Investigation and inquest
On 09 November 2022 I commenced an investigation into the death of Terence Charles Scott DUNCAN aged 48. The investigation concluded at the end of the inquest on 16 November 2023. The conclusion of the inquest was that:
On the 30th October 2022 Terence Charles Scott Duncan died on the A4 Bath Road, Slough having been run over by a lorry. He had deliberately started to pass under the skeleton-trailer in front of the trailer wheels in order to cross the road when the lorry moved off.
Circumstances of the death
On the 30th October 2022 an articulated lorry was travelling through Slough on the A4. The traffic was very heavy due to a closure of the M4. The lorry trailer was an unloaded trailer designed to carry a shipping container.
The lorry moved off from a set of traffic lights and its route was blocked for a few seconds by another vehicle. This caused the trailer to obstruct a pedestrian crossing.
Mr Duncan was crossing the road and made the decision to duck under the skeleton of the trailer rather than walking around the vehicle. He had a clear view through the trailer unit when he did this. Sadly the lorry moved off before Mr Duncan reached the far side of the road and he was run over by the rear nearside tyres.
Coroner’s concerns
I heard evidence regarding the requirement for sideguards or underrun protection devices to be installed on certain heavy goods vehicles. The Road Vehicles (Construction and Use) Regulations 1986 set out the legal requirements.
I note that the official government website states that safeguards or lateral protection devices are there to reduce the likelihood of injury to unprotected road users when struck by a vehicle travelling in a forward direction.
I was informed that the type of trailer involved in this inquest was an extendable trailer and therefore its construction was in compliance with the Regulations as long as the requirements were met when the trailer was in its shortest configuration.
The sideguard on this trailer was only 50cm long whereas the distance between the wheels of the cab unit and trailer wheels was 3 metres when extended. The trailer was extended despite being not being loaded with a shipping container at the time. There was therefore a very significant gap between the end of the sideguards and front of the following wheels.
I am concerned that there is no lesser risk posed to pedestrians or cyclists by an extendable trailer that posed by a fixed trailer of the same length which would have been required to have a more comprehensive sideguard device installed.