Source · Prevention of Future Deaths

Kaius Tutt

Ref: 2023-0169 Date: 22 May 2023 Coroner: Guy Davies Area: Cornwall and the Isles of Scilly Responses identified: 1 / 1 View PDF

Faded road markings and visibility issues at a roundabout create hazardous conditions. A recommendation to remove a dangerous downhill overtaking section lacks funding for implementation.

Date 22 May 2023

56-day deadline 18 Jul 2023

Responses identified 1 of 1

Road (Highways Safety) related deaths

Coroner's concerns

AI summary

Faded road markings and visibility issues at a roundabout create hazardous conditions. A recommendation to remove a dangerous downhill overtaking section lacks funding for implementation.

View full 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.

Responses

1 respondent

Cornwall Council Local Authority / Fire Service

23 May 2023 PDF

Action Taken

The Highway Authority has arranged for the relevant downhill overtaking section to be removed on the A391 at Carclaze, St Austell. (AI summary)

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Information Classification: CONTROLLED Regulation 28 Response - Kaius John Paul TUTT

Date Received: 31.05.23

Thank you for your letter of 23rd May 2023 and the accompanying Regulation 28 Report, in connection with the recent inquest into the death of Mr Kaius Tutt on the A391 at Carclaze, St Austell, in late 2022. I am pleased to confirm that the Highway Authority has arranged for the relevant downhill overtaking section to be removed at the earliest opportunity, which is likely to be around the end of June 2023. This will be carried out as an independent measure, rather than delayed to coincide with planned surfacing works later in the financial year. This is in line with the recommendation of our own investigation process as well as the subsequent inquest. I trust this is satisfactory.

Report sections

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

Information Classification: PUBLIC 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 a visibility issue at the collision location.

Copies sent to

of Cormac

Similar PFD reports

Shared signals

Related inquiry recommendations

Report details

Reference: 2023-0169
Date of report: 22 May 2023
Coroner: Guy Davies
Coroner area: Cornwall and the Isles of Scilly

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: 18 Jul 2023.

Sent to

Connectivity and Environment

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk under OGL.