Investigation and inquest
On 1 July 2019 I commenced an investigation into the death of Stanley HARDY aged 83.
The investigation concluded at the end of the inquest on 28 July 2022.
The conclusion of the inquest was Road Traffic Collision
1a Blunt Head Injury
1b
1c
II
Circumstances of the death
On 16th June 2019 the deceased (a pedestrian) crossed into the carriageway of Peel Street, Sunderland against a red light. He was hit by a coach turning right into the junction from Toward Street. Although the coach driver saw the pedestrian in the road prior to the collision and applied his brakes, he did not do so forcefully, conscious of the welfare of the passengers travelling in his vehicle. The pedestrian was hit by the coach, thrown to the ground, and suffered serious head injuries from which he died the following day.
Coroner’s concerns
[BRIEF SUMMARY OF MATTERS OF CONCERN]
(1) The coach driver’s evidence was that although he saw the pedestrian in the carriageway he did not forcefully apply his brakes as he had been trained not to do so to protect the welfare of the passengers traveling in his vehicle.
(2) Evidence from the Forensic Collision Investigator was that:
i. If emergency braking had been applied the coach could have stopped prior to hitting the pedestrian or the collision would have occurred at a significantly reduced speed;
and
ii. Emergency braking procedures do not form part of the required training for new bus
and coach drivers.