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.

This fact sheet considers road safety in the Netherlands from an international perspective. The number of serious road injuries is hard to compare to numbers in other countries, so we almost exclusively focus on the number of road deaths. For the Netherlands, we use the actual number of road deaths provided by Statistics Netherlands; i.e. the numbers adjusted for underregistration. We made this choice because the number of casualties among cyclists in the Netherlands is relatively high and it is these crashes that are by no means always registered.

The social costs of road crashes in the Netherlands in 2018 are estimated at 17 billion euro (between € 15.8 and € 18.6 billion euro), equivalent to more than 2% of the gross domestic product (GDP). This is significantly higher than other traffic-related social costs such as traffic congestion (€ 3.3 to € 4.3 billion) and environmental damage (€ 7 billion). The costs amount to about € 2.8 million per road death and more than € 300,000 per serious road injury.

In 2021, there were 582 road deaths in the Netherlands. Although this number is again lower than in previous years, it is not the lowest number up till now, in spite of it being a ‘COVID-19 year' once more.

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.

This fact sheet discusses the development of the number of serious road injuries in the Netherlands. Internationally, serious road injuries are defined as persons having sustained injuries in a road crash, whose injuries have a maximum severity of 3 on the medical injury scale AIS (MAIS3+). In the Netherlands, the definition is slightly different: serious road injuries are persons admitted to hospital for injuries with a maximum severity of 2 or more (MAIS2+) and that have not died within 30 days after the crash.

More detailed information about the individual data sources can be found in the report Data Sources; A comprehensive overview.