Source · Prevention of Future Deaths

Donald Hooker

Ref: 2022-0409 Date: 21 Dec 2022 Coroner: Lorraine Harris Area: East Riding and Hull Responses identified: 3 / 2 View PDF

Motorcyclist helmets are detaching in collisions, but there's a lack of research into why, no checks for correct helmet sizing, and inadequate rider education on proper fit, increasing fatality risks.

Date 21 Dec 2022
56-day deadline 15 Feb 2023 est.
Responses identified 3 of 2
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
Motorcyclist helmets are detaching in collisions, but there's a lack of research into why, no checks for correct helmet sizing, and inadequate rider education on proper fit, increasing fatality risks.
View full coroner's concerns
(1) This is the second matter that has been referred to my jurisdiction in recent months where a motorcyclist has lost his helmet during a collision. During evidence it was adduced that, although it is not a common occurrence, it is certainly not unusual for a motorcyclist’s helmet to come off or to rotate during a collision.

(2) The Forensic Collision Investigator was unable to explain the reason for Dr Hooker’s crash helmet coming off. The chin strap was in place.

(3) The Forensic Collision Investigator indicated that she had been unable to find any research or scientific data on why such incidents occur.

(4) It was adduced in evidence that a kite safety mark may be checked by an instructor during motor cycle courses/tests but there did not appear to be a known check for ensuring a person has the correct size motorcycle helmet.

(5) It was acknowledged that many people may now purchase motorcycle helmets over the internet and the sizing and fitting may not be appropriate.

(6) I am concerned that without knowledge of why such incidents are occurring, or appropriate education of the riders, that more deaths may occur.

Responses

3 respondents
the Future of Transport
20 Dec 2022 PDF
Noted

TRL describes its role in supporting the SHARP helmet rating scheme and summarises existing research on helmet loss, concluding that more work should be done in light of changing motorcycle user demographics. They raise questions about the specific helmet and circumstances of the incident. (AI summary)

View full response
Dear

Thank you for writing to TRL and enclosing a copy of the Regulation 28 report by Lorraine Harris, Area Coroner, East Riding of Yorkshire and City of Kingston Upon Hull. The report detailed the investigation into the death of Donald Frederick Hooker, which was concluded atthe end of the inquest on 20th December 2022. Please accept my sincere apologies that we are replying two days after the deadline - I would be most grateful if you could acknowledge receipt of this email . Regarding the matters of concern, namely: (1) This is the second matter that has been referred to my jurisdiction in recent months where a motorcyclist has lost his helmet during a collision. During evidence it was adduced that, although it is not a common occurrence, it is certainly not unusual for a motorcyclist's helmet to come off or to rotate during a collision. (2) The Forensic Collision Investigator was unable to explain the reason for Dr Hooker's crash helmet coming off. The chin strap was in place. (3) The Forensic Collision Investigator indicated that she had been unable to find any research or scientific data on why such incidents occur. (4) It was adduced in evidence that a kite safety mark may be checked by an instructor during motor cycle courses/tests but there did not appear to be a known check for ensuring a person has the correct size motorcycle helmet. (5) It was acknowledged that many people may now purchase motorcycle helmets overthe internet and the sizing and fitting may not be appropriate. (6) I am concerned that without knowledge of why such incidents are occurring, or appropriate education of the riders, that more deaths may occur. TRL has been instrumental in supporting the Department for Transport to establish SHARP (https://sharp.dft.gov.uk/l. SHARP is the UK government's ratings scheme for motorcycle helmets and provides consumers with objective information on their safety performance. TRL has undertaken research on attitudes and motivations of motorcyclists towards helmets and protective equipment (https://www.trl.co.uk/publications/ppr442). In summary, "Passion, performance, practicality: motorcyclists' motivations and attitudes to safety - motorcycle safety research project", found that based on self- reported decisions, with respect to choice of bike, helmet, safety gear and avoiding fatigue, there was a wide variety of risk perception. Motorcyclists are not a homogeneous group and different safety interventions are required to influence their behaviour. In 2018, TRL has conducted our own research into helmet loss, or more specifically our "Helmet Retention Report" (https://www.trl.co.uk/publications/helmet-retention-report). This self-funded study had two specific aims. The first 1

