The Safe System requires road safety practitioners to move away from only determining the causation of collisions and establishing culpability following a collision, to also identifying systemic failures which, if corrected, could prevent the severity of similar future high severity collisions.


This project was established to identify best practice and terms of reference for Safe System fatal review panels, to provide training materials for personnel that will be part of a panel, and to deliver training to three new fatal review panels in England.


The project was inspired by the Cambridgeshire and Peterborough Vision Zero Partnership Collision Review Panel which was established in 2023. The ethos of this panel, in identifying system failures and mitigations aligns extremely well with delivery of a Safe System.


This report provides an overview of work so far.

  • Section 2 provides information about interviews that have been held to establish best practice, and key findings and
    recommendations that followed.
  • Section 3 provides a model Terms of Reference that could be adapted by road safety partnerships for use locally.
  • Section 4 provides information about the training that was delivered in February and March 2025 to three road safety partnerships plus observers.
  • Section 5 provides our work to establish a reporting proforma for the partnerships to utilise.
  • Section 6 describes the progress three road safety partnerships have made with establishing their local Safe System Fatal Review Panel (SSFRP).

Click here to view the full report.