16 Apr 2021 Roy Charles Evans · Prevention of Future Deaths report County of Ceredigion
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Concerns raised 4 Missing indicator side repeater lamps View source Insufficient tread depth on the offside rear tyre View source Failure to remove a vehicle from service when immediate-prohibition faults are identified View source Fractured offside rear trailing arm pivot causing excessive abnormal movement View source See 1 more concern
Actions described in response An action is something this recipient says it has done, is doing, or plans to do in response to the concern raised. 2
Action
Supply each machine with a technical manual and operator guide specifying daily, weekly and 300-hour maintenance checks, including tyre pressure and condition checks.
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Action
Provide customers with lifelong servicing and maintenance information, spare parts, technical training, and maintenance and repair services through the service network.
View source
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AI-generated summary
Roy Charles Evans · 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
Roy Charles Evans, aged 55, died from injuries sustained when a road sweeper he was operating on Cefnllan Hill, Aberystwyth, went out of control and collided with a stone wall on 13 July 2018. The principal concerns were that the vehicle had a worn tyre, a fractured trailing arm pivot and missing indicator side repeater lamps, and that these faults should have resulted in the vehicle being taken out of service before the collision.
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× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Bucher Municipal Limited; that does not assign responsibility.
PFD Monitor interpretation Missing indicator side repeater lamps
Wider context from the report “a. The Vehicle Examination Report prepared by Vehicle Examiner ████████ of the Driver and Vehicle Standard Agency noted that the offside rear tyre was worn with little tread depth visible.
b. The offside rear trailing arm pivot had fractured resulting in excessive abnormal movement of the trailing arm which would cause stability control to the compromise. That defect should have rendered the vehicle not fit for service.
c. Maintenance documentation indicated that indicator side repeater lamps were missing . These are listed as immediate prohibitions within the categorised of the defects manual .
d. The conclusion of the Dyfed Powys Collision Investigators Report indicated that these three faults would have been categorised as immediate prohibitions and due to this the sweeper should have been taken out of service following the inspection on the 9ᵗʰ July 2018 and should not have been in use until the faults had been rectified.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Bucher Municipal Limited; that does not assign responsibility.
PFD Monitor interpretation Insufficient tread depth on the offside rear tyre
Wider context from the report “a. The Vehicle Examination Report prepared by Vehicle Examiner ████████ of the Driver and Vehicle Standard Agency noted that the offside rear tyre was worn with little tread depth visible .
b. The offside rear trailing arm pivot had fractured resulting in excessive abnormal movement of the trailing arm which would cause stability control to the compromise. That defect should have rendered the vehicle not fit for service.
c. Maintenance documentation indicated that indicator side repeater lamps were missing. These are listed as immediate prohibitions within the categorised of the defects manual.
d. The conclusion of the Dyfed Powys Collision Investigators Report indicated that these three faults would have been categorised as immediate prohibitions and due to this the sweeper should have been taken out of service following the inspection on the 9ᵗʰ July 2018 and should not have been in use until the faults had been rectified.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Bucher Municipal Limited; that does not assign responsibility.
PFD Monitor interpretation Failure to remove a vehicle from service when immediate-prohibition faults are identified
Wider context from the report “a. The Vehicle Examination Report prepared by Vehicle Examiner ████████ of the Driver and Vehicle Standard Agency noted that the offside rear tyre was worn with little tread depth visible.
b. The offside rear trailing arm pivot had fractured resulting in excessive abnormal movement of the trailing arm which would cause stability control to the compromise. That defect should have rendered the vehicle not fit for service.
c. Maintenance documentation indicated that indicator side repeater lamps were missing. These are listed as immediate prohibitions within the categorised of the defects manual.
d. The conclusion of the Dyfed Powys Collision Investigators Report indicated that these three faults would have been categorised as immediate prohibitions and due to this the sweeper should have been taken out of service following the inspection on the 9ᵗʰ July 2018 and should not have been in use until the faults had been rectified .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Bucher Municipal Limited; that does not assign responsibility.
PFD Monitor interpretation Fractured offside rear trailing arm pivot causing excessive abnormal movement
Wider context from the report “a. The Vehicle Examination Report prepared by Vehicle Examiner ████████ of the Driver and Vehicle Standard Agency noted that the offside rear tyre was worn with little tread depth visible.
b. The offside rear trailing arm pivot had fractured resulting in excessive abnormal movement of the trailing arm which would cause stability control to the compromise . That defect should have rendered the vehicle not fit for service .
c. Maintenance documentation indicated that indicator side repeater lamps were missing. These are listed as immediate prohibitions within the categorised of the defects manual.
d. The conclusion of the Dyfed Powys Collision Investigators Report indicated that these three faults would have been categorised as immediate prohibitions and due to this the sweeper should have been taken out of service following the inspection on the 9ᵗʰ July 2018 and should not have been in use until the faults had been rectified.
” Open source report
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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 Supply each machine with a technical manual and operator guide specifying daily, weekly and 300-hour maintenance checks, including tyre pressure and condition checks.
Verbatim wording from the response “a. We supply a technical manual with each machine which includes an operator’s guide. This guide specifies the maintenance required for the machine including daily checks, weekly checks and the ongoing service requirements which should be performed every 300 hours of operation.”
Source location 2021-0112-Response-from-Bucher-Municipal-Ltd_Published Page 1 · response Published 16 April 2021
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Provide customers with lifelong servicing and maintenance information, spare parts, technical training, and maintenance and repair services through the service network.
Verbatim wording from the response “a. We provide all customers with information necessary to service and maintain the machine for the whole of its life. We offer spare parts and technical training for all machines. Through our own service network, we also offer a maintenance and repair service either at the customer’s premises or our own.”
Source location 2021-0112-Response-from-Bucher-Municipal-Ltd_Published Page 2 · response Published 16 April 2021
Open published response
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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 Regular maintenance, identifying defects, assessing roadworthiness and withdrawing the machine were not the manufacturer's responsibility.
Verbatim wording from the response “Bucher Municipal are the original manufacturer of the machine that was involved in the accident. Our customer, Ceredigion County Council, purchased the machine in November 2014. In this case we were neither the user nor maintainer of the machine and as such we were not responsible for the regular maintenance of the machine. During the period the machine was in service we carried out several repairs either under warranty or at the request of Ceredigion County Council. None of our interventions are likely to have had any bearing on the accident and the last intervention we made was in July 2017.”
Source location 2021-0112-Response-from-Bucher-Municipal-Ltd_Published Page 1 · response Published 16 April 2021
Open published response