Recurring concern

Inadequate physical separation between pedestrians and vehicular traffic

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First reported 26 Feb 2014•Latest report 8 Jun 2026

Definition

What this concern includes

Includes failures of pedestrian guard railings, barriers or other dedicated physical protective features at roads, junctions or comparable traffic environments where they are intended to separate or shield pedestrians from vehicular traffic.

Not included

  • Excludes pedestrian crossing availability, signal visibility, signal timing, signage, lighting or road-layout deficiencies unless the assertion specifically concerns physical separation from vehicular traffic.
  • Excludes railings or barriers dedicated to preventing falls into water, from bridges, or from elevated edges rather than protecting pedestrians from vehicular traffic.
  • Excludes generic staffing, review, maintenance or documentation failures that are not specifically tied to this pedestrian-vehicle separation concern.
Reports
17

Distinct published reports

Individual concerns
18

A report can raise multiple concerns

Date range
2014–2026

First to latest report issue date

Stated actions
22

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.

Department for Transport2
National Highways2
Staffordshire County Council2
Transport for London2
Dorset Highways Department1
Incarace Limited1
Leeds City Council1
Lincolnshire County Council1
London Borough of Lambeth1
Luton Borough Council1
Network Rail1
ORCi Limited1
Sunderland City Council1
Torbay Council1
Walsall Borough Council1

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. Staffordshire and Stoke-on-Trent

    AI-generated summary

    Charlotte Marie SAUNDERS · 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

    Charlotte Marie Saunders was struck by a tipper lorry while crossing Christchurch Way in Stone, Staffordshire, on 27 August 2024, sustaining multiple injuries and a severe traumatic brain injury that resulted in prolonged disorder of consciousness and 24-hour care. She died on 13 January 2026; the principal concern was that the road layout, including gaps in pedestrian guardrails between a supermarket and the town centre, encouraged pedestrians to cross at an unsafe location near a busy bypass despite nearby controlled crossings.

    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 pedestrian guardrails at a primary informal crossing location

    Wider context from the report

    “I have concern that there is a risk of future deaths as a result of the current layout of this location, given the following: 1. The ring road is a busy road with heavy, consistent traffic flow, this being a bypass around the town centre 2. There is a busy supermarket with a large car park on one side of the ring road and the town centre on the other 3. There is a purpose-built pedestrian walkway leading to the pavement on the outer side of the carriageway and an alleyway leading directly into the town centre on the other side 4. There are no pedestrian guardrails either side of the carriageway at what appears to be a primary location used by people for their speed and convenience, to avoid the need to walk further to use the pedestrian crossings ”

    Source location

    Charlotte Marie SAUNDERS · 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

    Extend the Stone active-travel and structural-maintenance study area to include the Christchurch Way pedestrian desire-line crossing location.

    Verbatim wording from the response

    “Notwithstanding the above, the County Council has a scheme in this year’s capital programme to consider active travel and structural maintenance at a number of locations in Stone; and, following receipt of the Prevention of Future Deaths Report, the study area has been extended”

    Source location

    Response from Staffordshire County Council
    Page 2 · response
    Published 2 September 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

    Assess national pedestrian-guardrail guidance and alternative measures to encourage safer pedestrian crossing routes at the Christchurch Way location.

    Verbatim wording from the response

    “to include the Christchurch Way pedestrian desire line crossing location. The study will consider the current national guidance on pedestrian guardrails and whether alternative measures or interventions may be appropriate to encourage safer pedestrian crossing routes at this location.”

    Source location

    Response from Staffordshire County Council
    Page 3 · response
    Published 2 September 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

    Additional pedestrian guardrails cannot be adopted straightforwardly because they may obstruct vehicle visibility or redirect pedestrians into the carriageway.

    Verbatim wording from the response

    “The provision of additional pedestrian guardrail, to encourage pedestrians to use the formal crossing points, has been considered. However, initial observations have identified that the addition of pedestrian guard rail on the southern side of the carriageway may impede visibility for vehicles exiting the private business vehicle access; and the addition of pedestrian guardrail on the northern side of the carriageway may encourage pedestrians to enter the carriageway at either the bus stop or private driveway access that is situated approximately 47 metres away.”

