Source · Prevention of Future Deaths

Daniel Pinkney

Ref: 2024-0609 Date: 7 Nov 2024 Coroner: Paul Marks Area: City of Kingston Upon Hull and the County of the East Riding of Yorkshire Responses identified: 2 / 3 View PDF

There is insufficient public awareness regarding aquaplaning, safe driving speeds in surface water, and appropriate vehicle control techniques, a gap in current Highway Code guidance.

Date 7 Nov 2024
56-day deadline 2 Jan 2025 est.
Responses identified 2 of 3
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
There is insufficient public awareness regarding aquaplaning, safe driving speeds in surface water, and appropriate vehicle control techniques, a gap in current Highway Code guidance.
View full coroner's concerns
I believe that greater awareness of the phenomenon of aquaplaning is important, together with the need to reduce speed when surface water is present, coupled with basic knowledge about braking and steering, should a vehicle experience this phenomenon. I was informed by a forensic collision expert that the Highway Code is at present silent on this matter but road user should be familiar with it.

Responses

2 respondents
Department for Transport Central Government
18 Dec 2024 PDF
Action Planned

The DVSA plans to launch and promote a winter driving e-learning course this month. The DfT will continue to work with stakeholders to amplify road safety messages and encourage them to include aquaplaning. (AI summary)

View full response
Dear Professor Paul Marks,

RESPONSE TO REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

Thank you for your report of 07 November 2024 made under the Coroners and Justice Act 2009 and the Coroners (Investigations) Regulations 2013, following the inquest you conducted into the death of Daniel Pinkney. I am responding as the Minister for the Future of Roads.

I am deeply saddened by the circumstances of Daniel Pinkney’s death, and I would like to extend my condolences to his family.

I am determined that we learn from tragedies like this and that we take action to reduce those killed and injured on our roads.

I want to assure you that the Government treats road safety with the utmost seriousness. Whilst UK roads are among the safest in the world, there is no room for complacency and I have carefully considered your report and its recommendations.

You recommended updating the Highway Code to raise awareness about aquaplaning. You also mentioned the importance of reducing speed when surface water is present, and basic knowledge about braking and steering.

While there is no specific mention of aquaplaning in The Highway Code. Rules 117 to 126 cover control of the vehicle. Rules 119 to 121 mention skidding, ABS and brakes affected by water. Rule 125 offers guidance on reducing speed, including when the road layout or condition presents hazards and weather conditions make it safer to do so. Rule 227 (Wet Weather)

advises what action should be taken if steering becomes unresponsive, likely due to water preventing the tyres from gripping the road, and recommends that drivers ease off the accelerator and slow down gradually. As such, we consider that appropriate guidance is in place in the current text of the Highway Code.

The Highway Code has historically undergone a major revision approximately every ten years and we currently have no plans to carry out a major revision. When we carry out the next revision to the Code, we will as usual undertake a consultation on proposed changes and this would offer the appropriate opportunity to consider including advice on aquaplaning.

Additionally, the Driver and Vehicle Standards Agency (DVSA) already provides advice to drivers on aquaplaning.

The DVSA’s driving tests are designed to make sure new drivers have the skills they will need to help them through a lifetime of safe driving. The DVSA also continues to encourage experienced drivers to read the Highway Code to refresh their road safety knowledge and check if there are changes.

The Highway Code and the DVSA Guide to Driving; the Essential Skills (DES) are both source material for the car theory test. DES is a source that goes into more detail about driving on standing water (aquaplaning) which can be purchased by candidates and this allows the DVSA to ask questions in the theory test.

The DVSA produces a number of guidance documents to assist all drivers and riders on Great Britain’s roads. The DVSA publishes this advice for all drivers, not just for learners. Further free information about driving in standing water can be found in their following publications:

Driving conditions (skills 24 to 26) - Ready to Pass?:

There are numerous sections on recognising and handling risks when operating a motorbike in deep water or rainy conditions, as well as when operating a heavy-goods vehicle and driving a car, at

The DVSA is aware of the importance of reminding drivers of their road safety responsibilities. The agency regularly posts articles on social media platforms, and this month the DVSA also plans to launch and promote a winter driving e-learning course through www.safedrivingforlife.info

You also mentioned blockage of drainage gulleys as a factor in the collision. Local highway authorities have a duty under Section 41 of the Highways Act

1980 to maintain the public highway network in their area. The Act does not set out specific standards of maintenance, as it is for each individual local highway authority to assess which parts of its network need repair and what standards should be applied, based on its local knowledge and circumstances.

DfT strongly advocates a risk-based whole lifecycle asset management approach to local authority highways maintenance programmes. This considers all parts of the highway network, such as bridges, cycleways, drainage gullies, and lighting columns – and not just the fixing of potholes. It is up to the respective highway authority how best to spend this funding to fulfil their statutory duty under Section 41 of the Highways Act 1980.

