In the Netherlands, over a third of road deaths and well over two thirds of serious road injuries are cyclists. Cyclist fatality risk (the number of road deaths per distance travelled) is more than eight times higher than fatality risk for drivers, but over three times as low as that for motorised two-wheelers.

In 2020, over a quarter of the total number of bicycle kilometres were cycled on pedelecs; particularly the over-65s opt for pedelecs. This is also borne out by the crash figures: in 2019 and 2020, almost one in three of the cyclist fatalities was a pedelec rider.

In the Netherlands, on average, more than 50 people die every year in a submerged vehicle crash. More than two thirds die from drowning. The casualties are mainly car occupants, while cyclist and mobility scooter fatalities are also numerous. Casualties are mostly male and aged 18-24. Despite the large number of casualties, not much is known about possible causes of crashes in which vehicles end up in the water. Foreign studies show that alcohol and drug use, and/or speeding are often involved.

A safe infrastructure is of vital importance to pedestrians and cyclists. In 2010-2019, 40% of the number of road deaths were pedestrians or cyclists. In 2018, they even made up 69% of the number of seriously injured road users.

A pedestrian fall or collision is only a road crash (pedestrian crash) when a moving vehicle is involved. Between 2010 and 2019, an annual average of 59 pedestrians were killed in road crashes. Between 1999 and 2019, the number of pedestrian road deaths dropped by 62%. Crash risk for pedestrians equals that for cyclists, while for (light) moped riders crash risk is 3 to 4 times higher, and for occupants of cars/delivery vans 7 to 8 times lower.

A bicycle helmet is intended to protect cyclists against head and brain injuries when they are involved in crashes. The helmet does not prevent bicycle crashes (see the SWOV fact sheet Cyclists for general bicycle safety measures). International research shows that in case of a crash helmeted cyclists are 60% less likely to sustain serious head/brain injuries and 70% less likely to sustain fatal head/brain injuries than cyclists not wearing a helmet.