    Source location

    Response from Staffordshire County Council
    Page 2 · response
    Published 2 September 2026

    Open published response
  2. West Yorkshire Eastern

    AI-generated summary

    Dorothy Elizabeth Wagstaff · 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

    Dorothy Elizabeth Wagstaff died at the scene after the car she was driving collided with a post, temporary plastic barriers, railings and a lamp post on the A660 Leeds Road at Otley. It was found more likely than not that she had suffered a medical episode before the collisions. The principal concern was that temporary plastic barriers provided little resistance, allowing the car to leave the road, and that similar barriers remained elsewhere along 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

    Presence of plastic barriers in gaps in road barrier railings

    Wider context from the report

    “(2) Upon examining photographs of the scene, the road barrier/railings and sections of the road, it was noted that plastic barriers similar to those referred to in the Record of Inquest above were present in another section of the A660 Leeds Road. (3) Within the evidence adduced at the inquest, it was noted that Leeds City Council Highways Department have indicated that a schedule of works will be created with a view to replacing the old concrete and metal pole barriers with metal pedestrian railings in this area of the A660. (4) The concern that I raise is that photographs considered at the inquest indicated the on-going presence of plastic barriers in a gap in the existing barrier/railings elsewhere along the stretch of road. Plastic barriers were a factor in the circumstances of the accident in which Mrs Langstaff sadly died. If that remains the case, I am of the view that action should be taken to prevent a risk of future deaths. ”

    Source location

    Dorothy Elizabeth Wagstaff · 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

    Continue the detailed options appraisal for a permanent safety solution at the affected A660 location.

    Verbatim wording from the response

    “Therefore, several alternative permanent solutions are being considered as part of an ongoing detailed options appraisal. These option appraisals have included provision of Galvanised steel safety barrier (Arco barrier), Moorland markers post, Rebound marker posts, bollards, pedestrian guardrail and Trief (vehicle retainment) kerbing. The Trief kerb solution is currently looking the preferred option from an engineering, highway limitation and aesthetic perspective for this specific location and the other section along this length of the A660 where damage has occurred to the historical concrete post and rail fencing.”

    Source location

    Response from Leeds City Council
    Page 2 · response
    Published 23 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

    Undertake detailed safety assessments at other locations with defective fencing or barriers.

    Verbatim wording from the response

    “Similar detailed assessments will be undertaken at other locations with defects and the appropriate solution implemented when practicable. This is to try and prevent future incidents from occurring.”

    Source location

    Response from Leeds City Council
    Page 2 · response
    Published 23 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 improve the process from emergency incident response through permanent highway reinstatement.

    Verbatim wording from the response

    “Following this accident and the receipt of your letter, Leeds City Council Highways Department have commenced a detailed review of the process from when we attend site following an incident to make the location ‘safe’ for the public to continue to use the highway, through to the reinstatement of a permanent solution. This review has highlighted that we are”

    Source location

    Response from Leeds City Council
    Page 2 · response
    Published 23 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

    Use the newly implemented AMX monitoring system to track temporary repairs and permanent-repair progress.

    Verbatim wording from the response

    “now able to utilize a newly implemented computer monitoring system (AMX) to better track the location of temporary repairs, in this case the installation of heavy-duty water filled barriers and monitor progress to completion of permanent repair. Moving forward works orders will be raised immediately following an emergency site visit to allow an engineering options appraisal to take place. Once a suitable engineered solution has been determined, the works will then be issued, programmed and implemented. This improved process has the aim of ensuring permanent repairs are made within an appropriate timeframe.”

    Source location

    Response from Leeds City Council
    Page 3 · response
    Published 23 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

    Raise works orders after emergency site visits and progress engineered solutions through appraisal, issue, programming and implementation.

