Recurring concern

Inadequate controls for icy and slippery surfaces

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First reported 21 Aug 2014•Latest report 6 Jul 2026

Definition

What this concern includes

Includes dedicated controls for preventing, detecting or mitigating icy and slippery surface hazards, including access to gritting or salting materials and equipment, instructions and procedures for private or managed driveways, and treatment or monitoring of public roads in adverse weather.

Not included

  • Excludes general winter-weather, road-safety or property-management deficiencies where no icy or slippery surface hazard is identified.
  • Excludes vehicle, pedestrian or user behaviour failures where the surface condition or its control is not deficient.
  • Excludes road hazards unrelated to ice or slipperiness, including visibility, speed, junction, vehicle-loading and roadside-obstacle concerns.
  • Excludes post-incident emergency response or medical treatment after an icy-surface incident.
  • Excludes generic maintenance or staffing deficiencies unless they directly impair a dedicated control for icy or slippery surfaces.
Reports
9

Distinct published reports

Individual concerns
9

A report can raise multiple concerns

Date range
2014–2026

First to latest report issue date

Stated actions
31

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
City of Doncaster Council1
Connect Plus (M25) Limited1
Cumbria County Council1
Howarth Properties LTD1
National Highways1
Recipient name withheld1
Road Surface Treatments Association1
South Wales Trunk Road Agent1
Transport for London1
Welsh Government1

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. Buckinghamshire

    AI-generated summary

    Eleisha Skinner · 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

    Eleisha Skinner died in hospital from crush injuries sustained when her car slipped down an icy, inclined driveway and trapped her against a house while she was unloading it. Concerns included the absence of effective barriers against vehicle over-run, uncertainty about arrangements for gritting or salting the driveway, and a lack of guidance on safely unloading vehicles on the incline.

    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 ensure effective mitigation of icy driveway conditions

    Wider context from the report

    “(2) At the time of the incident, the driveway was very slippery as a result of the winter weather conditions. It remains unclear whether the tenants have access to gritting or salting materials and equipment and instructions as to how and when to utilise, or whether the owners or managers have any procedure in place to mitigate against such icy conditions. ”

    Source location

    Eleisha Skinner · 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

    Advise tenants through notices and written confirmations to assess driveway conditions and avoid use until icy or dangerous conditions are safe.

    Verbatim wording from the response

    “Responsibility for the day-to-day assessment of the driveway in winter conditions rests with the tenants of the household and visitors to the property. To support this, all tenants have been advised - by notices displayed on the communal notice boards and in written confirmation to both existing and new tenants - that in icy or otherwise dangerous conditions they must assess the driveway before use and refrain from using the driveway until conditions are safe.”

    Source location

    Response from Howarth Properties LTD
    Page 2 · response
    Published 21 August 2026

    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 permanent driveway signage warning users to assess conditions and avoid use during icy or dangerous conditions, with routine inspection checks.

    Verbatim wording from the response

    “So that this advice cannot be missed or forgotten, permanent signage to the same effect will be installed at the driveway itself, for the benefit of visitors and all other users of the driveway. The sign will be in place no later than 1st October 2026 in advance of the winter.”

    Source location

    Response from Howarth Properties LTD
    Page 2 · response
    Published 21 August 2026

    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

    Day-to-day assessment of the driveway during winter conditions is assigned to household tenants and visitors.

    Verbatim wording from the response

    “Responsibility for the day-to-day assessment of the driveway in winter conditions rests with the tenants of the household and visitors to the property. To support this, all tenants have been advised - by notices displayed on the communal notice boards and in written confirmation to both existing and new tenants - that in icy or otherwise dangerous conditions they must assess the driveway before use and refrain from using the driveway until conditions are safe.”

    Source location

    Response from Howarth Properties LTD
    Page 2 · response
    Published 21 August 2026

    Open published response
  2. 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

    Lack of guidance on signage following application 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 action was interpreted

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

    PFD Monitor interpretation

    Share relevant research, learning, best practice and technical guidance on thin surface treatments and road-user safety with members.

    Verbatim wording from the response

    “Whilst we are not aware of the research you referenced in the report, as a member organisation we will commit to working with the Department for Transport and industry experts such as the RSTA. We will share with our members any relevant research, learning, best practice and technical guidance relating to the application of thin surface treatments and safety of road users. ADEPT is”

    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 action was interpreted

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

    PFD Monitor interpretation

    Review the specifications, codes of practice and application processes for asphalt preservation systems with specialist members.

    Verbatim wording from the response

    “The RSTA and its supplier and contracting specialist member representatives held a meeting to review the Specification, Codes of Practice and processes associated with the application of preservation systems.”

    Source location

    Response from Road Surface Treatments Association
    Page 1 · response
    Published 17 July 2025

    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

    Meet National Highways to discuss the Coroner’s concerns about asphalt preservation systems in the revised specification documents.

    Verbatim wording from the response

    “We are due to meet National Highways to discuss the newly revised specification documents, which will be published in late September/early October.”

