Source · Prevention of Future Deaths

Andrew Howat

Ref: 2024-0623 Date: 13 Nov 2024 Coroner: John Gittins Area: North Wales (East and Central) Responses identified: 1 / 1 View PDF

A taxi firm's training on driver duty of care and safety protocols for vulnerable passengers is inadequate, as a driver would repeat leaving a passenger in an unsafe location and police contact protocols were not followed.

Date 13 Nov 2024
56-day deadline 8 Jan 2025 est.
Responses identified 1 of 1
Road (Highways Safety) related deaths Wales prevention of future deaths reports (2019 onwards)

Coroner's concerns

AI summary
A taxi firm's training on driver duty of care and safety protocols for vulnerable passengers is inadequate, as a driver would repeat leaving a passenger in an unsafe location and police contact protocols were not followed.
View full coroner's concerns
The MATTER OF CONCERN is as follows. –

Oral testimony was given by a representative of Kingkabs that appropriate training was being provided to drivers seeking to balance the risk to themselves with their duty of care to their passengers, however the taxi driver stated in his evidence that if similar circumstances arose, he would do nothing different and would still be prepared to leave a passenger in an unsafe location.

Coroner's Office, County Hall, Wynnstay Road, Ruthin, LL15 1YN Tel 01824 708047 | Furthermore, the firm’s representative advised that usual practice would be to contact the police in circumstances such as these, but this was not done on this occasion and no evidence or documentation was available to corroborate that staff were being trained in respect of this protocol.

Responses

1 respondent
KingKabs Other
7 Jan 2025 PDF
Action Taken

KingKabs updated their "DR18 Driver Information & Advice" document with clearer guidance on resolving confrontation and duty of care and created new 'Driver Incident Procedures' within "CC002 Call Centre Procedures" for call center staff, distributing both on January 3rd, 2025. (AI summary)

View full response
Dear Mr Gittins,

Thank you for your Regulation 28 Prevention of Deaths report dated 13th November 2024 regarding the tragic death of Andrew Howat. First and foremost, we wish to extend our sincere condolences to Mr Howat’s family and loved ones.

As a business we remain committed to ensuring the highest standards and have carefully reviewed the matters of concern highlighted in your report, wishing to respectfully address the two key points raised: (a) the driver’s adherence to training and guidance; and (b) the failure to contact the police on 999 during the incident.

Driver Training

The driver’s decision to discharge the passenger at an unsafe location is deeply regrettable and we acknowledge that their actions on this occasion fell short of the standards we would expect. While drivers are trained to balance their own safety with their duty of care to passengers, we recognise that this tragic outcome signals a need to reinforce and clarify our procedures with drivers.

To further enhance this message, we have updated the “DR18 Driver Information & Advice” document, issued to all drivers during onboarding. Specifically, two new sections were added (Legal Duty of Care, Incident Procedures: Breakdown, Accident & Violence) and another strengthened (Managing Confrontation & Violent Situations) to provide clearer guidance on resolving confrontation, emphasising duty-of-care and the importance of safe decision-making in difficult circumstances.

On the 3rd January 2025, using our document sharing feature, we have updated all our drivers with the enhanced clearer guidance. As a Company we have taken this opportunity to reach out to all our c. 1,300 drivers covering not just KingKabs but to the wider group, ensuring consistency and firm commitment in our message.

Police Contact Procedure

was a manager at KingKabs and was working on the evening of the incident. While an attempt was made by to call 101 (non-emergency services), we understand that this was not successfully completed. Whilst was on hold with 101, he overheard a colleague say there had been a serious accident in the same location.

assumed it was linked with his call, hung up immediately and dialled 999.

On review, the process followed by was not adequately documented and the procedures within it could be made more robust. As such and in tandem with the driver

KingKabs Limited, Wheatsheaf Garage, Parkgate Road, Saughall, Chester CH1 6JS Bookings: 01244 34 34 34 | Admin: 01244 852 597 | Email: info@kingkabs.co.uk Company No.: 03623784 | VAT No.: 477 1632 29 procedures, we have documented a new set of ‘Driver Incident Procedures’ in “CC002 Call Centre Procedures” document for call centre staff, which provides clear and detailed guidance on when and how to escalate incidents to the police and other emergency services.

The updated version of CC002 has been sent to all staff on 3rd January 2025.

To demonstrate the proactive measures we have taken, we attach relevant excerpts from the updated “DR18 Driver Information & Advice” and “CC002 Call Centre Procedures” documents. We have not submitted the full documents as they contain commercially sensitive information. We respectfully request that these excerpts be redacted also for commercial privacy purposes before any wider publication.

We are committed to talking all necessary steps to ensure the safety of our passengers and to address the concerns raised in your report. Should you require any further details or clarification, please do not hesitate to contact me directly at .

Report sections

Investigation and inquest
On the 16th of October 2022 I commenced an investigation into the death of Andrew Howat (DOB 29.01.82 DOD 15.10.22). The investigation concluded at the end of the inquest on the 12th of November 2024. The cause of death was recorded as being due to 1(a) Multiple Injuries and the conclusion of the inquest was that the death was due to a road traffic collision
Circumstances of the death
On the 15th of December 2022, the deceased was collected by a Kingkabs taxi from a Chester Hotel. He was intoxicated at the time and as a result of disruptive behaviour the driver felt it unsafe to continue the journey and dropped him at a petrol station. Another taxi was ordered from the same firm, and he was collected for his onward journey home. Again as a result of his disruptive behaviour the driver was not prepared to continue the journey without full payment of the fare and stopped in a layby on the A483 dual carriageway in an unlit area with no means by which a pedestrian could easily leave the area (notwithstanding that there was a junction approximately 400 metres away which would have been a safe place to discharge the passenger). When the deceased got out of the taxi, the drive left him in an unsafe location and no contact was made with the police by the firm to advise them of the potential risk to both the deceased and other traffic.

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Report details

Reference
2024-0623
Date of report
13 November 2024
Coroner
John Gittins
Coroner area
North Wales (East and Central)

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 8 Jan 2025 (estimated).

Sent to

Kingkabs

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