    Verbatim wording from the response

    “now able to utilize a newly implemented computer monitoring system (AMX) to better track the location of temporary repairs, in this case the installation of heavy-duty water filled barriers and monitor progress to completion of permanent repair. Moving forward works orders will be raised immediately following an emergency site visit to allow an engineering options appraisal to take place. Once a suitable engineered solution has been determined, the works will then be issued, programmed and implemented. This improved process has the aim of ensuring permanent repairs are made within an appropriate timeframe.”

    Source location

    Response from Leeds City Council
    Page 3 · response
    Published 23 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

    Heavy-duty water-filled barriers were considered appropriate interim measures, providing continuous demarcation and visible warning while permanent repairs were programmed.

    Verbatim wording from the response

    “I can confirm that the placement of temporary traffic management measures in response to incident management, with the aim to highlight a damaged area or potential hazard to other motorists is a standard industry approach, as defined in the Department for Transports, Traffic Signs Manual, Chapter 8, Traffic Safety Measures and Signs for Road Works and Temporary Situations.”

    Source location

    Response from Leeds City Council
    Page 1 · response
    Published 23 July 2025

    Open published response
  3. Black Country

    AI-generated summary

    Mr David WELLINGTON · 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 David Wellington died at the scene after being struck by a reversing Renault box van while he was a pedestrian on a service road in Walsall on 12 December 2023. The concerns included the absence of a designated pedestrian route, road markings, pedestrian separation, warning signs and a speed limit, as well as obstructions affecting pedestrian visibility and emergency-service access.

    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 designated and separated pedestrian route to the flats

    Wider context from the report

    “1. I heard evidence at inquest that the service road provides access to the shops that face onto Leamore Lane for delivery purposes. The service road opening is off Bloxwich Road and has a barrier which is operated manually, being opened for deliveries normally by the shop keepers. I heard evidence that the service road is a single carriageway which is used by both vehicles AND pedestrians. As you enter the road, the road is lined with metal fencing on the left side of the road which has openings onto two pathways for access to the flats on Comwall Close (incorrectly referred to as Camwell Close in the Police report). 2. There is no designated pathway for pedestrians when using the service road for the purpose of accessing the nearby flats. Designated pedestrian access from Leamore Lane and Bloxwich Road via a pathway still requires a pedestrian to cross the service road itself. Pedestrian access is not sited on the same side as the flats. In my view this presents a risk of future deaths. 3. There are no road markings designating a pedestrian route nor any clear and designated pathway separating a pedestrian route to the flats from the service road itself. In my view this presents a risk of future deaths. ”

    Source location

    Mr David WELLINGTON · 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

    Consider safely installing a designated pedestrian pathway while assessing required carriageway and footway widths and access implications.

    Verbatim wording from the response

    “The council has considered the possibility that a designated pathway could be installed with the consent of all those with rights of access along the service road. It has thus considered how such a pathway could be safely installed.”

    Source location

    2024-0233 Response from Walsall MBC
    Page 5 · response
    Published 9 May 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Develop and assess an alternative pedestrian-safety scheme involving a diverted entrance, crossing, and footway, including highway-engineer review and landowner negotiations.

    Verbatim wording from the response

    “A senior council officer, in consultation with other officers, is considering a scheme for stopping up a pedestrian entrance from the service road to the ████████ estate, the provision of a crossing diagonally across the service road behind the barrier, and a footway along the Watmos land beside the service road leading to Bloxwich Road. We enclose a rough sketch of this scheme. This would require consideration by the highway engineers, and negotiation with ████████, which owns the land along which the proposed footway would run. The scheme also assumes that any long lessee of a flat in the ████████ estate would be agreeable to a change in the pedestrian rights of access to that flat from the service road.”

    Source location

    2024-0233 Response from Walsall MBC
    Page 9 · response
    Published 9 May 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    The council cannot unilaterally designate part of the service road as a pedestrian pathway because all access-rights holders must consent.

    Verbatim wording from the response

    “Designated pathway As has been set out above all those persons who have rights of way along the service road are entitled to exercise those rights across the full width of the service road. It would be the duty of anyone using the service road to do so in a way which did not interfere with the use of it by anyone else. The council is thus not entitled unilaterally to designate parts of the service road as a pathway, leaving the rest of the service road for vehicular use.”

