PFD report

Mr Costel Daniel Stancu · Prevention of Future Deaths report

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Issued 12 Nov 2019•Cheshire

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
3

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

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

Report evidence summary

Concerns raised3

  1. Ongoing risk to life from lack of lighting on the motorway section at night
    Part of recurring concern: Inadequate and unreliable public-road street lightingPart of recurring concern: Inadequate outdoor safety lighting
  2. Failure to re-assess the risk arising from lack of motorway lighting
    Part of recurring concern: Failure to reassess safety risks from inadequate lighting
  3. Increased risks to motorway users from the smart motorway layout
    Part of recurring concern: Unsafe road design and layout
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.3

  1. Action

    Carry out a lighting assessment for the M6 motorway between junctions 16 and 19 to determine whether lighting is required.

    Stated by National HighwaysStated plannedThe respondent said that this action was planned when they made their response on 27 December 2019.
  2. Action

    Revise the smart motorways design standard to require review of night-time collisions and consideration of whether road lighting is justified.

    Stated by National HighwaysStated completedThe respondent said that this action was complete when they made their response on 27 December 2019.
  3. Action

    Complete the final Stage 4 Road Safety Audit for the M6 motorway junctions 16 to 19 scheme after its 12-month operational period.

    Stated by National HighwaysStated plannedThe respondent said that this action was planned when they made their response on 27 December 2019.

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

  1. Position

    Existing smart motorway safety assessments, roadside technology and operational procedures are considered sufficient to maintain appropriate safety.

    Stated by National HighwaysExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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

Ongoing risk to life from lack of lighting on the motorway section at night

Wider context from the report

“I determined that the lack of lighting on this section of the motorway was a contributory factor to the Second Series of Collisions; the evidence at inquest was that this section of the motorway remains unlit at night and I am concerned that this creates an ongoing risk to life. Whilst I found that none of the collisions were caused by the conversion of this section of the motorway to a ‘smart motorway’ I am concerned that this change in layout may have increased the risks posed to users of the motorway including the risk arising from the lack of lighting. The evidence that I heard during the inquest suggested that the risk arising from the lack of lighting had not been re-assessed either as part of the conversion to a ‘smart motorway’ or following the incident on 29ᵗʰ March 2019. ”

Is this part of a recurring concern?

Yes — Inadequate and unreliable public-road street lighting; Inadequate outdoor safety lighting.

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 to re-assess the risk arising from lack of motorway lighting

Wider context from the report

“I determined that the lack of lighting on this section of the motorway was a contributory factor to the Second Series of Collisions; the evidence at inquest was that this section of the motorway remains unlit at night and I am concerned that this creates an ongoing risk to life. Whilst I found that none of the collisions were caused by the conversion of this section of the motorway to a ‘smart motorway’ I am concerned that this change in layout may have increased the risks posed to users of the motorway including the risk arising from the lack of lighting. The evidence that I heard during the inquest suggested that the risk arising from the lack of lighting had not been re-assessed either as part of the conversion to a ‘smart motorway’ or following the incident on 29ᵗʰ March 2019. ”

Is this part of a recurring concern?

Yes — Failure to reassess safety risks from inadequate lighting.

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

Increased risks to motorway users from the smart motorway layout

Wider context from the report

“I determined that the lack of lighting on this section of the motorway was a contributory factor to the Second Series of Collisions; the evidence at inquest was that this section of the motorway remains unlit at night and I am concerned that this creates an ongoing risk to life. Whilst I found that none of the collisions were caused by the conversion of this section of the motorway to a ‘smart motorway’ I am concerned that this change in layout may have increased the risks posed to users of the motorway including the risk arising from the lack of lighting. The evidence that I heard during the inquest suggested that the risk arising from the lack of lighting had not been re-assessed either as part of the conversion to a ‘smart motorway’ or following the incident on 29ᵗʰ March 2019. ”

Is this part of a recurring concern?

Yes — Unsafe road design and layout.

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

Carry out a lighting assessment for the M6 motorway between junctions 16 and 19 to determine whether lighting is required.

Verbatim wording from the response

“Given the concerns expressed following this particular incident, we will carry out a lighting assessment to determine whether lighting would now be required on this section of motorway.”

Source location

2019-0379-Response-by-Highways-England
Page 4 · response
Published 27 December 2019

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

Revise the smart motorways design standard to require review of night-time collisions and consideration of whether road lighting is justified.

Verbatim wording from the response

“We revised our smart motorways design standard in 2015. The 2015 design standard has an updated lighting requirement instructing schemes to review the number of night-time personal injury collisions, and to determine whether there is any justification for introducing road lighting as part of the scheme. Subsequent changes to design standards are not applied retrospectively to operational schemes but would be considered as part of a corporate standard programme of investment for the renewal or improvement of the strategic road network at a future date.”

Source location

2019-0379-Response-by-Highways-England
Page 4 · response
Published 27 December 2019

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 the final Stage 4 Road Safety Audit for the M6 motorway junctions 16 to 19 scheme after its 12-month operational period.

Verbatim wording from the response

“Every scheme we install is required to undergo Road Safety Audits over time both before and after the installation of the scheme. The final Road Safety Audit (Stage 4) is conducted 12 months after the road is open to traffic. The audit focusses on collision monitoring where road traffic collisions (from STATS19 data) have been recorded in the vicinity of the highway scheme over the 12-month period after the scheme was operational. The audit for the M6 motorway junctions 16 to 19 scheme has not been completed to date because the scheme has not been open to traffic for 12 months. The final Road Safety Audit (Stage 4) is due to be carried out in the Summer of 2020.”

Source location

2019-0379-Response-by-Highways-England
Page 4 · response
Published 27 December 2019

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 smart motorway safety assessments, roadside technology and operational procedures are considered sufficient to maintain appropriate safety.

Verbatim wording from the response

“(b) Introduction of smart motorways has been Government policy since 2008. The smart motorway package of measures is considered appropriate for Highways England’s network and gives flexibility to allow for increased demand from road users, whilst maintaining or improving the safety of our roads.”

Source location

2019-0379-Response-by-Highways-England
Page 4 · response
Published 27 December 2019

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 revised lighting standard is not applied retrospectively; lighting review for this operational scheme is deferred to future renewal or improvement investment.

Verbatim wording from the response

“(c) The M6 motorway, junctions 16 to 19 ‘smart motorway’ scheme was designed to the smart motorway design standard in place at the time published in 2013. The 2013 design standard stated that, where the motorway is not currently lit, lighting shall not be considered. Therefore, the scheme did not undertake a lighting assessment because this section of the M6 motorway was not lit prior to the smart motorway scheme being designed.”

Source location

2019-0379-Response-by-Highways-England
Page 4 · response
Published 27 December 2019

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