Source · Prevention of Future Deaths

Kevin Hefferman

Ref: 2016-0381 Date: 25 Oct 2016 Coroner: Graham Danbury Area: Hertfordshire Responses identified: 1 / 1 View PDF

Persistent standing water and water flow across a specific carriageway section contributed to numerous past collisions, posing an ongoing danger to road users, especially during heavy rain.

Date 25 Oct 2016
56-day deadline 20 Dec 2016
Responses identified 1 of 1
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
Persistent standing water and water flow across a specific carriageway section contributed to numerous past collisions, posing an ongoing danger to road users, especially during heavy rain.
View full coroner's concerns
_ (1) Police officers who attended the scene noticed, in addition to standing water on the carriageway _ a flow of water across the westbound carriageway at or near the point where the BMW began to veer to the left; measured the flow of water as being approximately 16 metres wide flowing towards the nearside (2) police officer gave evidence that in the 5 years prior to this incident 18 collisions had The Regl The heavy The They been recorded at this spot, with rain or water on the carriageway mentioned in 6 cases (3) evidence of the police ofiicers was that this flow of water may well have been a contributory factor in Mr Heffernan losing control of his vehicle, and that it could be a source of danger to road users_in cases of heavy rain

Responses

1 respondent
National Highways Other
22 Feb 2017 PDF
Action Planned

National Highways has undertaken an initial investigation of the carriageway section and will conduct a further review of the design considerations made during the major improvement scheme. The review is due to be completed in the spring of 2017. (AI summary)

View full response
Dear Mr Danbury Response to Regulation 28 Report to Prevent Future Deaths Kevin Andrew Heffernan March 2016 refer to your Regulation 28 Report resulting from the inquest into the tragic death of Kevin Andrew Heffernan on the March 2016 which was received by Highways England on 2nd February 2017 Highways England Company Ltd (throughout referred td as "Highways England"); accepts the circumstances of the death as outlined in paragraph 4 of the Regulation 28 Report dated 25 October 2016. Highways England woulh like to extend sincere condolences to the family of Mr Heffernan for their sad Ipss_ We note your concerns outlined in paragraph 5 of the report regarding a flow of water across the westbound carriageway at or near the point Where Mr Heffernan's vehicle began to veer to the left: The section of carriageway where Mr Heffernan's incident occurred was subject to a range of major improvements which widened the M25 t9 four lanes between junction 16 and junction 23; these works were completed in the spring Of 2012. These improvements were designed to the specification and slandards applicable at the time and were subject to a range of design and safety checkglaudits. Where it was found that the design specification could not be met then a "deparure from standard" would have been approved at the time. Action taken or to be taken by Highways England We have undertaken an-initial investigation of the section of carriageway in question with the following findings: INVESTORS Regislered atfice Bridge House , Walnul Tree Close, Guildford GUI 4LZ IN PEOPLE Highways England Company imited registered England and Wales number 09346363 27th 27th

Pavement Condition An analysis of surface characteristics at this location did not find any issues in relation to rutting, longitudinal profile or skidding resistance and is therefore considered within design tolerances It should be noted that the skidding resistance (SCRIM) is measured using method designed to mimic wet road conditions_ Carriageway Geometry Our records for this section show that the crossfall (the slope of the carriageway perpendicular to the direction of travel) of the road surface changes direction prior to the point where Mr Heffernan'$ vehicle started to move out of lane; The gradient (the slope of the carriageway parallel to the direction of travel) before and after this point is within normal design parameters; It is a characteristic of highway design that crossfall change will result in an increased depth of water flowing across the carriageway, in more extreme periods of rainfall; This is not an uncommon feature in highway geometry and is taken into design consideration: Drainage Condition On 15th March 2016 the gully gratings in this location were cleared of debris to ensure no obstruction to water flowing from carriageway. On19th April 2016 a full clean of the gullies on the anti-clockwise carriageway of the M25 between junctions 23 and 22 was carried out; along with sweeping Of the V-channel; no issues aftecting the operation of the drainage were identified at this time Following your report we will undertake a further review of the design of this section of carriageway: This will include analysis of the design considerations that were made as part of the major improvement scheme and this is due to be completed in the spring of 2017_ Publication Highways England is content for this response to be published in full; Please advise if ! can be of further assistance.

Report sections

Investigation and inquest
On 28/03/2016 commenced an investigation into the death of Kevin Andrew Heffernan, 49 The investigation concluded at the inquest on 25 October 2016. conclusion was_Road Traffic Collision
Circumstances of the death
On 27th March 2016 at approximately 11.35 pm Mr Heffernan was the sole occupant of his BMW X5 which he was driving westbound on the M25 in the 3r4 or 4th lane_ Weather conditions were poor; with high winds and rain as Storm Katie was crossing southern England. At a point approximatel mile west of Junction 23, approaching the point where the motorway crosses his vehicle veered to the left; colliding with 2 other vehicles and leaving the motorway through the nearside bridge barriers, falling approximately 15 foot and landing on its roof. Mr Heffernan's death was confirmed at the scene_ The cause of death was Multiple Traumatic Injuries
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action: YoUuR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report;, namely by 20 December 2016, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed.

Similar PFD reports

Shared signals

Related inquiry recommendations

Similar themes

Report details

Reference
2016-0381
Date of report
25 October 2016
Coroner
Graham Danbury
Coroner area
Hertfordshire

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: 20 Dec 2016.

Sent to

Highways England

Source links