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.

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.

The weather has an influence on road safety. Weather conditions partly determine the road conditions and the driver's behaviour. Most studies into the relation between weather and road safety are about the situation during rainfall. However, many other weather conditions are serious influences: fog, snow and black ice, low sun, hard wind, and high temperatures.

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.

In 2015, an estimated 12% - 23% of the road deaths in the Netherlands were due to drink driving. This then amounted to 75 to 140 fatalities. During the most recent measurements in 2019, 2.3% of the drivers were under the influence of alcohol during weekend nights, which is a considerable increase compared to the previous measurements in 2017.

Traffic congestion occurs when traffic demand exceeds road capacity, or when an incident such as a traffic crash, a vehicle breakdown occurs or temporary roadworks take place, all of which temporarily reduce capacity and restrict traffic flow. Congestion crashes mainly occur at the tail end of a traffic jam. There, the speed of the traffic flow decreases sharply, which coincides with frequent and hard braking, and with a high risk of rear-end crashes.

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.

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 this factsheet wrong-way driving is defined as ‘a car driving in the wrong direction on a road with separated driving directions and consequently driving into oncoming traffic '. This relates mainly to motorways. Wrong-way driving crashes are rare. The outcome, however, is often severe. Most wrong-way driving crashes occur when a driver enters a motorway exit ramp or when a driver reverses direction on a motorway. Orientation problems (especially among the elderly) or recklessness (especially among young drivers) are the most common causes.