PFD report

Dr Jonathan Edward Ball · Prevention of Future Deaths report

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Issued 17 Sep 2019•West Yorkshire Eastern

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
5

Named on the report

Responses found
4

Of 5 recipients

Stated actions
10

Described in responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

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

Report evidence summary

Concerns raised4

  1. Failure of HGV rear hazard warning lights to remain working and sufficiently conspicuous
    Part of recurring concern: Failure to make roadside obstructions visible to approaching road usersPart of recurring concern: Unsafe vehicle lighting and signalling controls
  2. Failure to train or instruct HGV drivers to report stranded vehicles to emergency services
  3. Lack of an HGV warning device for alerting approaching motorists to a stranded vehicle
    Part of recurring concern: Failure to make roadside obstructions visible to approaching road users
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.8

  1. Action

    Issue a PDI safety kit containing two warning triangles with all new vehicles sold through the sales network.

    Stated by DAF Trucks LimitedStated completedThe respondent said that this action was complete when they made their response on 14 May 2020.
  2. Action

    Provide foldable reflective roadside warning triangles in each HGV.

    Stated by Whitelock Developments LtdStated in progressThe respondent said that this action was in progress when they made their response on 14 May 2020.
  3. Action

    Instruct drivers to check rear light lenses during shifts and clean them when necessary.

    Stated by Whitelock Developments LtdStated in progressThe respondent said that this action was in progress when they made their response on 14 May 2020.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.9

  1. Position

    Driver and employer training and safe working systems were considered their responsibility, so no further action was deemed necessary from the manufacturer.

    Stated by DAF Trucks LimitedRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking 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

Failure of HGV rear hazard warning lights to remain working and sufficiently conspicuous

Wider context from the report

“(3) The evidence of the other motorists on the A647 at the material time indicated that the rear offside hazard warning light was hard to see (or thought not to be working) thus giving the impression that the HGV was indicating to turn left (and thereby potentially confusing approaching motorists). In such circumstances there was no added resilience to the lights displayed, such as would have been provided by having duplicate indicator/hazard lights on the rear corners of the HGV. Given the arduous work of such vehicles and the propensity for the light to become dirty at the end of a working day, concern was expressed at the Inquest as to the danger which might be created in the event (a) the HGV broke down in a hazardous location and (b) the rear lights were not working or insufficiently conspicuous. ”

Is this part of a recurring concern?

Yes — Failure to make roadside obstructions visible to approaching road users; Unsafe vehicle lighting and signalling controls.

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

Failure to train or instruct HGV drivers to report stranded vehicles to emergency services

Wider context from the report

“(2) The HGV driver had not been trained or instructed to contact the emergency services to report the foreseeable hazard created by his stranded HGV on a dual carriageway at night. The HGV was there for some 41 minutes before the fatal collision occurred (although the Inquest heard evidence there were several near misses before then). It was likely that when a mechanic did arrive at the scene the HGV would have been there for a further period before it was repaired or could have been towed to a safe location. In consequence, the police had no opportunity to guard the scene, position safety barrier or warning signs to alert approaching motorists of the hazard. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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 an HGV warning device for alerting approaching motorists to a stranded vehicle

Wider context from the report

“(1) The HGV was not equipped with a device (such as a warning triangle) which the driver could have positioned some way before his stranded vehicle to warn oncoming motorists of the hazard presented by a stranded 32 ton HGV blocking one lane of a dual carriageway in darkness. ”

Is this part of a recurring concern?

Yes — Failure to make roadside obstructions visible to approaching road users.

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 duplicate rear indicator and hazard warning lights on HGVs

Wider context from the report

“(3) The evidence of the other motorists on the A647 at the material time indicated that the rear offside hazard warning light was hard to see (or thought not to be working) thus giving the impression that the HGV was indicating to turn left (and thereby potentially confusing approaching motorists). In such circumstances there was no added resilience to the lights displayed, such as would have been provided by having duplicate indicator/hazard lights on the rear corners of the HGV. Given the arduous work of such vehicles and the propensity for the light to become dirty at the end of a working day, concern was expressed at the Inquest as to the danger which might be created in the event (a) the HGV broke down in a hazardous location and (b) the rear lights were not working or insufficiently conspicuous. ”

Is this part of a recurring concern?

Yes — Unsafe vehicle lighting and signalling controls.

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

Issue a PDI safety kit containing two warning triangles with all new vehicles sold through the sales network.

Verbatim wording from the response

“a. DAF Trucks Ltd issues to all new vehicles sold via the sales network a PDI safety kit. This Bagged kit (DAF part number 9507301) includes x2 Hazard Warning Triangles x3 Tachograph paper roll, x1 Hi- Viz vest and a pair of safety working gloves. A photo of this kit is shown in Appendix 1.”