    Source location

    2024-0233 Response from Walsall MBC
    Page 5 · response
    Published 9 May 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    The service road is too narrow to provide both a sufficiently wide carriageway and a safe 1.5-metre footway.

    Verbatim wording from the response

    “The service road at the point where the barrier is installed is 4.85m wide. A modest reduction in the width of the service road at this point would not be sufficient to accommodate a footway approaching 1.5m in width. Whilst it would be possible to lay out a separate footway along one side of the service road, neither the footway nor the remaining carriageway would be sufficiently wide to allow proper use of either.”

    Source location

    2024-0233 Response from Walsall MBC
    Page 6 · response
    Published 9 May 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    Marking a designated footway may not improve pedestrian safety and could increase risk by creating false reassurance while reversing vehicles remain hazardous.

    Verbatim wording from the response

    “Road markings providing a designated footway There was a time when shared spaces were popular. These were spaces which were shared by both vehicles and pedestrians. The DfT stopped promoting shared spaces in 2018. This may have been because of the risks to partially sighted road users. Any attempts to mark out parts of the service road for use by vehicles and parts for use by pedestrians would be met with the practical problem that the service road is not wide enough to accommodate both a carriageway for vehicles and a footway for pedestrians. It is thus questionable whether marking out a designated footway on the service road would in fact increase the safety of a pedestrian. There is the risk that a marked out footway would give the impression to a pedestrian that he or she would be safe to use that footway. That might be leading the pedestrian into a false sense of security.”

    Source location

    2024-0233 Response from Walsall MBC
    Page 7 · response
    Published 9 May 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    The proposed alternative pedestrian scheme cannot be implemented without agreement from the neighbouring landowner and affected leaseholders.

    Verbatim wording from the response

    “An alternative proposal The council takes very seriously the fact that an accident occurred on its land. That was made more serious by the fact that this was a fatal accident. It regards the Prevention of Future Deaths Report as a request to take whatever action might be possible to deal with the concerns raised in that report. The council has thus considered what scheme might be implemented which takes account of all of the concerns set out in the report. Those considerations have included the taking of steps which are beyond the present powers of the council and would require the express consent of other parties.”

    Source location

    2024-0233 Response from Walsall MBC
    Page 9 · response
    Published 9 May 2024

    Open published response
  4. Berkshire

    AI-generated summary

    Terence Charles Scott DUNCAN · 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

    Terence Charles Scott Duncan died on 30 October 2022 after he ducked under the skeleton of an articulated lorry trailer obstructing a pedestrian crossing and was run over by its rear nearside tyres when the lorry moved off. The concern was that an extended trailer, despite being unloaded, had a significant gap between its sideguards and wheels, potentially providing less protection to pedestrians and cyclists than a fixed trailer of the same length.

    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 sideguard coverage on extended trailers

    Wider context from the report

    “I was informed that the type of trailer involved in this inquest was an extendable trailer and therefore its construction was in compliance with the Regulations as long as the requirements were met when the trailer was in its shortest configuration. The sideguard on this trailer was only 50cm long whereas the distance between the wheels of the cab unit and trailer wheels was 3 metres when extended. The trailer was extended despite being not being loaded with a shipping container at the time. There was therefore a very significant gap between the end of the sideguards and front of the following wheels. I am concerned that there is no lesser risk posed to pedestrians or cyclists by an extendable trailer that posed by a fixed trailer of the same length which would have been required to have a more comprehensive sideguard device installed. ”

    Source location

    Terence Charles Scott DUNCAN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Review sideguard requirements and propose amendments to require sideguards on extended trailers where possible.

    Verbatim wording from the response

    “In relation to sideguards, both UNECE Regulation 73 and C&U permit extendable trailers to be placed on the market and used respectively, without sideguards in the location of the increase in length when the trailer is extended. These provisions have been in place for many years, and I have asked officials to review the requirements, and to make proposals to amend the international regulation to require sideguards when the trailer is extended, where possible. This would increase the number of vehicles fitted with sideguards while continuing to recognise that this is not possible in all cases.”

