generated summary

    Mervyn Charles Gladstone Leonard HOLBROOK · 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 June 2022, Mervyn Charles Gladstone Leonard Holbrook was knocked from his mobility scooter and run over at a junction after entering the carriageway where a kerb had been worn down. He suffered catastrophic thoracic injuries and was pronounced deceased at the scene. The concern was that the worn and defective kerb could be mistaken for an official crossing point by vulnerable road users, particularly mobility scooter and bicycle users, creating a risk of entering the carriageway unsafely.

    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 kerb at the junction to prevent it appearing to be an official crossing point

    Wider context from the report

    “1. I heard and considered evidence from West Midlands Police's Forensic Collision Unit which confirmed that where the footpath outside 214 Alcester Road South reaches the junction of Livingstone Road, it appears that there is a dropped kerb at the apex. On the opposite side of the junction, the kerbs are raised. West Midlands Police advise that this indicates that the dropped kerbs at this side of the junction are a result of vehicles mounting the kerb as they turn left from Livingstone Road to Alcester Road and therefore causing them to be eroded to be level with the road surface. There is also no tactile paving next to these kerbs, which indicate that this dropped kerb is not an "official" pedestrian crossing point - the same being situated approximately 9m from the end of Livingstone Road. 2. Mr Holbrook was able to leave the carriageway on his mobility scooter at apex/mouth of the junction due to the kerb being worn down to the road surface, and was struck in the carriageway. 3. On 12 September 2022, PC ████████ of West Midlands Police submitted a notification via Birmingham City Council's Highway Department's online portal of the defect, with the Highways responding via email on 20 September 2022 stating that it did not meet the intervention levels that require repair. 4. I am concerned that vulnerable road users - particularly users of mobility scooters or bicycles - may inadvertently consider the worn down and defective kerb to be an "official" crossing point and enter the carriageway when it is unsafe to do so. 5. Furthermore, if a mobility scooter or similar were to enter the carriageway at the mouth of the junction (as Mr Holbrook did), they would then be unable to mount the curb at the opposite side - they would have to travel West down the carriageway of Livingstone road to the official crossing point, or alternatively (and more dangerously) navigate South on the carriageway into oncoming traffic onto Alcester Road. ”

    Source location

    Mervyn Charles Gladstone Leonard HOLBROOK · 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

    Amend the kerb height at the footpath outside 214 Alcester Road South at the Livingstone Road junction.

    Verbatim wording from the response

    “1. I confirm the height of the kerb where the footpath outside 214 Alcester Road South reaches the junction of Livingstone Road was amended by the City Council in early January 2023 as per your recommendations.”

    Source location

    Response from Birmingham City Council
    Page 1 · response
    Published 9 December 2022

    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 network kerb-defect information and intervention criteria to identify similar locations and incorporate necessary maintenance processes.

    Verbatim wording from the response

    “2. We have also commissioned to undertake a review of the available kerb defect information to identify locations similar to the incident site on the network so that the necessary processes are incorporated and similar sites are addressed as part of the Council’s maintenance activities. The scope of the study also includes a review of the intervention criteria and whether these need to be revised in the light of this incident. This study is well underway and is expected to be completed by March 2023. A copy of the report will be shared with you as soon as it is available along with details of further proposed actions.”

    Source location

    Response from Birmingham City Council
    Page 2 · response
    Published 9 December 2022

    Open published response
  4. Inner North London

    AI-generated summary

    Miriam BOULIA · 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

    Miriam Boulia was struck by a bus while crossing Great Eastern Street on a red pedestrian signal and sustained catastrophic, unsurvivable injuries; she was declared deceased at the scene. The report identified concerns that signal timings at the junction did not allow pedestrians enough time to cross safely, with a high number of similar collisions and improvements potentially taking two to four years.

    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 pedestrian crossing signal timings at the junction

    Wider context from the report

    “The current timings of the signals, both at the pedestrian crossing where Ms Boulia died (at the North West side of Curtain Road, which I refer to as crossing 1) and the crossing over Great Eastern Street at the South East side of Curtain Road (by the Old Blue Last pub, which I refer to as crossing 2) do not allow enough time for pedestrians to cross the road safely. The inter-green period (the period when the road traffic’s signals are not at green) at crossing 1 is only 10 seconds, made up of 6 seconds when the pedestrian signal is at green man and 4 seconds of “blackout” or “clearance” period. 10 seconds is insufficient time to allow pedestrians to cross the road safely before the road traffic’s signals change to green. The green man for pedestrians is an invitation to cross, hence the blackout period should allow enough time for any pedestrians who step onto the crossing a moment before the green man goes out to cross the road safely. The current blackout period does not allow for this. Although at crossing 1, the 10 second inter-green period extends to 16 seconds when there is no road traffic filtering from Curtain Road to Great Eastern Street, in practice this is rarely the case. There is no filtering traffic at crossing 2, but the inter-green period is still insufficient to allow pedestrians to cross safely. PC ████████ observed that pedestrians routinely cross on the red man at the crossings at the junction of Great Eastern Street and Curtain Road, probably due to the inadequate inter-green periods. ”

    Source location

    Miriam BOULIA · 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

    Progress the Safer Junction scheme and include Great Eastern Street/Curtain Road, subject to final Department for Transport approvals.

    Verbatim wording from the response

    “21. On 30 August 2022, TfL reached a long-term agreement with the Government on funding until 31 March 2024. This has allowed TfL to recommence feasibility and design proposals for various schemes which were paused due to funding constraints during the pandemic.”

    Source location

    Response from Transport for London report
    Page 5 · response
    Published 1 December 2022

    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

    Ask scheme designers to consider pedestrian safety options at Great Eastern Street/Curtain Road.