was to see whether the existing test requirements in ECE Reg 22.05 relating to dynamic helmet retention (the roll test) are realistically based and how well existing helmet designs comply with these tests when new and used. The second was to identify the mechanism of helmet loss and to quantify the importance of relevant factors such as inertia effects, head geometry and flesh compliance and misuse. Key extracts from this report are:
• Statistical data suggested that helmet loss occurs in about 5% of reported collisions involving injury.
• The current form of statutory roll off testing involves the helmet being drawn forwards on an arc that causes the helmet chin bar to hook beneath the user's chin in a manner that would not be possible in a collision, and is therefore not representative of real world collisions.
• Equally the tests include the retention straps being tightened below the test headform to a level of tightness that a user survey has suggested is inappropriate to real world conditions. A more representative level of tightness allows roll off at lower loads.
• Many users are wearing helmets that are reportedly the wrong size for their heads
• The mechanisms for helmet loss are still not fully understood. The involvement of the sternum and rotation of the neck are believed to be significant factors, which could be tested in the future. To my knowledge this is the latest research on the subject. In my opinion more work should now be done, especially as we see a changing demographic of motorcycle users, for example with increasing numbers of fast-food and other delivery rider services, potentially increasing the likelihood for future incidents involving helmet loss. I have spoken with colleagues from the Institute ofTraffic Accident Investigators (ITAi) and colleagues at TRL, who raised the following questions with respect the case:
• What type of helmet was involved in the incident (make and model)?
• Is there an indication of how tightly the strap was fastened? A helmet should feel comfortable but fit snugly. A loose-fitting helmet may come off during an accident, however how, after an accident, do you determine if it was fitting snugly
• How old was the helmet?
• Where was the helmet purchased? Normally when purchased at a reputable dealer, the seller would provide fitting advice and ensure it fits correctly, however this does not apply when purchased at other establishments or via the internet.
• Chin strap maintenance could be an issue. Was their evidence of wear, had it stretched? These issues can only be determined during a forensic examination. This could mean that more awareness training for the attending police traffic officers and forensic examiners is required.
• This issue is likely to become more widespread with the introduction of electric bikes and e-scooters or even pedal cycles. If you have further questions, or would like to arrange a call to discuss this further, please don't hesitate to contact me. Kind regards,

Director, TRL Academy

TRL I Crowthorne House I Nine Mile Ride I Wokingham I Berkshire I RG40 3GA
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the Department for Transport Central Government
21 Dec 2022 PDF
Action Taken

The Department provides advice and guidance to motorcyclists through its Safety Helmet Assessment and Rating Programme (SHARP), including guidance on helmet selection and fitting on the SHARP website. DVSA's CBT syllabus includes helmet fitting and fastening, and examiners check helmet fastening. The Department will continue to review technical standards for helmets and promote helmet fitting and usage. (AI summary)

View full response
Dear Miss Harris,

Regulation 28: Report to Prevent Future Death - Inquest of Donald Frederick Hooker - Hull and East Yorkshire

Thank you for your Regulation 28 report dated 21 December 2022, sent to the Secretary of State for Transport following the conclusion of your inquest into the death of Donald Frederick Hooker. I am also grateful for the further details you provided subsequently. I am replying as Head of Vehicle Engineering in the International Vehicle Standards division, which leads for the Department for Transport on road vehicle construction and safety standards, including motorcycle helmets.

I understand that Dr Hooker fell from his motorcycle after the drive chain failed and he collided with a vehicle travelling in an adjacent lane, sustaining fatal head injuries when his helmet became detached. You found that the evidence considered during the inquest revealed matters of concern relating to helmet detachment, sizing and fitting of helmets, and how this may be checked and assessed.

