Source · Prevention of Future Deaths

Ming Cheung

Ref: 2014-0332 Date: 15 Jul 2014 Coroner: S McGovern Area: Coventry Responses identified: 1 / 1 View PDF

An unofficial pedestrian crossing point, used by many, had an obscured view due to a large sign, contributing to the incident and near-misses.

Date 15 Jul 2014
56-day deadline 9 Sep 2014
Responses identified 1 of 1
Road (Highways Safety) related deaths

Coroner's concerns

AI summary
An unofficial pedestrian crossing point, used by many, had an obscured view due to a large sign, contributing to the incident and near-misses.
View full coroner's concerns
I heard evidence that the point where Miss Cheung crossed the road was used by many pedestrians and had developed into an unofficial crossing point. Anecdotally there was some evidence of near-misses in terms of pedestrians being hit by vehicles. I heard evidence that a large Tesco sign obscured the view of Miss Cheung and the lorry driver. It may be that removal of the bottom wooden panels of the sign would be sufficient although I await to hear your response. Foy your information I also enclose a copy of a regulation report addressed to Coventry City Council concerning the same incident.

Responses

1 respondent
Network Rail Private Sector
22 Aug 2014 PDF
Action Taken

• Vegetation growth was cut back during the first week of August 2013 and will continue to be routinely checked at six-monthly inspections. • The SLL sign on the down line was moved from 4.9 meters to 3 meters on 8th August 2014. • The SLL sign on the up side remains at 3.4 meters from the track due to troughing at the 3 meter point, but its current location is considered appropriate. (AI summary)

View full response
Dear Mr Rose Anthony Shane Ponting deceased Regulation 28: Report to Prevent Future Deaths Thank you for your letter dated 8"h July 2014 enclosing the Regulation 28 Report relating to the tragic death of Anthony Shane Ponting at Springfield Road Pedestrian Crossing, Somerset At paragraph 5 of the Report; you refer to the ORR report dated 13 August 2013 saying that it "revealed several matters which although in no way responsible for this death could causc potential risk to other users, namely: Reduced sighting line caused by track side vegetation growth for pedestrians crossing from the upside to up trains and on the downside for both Up and down trains at the SHI [Stop, Look; Listen (SLL)] sign The SHI [SLL] boards should have been positioned 3 metres from the line. (iii) Tripping hazards on the crossing surface Your recommendations in paragraph 6 of the Report recognise that the vegetation was cut back shortly after the accident but confirmed that items (ii) and (iii) should be attended to if not already dealt with and that items () and (iii) are looked at regularly in the future The vegetation growth was cut back during the first week of August 2013. In terms of managing the vegetation going forward, this has been and will continue to be routinely checked at six-monthly inspections_ Most recently, those inspections were conducted on 16th

NetworkRail January 2014 and 26'h June 2014 where sighting line was deemed to be satisfactory. The next inspection of the crossing is scheduled to take place in the first week of December 2014, Concern 5(i) regarding the SLL signs has been addressed. On 8lh August 2014, the SLL sign on the on the down line was moved from 4.9 meters to 3 meters as recommended in your report. The SLL sign on up side remains at 3.4 meters from the track_ There is some troughing at the 3 meter point which makes this sign more difficult to move but the current location of the sign is appropriate and fit for purpose. As we understand it the ORR report focussed on the inadequacy of the SLL sign on the down line_ The signage will continue to be assessed as part of the routine inspections, the next of which is scheduled for the first week of December 2014. Concern 5(iii) has been addressed. In early March 2014 and as part of more extensive track works in the area, the surface system was completely renewed in modern rubber panels free of tripping hazards Again the surface is checked for condition at each six-monthly inspection regime, the next one being in the first week of December 2014_ would take this opportunity to highlight Network Rail's commitment to safety. It is a core Network Rail value and we are committed to making sure everyone gets home safely be it employees, contractors or members of the public. We have invested much time, money and effort into reducing the risks inherent in level crossings and our work over the past four years has reduced that risk by 31%. This includes closures, improved engineering risk controls and targeted action to influence user behaviour and we will continue our work to improve safety at level crossings having been entrusted with significant funds over the next five years to do so_ hope that the response provides you with adequate information and assurance that the issues you identified are taken seriously and have been addressed. If you would Iike any further clarification, please do not hesitate to contact me. sincerely Mark Carne Chief Executive the the every day Yours

Report sections

Investigation and inquest
I opened an investigation on 28 January 2014 into the death of Ming Tsung CHEUNG, late of 176 Melbourne Road, Coventry. I concluded the inquest on 15 July 2014 and returned a conclusion that her death was road traffic incident.
Circumstances of the death
Miss Cheung was a student at Warwick University. She crossed Lynchgate Road, Coventry and was struck and killed by a lorry.

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Report details

Reference
2014-0332
Date of report
15 July 2014
Coroner
S McGovern
Coroner area
Coventry

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: 9 Sep 2014.

Sent to

Tesco Plc

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