    Verbatim wording from the response

    “22. Since August 2022, TfL has been meeting with the Department for Transport (‘DfT’) to discuss plans on spending the funding. TfL will now be progressing the scheme for the Safer Junction programme at Great Eastern Street/Shoreditch High Street/Commercial Street. As part of this, TfL will formally include the Great Eastern Street/Curtain Road junction within the scope of this scheme, subject to final approvals with the DfT. The scope of any briefing for the scheme will include asking the designers to consider the best options for pedestrians at this junction. The timescales for this scheme are 2-4 years, subject to funding.”

    Source location

    Response from Transport for London report
    Page 5 · response
    Published 1 December 2022

    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

    Consider modernising pedestrian signals, including possible countdown signals, as part of the junction scheme.

    Verbatim wording from the response

    “a. Potential improvements to the signal timings;”

    Source location

    Response from Transport for London report
    Page 7 · response
    Published 1 December 2022

    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

    Progress the Safer Junction scheme, including the Great Eastern Street/Curtain Road junction, through feasibility, design and construction.

    Verbatim wording from the response

    “TfL provided a report to the Coroner to assist with his investigation (please find attached the report). TfL explained in the report that the proposed Safer Junction scheme at Great Eastern Street/Shoreditch High Street/Commercial Street will incorporate the Road Safety scheme at the junction at Great Eastern Street/Curtain Road. One proposal put forward was a new layout for this junction. This would seek to align and widen pedestrian crossings to the desire line and implement physical measures to slow speeds around this junction.”

    Source location

    Response from Transport for London
    Page 2 · response
    Published 1 December 2022

    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 design review of the Great Eastern Street/Curtain Road junction to identify ways to improve signal operation and provide additional pedestrian crossing time.

    Verbatim wording from the response

    “It was observed that a number of pedestrians would cross in gaps against the red signal and therefore a planned review of the operational timings at the junction (see below) will seek to minimise the waiting time for pedestrians as much as practically possible. TfL’s own studies into pedestrian crossing behaviour have shown that compliance with the crossing signals reduces as wait time increases. The wait time at this junction is typical for a major central London junction with similar signal controls (a maximum of 89 seconds and an average of 45 seconds.)”

    Source location

    Response from Transport for London
    Page 5 · response
    Published 1 December 2022

    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 operational timings and SCOOT settings across the Shoreditch Triangle to optimise movement phases, junction coordination and pedestrian waiting times.

    Verbatim wording from the response

    “TfL will also conduct a review of the operational timings for all traffic signals within the Shoreditch triangle, which includes the location of this tragic fatality. The purpose of this review will be to optimise the green times each traffic, cycle or pedestrian movement (otherwise known as a ‘phases’) receives at each junction. The review will also consider how adjacent junctions are coordinated with each other (known as ‘offsets’) and the waiting times between each successive green signal (known as the ‘cycle time’). All of the signals in this network operate an adaptive signal control system, known as ‘SCOOT’ and TfL will review all of the settings for that system with an objective to minimise the pedestrian waiting times as much as reasonably possible. It is anticipated that this will commence at the start of March 2023.”

    Source location

    Response from Transport for London
    Page 5 · response
    Published 1 December 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 crossings’ existing signal timings are longer than reported and comply with Department for Transport and TfL standards and guidance.

    Verbatim wording from the response

    “Period | Timing identified in PFD report (seconds) | Actual on street timing (seconds) Green man | 6 | 6 Black Out | 4 | 5 All Red | 4 | 5 Starting Amber | 2 | 2 Total Intergreen | 10 | 12”

    Source location

    Response from Transport for London
    Page 3 · response
    Published 1 December 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 proposed junction safety schemes were paused because pandemic-related fare losses created funding constraints pending a long-term Government funding agreement.

    Verbatim wording from the response

    “The onset of the Covid-19 pandemic in early 2020 and subsequent lockdowns devastated TfL’s fares income and meant TfL required emergency Government support to run its day-to-day transport services. Therefore, the proposals referred to above to investigate feasibility proposals for the junction at Great Eastern Street/Curtain Road, as well as the wider Safer Junction scheme, were paused pending a long-term funding deal.”

    Source location

    Response from Transport for London
    Page 2 · response
    Published 1 December 2022

    Open published response
  5. Herefordshire

    AI-generated summary

    Paul Haydn MORRIS and Alison Margaret MORRIS · 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 Haydn MORRIS and Alison Margaret MORRIS died together with their family dog in a road traffic collision while crossing the A44 at Crooked Well, Kington, Herefordshire. The report raised concerns about limited visibility at the footpath crossing and invited consideration of foliage, safety barriers, the crossing design or position, traffic speed and 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

    Limited visibility at the footpath crossing of the A44

    Wider context from the report

    “(1) The point where the footpath crosses the A44 provides limited visibility to both pedestrians and motorists ”

    Source location

    Paul Haydn MORRIS and Alison Margaret MORRIS · 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

    Remove foliage to improve forward visibility at the crossing.

    Verbatim wording from the response

    “Following the collision, works were immediately undertaken to remove foliage and to improve the forward visibility at the location, this work taking place after the joint inspection by the Police and the Council’s lead road safety officer. An instruction has subsequently been issued to Balfor Beauty Living Places for the reinstatement of visibility splays along the length of the bypass; it is anticipated that this additional work will be complete before the end of September 2022. This piece of work will improve the visibility for pedestrians and motorists alike.”

    Source location

    Response from Kington Bypass Herefordshire Council
    Page 2 · response
    Published 6 October 2022

    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

    Reinstate visibility splays along the bypass to improve visibility for pedestrians and motorists.

