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.

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).

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.

From 2009 to 2018, an annual average of 80 road deaths were attributable to crashes with trucks and 67 road deaths to crashes with delivery vans. Casualty numbers are higher among crash opponents than among occupants of trucks or delivery vans. The fatality rate among crash opponents is higher when they crash into a truck or delivery van than when they crash into a car.

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.

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).