If the average speed on a road increases, crash risk also increases, as does the risk of a serious outcome. This is true in general terms, but more so when motorised vehicles crash with unprotected road users, such as pedestrians, cyclists and (light) moped riders. Furthermore, speed differences between vehicles at any one time or place are related to a higher crash risk. Drivers that maintain a speed that is higher than the average speed on that road run a higher crash risk; drivers that maintain a speed that is lower than average do not.

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.

Risky road user behaviour is behaviour that adversely affects road safety, such as driving under the influence of alcohol, drugs or medicines, speeding, inappropriate speed, distracted or fatigued driving, red light negation, and failure to use or misuse means of protection (motorcycle or moped helmet, seatbelt). Younger road users more often display risky behaviour than older road users, and men more often than women.

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.

The mobile phone is symbolic of ‘distraction in traffic’. But apart from mobile phone calls, texting, or listening to music, many drivers, cyclists and pedestrians are occupied with all sorts of other activities that may distract them. Examples are: operating the navigation system, eating, drinking, talking to passengers or daydreaming.

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.

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.

The elderly have a higher than average fatality rate in traffic. The most important cause of this high fatality rate among the 75 year olds and older is their greater physical vulnerability. In addition, functional limitations can lead to the elderly more frequently being involved in certain types of crashes. The crash type that is characteristic for the elderly occurs while turning left at an intersection.