    Verbatim wording from the response

    “Following the collision, works were immediately undertaken to remove foliage and to improve the forward visibility at the location, this work taking place after the joint inspection by the Police and the Council’s lead road safety officer. An instruction has subsequently been issued to Balfor Beauty Living Places for the reinstatement of visibility splays along the length of the bypass; it is anticipated that this additional work will be complete before the end of September 2022. This piece of work will improve the visibility for pedestrians and motorists alike.”

    Source location

    Response from Kington Bypass Herefordshire Council
    Page 2 · response
    Published 6 October 2022

    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

    Add the Kington Bypass to an enhanced maintenance regime with quarterly safety inspections and designated steward awareness of site safety requirements.

    Verbatim wording from the response

    “i) The issue of prevailing foliage is addressed above. In addition, the Council will add the Kington Bypass to its list of sites that require an enhanced maintenance regime. On top of regular monthly maintenance inspections for the A44, the whole site will have specific quarterly safety inspections that will include the side road and the footpath. The locality steward responsible for the inspections will be made aware of the requirements needed to ensure safety at this location. The regime will also ensure that the forward visibility along the bypass is maintained as per the original design requirements, taking into account the prevailing speed limit in force.”

    Source location

    Response from Kington Bypass Herefordshire Council
    Page 2 · response
    Published 6 October 2022

    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

    Cut back vegetation, trees and verges to increase sight lines to 160 metres.

    Verbatim wording from the response

    “In relation to the prevailing foliage, Herefordshire Council have visited the site and now requested improvements to the sight lines. The Council have now instructed BBLP to remove vegetation from the wall, cut back trees and the verges on both side of the road, so as to increase sight lines to 160 metres. The order is at quotation stage. Cyclical grass cutting will take place in May and August each year.”

    Source location

    Response from Balfour Beatty Living Places
    Page 2 · response
    Published 6 October 2022

    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 cyclical grass cutting in May and August each year.

    Verbatim wording from the response

    “In relation to the prevailing foliage, Herefordshire Council have visited the site and now requested improvements to the sight lines. The Council have now instructed BBLP to remove vegetation from the wall, cut back trees and the verges on both side of the road, so as to increase sight lines to 160 metres. The order is at quotation stage. Cyclical grass cutting will take place in May and August each year.”

    Source location

    Response from Balfour Beatty Living Places
    Page 2 · response
    Published 6 October 2022

    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

    Cut back verges and tree foliage following the accident to address visibility.

    Verbatim wording from the response

    “The verges and tree foliage were cut back following the accident at the request of West Mercia Police following their accident investigation.”

    Source location

    Response from Balfour Beatty Living Places
    Page 2 · response
    Published 6 October 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 pedestrian guardrail is considered adequate, so its position and layout will not be altered.

    Verbatim wording from the response

    “ii) The safety barrier, in the form of pedestrian guardrail, was installed to prevent pedestrians moving from the river bridge directly onto the bypass. It has the effect of halting pedestrians and encouraging them to check for traffic prior to crossing the road. There are no plans to move or alter the position or layout of the pedestrian guardrail as it is considered adequate to prevent inadvertent entry onto the bypass. The police are aware of this and have not raised any objections.”

    Source location

    Response from Kington Bypass Herefordshire Council
    Page 2 · response
    Published 6 October 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 existing pedestrian guardrail is considered adequate protection, so the historic crossing will not be moved or bridged.

    Verbatim wording from the response

    “iii) The crossing point is a historic one and pre-dates the construction of the bypass. The line of the path is a public right of way, reference Kington Urban Footpath 29. The line of the path is complicated by the presence of a footbridge over the adjacent Gilwern Brook. The path is popular locally and provides ready access to the Offa’s Dyke. There are no plans at this time to either move the line of the footpath or to provide a footbridge over the A44. The presence of the pedestrian guardrail is considered to offer adequate protection and is standard practice for numerous situations where public rights of way cross a highway in the county.”

    Source location

    Response from Kington Bypass Herefordshire Council
    Page 2 · response
    Published 6 October 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 speed limit will not be lowered below 50mph because that is considered appropriate for this road and limits apply by road section.

    Verbatim wording from the response

    “iv) The A44 is currently subject to the National Speed Limit, i.e. 60mph for a single carriageway road. The Council is soon to consult on the lowering of the speed limit to 50mph, the lowest speed limit that is considered appropriate for this class of road and its nature, i.e. a road with minimal access points and good overall visibility. The Council will not be seeking to lower the speed limit further in the vicinity of the collision as speed limits are not set for point locations but rather for the overall look and feel of the network over a section of road. It is anticipated that this will take up to nine months to complete in order to allow for consultation and the statutory processes for making the necessary traffic regulation orders.”

    Source location

    Response from Kington Bypass Herefordshire Council
    Page 3 · response
    Published 6 October 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 pedestrian and vehicle restraint barriers and existing pedestrian crossing were considered adequate and did not require alteration.

    Verbatim wording from the response

    “Herefordshire Council have confirmed to BBLP that it does not have any concerns in relation to the pedestrian or vehicle restraint system (VRS) barriers, but has commissioned BBLP to carry out bi-annual clearance under the VRS barrier. The Council have further confirmed that the position and nature of the pedestrian crossing will not require altering.”

    Source location

    Response from Balfour Beatty Living Places
    Page 2 · response
    Published 6 October 2022

    Open published response
  6. Nottinghamshire

    AI-generated summary

    Heather Frances Page · 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 7 October 2020, Heather Frances Page stepped in front of a train and died in the resulting collision. The report identified concerns about pedestrian crossings requiring people to walk on the tracks, a high number of fatalities, ease of access to the track, and difficulties reducing or rationalising crossings because of local authority opposition.

