Rail safety investigations & reports

Derailment of Train 5PS6, Bates, South Australia, 19 April 2008

Investigation number:
RO-2008-005
Status: Completed
Investigation completed

Summary

Download Final Report
[Download  PDF: 2.78MB]
 

At approximately 0650 on 19 April 2008, freight train 5PS6, travelling from Perth to Sydney, derailed near Bates, SA. The derailment occurred about 13 track kilometres east of Bates. Thirteen wagons were derailed and about 800 m of track was damaged. There were no injuries.

The investigation concluded that an undetected crack at an unused bolt-hole increased in size until the rail completely fractured. The rail probably failed under the previous train (5MP5). As the wheels of train 5PS6 passed over the fracture, the impact forces caused the progressive failure of sleepers, a secondary rail fracture and the ejection of a small section of rail. Once a section of rail was missing, the impact forces on the rail increased significantly, causing the progressive failure of rail and sleepers until the freight wagons inevitably derailed.

The investigation acknowledged that new maintenance procedures were issued to reduce the risks related to bolt-hole cracks. However, the Australian Transport Safety Bureau has issued two safety advisory notices, concluding that there were further opportunities for improvement relating to:

  • additional development of the ultrasonic testing process aimed at reducing operator dependence
  • the relationship between heat-affected metal and stress concentration when specifying how far a bolt-hole should be from the rail ends before welding.
Download Final Report
[Download  PDF: 2.78MB]
 
 
 
General details
Date: 19 April 2008   Investigation status: Completed  
Time: 0653 CST   Investigation level: Complex - click for an explanation of investigation levels  
Location   (show map): near Bates    
State: South Australia    
Release date: 03 February 2010   Occurrence category: Accident  
Report status: Final   Highest injury level: None  

Train details

Train details
Train registration Train 5PS6N  
Type of operation Freight Train  
Damage to train Substantial  
Departure point Perth, WA  
Destination Sydney, NSW  
Last update 14 November 2018