Investigation and inquest
On 23/09/2017 I commenced an investigation into the death of Tyrone Declan EVANS. The investigation concluded at the end of the inquest 5th July 2018. The conclusion of the inquest was Road Traffic Collision.
Circumstances of the death
On 15 September 2017 at about 21.30 hours, the Deceased was driving a quad bike along the A444 in the inside lane towards Coventry city centre. The quad bike subsequently collided with the crash barrier on the near side of the road and then with the offisie of a Vauxhall Astra travelling in the same direction and in the same lane. Minutes prior to the collision, CCTV footage from Cyan Park Industrial Estate showed the Deceased performing a "wheelie" with the quad bike. The Deceased was not wearing a crash helmet but was not required by law to do so. At some point during the collision and most likely when the quad bike hit the crash barrier, the Deceased was thrown from the quad bike onto the carriageway causing him to suffer fatal injuries.
Coroner’s concerns
(1) The medical cause of death was 1a Blunt Head Injury and the conclusion of the pathologist included the following: "I note the suggestion that he was not wearing a helmet and in my opinion the head injury pattern would support this. As a pathologist I am not in a position to provide expert evidence on the issue of whether or not a helmet would have prevented the death but clearly when a death is caused by an isolated head injury, one has to suggest that wearing a helmet may well have altered the injury pattern and potentially severity, at least from basic principles".
(2) I was informed at the inquest that the quad bike the deceased was driving was an off-road vehicle that had been adapted to use on the road. Yamaha UK confirmed to police that the vehicle had undertaken an Individual Vehicle Approval test by the Vehicle Operator Services Agency (VOSA) and had been issued with a registration number.
(3) I was also informed at the inquest by the Collision Investigator that quad bike riders or passengers in England, Scotland and Wales are not required to wear crash helmets.
(4) In light of the pathologist’s comments and I am concerned that the absence of any legal requirement for quad bike drivers to wear crash helmets even where such bikes have been legally adapted for road use presents a continuing and potentially avoidable risk of deaths on our roads.