    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

    Pedestrian crossings requiring people to walk on railway tracks

    Wider context from the report

    “Evidence was heard regarding the section of track adjacent to the Attenborough Nature Reserve. I noted the following issues of concern in relation to this section of track:- (1) There are a number of pedestrian crossings along this short stretch of track which involve pedestrians having to walk on the tracks to cross to the other side. (2) There has been a high number of fatalities along this short section of track (seven in as many years). (3) The nature of that section of track is such that it increases the risks of completed suicide due to the ease of access at multiple points and its proximity to a very popular beauty spot. (4) Efforts by Network Rail to reduce / rationalise the number of crossings along that stretch have failed due, in part, to opposition from the relevant local authorities. (5) Support or opposition from local authorities and councils will respectively increase or reduce the prospects of the risks inherent in that stretch of track being reduced. In the absence of support from local authorities and councils, Network Rail will be less likely to make an application to close or rationalise crossings along this section of track, given the known opposition from some persons living near, or using, the crossings. If an application is made, it will be less likely to be granted in the absence of support from the relevant local authorities and councils. ”

    Source location

    Heather Frances Page · 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 reduce or rationalise the number of crossings

    Wider context from the report

    “Evidence was heard regarding the section of track adjacent to the Attenborough Nature Reserve. I noted the following issues of concern in relation to this section of track:- (1) There are a number of pedestrian crossings along this short stretch of track which involve pedestrians having to walk on the tracks to cross to the other side. (2) There has been a high number of fatalities along this short section of track (seven in as many years). (3) The nature of that section of track is such that it increases the risks of completed suicide due to the ease of access at multiple points and its proximity to a very popular beauty spot. (4) Efforts by Network Rail to reduce / rationalise the number of crossings along that stretch have failed due, in part, to opposition from the relevant local authorities. (5) Support or opposition from local authorities and councils will respectively increase or reduce the prospects of the risks inherent in that stretch of track being reduced. In the absence of support from local authorities and councils, Network Rail will be less likely to make an application to close or rationalise crossings along this section of track, given the known opposition from some persons living near, or using, the crossings. If an application is made, it will be less likely to be granted in the absence of support from the relevant local authorities and councils. ”

    Source location

    Heather Frances Page · 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

    Submitted a consultation response supporting proposals to improve crossing safety and accessibility for disabled and non-disabled users.

    Verbatim wording from the response

    “As part of the Level Crossing Closures Programme, the Council were invited to respond to Network Rail’s Equality Stakeholder Engagement Topic Guide (consultants ████████ had been appointed by Network Rail to undertake an Equalities Impact Assessment (EqIA) to investigate the impact of any works affecting the crossing). On behalf of the Council, I produced the response looking at the various issues from the perspective of Planning Policy. In the Council’s submission (Appendix B), support was demonstrated for any proposal, including a replacement footbridge, which would help to improve both the safety for crossing users as well as increased accessibility at the crossing for disabled and non-disabled users.”

    Source location

    2021-0213-Response-from-Erewash-Borough-Council_Published
    Page 1 · response
    Published 28 June 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

    Maintain regular dialogue with Network Rail about level-crossing diversions, bridges, future management and safer access to non-operational land.

    Verbatim wording from the response

    “6. Additional to the above, NCC and Network Rail are in regular dialogue regarding level”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 2 · response
    Published 28 June 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

    Continue Countryside Access Team contact and collaboration with Network Rail’s Liabilities Team on public-highway rights across railway land.

    Verbatim wording from the response

    “7. NCC’s Countryside Access Team has regular contact and a good working relationship with Network Rail’s Liabilities Team; this being the team within Network Rail with responsibility for the stopping up and diversion of public highway rights across railway lines and operational property. As part of this, NCC are currently discussing a number of at grade crossings in the County regarding their future management, as well as discussing opportunities for access on their non-operational land, which would increase public safety. Any proposals arising from this would, however, be subject to the formal legally prescribed consultation referred to above and thus may potentially be unable to be taken forward due to objections from highway users.”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 3 · response
    Published 28 June 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

    Divert public rights of way at specified Nottinghamshire crossings to remove or avoid at-grade railway crossings.

    Verbatim wording from the response

    “8. Notwithstanding the above, it has been possible to obtain public support to take forward a number of safety improvements in recent years, and several crossings in Nottinghamshire have been diverted by NCC and bridged by Network Rail to remove at grade crossings over operational lines. For example:”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 3 · response
    Published 28 June 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

    Provide temporary emergency closure of Burton Joyce Footpath No.6 to prevent public access during Network Rail emergency safety works.

    Verbatim wording from the response

    “9. Separate to the above, NCC continues to work closely with Network Rail’s Level Crossing Managers in order to help manage public safety at level crossings. For example, NCC recently provided a temporary emergency closure on Burton Joyce Footpath No.6 (Chestnut Grove) following a near-miss incident which prevented public access while Network Rail undertook some emergency improvement works.”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 4 · response
    Published 28 June 2021

    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

    Network Rail is responsible for operating, maintaining and improving the safety of the national rail network, including level crossings.

    Verbatim wording from the response

    “B. The operation, maintenance and improvement of a safe national rail network (including level crossings), is the responsibility of Network Rail, with oversight and funding specifically provided to them by the Office of Rail and Road for improving safety at such crossings.”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 1 · response
    Published 28 June 2021

    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

    Network Rail would have to apply under section 119A of the Highways Act 1980 to divert the public footpath’s current alignment.

