PFD report

Darren Richard Trewin · Prevention of Future Deaths report

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Issued 8 May 2018•Exeter and Greater Devon

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
6

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised3

  1. Inadequate carriageway drainage capacity for heavy rain
    Part of recurring concern: Inadequate drainage control of hazardous surface water on public routesPart of recurring concern: Inadequate road drainage allowing hazardous surface water to remain on carriageways
  2. Insufficient nearside barrier length beside a carriageway drop-off
    Part of recurring concern: Inadequate roadside vehicle-restraint barriers
  3. Failure to keep central reservation drainage clear
    Part of recurring concern: Inadequate drainage control of hazardous surface water on public routesPart of recurring concern: Inadequate road drainage allowing hazardous surface water to remain on carriageways
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6

  1. Action

    Install an additional gully adjacent to the existing gully to increase rainwater interception and prevent water reaching the carriageway.

    Stated by National HighwaysStated completedThe respondent said that this action was complete when they made their response on 1 July 2018.
  2. Action

    Conduct a wider drainage study with detailed modelling to identify further work mitigating the risk of a similar collision.

    Stated by National HighwaysStated in progressThe respondent said that this action was in progress when they made their response on 1 July 2018.
  3. Action

    Flag the location as a flooding hotspot and conduct weekly inspections with material removal or service-provider intervention when required.

    Stated by National HighwaysStated completedThe respondent said that this action was complete when they made their response on 1 July 2018.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Inadequate carriageway drainage capacity for heavy rain

Wider context from the report

“(1) The drain in the central reservation was partially blocked with detritus washed from the road. The drain therefore could not take all the water from the heavy rain showers resulting in the water cascading across the carriageway contributing to the collision. Highways engineers who attended the Inquest were of the view that the grating on the drain should be changed to capture more water and the drains inspected more frequently and an additional drain, located above the drain that blocked should be created to assist with the capture of excess water from heavy rain. ”

Is this part of a recurring concern?

Yes — Inadequate drainage control of hazardous surface water on public routes; Inadequate road drainage allowing hazardous surface water to remain on carriageways.

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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. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Insufficient nearside barrier length beside a carriageway drop-off

Wider context from the report

“(2) To consider extending the barrier on the nearside of the carriageway to a point before the point of impact would possibly have prevented Mr Trewin’s car from leaving the carriageway and entering the woods. A longer barrier at this point, where the ground drops away to a much lower level below the carriageway, could improve safety for all drivers using the A30 at this point. ”

Is this part of a recurring concern?

Yes — Inadequate roadside vehicle-restraint barriers.

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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. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to keep central reservation drainage clear

Wider context from the report

“(1) The drain in the central reservation was partially blocked with detritus washed from the road. The drain therefore could not take all the water from the heavy rain showers resulting in the water cascading across the carriageway contributing to the collision. Highways engineers who attended the Inquest were of the view that the grating on the drain should be changed to capture more water and the drains inspected more frequently and an additional drain, located above the drain that blocked should be created to assist with the capture of excess water from heavy rain. ”

Is this part of a recurring concern?

Yes — Inadequate drainage control of hazardous surface water on public routes; Inadequate road drainage allowing hazardous surface water to remain on carriageways.

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

Install an additional gully adjacent to the existing gully to increase rainwater interception and prevent water reaching the carriageway.

Verbatim wording from the response

“An additional gully has been installed adjacent to the existing gully at the end of the drainage channel to increase the efficiency of rainwater interception and prevent water from reaching the carriageway. This work was completed on 16 June 2018. This gully will be subject to the same maintenance regime as described above.”

Source location

2018-0138-Response-by-Highway-England
Page 1 · response
Published 1 July 2018

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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

Conduct a wider drainage study with detailed modelling to identify further work mitigating the risk of a similar collision.

Verbatim wording from the response

“A wider drainage study at the location (from the top to the bottom of the hill) has commenced and is due for completion this financial year (2018/19). The study will require detailed modelling to determine if there is any other work that can be undertaken to further mitigate the risk of a similar collision.”

Source location

2018-0138-Response-by-Highway-England
Page 2 · response
Published 1 July 2018

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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

Flag the location as a flooding hotspot and conduct weekly inspections with material removal or service-provider intervention when required.

Verbatim wording from the response

“The location was flagged and recorded as a flooding ‘hotspot’ immediately after the incident. This ensures that the location is subjected to a weekly inspection by Highways England (HE) inspectors. If the inspector sees any material that may have the potential to compromise the gully operation it is removed at the time if possible. If the matter cannot be dealt with by HE inspectors at the time, our service provider (Ringway Infrastructure Services Limited) is called in to undertake more substantial operations to ensure the gully operates as designed. The time period for response from the service provider is dependent upon a combination of the nature of the problem, weather conditions at the time and the immediate weather forecast.”

Source location

2018-0138-Response-by-Highway-England
Page 1 · response
Published 1 July 2018

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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

Undertake a Road Restraint Risk Assessment Process assessment near the existing vehicle restraint to determine barrier requirements against current standards.

Verbatim wording from the response

“A Road Restraint Risk Assessment Process (RRRAP) is to be undertaken in the vicinity of the existing vehicle restraint by the end of September 2018. This will inform the requirement for a vehicle restraint barrier at the location in line with current standards. Dependent upon the outcome, we will implement a scheme to introduce a vehicle restraint barrier that reflects the risk assessment findings.”

Source location

2018-0138-Response-by-Highway-England
Page 2 · response
Published 1 July 2018

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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 temporary sandbag mitigation to direct excess rainwater into the gully and away from the carriageway.

Verbatim wording from the response

“Immediately after the collision we provided temporary mitigation by placing sand bags on the downhill side of the gully grating to ensure that any excess flow of rainwater was directed into the gully and away from the carriageway.”

Source location

2018-0138-Response-by-Highway-England
Page 1 · response
Published 1 July 2018

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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

Design and construct a further gully approximately 100 metres uphill to increase drainage capacity and reduce water reaching the lower gully.

Verbatim wording from the response

“A further gully will be installed approximately 100 metres uphill of the end of the drainage channel referred to in point 3a. above. This will further increase surface water drainage capacity and reduce the amount of water reaching the existing lower gully. This piece of work is currently in the design process and will be constructed by the end of September 2018.”

Source location

2018-0138-Response-by-Highway-England
Page 2 · response
Published 1 July 2018

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

Official responses located
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Data last updated 7 September 2026