    Source location

    Response from Road Surface Treatments Association
    Page 4 · response
    Published 17 July 2025

    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 update the Well Managed Highways Infrastructure Code of Practice to address the report’s recommendations and concerns.

    Verbatim wording from the response

    “However, I recognise the seriousness of what has occurred regarding the road surfacing which your report cites as having caused or substantially contributed to the collision involving Mr Ransom, and the need to ensure, as far as possible, there is no recurrence. For that reason, I have committed to undertaking several measures, described below.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 17 July 2025

    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 whether signage should identify locations where thin surface treatments have been applied.

    Verbatim wording from the response

    “However, I recognise the seriousness of what has occurred regarding the road surfacing which your report cites as having caused or substantially contributed to the collision involving Mr Ransom, and the need to ensure, as far as possible, there is no recurrence. For that reason, I have committed to undertaking several measures, described below.”

    Source location

    Response from Department for Transport
    Page 2 · 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

    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

    Individual councils’ highways maintenance contractual requirements and specifications, and enforcement activities, fall outside the association’s remit.

    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

    Independent testing and accreditation ensure restored skid resistance, so asphalt preservation treatments do not require post-treatment signage.

    Verbatim wording from the response

    “Currently, there is no requirement for post-treatment signage on sites treated with asphalt preservation.”

    Source location

    Response from Road Surface Treatments Association
    Page 2 · 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

    Local highway authorities are responsible for maintaining their networks and determining maintenance standards based on local knowledge and circumstances.

    Verbatim wording from the response

    “This government takes the condition of our country’s roads very seriously and is committed to supporting local highway authorities in maintaining the local highway network and keeping it safe. Responsibility for highways maintenance is devolved; the local highway authorities have a duty under Section 41 of the Highways Act 1980 to maintain the highways network in their area. The Act does not set out specific standards of maintenance, as it is for each local highway authority to assess which parts of its network need repair and to what standards based upon local knowledge and circumstance.”

    Source location

    Response from Department for Transport
    Page 1 · response
    Published 17 July 2025

    Open published response
  3. 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
  4. 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

    Failure to implement feasible road drainage improvements

    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
  5. 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
  6. South Yorkshire (Eastern)

    AI-generated summary

    Ellie Jay Chappell · 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

    Ellie Jay Chappell was driving on the A614 on 2 January 2017 when her vehicle struck ice, lost control and collided with an oncoming vehicle; the report states that death was confirmed at the scene. The principal concern was the absence of warning signs about slippery road conditions on a stretch with previous collisions involving slippery roads, creating a risk to future drivers.

    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 warning signs for slippery road conditions

    Wider context from the report

    “(1) Given the number of road traffic incidents on this stretch of road and the proportion which recorded the slippery road as being a factor, I am concerned that the absence of any warning signs in this vicinity will put drivers at risk of incidents and death in the future. ”

    Source location

    Ellie Jay Chappell · 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

    Arrange installation of warning signs alerting road users to potentially slippery conditions.

    Verbatim wording from the response

    “The Council has noted your concerns regarding the absence of signs to warn of the potential for slippery road conditions. We are not aware of any previous concerns being raised by South Yorkshire Police. However, we are always willing to consider matters relating to road safety. Accordingly, in light of the concerns you have identified, I can confirm that arrangements are being made for the provision of warning signs, and it is anticipated that these will be installed by the end of September 2017.”

    Source location

    2017-0198-Response-by-Doncaster-Borough-Council
    Page 1 · response
    Published 28 July 2017

    Open published response
  7. 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
  8. 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
  9. Gwent

    AI-generated summary

    JOANNA LYNDSEY GREENSMITH · 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

    Mrs. Joanna Lyndsey Greensmith was driving on the A465 near Llangua when her vehicle travelled through black ice, left the carriageway and collided with a tree, causing fatal injuries. The road surface had not been treated in accordance with the relevant adverse-weather guidance, and no report had been made of running water across the carriageway at that location.

    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 treat the road surface in accordance with adverse weather treatment guidance

    Wider context from the report

    “The road surface had not been treated in accordance with the guidance contained within the decision guide and treatment matrices provided in the SWTRA Adverse Weather Plan (2013/14) in accordance with WGTRMM Part 5 Adverse Weather (02/07/12) and the Route Steward had not reported any running water across the carriageway at this location. ”

    Source location

    JOANNA LYNDSEY GREENSMITH · 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

    Undertake pre-salting of the A465 at Llangua at a 20g/sqm spread rate from 1700hrs on 9 February 2014.

    Verbatim wording from the response

    “Pre-salting was instructed on Sunday 9 February 2014 commencing at 1700hrs at a spread rate of 20g/sqm. The record of instruction to Partnership Service Providers is attached with route highlighted in yellow.”

    Source location

    Response from South Wales Trunk Road Agent
    Page 1 · response
    Published 21 August 2014

    Open published response
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Data last updated 7 September 2026