    Verbatim wording from the response

    “The correspondence indicated that the planners within Network Rail were planning on making contact with the local planning authority, which would be Erewash Borough Council in this regard, in relation to the proposed design that had been prepared. It was identified that you would have to make an application under Section 119a of the Highways Act 1980 to divert the public footpaths current alignment. To the best of our knowledge Derbyshire County Council received no further correspondence from Network Rail in relation to this matter.”

    Source location

    2021-0213-Response-from-Derbyshire-County-Council_Published
    Page 2 · response
    Published 28 June 2021

    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

    Previous changes, including potential closures, to level crossings near Attenborough Nature Reserve could not be implemented because of strong local opposition.

    Verbatim wording from the response

    “As the assistant coroner has noted, we’ve attempted to make changes to (and potentially close) a number of level crossings in the vicinity of the Attenborough Nature Reserve in the past. However, we recognise that there was a strong local opposition to our plans at the time and we weren’t able to make the changes.”

    Source location

    2021-0213-Response-from-Network-Rail_Published
    Page 1 · response
    Published 28 June 2021

    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 assertion that local authorities opposed Network Rail’s efforts to rationalise crossings is incorrect in respect of Nottinghamshire County Council.

    Verbatim wording from the response

    “1. NCC is grateful for sight of the Assistant Coroner’s report relating to Heather Frances PAGE and would be happy to attend any future inquests if it can provide information of assistance to the coroner. NCC is concerned that, in the report, it is stated that evidence was heard that “(4) Efforts by Network Rail to reduce / rationalise the number of crossings along that stretch have failed due, in part, to opposition from the relevant local authorities”. As the Assistant Coroner will be aware, NCC was not invited to be an interested party at the inquest and was provided with no opportunity to answer this assertion which is, for the reasons set out below, incorrect.”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 1 · response
    Published 28 June 2021

    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 Authority cannot unilaterally close or rationalise crossings because statutory consultation and objection procedures restrict its available powers.

    Verbatim wording from the response

    “3. Closure of level crossings can be achieved under 4 separate Acts of Parliament¹, with only the Highways Act powers available to the Local Highway Authority. The prescribed process which Highway Authorities must follow in order to divert or extinguish certain minor public highways² involve the making of an Order and formal public consultation. Should objections be received and maintained to the diversion or extinguishment, an Order cannot be brought into effect but must be referred to the Secretary of State for determination which often necessitates the holding of a local public inquiry, though it is possible, at the Secretary of State’s discretion, for such an Order to be determined following a hearing or, rarely, to be dealt with by an exchange of written representations.”

    Source location

    2021-0213-Response-from-Nottinghamshire-County-Council_Published
    Page 2 · response
    Published 28 June 2021

    Open published response
  7. West Sussex

    AI-generated summary

    Pathushan Sutharsan · 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 22 July 2020, Pathushan Sutharsan fell from his bicycle while approaching the junction of the Downs Link and the A281 in West Sussex and was struck by a Heavy Goods Vehicle. The report identified inadequate warning signage and no physical barrier at the junction, which continued to pose a significant risk to cyclists, pedestrians and equestrians despite improvements made after his death.

    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 an alternative safe crossing at the junction

    Wider context from the report

    “Whilst it was accepted that West Sussex County Council had, following Pathushan’s death, made significant improvements to the junction between the Downs link and the A281 evidence was heard from a number of different organisations (speaking on behalf of all the different users of the Downs link) that the junction in question still posed a substantial risk for cyclists, pedestrians and equestrians alike. This junction is the only part of the Downs link that crosses a major A-road where there is no alternative safe crossing, a Pegasus crossing or bridge. Evidence was heard that there is no pavement running alongside the A281 and therefore this causes poor sight lines for horse riders and, in some circumstances, cyclists who have to put their horse’s head or part of their bike out onto the road before they can see oncoming traffic. It is understood that WSCC has identified a need to address the issues at this junction and has undertaken (or is about to undertake a feasibility study) but it appears that at this stage there are no definitive plans in place to take this forward. Therefore the significant risk to the users of this junction remains. The Downs link is actively promoted as a recreational activity by West Sussex County Council. ”

    Source location

    Pathushan Sutharsan · 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

    Undertake a feasibility study and options appraisal for improving the crossing point, including bridge and traffic-light-controlled crossing options.

    Verbatim wording from the response

    “A feasibility study looking into ways to improve the crossing point is currently being undertaken by the authority’s term consultant, WSP. An options appraisal report will be completed by October 2021. The study is primarily focused on, but not limited to, the options for a bridge or traffic light controlled road crossing. If the report determines that there are appropriate, technically feasible solutions, the preferred option will be progressed through the WSC’s capital governance procedures, either as a project to be taken forward in the Local Transport Investment Programme or as a major scheme. In either case a full business case will be developed and the scheme assessed against the County Council’s objectives and priorities for potential inclusion in a future capital programme.”

    Source location

    2021-0193-Response-from-West-Sussex-County-Council_Published
    Page 1 · response
    Published 14 June 2021

    Open published response
  8. Brighton and Hove

    AI-generated summary

    Lesley Powell · 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

    Lesley Powell was hit by a motor vehicle while crossing the A2100 Battle Hill and died at hospital on 4 January 2020. The report identified the absence of a safe crossing point and a history of seven incidents on or near the road between August 2016 and December 2019, including fatal and serious-injury incidents.

    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 a safe crossing point on the A2100 Battle Hill

    Wider context from the report

    “(1) There is no safe crossing point on the A2100 Battle Hill, Battle, East Sussex in the vicinity of the Esso/Tesco Express Garage and shop ”

    Source location

    Lesley Powell · 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

    Complete a feasibility study of pedestrian-crossing options and wider Battle Hill safety measures.