Further information and best practice on the on the importance of ensuring adequate drainage and tackling surface water is available from the UK Roads Leadership Group website1: Guidance on the management of highway drainage assets within the Code of Practice for Well Managed Highways.

We will continue to work with stakeholders to amplify road safety messages and will encourage them to do this with aquaplaning where appropriate.

This Government takes road safety very 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.

Best wishes,

MINISTER FOR THE FUTURE OF ROADS

1 https://ukrlg.ciht.org.uk/
Royal Society for the Prevention of Accidents Other
PDF
Action Planned

RoSPA will engage with the Department for Transport and DVSA regarding the coroner's findings by Q4 2024. They will also create and share digital education materials on aquaplaning awareness through social media and their website by Q2 2025. (AI summary)

View full response
Dear Professor Marks Regulation 28 Report to Prevent Future Deaths: Daniel Pinkney We acknowledge receipt of your Regulation 28 Report following the inquest into the tragic death of Mr Daniel Pinkney We at the Roval Society for the Prevention of Accidents (RoSPA) extend our deepest condolences to Mr Pinkney's family and loved ones and are committed to addressing the concerns vou have raised. Background The Roval Society for the Prevention of Accidents (RoSPA) is a charity in existence for over a century we are concerned with the prevention of accidents across the full range of life, both in the UK and abroad. RoSPA has no regulatory role, or enforcement powers. We are therefore not in a place to comment on the circumstances of the incident, nor are we able to place blame or identify liability: Actions to be taken by RoSPA Your report highlights the issue of aquaplaning, and the risks associated with driving through surface water: In response to your concerns, we outline below the actions RoSPA intends to advocate for to enhance road and reduce the risk of similar incidents in the future: Description Timeline Engage with the Department for Transport and DVSA regarding coroner's findings: 04 2024 Create and share digital education materials on aquaplaning awareness through social media and website Q2 2025 We appreciate your reports emphasis on proactive education, and we are dedicated to working with other stakeholders to improve safety standards across the country: In memory of Daniel Pinkney, We hope these initiatives will contribute to preventing future tragedies on our roads_ We would Iike to emphasise that we enjoy an excellent working relationship with the DVSA, and look forward to working with them, in order to protect the public The Royal Society for the Prevention of Accidents conpany Ilmired by guarantee reglstered in England and Wales with No 231435 Registered Charity Nv. 207823 (Erigland Wales) and 5C0J9289 (Sco land) Rcglstcred olficc: RoSPA Housc, 28 Calthorpe Road, Edgbaston, Blrmlegharn, BLS 1RP safety

RoSPA 28 Calthorpe Road ROSPA Bhiteagtagdom 5 IRP T;+44 (0)121 248 2000 help@rospa.com accidents don't have to happen wwnrospa.com Patron: His Majesty The Should you require further details regarding our planned actions, or if RoSPA can assist in other areas related to road safety please do not hesitate to contact uS,

Report sections

Investigation and inquest
On 30th December 2022, I commenced an investigation into the death of Daniel Pinkney, aged 26 years. The investigation concluded at the end of the inquest on 21st October 2024. The conclusion of the inquest was: ROAD TRAFFIC COLLISION
Circumstances of the death
These are set out in my summary and findings of facts which are attached. At approximately 21:13 hours on 19th December 2022, Daniel PINKNEY was driving his Ford Focus motor car in a northerly direction on the A164 in the Skidby area. He encountered a large amount of surface water on his carriageway whilst travelling at approximately 50 miles per hour. His vehicle was subject to aquaplaning and consequent loss of directional control. As a result, he entered the opposite carriageway and collided with a third party vehicle travelling in the Hessle-bound direction. The force of the impact was such that the engine of Mr. PINKNEY's vehicle broke free of its mountings and came to lie 28 metres from the vehicle. Mr. PINKNEY suffered devastating head and other injuries which were unsurvivable, and he was declared deceased by paramedics in his vehicle at 21:57 hours on 19th December 2022. Both of the involved vehicles were free from mechanical defects which could have caused or contributed to the accident.
Action should be taken
by considering adding guidance in the next iteration of the Highway Code.
Copies sent to
insurers of Mr PINKNEY’s vehicleinsurers of the thirdparty vehicleEast Riding of Yorkshire Council

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Report details

Reference
2024-0609
Date of report
7 November 2024
Coroner
Paul Marks
Coroner area
City of Kingston Upon Hull and the County of the East Riding of Yorkshire

Responses identified

Responses identified 2 of 3
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 2 Jan 2025 (estimated).

Sent to

Department for Transport
Driver Vehicle Standards Agency
Royal Society for the Prevention of Accidents

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