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%.

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.

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.

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.

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.