    Verbatim wording from the response

    “However, following a serious pedestrian-related crash on Battle Hill, a petition was presented to the County Council on 15 May 2018. The petition was considered by the then Lead Member for Transport and Environment at their decision making meeting on 16 July 2018, where it was resolved that, after liaising with Sussex Police, the County Council would commission their term contractor ‘East Sussex Highways’ to conduct a feasibility study to determine whether some form of pedestrian crossing facility could be introduced at this location and potentially funded through a future capital programme for local transport improvements.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 5 · response
    Published 26 August 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

    Complete a preliminary design for a light-controlled crossing and a direct, level pedestrian route across the filling-station forecourt.

    Verbatim wording from the response

    “In 2020, further discussions and meetings were carried out with Esso and Tesco on alternative options for a pedestrian route across the filling station forecourt and these have resulted in a more direct and level route being identified from the edge of the proposed crossing on the A2100 to the Tesco Express entrance. A preliminary design has now been completed for both the pedestrian crossing and the forecourt pedestrian route. This design has been subject to a Stage 1 Road Safety Audit and the County Council has allocated further funding in the 2021/22 Capital Programme of Local Transport Improvements to progress the scheme through statutory/local stakeholder consultation, and subject to the outcome of this process, progress to detailed design and possible implementation in a future year’s capital programme.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 6 · response
    Published 26 August 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

    Complete a Stage 1 Road Safety Audit of the preliminary crossing and forecourt-route design.

    Verbatim wording from the response

    “In 2020, further discussions and meetings were carried out with Esso and Tesco on alternative options for a pedestrian route across the filling station forecourt and these have resulted in a more direct and level route being identified from the edge of the proposed crossing on the A2100 to the Tesco Express entrance. A preliminary design has now been completed for both the pedestrian crossing and the forecourt pedestrian route. This design has been subject to a Stage 1 Road Safety Audit and the County Council has allocated further funding in the 2021/22 Capital Programme of Local Transport Improvements to progress the scheme through statutory/local stakeholder consultation, and subject to the outcome of this process, progress to detailed design and possible implementation in a future year’s capital programme.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 6 · response
    Published 26 August 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

    Progress the crossing scheme through statutory and local-stakeholder consultation, then toward detailed design subject to the consultation outcome.

    Verbatim wording from the response

    “In 2020, further discussions and meetings were carried out with Esso and Tesco on alternative options for a pedestrian route across the filling station forecourt and these have resulted in a more direct and level route being identified from the edge of the proposed crossing on the A2100 to the Tesco Express entrance. A preliminary design has now been completed for both the pedestrian crossing and the forecourt pedestrian route. This design has been subject to a Stage 1 Road Safety Audit and the County Council has allocated further funding in the 2021/22 Capital Programme of Local Transport Improvements to progress the scheme through statutory/local stakeholder consultation, and subject to the outcome of this process, progress to detailed design and possible implementation in a future year’s capital programme.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 6 · response
    Published 26 August 2021

    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

    Crash analysis did not identify a clear causal factor or consistent manoeuvre that could be addressed solely through an engineered intervention.

    Verbatim wording from the response

    “The crash analysis did not indicate that there is any clear causation factor or consistent manoeuvre involved in the crashes occurring at this location that could be solely addressed by an engineered intervention.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 5 · response
    Published 26 August 2021

    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 location did not meet the established crash-frequency or severity criteria requiring an annual Road Safety Team review.

    Verbatim wording from the response

    “The area identified by the Coroner is within an approximate 100-metre radius of the Tesco Express/Esso filling Station on Battle Hill and the period cited by the Coroner of August 2016 to December 2019 covers a 41-month period. This area did not fall inside our parameters for the identification of a crash site because four or more crashes did not occur within a 25-metre radius within the relevant three year period, which was between 1 January 2018 and 31 December 2020.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 2 · response
    Published 26 August 2021

    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

    Pedestrian safety within the filling-station forecourt requires cooperation and legal agreements with its private owner and operators.

    Verbatim wording from the response

    “Whilst limited informal internal footways and pedestrian markings were already provided within the filling station forecourt area, these were located some distance from what the desire line of pedestrians using the proposed crossing facility on the A2100. This also presented difficulties to pedestrians of limited, or restricted mobility and specifically those using wheelchairs/mobility scooters, due to the gradients on the wider cartilage of the forecourt. The forecourt is privately owned and not under the control of the Highway Authority (East Sussex County Council). The County Council was concerned that, in addressing the issue of safe passage across the A2100 through the introduction of a formal controlled crossing facility, pedestrians could be placed in danger through uncontrolled movement across a busy forecourt on which drivers are not focused on pedestrian movement.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 6 · response
    Published 26 August 2021

    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 Council cannot confirm the crossing works or completion timeframe because funding is limited and capital expenditure follows an approved process.

    Verbatim wording from the response

    “A potential pedestrian crossing scheme is currently being developed in 2021/22 through the County Council’s Capital Programme of Local Transport Improvements. Whilst we are unable to confirm precisely the actions that will be taken at this location (or a timeframe for any works to be completed) due to the limited availability of funding and our approved process for agreeing capital expenditure, we consider that the actions outlined above are appropriate and proportionate to the issues raised and have due regard to the priority this site has, in terms of all other identified and prioritised commitments.”

    Source location

    2021-0282-Response-from-East-Sussex-County-Council_Published
    Page 6 · response
    Published 26 August 2021

    Open published response
  9. East London

    AI-generated summary

    Ellie Jessalyn Isaacs · 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 19 June 2019, 22-year-old Ellie Isaacs was struck by a motor vehicle while crossing the A12 at a Pelican crossing in Romford before the pedestrian light turned green; she sustained fatal injuries and died in hospital on 21 June 2019. The concerns included obstructed driver views, the crossing’s location and changing speed limits, and high levels of vehicles failing to stop during the amber traffic-light phase, which together raised a risk of future deaths.

