Misleading layout leading to pedestrians to look wrong direction
Transport for London received 2 coroners' reports about this hazard between 19 Aug 2016 and 28 Nov 2017.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“The evidence was that this layout could mislead road users (pedestrians and motorists) into believing that this is a standard dual carriageway. Ordinary traffic has been seen in the dedicated busway, and pedestrians could be misled into looking the wrong way”
Original on judiciary.uk ↗ Transport for London responded, stating 1 specific action.Response (PDF) ↗
“A zebra crossing was installed on 15 March 2016, south of, but close to, the junction, to provide an additional crossing from the Millennium Village area to the existing primary school, and a safer crossing route between Pilot Busway and West Parkside.”
Stated timescale: 15 March 2016
- 1 year 3 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“(1) No road markings indicating the direction pedestrians should look when crossing”
Original on judiciary.uk ↗ Repeated from the earlier report:roadpedestrians
Transport for London responded, stating 1 specific action.Response (PDF) ↗
“Subsequent to this visit, additional louvres were fitted on 13 October 2017 to two further green figure light aspects on the Pentonville Road crossing, including on the north side of the crossing (see Figure 2), to reduce the likelihood of pedestrians crossing when they were not invited”
Stated timescale: 13 October 2017
- All reports to Transport for London
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2017Sonia Stante1 year 3 months after Amanda Coppen · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight that the road layout can cause pedestrians to look in the wrong direction when crossing, creating a safety risk. The earlier report cites the unusual side‑by‑side busway/road layout as misleading, while the later report notes the absence of road markings indicating the correct looking direction.
Amanda Coppen · 19 Aug 2016
“The evidence was that this layout could mislead road users (pedestrians and motorists) into believing that this is a standard dual carriageway. Ordinary traffic has been seen in the dedicated busway, and pedestrians could be misled into looking the wrong way”
Original on judiciary.uk ↗ Sonia Stante · 28 Nov 2017
“(1) No road markings indicating the direction pedestrians should look when crossing”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“A zebra crossing was installed on 15 March 2016, south of, but close to, the junction, to provide an additional crossing from the Millennium Village area to the existing primary school, and a safer crossing route between Pilot Busway and West Parkside.”
Stated action · timescale: 15 March 2016
“A zebra crossing was installed on 15 March 2016, south of, but close to, the junction, to provide an additional crossing from the Millennium Village area to the existing primary school, and a safer crossing route between Pilot Busway and West Parkside.”
Stated action · timescale: 13 October 2017
“Subsequent to this visit, additional louvres were fitted on 13 October 2017 to two further green figure light aspects on the Pentonville Road crossing, including on the north side of the crossing (see Figure 2), to reduce the likelihood of pedestrians crossing when they were not invited”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Transport for London at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2017 | 0.68 | 0.20 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.