Source location

2019-0507-Response-from-DAF-trucks-Ltd-Redacted-1
Page 2 · response
Published 14 May 2020

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

Provide foldable reflective roadside warning triangles in each HGV.

Verbatim wording from the response

“(1) The concern over a lack of any advance warning aids (such as a warning triangle) has been addressed with the purchase of foldable reflective roadside warning triangles, to be placed within each of our HGVs. Instruction to our drivers in the requirement of use (if/when safe to do so) in the event of a breakdown upon the highway where it has not been possible to pull up clear of the highway, has been communicated via a Toolbox Talk and added to the company induction to capture all/any new drivers. This action has been instigated and will be complete by end November 2019 or sooner.”

Source location

2019-0507-Response-from-Whitelocks-Development-Ltd-Redacted
Page 1 · response
Published 14 May 2020

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

Instruct drivers to check rear light lenses during shifts and clean them when necessary.

Verbatim wording from the response

“(3) The concerns raised by the evidence, indicating warning lights were not as conspicuous as they might, may have resulted from the adverse weather conditions in the winter season. Drivers have now, via a Toolbox Talk, been instructed to check rear light lenses periodically through their shift and wipe clean when required. This again is included within the driver’s induction to capture new staff. All lights are also checked as working, as part of the existing daily pre-use driver checks. This action has been instigated and will be complete by end November 2019 or sooner.”

Source location

2019-0507-Response-from-Whitelocks-Development-Ltd-Redacted
Page 1 · response
Published 14 May 2020

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 fitting rear auxiliary warning lights to each vehicle.

Verbatim wording from the response

“In line with the suggestion of additional/duplicate warning lights, each vehicle is under consideration for fitting of rear auxiliary warning lights either linked to the hazard lights or the amber cab beacon.”

Source location

2019-0507-Response-from-Whitelocks-Development-Ltd-Redacted
Page 1 · response
Published 14 May 2020

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

Instruct drivers to contact emergency services when an uncleared highway breakdown occurs.

Verbatim wording from the response

“(2) The lack of training/instruction in the requirement of contacting the emergency services should the breakdown of a vehicle occur where it has not been possible to pull up clear of the highway, has been addressed and communicated to current drivers via a Toolbox talk briefing and included with the company driver induction to capture all/any new drivers. This action has been instigated and will be complete by end November 2019 or sooner.”

Source location

2019-0507-Response-from-Whitelocks-Development-Ltd-Redacted
Page 1 · response
Published 14 May 2020

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

Publish a members’ magazine article examining the shortcomings identified by the coroner.

Verbatim wording from the response

“Having set out the above, I can say that we, at the RHA, are keen to assist in any way we can and to this end we are proposing taking the following steps to raise awareness of the issues surrounding a lack of equipment (including warning triangles and additional emergency lighting) as well as driver training:”

Source location

2019-0507-Response-from-The-Road-Haulage-Association-Redacted-1
Page 1 · response
Published 14 May 2020

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

Raise awareness of equipment shortages and driver training through weekly member emails and the members’ app.

Verbatim wording from the response

“Having set out the above, I can say that we, at the RHA, are keen to assist in any way we can and to this end we are proposing taking the following steps to raise awareness of the issues surrounding a lack of equipment (including warning triangles and additional emergency lighting) as well as driver training:”

Source location

2019-0507-Response-from-The-Road-Haulage-Association-Redacted-1
Page 1 · response
Published 14 May 2020

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

Raise equipment and driver-training issues at forthcoming member events, briefings and future compliance conferences.

Verbatim wording from the response

“Having set out the above, I can say that we, at the RHA, are keen to assist in any way we can and to this end we are proposing taking the following steps to raise awareness of the issues surrounding a lack of equipment (including warning triangles and additional emergency lighting) as well as driver training:”

Source location

2019-0507-Response-from-The-Road-Haulage-Association-Redacted-1
Page 1 · response
Published 14 May 2020

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

Driver and employer training and safe working systems were considered their responsibility, so no further action was deemed necessary from the manufacturer.

Verbatim wording from the response

“a. DAF Trucks Ltd. provides to the DAF Sales Network, a driver training service which is offered to the original sales customer during the sales process. Since the introduction of Euro 4 in 2006 driver training has become a feature of sales transactions due to the complexity of modern vehicles. All DAF dealers, now have dedicated driver trainers available to teach the functions and features of the new vehicle. For retail customers, our DAF UK Sales Dealers offer discounted driver training incentives with a redeemable voucher scheme, this is to encourage all new vehicle owners and drivers to take advantage of the driver training at favourable costs to ensure all current vehicle features and OE vehicle operation are understood.”