    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

    Risk of future deaths from the combined crossing hazards

    Wider context from the report

    “4. The combination of the above factors, raises a risk of future deaths. ”

    Source location

    Ellie Jessalyn Isaacs · 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

    Obstruction of drivers' view of pedestrians waiting at the crossing

    Wider context from the report

    “1. The Inquest heard that there are a number of items of street furniture that obstruct the view that drivers should have of pedestrians waiting at the Pelicon crossing (signage, bus stand, safety camera and overhanging foliage/tree branches). ”

    Source location

    Ellie Jessalyn Isaacs · 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 of vehicles to comply with automated traffic signals

    Wider context from the report

    “3. A recent site visit noted a very high level of non-compliance with the automated traffic signals. Vehicles were noted not to be stopping at the amber traffic light phase. ”

    Source location

    Ellie Jessalyn Isaacs · 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

    Hazardous crossing approach following a bend with a higher preceding speed limit

    Wider context from the report

    “2. The Pelicon crossing is sited shortly following a bend in the road and the immediate speed limit approaching the crossing is 30 miles per hour. Very shortly before the Pelicon crossing, the speed limit is 50mph. ”

    Source location

    Ellie Jessalyn Isaacs · 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 fatal-collision site visits with multidisciplinary staff to identify and address road-safety issues.

    Verbatim wording from the response

    “It is our standard practice and part of our wider commitment to Vision Zero to organise a visit to the site of every fatal incident that occurs on TfL’s road network. This is to identify any issues and actions that can be taken immediately to prevent future loss of life.”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 2 · response
    Published 10 November 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

    Undertake a further safety review, including reassessing street-furniture positioning, by the end of November 2020.

    Verbatim wording from the response

    “Conclusion”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 6 · response
    Published 10 November 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

    Liaise with the retail park to request regular maintenance and cutting of vegetation and trees within its property boundary.

    Verbatim wording from the response

    “Work undertaken”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 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

    Renew the 30mph signs so the central-reservation and farside signs match the nearside sign size.

    Verbatim wording from the response

    “Work undertaken”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 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

    Resurface the Gallows Corner roundabout and A12 approaches, renewing white lines, markings, bus-stop cage lining and red surfacing.

    Verbatim wording from the response

    “Work undertaken”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 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 pelican crossing’s design, operation and signal timings comply with current TfL standards and provide adequate opportunity for pedestrians to cross safely.

    Verbatim wording from the response

    “A further site inspection was undertaken by TfL Engineering’s Traffic Control team on 29 August 2019 following an enquiry from Ms Isaac’s family which was forwarded to us by the MPS regarding the location of the crossing facility. This inspection determined that the design and operation of the pelican crossing met TfL’s current design standards and this finding was communicated to the MPS. It additionally determined that there was good visibility of the traffic signals which have five signal heads on both approaches (with two positioned at 6m high and three at 4m high as illustrated in the photos below).”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 2 · response
    Published 10 November 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

    Highway safety actions at the location fall outside Havering Council’s authority because Transport for London is the highway authority.

    Verbatim wording from the response

    “While Colchester Road is part of the adopted highway network, Havering Council are not the Highway Authority for this road, this responsibility falls to Transport for London (TfL). The plan shown below shows the boundary of TfL’s responsibility around Gallows Corner roundabout and also the section of Colchester Road where the crossing point is situated.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 1 · response
    Published 10 November 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

    Transport for London must investigate and determine any action concerning the highway network at the location.

    Verbatim wording from the response

    “A site inspection was undertaken on Thursday 17th September to look at the incident site so that Havering could give responses to the points raised in the coroner’s report. While these comments are made by a Senior Engineer at Havering it must be stressed that TfL would need to carry out their own investigation as they would be ultimately responsible for any action (or inaction) carried out to the highway network at this location.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 2 · response
    Published 10 November 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 inspected camera, vegetation, bus stand and signage did not obstruct drivers’ sightlines to the controlled crossing.

    Verbatim wording from the response

    “The footway at this location is split into a cycle way at the rear of the footway with the pedestrian side adjacent to the carriageway. The safety camera is located at the rear of the footway approximately 25 metres before the crossing, within the cycle way section, and would not cause any sight line issues for car drivers approaching the controlled crossing point.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 2 · response
    Published 10 November 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 Metropolitan Police is responsible for investigating and enforcing traffic-light and speed offences at the crossing.

    Verbatim wording from the response

    “During the site visit on 17th September the non-compliance witnessed above was not seen. This may well be down to the fact that someone standing near the crossing point dressed in black wearing a high-viz jacket may have given the impression of a police presence in which case any comment here is possibly flawed. In London it is the Metropolitan Polices role to enforce traffic light control contraventions/speed offences etc. so it would fall to them to carry out any further necessary investigation at this particular site.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 5 · response
    Published 10 November 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 reported high non-compliance with traffic signals was not observed during the Council’s site visit, although the observation may have been unreliable.

    Verbatim wording from the response

    “3. A recent site visit noted a very high level of non-compliance with the automated traffic signals. Vehicles were noted not to be stopping at the amber traffic light phase.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 5 · response
    Published 10 November 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 30 mph speed limit and its location relative to the pedestrian crossing comply with relevant highway regulations.

    Verbatim wording from the response

    “Below is an aerial photo of the crossing. The speed limit for the Gallows Corner roundabout is 30mph and remains so through the pedestrian crossing location for traffic exiting the roundabout to travel north-east along the A12.”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 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

    No road bend causing driver sightline problems was apparent near the crossing during inspection.

