PFD report

Ming Tsung CHEUNG · Prevention of Future Deaths report

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Issued 15 Jul 2014•Coventry

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
2

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

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

Concerns raised2

  1. Unofficial pedestrian crossing point with risk of pedestrian-vehicle near-misses
    Part of recurring concern: Inadequate control of pedestrian crossing risks
  2. Obstruction of visibility between pedestrians and vehicles at a pedestrian crossing point
    Part of recurring concern: Inadequate control of pedestrian crossing risks
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

    Complete a highways specialist review of the shopping-complex area and identify measures within Tesco’s control to reduce vehicle speeds and improve driver awareness.

    Stated by Tesco Stores LimitedStated completedThe respondent said that this action was complete when they made their response on 15 July 2014.
  2. Action

    Remove the lower wooden panels from the Tesco sign after confirming safe removal would not affect structural stability.

    Stated by Tesco Stores LimitedStated completedThe respondent said that this action was complete when they made their response on 15 July 2014.
  3. Action

    Install chicane railings to slow pedestrians approaching the highway crossing.

    Stated by Tesco Stores LimitedStated completedThe respondent said that this action was complete when they made their response on 15 July 2014.

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

  1. Position

    The available evidence is ambiguous as to whether the Tesco sign played any actual causative role in the accident.

    Stated by Tesco Stores LimitedDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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

Unofficial pedestrian crossing point with risk of pedestrian-vehicle near-misses

Wider context from the report

“I heard evidence that the point where Miss Cheung crossed the road was used by many pedestrians and had developed into an unofficial crossing point. Anecdotally there was some evidence of near-misses in terms of pedestrians being hit by vehicles. I heard evidence that a large Tesco sign obscured the view of Miss Cheung and the lorry driver. It may be that removal of the bottom wooden panels of the sign would be sufficient although I await to hear your response. ”

Is this part of a recurring concern?

Yes — Inadequate control of pedestrian crossing risks.

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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

Obstruction of visibility between pedestrians and vehicles at a pedestrian crossing point

Wider context from the report

“I heard evidence that the point where Miss Cheung crossed the road was used by many pedestrians and had developed into an unofficial crossing point. Anecdotally there was some evidence of near-misses in terms of pedestrians being hit by vehicles. I heard evidence that a large Tesco sign obscured the view of Miss Cheung and the lorry driver. It may be that removal of the bottom wooden panels of the sign would be sufficient although I await to hear your response. ”

Is this part of a recurring concern?

Yes — Inadequate control of pedestrian crossing risks.

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

Complete a highways specialist review of the shopping-complex area and identify measures within Tesco’s control to reduce vehicle speeds and improve driver awareness.

Verbatim wording from the response

“Tesco Stores Limited arranged for a review on its behalf (and with particular reference to what it, as opposed to others, could do) of the area by one of the directors of Highways (UK) Limited who was also a Chartered Member of the Institute of Highways and Transportation.”

Source location

Response from Tesco Store Limited
Page 2 · response
Published 15 July 2014

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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

Remove the lower wooden panels from the Tesco sign after confirming safe removal would not affect structural stability.

Verbatim wording from the response

“On 26 June 2014 Coventry City Council gave Tesco Stores Limited 4 weeks' notice to remove the sign (in its entirety) on the grounds that the sign was positioned on the adopted highway and being "mindful of the fact that the Police have indicated that the sign may have been a contributory factor in a recent fatal road traffic accident".”

Source location

Response from Tesco Store Limited
Page 2 · response
Published 15 July 2014

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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

Install chicane railings to slow pedestrians approaching the highway crossing.

Verbatim wording from the response

“His recommendation to Tesco Stored Limited in relation to the aspects over which it might reasonably and properly exercise control was that in order to reduce vehicle speeds and improve driver awareness on Tesco Stores Limited's part of the shopping complex area, the following measures ought to be taken:-”

Source location

Response from Tesco Store Limited
Page 2 · response
Published 15 July 2014

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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

Improve warning and speed signage at the shopping-complex entrance.

Verbatim wording from the response

“His recommendation to Tesco Stored Limited in relation to the aspects over which it might reasonably and properly exercise control was that in order to reduce vehicle speeds and improve driver awareness on Tesco Stores Limited's part of the shopping complex area, the following measures ought to be taken:-”

Source location

Response from Tesco Store Limited
Page 2 · response
Published 15 July 2014

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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

Install speed humps at the shopping-complex entrance to slow entering vehicles.

Verbatim wording from the response

“His recommendation to Tesco Stored Limited in relation to the aspects over which it might reasonably and properly exercise control was that in order to reduce vehicle speeds and improve driver awareness on Tesco Stores Limited's part of the shopping complex area, the following measures ought to be taken:-”

Source location

Response from Tesco Store Limited
Page 2 · response
Published 15 July 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

The available evidence is ambiguous as to whether the Tesco sign played any actual causative role in the accident.

Verbatim wording from the response

“Tesco Stores Limited was not a party to the Inquest and has not had access to the evidence heard at the Inquest or the opportunity, by participating, to make an assessment of the evidence. Tesco Stores Limited has seen a copy, kindly provided by HM Coroner, of a document entitled "Fatal Collision Report" prepared by a member of the West Midlands Police Regional Collision Investigation Unit where the reported indirect evidence and evidence of opinion is ambiguous as to whether the Tesco sign had any actual causative role to play in the accident.”

Source location

Response from Tesco Store Limited
Page 1 · response
Published 15 July 2014

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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

Coventry City Council, as highway authority, is responsible for considering traffic-calming measures on the highway.

Verbatim wording from the response

“As well as looking at matters which could be considered by themselves, some of those involved in these discussions agreed that a request should be put to Coventry City Council, as it had responsibility for the highway itself, to consider putting in place traffic calming measures on the highway.”

Source location

Response from Tesco Store Limited
Page 2 · response
Published 15 July 2014

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Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.1

  1. 1

    Continue monitoring and reviewing operations across the estate for compliance with health and safety duties toward employees and store visitors.

    Stated by Tesco Stores LimitedStated completedThe respondent said that this action was complete when they made their response on 15 July 2014.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    No further works or alterations are proposed because Tesco considers it has done all it can reasonably do to protect pedestrians from foreseeable risks.

    Stated by Tesco Stores LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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

Continue monitoring and reviewing operations across the estate for compliance with health and safety duties toward employees and store visitors.

Verbatim wording from the response

“Tesco Stores Limited does not propose to carry out any further works or alterations as a result of any discussions or recommendations arising consequent upon the tragic accident involving Miss Cheung. Tesco Stores Limited will, as it does across its entire estate, continue to monitor and review all aspects of its operations to ensure that it complies with its legal duties as regards ensuring the health and safety of its employees and visitors to its stores.”

Source location

Response from Tesco Store Limited
Page 3 · response
Published 15 July 2014

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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

No further works or alterations are proposed because Tesco considers it has done all it can reasonably do to protect pedestrians from foreseeable risks.

Verbatim wording from the response

“Tesco Stores Limited does not propose to carry out any further works or alterations as a result of any discussions or recommendations arising consequent upon the tragic accident involving Miss Cheung. Tesco Stores Limited will, as it does across its entire estate, continue to monitor and review all aspects of its operations to ensure that it complies with its legal duties as regards ensuring the health and safety of its employees and visitors to its stores.”

Source location

Response from Tesco Store Limited
Page 3 · response
Published 15 July 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

Data last updated 7 September 2026