In Great Britain, motorcycle helmets are regulated through the Motor Cycles (Protective Helmets) Regulations 1998 (as amended), which require that a helmet is fastened securely to the head using retention systems provided for that purpose. The technical requirements for helmets, including retention systems, are set out in British Standard BS 6658: 1985 and more recently, United Nations Economic Commission for Europe (UNECE) Regulation 22. These requirements ensure that helmets are designed to maintain position on the head, with as little rotation as possible, and prevent the total opening of the retaining system, in the event of a crash. To prevent any possible misuse, Miss Lorraine Harris Area Coroner East Riding of Yorkshire and City of Kingston Upon Hull The Guildhall, Alfred Gelder Street Kingston Upon Hull HU1 2AA Department for Transport Great Minster House 33 Horseferry Road London SW1P 4DR

28 February 2023

detailed instructions on the use of the fastening devices are provided by helmet manufacturers. It remains the responsibility of the rider to follow the manufacturer's instructions to ensure that the chin strap is fastened securely, including adjusting and maintaining tension in the strap.

I note from the evidence provided that the chin strap of Dr Hooker’s helmet was seen to be fastened post-collision and that the Forensic Collision Investigator provided no explanation as to why it became detached during the incident. As noted in your report, it is not a common occurrence for a rider's helmet to detach during a collision, but research indicates this to be a contributory factor in 10% to 14% of casualties. There does not seem to be any conclusive evidence on why this might happen, but it is generally thought to be due to a failure of the retention system, neglecting to securely fasten the retention systems, as well as poorly fitted or loosely worn helmets.

It is also important to recognise that helmet materials are subject to normal wear and tear and hence to a gradual decay of the inherent mechanical characteristics of the material itself. Open-cell foams typically used for comfort padding bands within helmets’ inner liners often suffer from deterioration or relaxation from aging or use, such that helmet fit may worsen with extended use or age. As a consequence, a head/helmet size and shape mismatch may create a condition where a helmet with a notionally good static fit becomes one with a poor dynamic (impact) fit, leading to increased risk of loss. To mitigate this risk, helmet manufacturers advise that riders should be looking to replace a helmet that has been subject to regular use after 3 to 5 years.

The Department recognises the importance of a good fitting and performing helmet and has for many years been providing advice and guidance to motorcyclists through its Safety Helmet Assessment and Rating Programme (SHARP). Working with the motorcycle helmet supply industry, SHARP has established the best practice and produced a guidance that offers advice on helmet selection and appropriate fitting. This is available on the SHARP website at the following link: https://sharp.dft.gov.uk/get-the-right-fit/.

The Driver and Vehicle Standards Agency (DVSA) leads for the Department on compulsory basic training (CBT) for motorcyclists. Its syllabus contains information on helmet fitting and fastening, and DVSA examiners undertake checks to ensure that candidates have securely fastened their helmets before any riding takes place. Further advice for motorcyclists is available in the Highway Code and in the DVSA publication, Riding the Essential Skills, available on GOV.UK.

The Department is committed to improving safety for all motorcyclists and will continue to review the technical standards for new helmets under the UNECE to ensure they reflect new and emerging technology and offer increasing levels of safety, while at the same time promoting and raising awareness of

the importance of motorcycle helmet fitting and their correct usage through the SHARP programme. It is important that a helmet fits well and is maintained securely on the head if it is to provide its best protection.

