PFD report

Miss Yasmin Mary Richards · Prevention of Future Deaths report

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Issued 28 Apr 2014•Avon

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
5

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

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised3

  1. Recurring loss of vehicle control on the same section of the A46
    Part of recurring concern: Inadequate control of vehicle loss-of-control risks on hazardous road sections
  2. Failure of the speed limit to adequately protect drivers approaching the Hartley Bends
    Part of recurring concern: Inadequate control of vehicle loss-of-control risks on hazardous road sectionsPart of recurring concern: Inadequate speed control at hazardous road locations
  3. Inadequate road signs and carriageway markings warning drivers about the severity of approaching bends
    Part of recurring concern: Inadequate road markings for road-user safetyPart of recurring concern: Inadequate road warning signagePart of recurring concern: Inadequate speed control at hazardous road locations
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.5

  1. Action

    Commission an independent peer review of the Hartley Bends safety work.

    Stated by National HighwaysStated plannedThe respondent said that this action was planned when they made their response on 28 April 2014.
  2. Action

    Complete road resurfacing and most planned Hartley Bends safety-scheme works.

    Stated by National HighwaysStated completedThe respondent said that this action was complete when they made their response on 28 April 2014.
  3. Action

    Gather speed data and monitor accidents for a reasonable period to assess the implemented safety scheme.

    Stated by National HighwaysStated plannedThe respondent said that this action was planned when they made their response on 28 April 2014.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Position

    Rumble strips are unsuitable on single-carriageway bends because they may reduce traction, create hazards for oncoming vehicles and increase noise.

    Stated by National HighwaysUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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

Recurring loss of vehicle control on the same section of the A46

Wider context from the report

“(1) Notwithstanding the contribution made to this collision by the condition of the tyres of Ford Ka this is the second Inquest I have conducted within the past 12 months into the death of a driver who lost control of their vehicle on the same section of the A46. (2)The speed limit in the section of the A46 known as the 'Hartley Bends' should be reviewed and reduced so as to improve the safety of drivers as they approach these bends. (3) The road signs including carriageway markings should be reviewed and improved so as to provide greater warning to drivers as to the severity of the approaching bends. (4) Consideration be given to the provision of ‘rumble strips’ in advance of the bends so as to further encourage the reduction in the speed of vehicles as they approach the bends. ”

Is this part of a recurring concern?

Yes — Inadequate control of vehicle loss-of-control risks on hazardous road sections.

Open source report

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 of the speed limit to adequately protect drivers approaching the Hartley Bends

Wider context from the report

“(1) Notwithstanding the contribution made to this collision by the condition of the tyres of Ford Ka this is the second Inquest I have conducted within the past 12 months into the death of a driver who lost control of their vehicle on the same section of the A46. (2)The speed limit in the section of the A46 known as the 'Hartley Bends' should be reviewed and reduced so as to improve the safety of drivers as they approach these bends. (3) The road signs including carriageway markings should be reviewed and improved so as to provide greater warning to drivers as to the severity of the approaching bends. (4) Consideration be given to the provision of ‘rumble strips’ in advance of the bends so as to further encourage the reduction in the speed of vehicles as they approach the bends. ”

Is this part of a recurring concern?

Yes — Inadequate control of vehicle loss-of-control risks on hazardous road sections; Inadequate speed control at hazardous road locations.

Open source report

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 road signs and carriageway markings warning drivers about the severity of approaching bends

Wider context from the report

“(1) Notwithstanding the contribution made to this collision by the condition of the tyres of Ford Ka this is the second Inquest I have conducted within the past 12 months into the death of a driver who lost control of their vehicle on the same section of the A46. (2)The speed limit in the section of the A46 known as the 'Hartley Bends' should be reviewed and reduced so as to improve the safety of drivers as they approach these bends. (3) The road signs including carriageway markings should be reviewed and improved so as to provide greater warning to drivers as to the severity of the approaching bends. (4) Consideration be given to the provision of ‘rumble strips’ in advance of the bends so as to further encourage the reduction in the speed of vehicles as they approach the bends. ”

Is this part of a recurring concern?

Yes — Inadequate road markings for road-user safety; Inadequate road warning signage; Inadequate speed control at hazardous road locations.

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 peer review of the Hartley Bends safety work.

Verbatim wording from the response

“In reviewing the 2011 report I still consider that the now implemented local measures to highlight the nature of the road are logical and proactive steps, which may positively affect speeds without the need for a revised posted limit. As regards your recommendation 2 of Section 5 we proposed the following future actions:”

Source location

2014-0193-Response-by-Highway-Agency
Page 2 · response
Published 28 April 2014

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

Complete road resurfacing and most planned Hartley Bends safety-scheme works.

Verbatim wording from the response

“This recommendation was accepted and, following development of a business case, this safety scheme was included in our forward programme for implementation in early 2014. The salient proposals in the Hartley Bends locality were as follows:”

Source location

2014-0193-Response-by-Highway-Agency
Page 1 · response
Published 28 April 2014

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

Gather speed data and monitor accidents for a reasonable period to assess the implemented safety scheme.

Verbatim wording from the response

“2. The gathering of speed data to ascertain the effectiveness of the now implemented safety scheme together with a reasonable period of accident monitoring to gauge impact, and if required, further intervention development. In this case one year would seem appropriate.”

Source location

2014-0193-Response-by-Highway-Agency
Page 3 · response
Published 28 April 2014

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

Provide temporary advisory 30 mph signing while accelerating consideration of road-surface renewal.

Verbatim wording from the response

“As previously stated, these works were programmed for early 2014 and therefore after November 2013. However, following 2 November, we took the additional precaution of providing temporary advisory 30 mph signing while we looked into accelerating future road surface renewal works, over and above the planned safety scheme.”

Source location

2014-0193-Response-by-Highway-Agency
Page 2 · response
Published 28 April 2014

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 vehicle-activated signs on both approaches to Hartley Bends.

Verbatim wording from the response

“• Interactive vehicle activated signs (VAS) to be installed on the north and southbound approaches to Hartley Bends. These signs visually are activated by high speed and advise drivers to slow down and of the geometric hazards ahead;”

Source location

2014-0193-Response-by-Highway-Agency
Page 2 · response
Published 28 April 2014

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

Rumble strips are unsuitable on single-carriageway bends because they may reduce traction, create hazards for oncoming vehicles and increase noise.

Verbatim wording from the response

“In section 5(3) of your report you make reference to ‘rumble strips’. I believe you are referring to yellow bar markings as used on the approaches to roundabouts. These are not considered suitable for use on single carriageway roads as they need to be laid verge to verge in order for their extremities not to cause a hazard to oncoming vehicles and if used on bends such as the A46 can reduce traction for vehicles. There are also adverse environmental effects such as increased noise.”

Source location

2014-0193-Response-by-Highway-Agency
Page 2 · response
Published 28 April 2014

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

Implemented local measures are considered sufficient to influence speeds without revising the posted speed limit, subject to continued monitoring.

Verbatim wording from the response

“In reviewing the 2011 report I still consider that the now implemented local measures to highlight the nature of the road are logical and proactive steps, which may positively affect speeds without the need for a revised posted limit. As regards your recommendation 2 of Section 5 we proposed the following future actions:”

Source location

2014-0193-Response-by-Highway-Agency
Page 2 · response
Published 28 April 2014

Open published response
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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