Source location

2019-0507-Response-from-DAF-trucks-Ltd-Redacted-1
Page 2 · response
Published 14 May 2020

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

Another organisation controlled completion approval and rear-lamp conspicuity, so the manufacturer considered no action necessary on that issue.

Verbatim wording from the response

“a. DAF Trucks supplies vehicles such as OG034509 FAD CF 370, from factory as a “Chassis Cab” only vehicle. The vehicle therefore is incomplete (No Body) at point of delivery, to the customers chosen Body Builder, in this case a company called “Thompsons of Blackburn”, at which point the “tipper” or “skip body” and its associated equipment, including the rear light arrangement, would have been permanently mounted to the new body and commissioned by Thompsons of Blackburn. The end choice of lamp arrangement and the conspicuousness of the rear lamps in the final phases of build for this vehicle, would have therefore been controlled by the completion of the build in accordance with Thompsons of Blackburn’s chosen Legislative Approval methods, before the vehicle was moved to the PDI dealer (Lancashire DAF in this case) prior to delivery to the original customer MV Commercials, Brownsburn Ind.”

Source location

2019-0507-Response-from-DAF-trucks-Ltd-Redacted-1
Page 3 · response
Published 14 May 2020

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 supplied safety kit and operator responsibilities were considered sufficient, so no further action was deemed necessary regarding warning triangles.

Verbatim wording from the response

“a. DAF Trucks Ltd issues to all new vehicles sold via the sales network a PDI safety kit. This Bagged kit (DAF part number 9507301) includes x2 Hazard Warning Triangles x3 Tachograph paper roll, x1 Hi- Viz vest and a pair of safety working gloves. A photo of this kit is shown in Appendix 1.”

Source location

2019-0507-Response-from-DAF-trucks-Ltd-Redacted-1
Page 2 · response
Published 14 May 2020

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 original lighting system was replaced with alternative LED lamps, removing bulb monitoring, so the manufacturer considered no action necessary.

Verbatim wording from the response

“All DAF vehicles are supplied with rear light assemblies secured to transport bars and with regards to the case of OG034509 the vehicle was supplied with standard incandescent rear lamp cluster part number 1875581 (Right) and 1875580 (Left). These OE rear lamps comply with Regulation 48 of UNECE-R48 light signalling devices. These OE rear lamps work in conjunction with an electronic safety system of “bulb monitoring”. This bulb monitoring feature, advises the driver by an in cab display if any bulb of the vehicle lighting system fails during operation.”

Source location

2019-0507-Response-from-DAF-trucks-Ltd-Redacted-1
Page 3 · response
Published 14 May 2020

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 Department for Transport is responsible for considering vehicle-design legislation and mandatory warning-triangle requirements.

Verbatim wording from the response

“The Senior Traffic Commissioner was concerned to learn of the events leading to Dr Ball’s death and of course shares your desire to prevent similar circumstances arising in the future. You will appreciate that it is the role of Government, through the Department for Transport, to consider the need to legislate on the matters relating to vehicle design or to impose a mandatory requirement for warning triangles to be deployed at a time of a breakdown. To assist you we have identified the relevant section of the Department for Transport, namely the Freight, Operator Licensing and Roadworthiness Division at:”

Source location

2019-0507-Response-from-the-Office-of-the-Traffic-Commissioner-Redacted
Page 2 · response
Published 14 May 2020

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 DVSA administers periodic driver training and may work with training providers to include safety training in available modules.

Verbatim wording from the response

“You may be aware that, in addition to the general health and safety duties and those relating to the assessment of risk on operators, that there is a requirement under European legislation for holders of vocational entitlements to undertake periodic training under the umbrella of the Driver’s Certificate of Professional Competence. The DVSA administer this scheme and may be able to work with and provide advice to training providers on the inclusion of safety training into the modules available to drivers. The DVSA can be contacted at:”

Source location

2019-0507-Response-from-the-Office-of-the-Traffic-Commissioner-Redacted
Page 2 · response
Published 14 May 2020

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

Regulators and the Department for Transport hold the relevant powers over enforcement, operator expectations and legislation.

Verbatim wording from the response

“We, at the RHA, are a trade association who have strong links with the industry and do represent a significant proportion of goods vehicle operators (we have some 7,000 members). However, as a trade association, we do not have a specific mandate or authority by which we can force operators to take action in an attempt to prevent similar shortcomings such as those that led to the tragic death of Dr Ball. Within the haulage industry, the organisations and individuals that may have power should include the industry regulator (the traffic commissioners), the primary enforcement authority (the Driver and Vehicle Standards Agency – DVSA) as well as those responsible for legislation (the Department for Transport).”