I hope you find this information helpful and are assured that there are measures in place, and future actions, to help mitigate the potential risk of such incidents occurring in the future.
Forensic Collision Investigator
PDF
Noted

The Forensic Collision Investigator provides information on the helmet involved in the incident and refers some queries to other agencies, stating the helmet met basic UK standards. They are unable to comment on how tightly the helmet was fastened when worn. (AI summary)

View full response
Reg. 28 Report to Prevent Future Death - response from the Transport Research Laboratory - Donald Frederick HOOKER Hi All Apologies if the below has already been answered in my absence. Please see the below regarding the questions asked:
• What type of helmet was involved in the Incident (make and hlodel)?
• rs there an Indication of how tightly the strap was f.stened? A helmet should feel cohlfortable but flt snugly, Aloose-flttfng helmet may come off during an accident, however how, after an acddent1 do you determine If It was fitting snugly
• How old was the helmot?
• Where was the heltnet purchased? Normally when purchased lit a reputable dealtr, the seller would provide flttlng advice and ensure It fits correctly, however this does not apply when purchased at other establishmellts or via the h1tert1at,
• Chin strap maintenance could be an Issue. Was their avidehce ofwear, had it stretched? These issues q,n only be determined during a forensic examination. This could mean that more awareness training for the attending pollce traffic officers and forensic examiners ts required.
• This Issue Is lll<ely to become more widespread with the lntrodw:tlon ofelectrlc bll1es and a-scooters or even pedal cycles, 1-The helmet was an 'Uber' flip front motorcycle helmet with a clear visor. It was ECE marked 22.05 and therefore meets basic UK standards. 2 -The helmet was fitted with a D-Ring fastener that appeared to be in order and fastened on inspection, however, I am unable to comment on how tightly this was fastened when worn. 3 -This is an enquiry that should be completed by SCU. 4 -Again, another SCU enquiry. 5 -The chin strap appeared to be in order. To identify whether the material has stretched or suffered any deformation the helmet would need to be sent to the appropriate third party for testing. Hopefully, the above is of some form of help. Kind regards,

Forensic Collision Investigator Regional Forensic Collision Investigation Unit Sheffield Office, Yorkshire and The Humber Scientific Support Services Operation Complex, Europa Link, Sheffield S9 1XX 2

Report sections

Investigation and inquest
On 2nd September 2021 I commenced an investigation into the death of Donald Frederick HOOKER, aged 70 years. The investigation concluded at the end of the inquest on 20th December 2022. The conclusion of the inquest was Road Traffic Incident. Box 3 of the record of inquest read: On 26th August 2021, Donald Frederick HOOKER aged 70 years, was travelling on the Humber Bridge when the drive chain of his motorcycle broke. He collided with a vehicle as he drifted to the left causing him to fall off his motorcycle. His crash helmet came off during the incident and he sustained head injuries. Dr Hooker was transported to Hull Royal Infirmary where he died on 28th August 2021. His medical cause of death was recorded as: 1a Multiple Traumatic Injuries 1b Road Traffic Incident
Circumstances of the death
Dr Hooker was an experienced motorcycle user. On 26th August 2021 he was travelling home from work via the Humber Bridge. When the road conditions permitted Dr Hooker began to accelerate appropriately (he had been travelling at approximately 30 mph). He was in 4th gear. As he accelerated the drive chain on his motorcycle broke, and Dr Hooker appeared to drift into a vehicle travelling on his nearside. The collision cause Dr Hooker to fall from his motorcycle but as the incident occurred Dr Hooker’s crash helmet came off. He sustained severe head and facial injuries. He was conveyed to Hull Royal Infirmary where he died on 28th August 2021. There were issues with the drive chain of the bike that were causative of the accident, however I had additional concerns regarding the loss of his motor cycle crash helmet.
Copies sent to
who in my opinion should receive itYou may make representations to me, the coroner, at the time of your response, about the release or the publication of your response. [DATE] [SIGNED BY CORONER]21st December 2022 Lorraine Harris

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Report details

Reference
2022-0409
Date of report
21 December 2022
Coroner
Lorraine Harris
Coroner area
East Riding and Hull

Responses identified

Responses identified 3 of 2
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 15 Feb 2023 (estimated).

Sent to

Department for Transport
Transport Research Laboratory

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