    Source location

    Response from Department of Transport
    Page 1 · response
    Published 22 November 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

    Consider amending Construction and Use Regulations to keep required sideguards in place throughout a vehicle’s life.

    Verbatim wording from the response

    “In addition, consideration is also being given to amending C&U to ensure that sideguards which are required for the purpose of the original vehicle approval remain in place throughout the life of the vehicle. I trust that these two actions will address your concerns on the absence of sideguards on extendable trailers. The Department will continue to monitor the”

    Source location

    Response from Department of Transport
    Page 1 · response
    Published 22 November 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

    Sideguards cannot be required on extendable trailers in all cases because fitting them is not possible in some circumstances.

    Verbatim wording from the response

    “In relation to sideguards, both UNECE Regulation 73 and C&U permit extendable trailers to be placed on the market and used respectively, without sideguards in the location of the increase in length when the trailer is extended. These provisions have been in place for many years, and I have asked officials to review the requirements, and to make proposals to amend the international regulation to require sideguards when the trailer is extended, where possible. This would increase the number of vehicles fitted with sideguards while continuing to recognise that this is not possible in all cases.”

    Source location

    Response from Department of Transport
    Page 1 · response
    Published 22 November 2023

    Open published response
  5. Newcastle and North Tyneside

    AI-generated summary

    Jean HARDY · 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

    Jean Hardy, aged 71, crossed the B1286 Doxford Parkway at night at a point without a designated pedestrian crossing and was struck by a motor vehicle. She sustained multiple injuries and died in hospital on 8 February 2020. Concerns included common local crossing at non-designated points, lack of fencing and warning signage, and a risk of further deaths requiring a comprehensive review of pedestrian crossing provision.

    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 restrict pedestrian access to the carriageway

    Wider context from the report

    “(1) The B1286 Doxford Parkway is bordered by Multiple housing estates and the evidence confirmed that local practice of crossing at non designated crossing points which are more easily accessible and convenient is common and well known. (2) Access to the carriageway is not restricted by fencing (save for limited fencing at designated crossing points) and there is no signage prohibiting crossing at non designated crossing points or warning of the risks to the public of doing so. (3) There is a risk of further deaths occurring in this location and in similar circumstances. To prevent future deaths there should be a comprehensive review of current pedestrian crossing provision on B1286 Doxford Parkway. ”

    Source location

    Jean HARDY · 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 road safety review of the location and assess the suitability of existing pedestrian crossing points.

    Verbatim wording from the response

    “In response to your concerns and request for action, the Council has undertaken a road safety review of the location concerned; and has also investigated the suitability of the existing pedestrian crossing point locations on Doxford Park Way. The issues you have raised around provision of fencing within a central grassed reservation and signing has been considered. This was discussed on site, and the view of the Police is that this would encourage barrier hopping by more agile pedestrians and would not be supported by them.”

    Source location

    Response from Sunderland City Council
    Page 2 · response
    Published 2 June 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

    Additional fencing was not supported because it was considered likely to encourage barrier hopping by more agile pedestrians.

    Verbatim wording from the response

    “In response to your concerns and request for action, the Council has undertaken a road safety review of the location concerned; and has also investigated the suitability of the existing pedestrian crossing point locations on Doxford Park Way. The issues you have raised around provision of fencing within a central grassed reservation and signing has been considered. This was discussed on site, and the view of the Police is that this would encourage barrier hopping by more agile pedestrians and would not be supported by them.”

