Driving under the influence of drugs or impairing medicines reduces fitness to drive[i] and increases crash risk. Drugs have a numbing, stimulating or mind-altering effect on the brain, or a combination of these effects, which impair traffic task performance. For drug use in traffic, we (unfortunately) have to rely on research dating back to 2011.

In the Netherlands, a sustainable road safety approach, in which measures in the fields of Engineering, Education and Enforcement (3Es) are complementary, has been used for decades. Enforcement reduces high-risk road user behaviour and is therefore an important component of this safe system approach.

Driver fatigue is estimated to be a (contributing) factor in 15 to 20% of crashes, but estimates in individual studies vary widely. Drivers who are tired are less attentive and react less quickly and less adequately than drivers who are not tired. They also get irritated and frustrated more easily.

Children are a vulnerable group among road users. They are, after all, still building up skills which will eventually allow them to become safe and independent road users. The role of parents in teaching their children how to behave safely in traffic is very important.  In this fact sheet, children are taken to belong to the age category 0 to 14, unless specified otherwise.

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.

Intelligent transport and advanced driver assistance systems are implementations of information and communication technology in vehicles and in the transport infrastructure to make traffic safer, more efficient, more comfortable, more reliable and more eco-friendly.

Sustainable Road Safety implies that the traffic environment is designed to rule out serious crashes and to mitigate the severity of the crashes that do happen. The human dimension is the primary focus: man who is vulnerable, makes mistakes and does not abide by the rules. The road environment, vehicles and technology are to offer support and protection in order to make the safety of the traffic system as little dependent on individual actions as possible. Traffic professionals and central government ensure that these conditions are always met and that imperfections are corrected.

In the Netherlands, licence acquisition courses for category B (passenger cars) are concluded by a theoretical and a practical test. Driving lessons are not obligatory, but without them passing the practical test is virtually impossible. For practical reasons, the effectiveness of drivings tests and driver training is hard to assess in a scientific way. A few studies of the effectiveness of theory tests and practical driving tests are indeed available. These do, however, not show a marked relation between crash risk and driving test performance or driver training.

Visual information is of the utmost importance to road users. In darkness, both public lighting and vehicle lighting help road users take stock of the traffic situation and help them to be seen by others. Installing public lighting leads to a 50% reduction in the number of nighttime injury crashes. Disavantages of public lighting are, among other things, the risk of collisons with lamp posts, light pollution and the costs of material, maintenance and energy consumption. The road safety effects of a reduction in illuminance level on motorways vary according to the traffic situation.

A 30 km/h zone is also known as a ‘zone 30’ or a 'residential area'. The zone is mostly situated within an urban area and consists of connected access roads with a 30 km/h speed limit. The areas have a residential function where slow traffic and motorized traffic mix. For this reason speeds must be low (30 km/h maximum). For example, infrastructural measures at both road sections and intersections (think of humps, plateaus and road narrowings) can be used to realize such a low speed.