Recipient

Ceredigion County Council

First report 16 Apr 2021•Latest report 16 Apr 2021

Recipient record

Reports, concerns and published responses

Local government · Welsh county council. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports: 1
Published responses: 100%
Concerns addressed: 4
Stated actions: 15

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

100%published responses found

15stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Ceredigion County Council linked to the concerns in each report. Select any concern, action or position to view the source wording.

16 Apr2021
County of Ceredigion
Concerns raised4
1. Missing indicator side repeater lamps
2. Insufficient tread depth on the offside rear tyre
3. Failure to remove a vehicle from service when immediate-prohibition faults are identified
1. Fractured offside rear trailing arm pivot causing excessive abnormal movement
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response 2
1. Action
  Conduct random monthly gate checks covering at least ten vehicles across the operating centres, including vehicle condition, defect books and drivers’ hours records.
  Stated completed
2. Action
  Maintain Transport Maintenance Unit professional development, including HGV inspection training, IRTEC technician accreditation and relevant MOT-tester training.
  Stated completed
Respondent positions 3
1. Position
  The matters of concern did not cause or contribute to the death, and no similar vehicle incidents have occurred.
  Disputes the concern
1. Position
  Existing vehicle maintenance systems, subsequent enhancements, and independent regulatory findings were considered sufficient to address future risk.
  Existing arrangements considered sufficient
2. Position
  No specific deficiencies in the transport maintenance and management systems were identified during the investigation or inquest.
  Disputes the concern
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.

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. The report was sent to Ceredigion County Council; 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 Ceredigion County Council; 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 Ceredigion County Council; 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 Ceredigion County Council; 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
Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation
Conduct random monthly gate checks covering at least ten vehicles across the operating centres, including vehicle condition, defect books and drivers’ hours records.

Verbatim wording from the response
“████████ Yes, so we are auditing, we've enhanced, we were previously carrying out gate checks, and we've enhanced that the gate checks happen every month...”

Source location
2021-0112-Response-from-Ceredigion-County-Council_Published-1
Page 11 · response
Published 16 April 2021
Open published response
Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation
Maintain Transport Maintenance Unit professional development, including HGV inspection training, IRTEC technician accreditation and relevant MOT-tester training.

Verbatim wording from the response
“████████ Just to confirm as well, that the mechanics, fitters and foreman, are now trained and certified to a...”

Source location
2021-0112-Response-from-Ceredigion-County-Council_Published-1
Page 12 · response
Published 16 April 2021
Open published response
Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation
The matters of concern did not cause or contribute to the death, and no similar vehicle incidents have occurred.

Verbatim wording from the response
“The Inquest, of course, found that the “matters of concern” in the Regulation 28 Report did not cause or contribute to the sad death of Mr Evans. Although the Inquest was not able to determine exactly what had caused Mr Evans’ fatal collision, it was able to establish that it was not any of these issues with the vehicle. There have been no incidents similar to Mr Evans’ collision at CCC either prior to or since Mr Evans’ death.”

Source location
2021-0112-Response-from-Ceredigion-County-Council_Published-1
Page 1 · response
Published 16 April 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
Existing vehicle maintenance systems, subsequent enhancements, and independent regulatory findings were considered sufficient to address future risk.

Verbatim wording from the response
“1. There already were systems in place for Preventative Maintenance Inspections to ensure that vehicles were properly maintained by CCC – the inspections for the sweeper vehicle involved in the accident were every six weeks. These inspections were carried out by trained and competent mechanics, and when they identified that vehicles had defects that made them unroadworthy, they were not allowed to be used until those defects had been rectified.”

Source location
2021-0112-Response-from-Ceredigion-County-Council_Published-1
Page 15 · response
Published 16 April 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
No specific deficiencies in the transport maintenance and management systems were identified during the investigation or inquest.

Verbatim wording from the response
“The Regulation 28 Report does not identify any specific systems or processes within CCC’s transport maintenance and management department that are said to need improvement, and none of the evidence at the inquest highlighted any such issues either. If any specific such deficiencies had been identified in the two-and-a-half year police and coronial investigation, then we are sure these would have been brought to our attention.”

Source location
2021-0112-Response-from-Ceredigion-County-Council_Published-1
Page 1 · response
Published 16 April 2021
Open published response

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026

Reports, concerns and published responses

Reports over time

Concerns raised4

Missing indicator side repeater lamps

Insufficient tread depth on the offside rear tyre

Failure to remove a vehicle from service when immediate-prohibition faults are identified

Fractured offside rear trailing arm pivot causing excessive abnormal movement

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

Respondent positions A position is what this recipient says about the concern when it does not describe a specific action.3

Actions described in response 2

Respondent positions 3