    Source location

    Response from Sunderland City Council
    Page 2 · response
    Published 2 June 2023

    Open published response
  6. Bedfordshire and Luton

    AI-generated summary

    Ibrahima YAHAIA · 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

    Ibrahima YAHAIA, who had memory issues and was a French non-English-speaking national, was fatally struck by a bus while walking along the designated busway in Luton on 15 January 2020. The concerns included unrestricted pedestrian access to the busway, gaps in fencing and inadequate signage, previous serious incidents, alleged design flaws, and no evidence of steps to prevent further injuries or 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

    Failure to prevent pedestrian access to Busway lanes

    Wider context from the report

    “(1) There is a pedestrian footway which runs parallel to the Busway in places and pedestrians have access to the Busway at bus stops. Pedestrians may cross the Busway at the bus stops and there is no physical prevention for pedestrians to enter the Busway lanes. There is no signage on the Busway, itself stating pedestrians should not enter and only a small sign on a post by the footpath which states pedestrians should not trespass on the Busway. Although the footpaths which run parallel to the Busway are separated by fences, there are a number of places where pedestrians may freely enter the Busway. Hatters Way, Luton has many gaps in the fence, with no gate, giving pedestrians free access to roam in and out of the Busway lanes. There are no signs of bus stops near these gaps in the fences and, at the Bury Park end of Hatters Way, there is no fencing which again means pedestrians are free to enter the Busway lanes. Unlike train tracks, where the only way to get access is via a station, the Busway is easily accessed, yet it is just as dangerous; ”

    Source location

    Ibrahima YAHAIA · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    Entire-length fencing cannot be installed because it would be prohibitively expensive and is not considered necessary for busway infrastructure.

    Verbatim wording from the response

    “At no stage has LBC or CBC been advised that the Busway should be fenced along its entire length and indeed to do so would be prohibitively expensive. I understand that no busways are fenced in the same way as a railway and the two should not be seen as comparable.”

    Source location

    2020-0262-Response-from-Luton-Council-Redacted
    Page 1 · response
    Published 4 January 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

    Unauthorised access cannot be prevented along the Busway’s full 8.3-mile length.

    Verbatim wording from the response

    “I feel that I must nonetheless point out that it is impossible to prevent unauthorised access to the Busway along its 8.3 mile length of which 4.6 miles is guided.”

    Source location

    2020-0262-Response-from-Luton-Council-Redacted
    Page 3 · response
    Published 4 January 2021

    Open published response
  7. Lincolnshire

    AI-generated summary

    Millie TAYLOR-NOONAN · Prevention of Future Deaths report

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

    Report summary

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

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

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

    PFD Monitor interpretation

    Lack of pedestrian railings at the school crossing area

    Wider context from the report

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

    Source location

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

    Open source report

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    Guardrails are not reasonably practicable because widening, utility conflicts, reduced visibility and pedestrian risks would create safety problems.

    Verbatim wording from the response

    “a. At this location the width of the footway is such that the installation of guardrail would require significant widening works and affect underground utility services. Safety concerns would also be created due to reduced highway visibility for properties opposite the school; and also the risk that pedestrians may be tempted to walk outside the barrier if the footpath was occupied by other waiting pedestrians. It is not considered to be reasonably practicable to provide guardrail taking into account the above issues.”

    Source location

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

    Open published response
  8. Birmingham and Solihull

    AI-generated summary

    Colin Alan North · 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

    Colin North attended a Stock Car racing event at Birmingham Wheels on 16 November 2019 to present trophies. He was struck from behind by a large tractor while walking on the track and died at the scene; the medical cause of death was multiple injuries from a road traffic collision. The concerns included a lack of pedestrian control, protected walkways and safe areas, and inadequate consideration of the risks to pedestrians and staff on the track.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

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

    PFD Monitor interpretation

    Lack of protected pedestrian walkways and safe areas away from recovery vehicles

    Wider context from the report

    “1. The TV recording of the event shows that as soon as the race is concluded the gate to the only entry and exit point is opened. Pedestrians (in using this term I include those working at the event and others) and several recovery vehicles then come through the gate. At the same time Stock Cars remain on the track some undertaking “doughnuts”. There are many pedestrians moving around the track area whilst large recovery vehicles are moving, some at speed, onto the track. There is a complete absence of control of any pedestrians onto and those already on the track. There is no pedestrian walkway on the track and no designated pedestrian safe area. There is a complete lack of awareness of the risk to pedestrians on the track who are in very close proximity to large recovery vehicles. Urgent action is required to review when and how pedestrians should be allowed on the race track at any time during a race event. 2. Urgent action is required to ensure pedestrians on the track have clear protected walkways and safe areas away from large recovery vehicles. 3. Urgent action is required to review the risk assessment document to ensure it adequately protects any pedestrians that need to be on the track. 4. Urgent action is required to review the prize giving procedure and to consider moving this to the “Public Area” as there appears to be no need for it to be undertaken in the middle of the track amongst moving vehicles. 5. Urgent action is required to consider the safety of staff working during the races and whether they should remain on the track given that they are completely unprotected should a vehicle in the race lose control. ”

