Investigation and inquest
On 25 November 2020 I commenced an investigation into the death of Sarah Lewis.
The investigation concluded at the end of the inquest on 19 July 2021.
The conclusion of the inquest was Road Traffic Collision.
1a Multiple injuries
1b
1c
II Fluoxetine Toxicity
Circumstances of the death
On 16 November 2020, Sarah Lewis drove her car to Kennedy's Garage, Lynch Lane, Weymouth, for an MOT. She was standing on the pavement at the junction of Lynch Lane and McKay Close waiting for a taxi. A large goods vehicle was being reversed from Lynch Lane into McKay Close when Ms Lewis started crossing the road behind the lorry. The lorry had its reverse warning lights on and its reversing alarm was clearly audible over the background noise of the industrial estate but it is unclear why Ms Lewis did not hear or see these. The lorry driver did not see Ms Lewis in his mirrors. The lorry struck Ms Lewis at approximately 09.45 on 16 November 2020 causing multiple injuries which were fatal. A post mortem examination revealed a level of Fluoxetine in excess of the therapeutic range and it is unclear what affect this may have had on Ms Lewis.
Coroner’s concerns
(1) A Large Goods Vehicle was being driven which had reverse warning lights and a reversing alarm. The driver was assisted by 7 mirrors. A pedestrian was stood on the pavement and she was not seen by the driver. It is likely that the driver was checking his nearside mirror or the road around him when the pedestrian stepped out behind the reversing lorry which resulted in a complete blind spot once she was behind the vehicle.
(2) The evidence I heard is that it is not mandatory for Large Goods Vehicles to be fitted with a camera at the rear of the vehicle to assist drivers and prevent this blind spot. A lot of drivers complete journeys alone without a banksman to assist them in safely reversing.
(3) There is no legal requirement for vehicles to have a rear camera and yet this may prevent future deaths. At the very least it would prevent a large number of accidents.