It happens with a sickening regularity in this country - young children being run over in their own driveways, or those of relatives.
During an inquest in December 2013 into one such Rotorua tragedy, coroner Dr Wallace Bain noted New Zealand had one of the highest recorded rates of child driveway deaths and injuries in the world.
Victims were typically aged 1 to 2 years old and the majority of the drivers involved were a parent or relative of the child.
In his findings from that inquest, he found property design and a need for better driveway design to be one of the contributing factors that led to the "tragic accident".
Coroners make a lot of recommendations, it's their job, and trying to prevent similar occurrences is one of the main reasons for holding inquests, yet they must become frustrated sometimes at a seeming lack of action in implementing them.