    Source location

    Colin Alan North · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

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

    PFD Monitor interpretation

    The prohibition on pedestrians entering the track while vehicles are moving makes designated protected walkways unnecessary.

    Verbatim wording from the response

    “2. Urgent action is required to ensure pedestrians on the track have clear protected walkways and safe areas away from large recovery vehicles”

    Source location

    2020-0003-Response-from-Incarace-Ltd-Redacted
    Page 2 · response
    Published 8 February 2020

    Open published response
  9. Inner North London

    AI-generated summary

    Ozan Allen · 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

    Ozan Allen was hit by a car while crossing the junction of Mile End Road and Burdett Road on 16 August 2018 and died in hospital on 20 August 2018 from traumatic brain injury caused by the road traffic collision. Concerns included the junction’s complex layout, lack of pedestrian guard railing, impaired visibility, pedestrians not using staggered crossings as intended, and a history of collisions involving pedestrians.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

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

    PFD Monitor interpretation

    Lack of pedestrian guard railing at the junction

    Wider context from the report

    “(2) There is no pedestrian guard railing at the junction ”

    Source location

    Ozan Allen · 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

    Reintroduce pedestrian guard railing on the junction’s north-west corner to direct pedestrians to formal crossings.

    Verbatim wording from the response

    “We are proposing to re-introduce pedestrian guard railing on north-west corner of the junction to direct pedestrians to use the formal crossings provided. We are also investigating signal heads on green pedestrian signals to reduce the risk of ‘see-through’ problems (where two or more signals are close together and there are risks that road users look at the wrong set of signals), and removal of street furniture such as telephone kiosks to improve pedestrian visibility (subject to discussions with third parties).”

    Source location

    2019-0197-Response-by-Transport-for-London
    Page 2 · response
    Published 15 August 2019

    Open published response
  10. Dorset

    AI-generated summary

    Rowan Lloyd · 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

    Rowan Lloyd died after colliding with a traffic signal pole while cycling home from school and falling under the wheels of a trailer at a busy junction. Concerns related to the lack of pedestrian crossing facilities, barriers, and dedicated cycling infrastructure at the junction, particularly given its use by school-age pedestrians and cyclists.

    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 barriers separating the road and pavement on the northern approach to the junction

    Wider context from the report

    “1. During the inquest evidence was heard that: i. I heard evidence that the junction of Portland Road, Murley Road and Langton Avenue is a particularly busy junction during the rush hours and during the “school runs”, as Portland Road is the main road into Portland and this junction is close to a number of schools. However, I heard evidence that there are no crossing points for pedestrians at the junction, no advanced stop line for cyclists, no cycle lane and no barriers between the road and the pavement on the approach to the traffic signals. 2. I have concerns with regard to the following: i. Pedestrians have to “guess” when the lights are in their favour, depending upon the road they intend to cross at the junction; there is no pelican crossing at the junction to assist pedestrians, many of who are of school age, to cross safely at this junction. ii. There is no barrier between the pavement and the road as the junction is approached from the north. This allows pedestrians and cyclists to potentially cross between cars that are held at the junction by the lights, and would mean cars travelling in a northerly direction up Portland Road would have an obscured view of those crossing the road between stationary vehicles. iii. There is no accommodation for cyclists. Given that many of the cyclists using this road will be of school age, particular care needs to be taken to ensure that cyclists can use the road safely and be clearly seen by drivers using Portland Road, perhaps by way of dedicated cycle lanes and/or advanced stop lines at the traffic signals. ”

    Source location

    Rowan Lloyd · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
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Data last updated 7 September 2026