Investigation and inquest
On 25 October 2022 I commenced an investigation into the death of Kaius. The investigation concluded at the end of the inquest on 27 April 2023.
The conclusion of the inquest was as follows
Road Traffic Collision
The four questions - who, when, where and how – were answered as follows
Kaius John Paul TUTT died on 14 October 2022 on the A391 Between the SCREDDA and CARCLAZE roundabouts near St Austell Cornwall from trauma after Kaius attempted an overtaking manoeuvre whilst riding his motorcycle and collided with a car being driven on the opposite carriageway.
The medical cause of death was found as follows
1a) Multiple injuries
Comment: There were head, aortic and pelvic injuries that were not compatible with life. Toxicology was negative.
Circumstances of the death
Kaius died from injuries sustained after the motorcycle he was riding collided with a car coming in the opposite direction. At the point of the collision the motorcycle that Kaius was riding was in contravention of solid double white lines.
The collision occurred at approximately 19:05 hours on Friday 14th October 2022, on the A391, St Austell, Cornwall. Kaius was approaching the Carclaze roundabout, riding his Honda 125cc motorcycle towards St Austell having come from the direction of the Scredda roundabout.
The court found that rider error on the part of Kaius was the cause of the collision, contributed to by the faded road markings and visibility issue at the collision location.
Coroner’s concerns
(1) The deflection arrows on this stretch of road were found to have faded and to have almost entirely disappeared in places.
(2) The court found that there were visibility issues for those travelling downhill viewing cars exiting roundabout and vice versa.
(3) The court found that the overtaking opportunity at the collision location is of marginal benefit, given that there are other better overtaking opportunities on this stretch of road.
(4) The court found that Cormac has made a recommendation to Cornwall Council that the road layout is amended to remove the downhill overtaking section at this location at the first reasonable opportunity, but that currently no funding is available to facilitate this recommendation.