PFD report

Wilfred John Fitchett and 3 others · Prevention of Future Deaths report

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Issued 17 Oct 2024•North West Wales

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
4

Raised in this report

Recipients
3

Named on the report

Responses found
3

Of 3 recipients

Stated actions
8

Described in 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.

Report evidence summary

Concerns raised4

  1. Lack of legal restrictions on the licences of young and newly qualified drivers
    Part of recurring concern: Inadequate driver licensing controls for road safety
  2. Lack of roadside barrier or fence preventing vehicles entering the ditch
    Part of recurring concern: Inadequate roadside vehicle-restraint barriersPart of recurring concern: Inadequate vehicle restraint protection at hazardous edgesPart of recurring concern: Uncontrolled collision risks at hazardous road bends
  3. Vehicle licensing regime permitting young passengers to be carried by young and newly qualified drivers
    Part of recurring concern: Inadequate driver licensing controls for road safetyPart of recurring concern: Insufficient controls on young and newly qualified drivers carrying young passengers
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.2

  1. Action

    Review future options for installing a road restraint system as maintenance or wider highway improvements affect the relevant considerations.

    Stated by Gwynedd CouncilStated plannedThe respondent said that this action was planned when they made their response on 17 October 2024.
  2. Action

    Complete a site-specific assessment of whether a road restraint system should be provided at the collision site.

    Stated by Gwynedd CouncilStated completedThe respondent said that this action was complete when they made their response on 17 October 2024.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.4

  1. Position

    Road restraint installation is limited by substantial funding, resource, physical, engineering, legal, environmental, land ownership and maintenance constraints.

    Stated by Gwynedd CouncilUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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

Lack of legal restrictions on the licences of young and newly qualified drivers

Wider context from the report

“b. Currently, there are no legal restrictions upon the licences of young and/or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these. c. It is noted that young drivers are exponentially more likely to be involved in a collision with each similar aged passengers in the car. d. I am concerned that deaths will continue to occur or will occur into the future where younger persons are carried in motor vehicles being driven by newly qualified and/or young drivers. ”

Is this part of a recurring concern?

Yes — Inadequate driver licensing controls for road safety.

Open source report

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

Lack of roadside barrier or fence preventing vehicles entering the ditch

Wider context from the report

“b. A stock fence had been erected (likely by the private landowner) concerning the lane of the road in question. It is understood that Cyngor Gwynedd had no responsibility for this given that it was on private land. The stock fence had been damaged and had not been replaced prior to the collision on 19 November 2023. c. Whilst the evidence could not determine whether or not the fence, had it been repaired and in situ at the time of the collision, would have altered the outcome the risk to road users who leave the road accidentally is that they may land in the ditch below the road level. d. Cyngor Gwynedd has installed a chevron board at the bend but there is no barrier or fence otherwise to prevent motor vehicles leaving the road into the ditch at this bend in the event of leaving the carriageway accidentally. ”

Is this part of a recurring concern?

Yes — Inadequate roadside vehicle-restraint barriers; Inadequate vehicle restraint protection at hazardous edges; Uncontrolled collision risks at hazardous road bends.

Open source report

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

Vehicle licensing regime permitting young passengers to be carried by young and newly qualified drivers

Wider context from the report

“b. Currently, there are no legal restrictions upon the licences of young and/or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these. c. It is noted that young drivers are exponentially more likely to be involved in a collision with each similar aged passengers in the car. d. I am concerned that deaths will continue to occur or will occur into the future where younger persons are carried in motor vehicles being driven by newly qualified and/or young drivers. ”

Is this part of a recurring concern?

Yes — Inadequate driver licensing controls for road safety; Insufficient controls on young and newly qualified drivers carrying young passengers.

Open source report

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

Water-filled ditch below road level beside the carriageway

Wider context from the report

“a. The specific road area in question along the A4085 Garreg, Llanfrothen had a ditch downward from the road at the nearside of the carriageway. This fills with water during heavy periods of rainfall. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Review future options for installing a road restraint system as maintenance or wider highway improvements affect the relevant considerations.

Verbatim wording from the response

“4.10 On the basis of the above, taking into account the enhancements already implemented, options in the short term to install a RRS are limited in respect of both scope and justification. However, this will be subject to review as there are other factors which may influence this. These could include future maintenance and/or wider and more significant improvements to the highway which may affect the determining considerations in relation to installing a RRS.”

Source location

Response from Cyngor Gwynedd Council
Page 10 · response
Published 17 October 2024

Open published response

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 site-specific assessment of whether a road restraint system should be provided at the collision site.

Verbatim wording from the response

“4.2 an assessment for the provision of a Road Restraint System (RRS) at the site has been undertaken.”

Source location

Response from Cyngor Gwynedd Council
Page 8 · response
Published 17 October 2024

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

Road restraint installation is limited by substantial funding, resource, physical, engineering, legal, environmental, land ownership and maintenance constraints.

Verbatim wording from the response

“Due to lack of level verge a new restrain system cannot be easily installed without major works to create a verge which would have significant costs.”

Source location

Response from Cyngor Gwynedd Council
Page 9 · response
Published 17 October 2024

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

Implemented signage and passive roadside measures may be sufficient to negate the need for a road restraint system.

Verbatim wording from the response

“The guidance for medium priority sites state that a road restraint system may be justified however a non-RRS approach to reducing the risk may prove sufficient to negate the need for a RRS.”

Source location

Response from Cyngor Gwynedd Council
Page 9 · response
Published 17 October 2024

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

Safety works on or adjacent to the public highway are the responsibility of the relevant authority, not the adjoining landowner.