Source location

2019-0507-Response-from-The-Road-Haulage-Association-Redacted-1
Page 1 · response
Published 14 May 2020

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 trade association lacks authority to compel haulage operators to address equipment and training shortcomings.

Verbatim wording from the response

“We, at the RHA, are a trade association who have strong links with the industry and do represent a significant proportion of goods vehicle operators (we have some 7,000 members). However, as a trade association, we do not have a specific mandate or authority by which we can force operators to take action in an attempt to prevent similar shortcomings such as those that led to the tragic death of Dr Ball. Within the haulage industry, the organisations and individuals that may have power should include the industry regulator (the traffic commissioners), the primary enforcement authority (the Driver and Vehicle Standards Agency – DVSA) as well as those responsible for legislation (the Department for Transport).”

Source location

2019-0507-Response-from-The-Road-Haulage-Association-Redacted-1
Page 1 · response
Published 14 May 2020

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

Mandatory breakdown-management content in driver training is currently unavailable because EU regulations do not prescribe mandatory DCPC course content.

Verbatim wording from the response

“We would respectfully suggest that each of the above organisations are also sent copies of the report and asked to respond. It may well be that legislation can, at some point, be introduced to make it mandatory to carry and deploy a warning triangle and additional warning lights or, following the UK’s exit from the EU, making ‘breakdown management’ a compulsory element of driver training via their Driver Certificate of Professional Competence (DCPC). At the present time such mandatory training is not possible given that EU regulations cover DCPC training and do not prescribe mandatory course content. Furthermore, the traffic commissioners could potentially look to raise an expectation of training and issuing equipment as part of what they consider ‘best practice’ for operators.”

Source location

2019-0507-Response-from-The-Road-Haulage-Association-Redacted-1
Page 1 · response
Published 14 May 2020

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.2

  1. 1

    Review and implement an updated DAF Aid policy for notifying authorities about vehicles stranded in live lanes.

    Stated by DAF Trucks LimitedStated plannedThe respondent said that this action was planned when they made their response on 14 May 2020.
  2. 2

    Instruct drivers to deploy roadside warning triangles safely during relevant highway breakdowns.

    Stated by Whitelock Developments LtdStated in progressThe respondent said that this action was in progress when they made their response on 14 May 2020.

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

  1. 1

    Investigating compliance and incidents is outside the Traffic Commissioners’ remit; they rely on enforcement agencies to submit evidence of non-compliance.

    Stated by Traffic Commissioners for Great BritainOutside remitThe respondent said that this matter was outside its role or authority.

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 and implement an updated DAF Aid policy for notifying authorities about vehicles stranded in live lanes.

Verbatim wording from the response

“Actions: Whilst DAF Trucks break down service “DAF Aid” was not used in this incident, we have deemed that our policy on notifying the Highways Agency from our DAF Aid Control”

Source location

2019-0507-Response-from-DAF-trucks-Ltd-Redacted-1
Page 2 · response
Published 14 May 2020

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

Instruct drivers to deploy roadside warning triangles safely during relevant highway breakdowns.

Verbatim wording from the response

“(1) The concern over a lack of any advance warning aids (such as a warning triangle) has been addressed with the purchase of foldable reflective roadside warning triangles, to be placed within each of our HGVs. Instruction to our drivers in the requirement of use (if/when safe to do so) in the event of a breakdown upon the highway where it has not been possible to pull up clear of the highway, has been communicated via a Toolbox Talk and added to the company induction to capture all/any new drivers. This action has been instigated and will be complete by end November 2019 or sooner.”

Source location

2019-0507-Response-from-Whitelocks-Development-Ltd-Redacted
Page 1 · response
Published 14 May 2020

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

Investigating compliance and incidents is outside the Traffic Commissioners’ remit; they rely on enforcement agencies to submit evidence of non-compliance.

Verbatim wording from the response

“An operator must continue to meet these requirements and standards once an operator’s licence is granted. The traffic commissioners are not an investigatory body and rely upon evidence of non-compliance being submitted by enforcement agencies, most commonly the police or the Driver and Vehicle Standards Agency (DVSA). When evidence is received a traffic commissioner will consider whether to take regulatory action against the operator’s licence in accordance with the relevant legislation and guidance. This action may include the revocation or suspension of the licence and the disqualification of the licence holders or directors.”

Source location

2019-0507-Response-from-the-Office-of-the-Traffic-Commissioner-Redacted
Page 2 · response
Published 14 May 2020

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
4/5

Data last updated 7 September 2026