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 2016, there were 189 road deaths among cyclists in the Netherlands. This is approximately 30% of the total number of road deaths. The number of seriously injured cyclists is not exactly known. Their number in 2015 was estimated to be more than 60% of the total number of serious road injuries, which would be over 13 thousand. A large proportion of the seriously injured cyclists is the result of a single bicycle crash, a crash in which no other road user is directly involved.

Traffic education is defined here as any kind of formal or informal education that is aimed at learning and improving the knowledge, insight, skills and attitudes that are necessary for safe traffic participation, including the wish to safely participate in traffic.

Public service advertising (PSA) on road safety does not seem very effective on its own. PSA campaigns mainly influence behaviour when they are combined with police enforcement and rewarding or other actions. This does not mean that PSA campaigns should not be undertaken. Public service advertising can increase knowledge and lead to attitude change and can strengthen support for effective but unpopular measures. A PSA campaign is more effective as the target group is more committed to the issue. Mass media campaigns are usually less effective than local, individual programmes.

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. If pedestrians or cyclists are involved in crashes with motorised vehicles driving faster than 30km/h, they run a significant risk of severe or fatal injuries. The design of residential areas and homezones should therefore ensure that driving speed does not exceed 30km/h.

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.

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 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.