Verbatim wording from the response

“3.4 Any works on or adjacent to a public highway to enhance safety for road users are the responsibility of the relevant Authority and not the adjoining Landowner.”

Source location

Response from Clough Williams-Ellis Trust
Page 1 · response
Published 17 October 2024

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

Stock fencing is not intended or designed as highway safety infrastructure and would not withstand a vehicle collision at speed.

Verbatim wording from the response

“3.2 In any case stock fencing is not meant to be a feature of highway safety and is not designed to withstand the force of a car hitting it at speed, and if that was its intended purpose something more robust ought to have been considered.”

Source location

Response from Clough Williams-Ellis Trust
Page 1 · response
Published 17 October 2024

Open published response

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.6

  1. 1

    Use Driver 2020 findings when considering further measures to improve safety for young drivers.

    Stated by Department for TransportStated plannedThe respondent said that this action was planned when they made their response on 17 October 2024.
  2. 2

    Conduct the Driver 2020 young-driver research project, including a telematics trial and evaluation of non-legislative safety measures.

    Stated by Department for TransportStated completedThe respondent said that this action was complete when they made their response on 17 October 2024.
  3. 3

    Set out further details of the new road safety strategy.

    Stated by Department for TransportStated plannedThe respondent said that this action was planned when they made their response on 17 October 2024.
  4. 4

    Develop the Department’s new road safety strategy.

    Stated by Department for TransportStated in progressThe respondent said that this action was in progress when they made their response on 17 October 2024.
  5. 5

    Implement enhanced bend warning and visibility measures, including chevrons, upgraded slow markings, warning signs and reflective verge markers.

    Stated by Gwynedd CouncilStated completedThe respondent said that this action was complete when they made their response on 17 October 2024.
  6. 6

    Consider further non-road-restraint interventions to mitigate risks associated with the collision and the circumstances of the deaths.

    Stated by Gwynedd CouncilStated plannedThe respondent said that this action was planned when they made their response on 17 October 2024.

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

  1. 1

    Existing traffic signs and road markings were appropriate and provided adequate warning of the bend.

    Stated by Gwynedd CouncilDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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

Use Driver 2020 findings when considering further measures to improve safety for young drivers.

Verbatim wording from the response

“We absolutely recognise that young people are disproportionately victims of tragic incidents on our roads. As work progresses on the new Road Safety Strategy, findings from the Driver 2020 project will feed into considerations on further measures the Department can take to improve road safety for young drivers.”

Source location

Response from Department of Transport
Page 2 · response
Published 17 October 2024

Open published response

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

Conduct the Driver 2020 young-driver research project, including a telematics trial and evaluation of non-legislative safety measures.

Verbatim wording from the response

“In partnership with the Transport Research Laboratory, the Department commissioned the largest young driver research piece, the ‘Driver 2020’ project. The research included a telematics trial, and it provides an evaluation of non-legislative interventions, such as technical and educational measures, to improve the safety of young novice drivers.”

Source location

Response from Department of Transport
Page 2 · response
Published 17 October 2024

Open published response

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

Set out further details of the new road safety strategy.

Verbatim wording from the response

“This Government takes road safety seriously, and we are committed to reducing the numbers of those killed and injured on our roads. My Department is developing our road safety strategy and will set out more details in due course.”

Source location

Response from Department of Transport
Page 2 · response
Published 17 October 2024

Open published response

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

Develop the Department’s new road safety strategy.

Verbatim wording from the response

“This Government takes road safety seriously, and we are committed to reducing the numbers of those killed and injured on our roads. My Department is developing our road safety strategy and will set out more details in due course.”

Source location

Response from Department of Transport
Page 2 · response
Published 17 October 2024

Open published response

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

Implement enhanced bend warning and visibility measures, including chevrons, upgraded slow markings, warning signs and reflective verge markers.

Verbatim wording from the response

“3.2 However, post collision, applying powers vested to Cyngor Gwynedd as the Highway Authority in Section 39 of the Road Traffic Act 1988 “for controlling, protecting or assisting the movement of traffic on roads”, the Council have implemented the following enhancements on a discretional and non-prejudicial basis:”

Source location

Response from Cyngor Gwynedd Council
Page 8 · response
Published 17 October 2024

Open published response

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

Consider further non-road-restraint interventions to mitigate risks associated with the collision and the circumstances of the deaths.

Verbatim wording from the response

“4.12 Cyngor Gwynedd will also consider what, and if, there are any further interventions, other that RRS, which may be implemented to further mitigate risks associated with this collision and the circumstances of the tragic deaths.”

Source location

Response from Cyngor Gwynedd Council
Page 10 · response
Published 17 October 2024

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

Existing traffic signs and road markings were appropriate and provided adequate warning of the bend.

Verbatim wording from the response

“3.1 On the basis of the above influencing factors, giving consideration to the guidance within the Traffic Signs Manual, Cyngor Gwynedd maintains the position that the traffic signs and road markings in situ in the vicinity of the collision site at the time of the collision were appropriate and reasonably giving adequate warning of the upcoming bend. While this is contrary to the opinion of the Coroner this position is supported by evidence presented to the Inquest by both the North Wales Police Forensic Collision Officer as well as the Cyngor Gwynedd’s Senior Traffic Engineer.”

Source location

Response from Cyngor Gwynedd Council
Page 8 · response
Published 17 October 2024

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

Official responses located
3/3

Data last updated 7 September 2026