    Verbatim wording from the response

    “While on site there was no visible bend apparent in the carriageway along this length of the road that would cause any sight line issues for drivers what so ever.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 5 · response
    Published 10 November 2020

    Open published response
  10. County Durham and Darlington

    AI-generated summary

    Bartosz Cezary KUSIAK · 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

    Bartosz Cezary Kusiak was struck by a motor vehicle while walking on the unlit A690 in Durham on 23 January 2020 and later died in hospital from fatal injuries. Concerns included the limited visibility of pedestrians to drivers, the emergency stopping distance being greater than the available visibility distance, and the absence of a footpath alongside 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

    Foreseeable pedestrian crossing of an unlit high-speed dual carriageway

    Wider context from the report

    “The evidence established that the collision between Mr Kusiak and a motor vehicle occurred on an unlit dual carriageway subject to the national speed limit that runs alongside a housing estate and an industrial estate in Belmont. It is foreseeable that pedestrians will attempt to cross the road. ”

    Source location

    Bartosz Cezary KUSIAK · 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

    Complete an independent road safety assessment covering street lighting and pedestrian-route provision along the A690.

    Verbatim wording from the response

    “As a result of these discussions it has been agreed that an independent road safety assessment will be commissioned at the earliest possibility. The results of which will be reviewed and discussed further with our partners, Durham Constabulary. 2 | In addition to the request outlined in Item 1, the Police have also asked if a similar assessment process can be undertaken in consideration of footway provision adjacent to this section of the A690. | This matter has been discussed with both Traffic Assets Team, Street Lighting Team and Strategic Highways Team in relation to the provision of street lighting and footways. As a result of these discussion it has been agreed that an independent road safety assessment will be commissioned at the earliest possibility. The results of which will be reviewed and discussed further with our partners, Durham Constabulary.”

    Source location

    Response from Durham County Council
    Page 2 · response
    Published 30 September 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

    Install signs directing pedestrians from the northern A690 footway through the Gilesgate footbridge route.

    Verbatim wording from the response

    “• The council is committed to reducing the potential for similar accidents to occur. To that end the recommendation in the independent consultant’s report is accepted to introduce interventions to proactively deter access to the A690 dual carriageway and promote existing pedestrian routes. These measures include:”

    Source location

    Response from Durham County Council
    Page 4 · response
    Published 30 September 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

    Install guardrail and wayfinding signs to discourage pedestrian access to the south-westbound carriageway and south-eastern verge.

    Verbatim wording from the response

    “• The council is committed to reducing the potential for similar accidents to occur. To that end the recommendation in the independent consultant’s report is accepted to introduce interventions to proactively deter access to the A690 dual carriageway and promote existing pedestrian routes. These measures include:”

    Source location

    Response from Durham County Council
    Page 4 · response
    Published 30 September 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

    Clear foliage and install a timber post-and-rail fence to improve the retained footpath and discourage access to the A690 beyond the footbridge.

    Verbatim wording from the response

    “• The council is committed to reducing the potential for similar accidents to occur. To that end the recommendation in the independent consultant’s report is accepted to introduce interventions to proactively deter access to the A690 dual carriageway and promote existing pedestrian routes. These measures include:”

    Source location

    Response from Durham County Council
    Page 4 · response
    Published 30 September 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

    Remove access to the public footpath on the south-westbound on-slip at the C13 junction.

    Verbatim wording from the response

    “• The council is committed to reducing the potential for similar accidents to occur. To that end the recommendation in the independent consultant’s report is accepted to introduce interventions to proactively deter access to the A690 dual carriageway and promote existing pedestrian routes. These measures include:”

    Source location

    Response from Durham County Council
    Page 4 · response
    Published 30 September 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 section of the A690 has no fundamental safety issues requiring further action.

    Verbatim wording from the response

    “The council is aware of the concerns expressed about this section of the A690 and have reviewed safety issues on a number of occasions, most recently in the form of an independent consultant’s report. The council remain of the view that there are no fundamental issues with this section of road which need to be addressed; however, a number of minor beneficial improvements have been identified and implemented as a result of a previous accident. These are listed in the Table 1 below.”

    Source location

    Response from Durham County Council
    Page 1 · response
    Published 30 September 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 parallel, street-lit, lower-speed pedestrian routes are considered sufficient, so lighting and footways will not be added to the A690.

    Verbatim wording from the response

    “This means the investment would be cost neutral with no positive return on the investment, particularly as the lighting appraisal undertaken in accordance Department of Transport Document TA 501 (Road Lighting Appraisal) does not include non-lighting costs that would be required, for example provision of a footway and associated fencing along the length of the A690. 2 | Review of pedestrian footway provision along the A690. | The predominant movements between trip generators in the area are provided for via existing footway / footpath routes including:”

    Source location

    Response from Durham County Council
    Page 3 · response
    Published 30 September 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

    Street lighting and associated footway works are not proposed because lighting is cost-neutral and additional footway and fencing would increase scheme costs.

    Verbatim wording from the response

    “No. | Action | Recommendation 1 | Appropriateness of introducing street lighting on the A690 between Gilesgate and A1(M) Junction 62. | A Cost / Benefit Analysis (C/BA) for a street lighting scheme between Gilesgate and the C13 Belmont Link Road junction, with costs estimated at £1.65 million discounted to 2010 prices, resulted in a Benefit Cost Ratio (BCR) of 1.01.”

    Source location

    Response from Durham County Council
    Page 3 · response
    Published 30 September 2020

    Open published response
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Data last updated 7 September 2026