Road crashes are rarely caused by a single factor. The diagram below shows the findings from road crash investigation studies. It illustrates the proportions of accidents where the main cause is due to either a single factor, or to multiple factors. However, it is important to note that road user error can includes many different types of error, including fatigue, alcohol impairment, inexperience, distraction, etc. This approach fails to consider what might have prevented the crash, i.e. a road engineering measure like a speed hump can prevent speeding, a common road user error resulting in crashes. Cure and cause are not always the same thing.




William Haddon, the first head of the US Federal National Highway Traffic Safety Administration, and a public health physician, took a different approach. His medical background led him to focus on the prevention of injury rather than the cause of the crash.


Haddon Matrix for Injury Control: Example of Motorcycle Safety

  Personal Vehicle Road environment
Pre-event Avoid alcohol consumption
Obey traffic laws
Supervised training
Daytime headlamps
Good tyre, brakes
One-way streets
Special lanes for motorcycling
Clear road signs and signals
Event Wear fastened helmet
Physical fitness;
exercise, bone strength
Good quality, well-fitting helmet
Leg guards on cycle
Heavy boots and clothing
Energy absorbing barriers
Roadsides clear of fixed obstructions
Guardrail along cliff
Post-event Rehabilitation First aid kit
Emergency radio
Communication network
Transportation network
Emergency services


References
BARSS P, G SMITH, S BAKER, and D MOHAN (1998), "Injury Prevention: An International Perspective, Oxford University Press,

SABEY BE and H TAYLOR (1980). The known risks we run: the highway. TRRL Supplementary Report SR 567. TRL Ltd, Crowthorne.

CARSTEN OMJ, MR TIGHT and MT SOUTHWELL (1989) Urban accidents: why do they happen? Report of a study on contributory factors in urban road traffic accidents. University of Leeds, Institute of Transport Studies. AA Foundation for Road Safety Research, Basingstoke.