Review of coroners’ recommendations following fatal cyclist crashes involving heavy vehicles

Heavy vehicles are overrepresented in cyclist fatality crashes. This study is a review of coroners’ findings and recommendations for all cyclist fatality crashes involving a heavy vehicle. Nationally from 2000 to 2016, there were 141 cyclist deaths involving a heavy vehicle, coroners made recommendations in 17 cases with 51 individual recommendations. The recommendations were examined through the lens of the Safe System. Most recommendations focused on Safe People followed by Safe Roads and Safe Vehicles. Despite the range of recommendations from coroners nationally, little direct action has been identified in response to the recommendations to improve cyclist safety.