Rail safety investigations & reports

Failure of wheel on locomotive near Fisher, SA on 28 May 2011

Investigation number:
Status: Completed
Investigation completed


Download Final Report
[Download  PDF: 2.97MB]

What happened 

On Saturday 28 May 2011, intermodal freight train 5MP9 was travelling from Melbourne to Perth when one of its locomotives (SCT class) experienced a catastrophic wheel failure near Fisher, South Australia. The locomotive did not derail but sections of the broken wheel damaged a traction motor and associated components. The train travelled about 1976 m after the wheel failed and caused some sleeper damage and four breaks in the rail. 

What the ATSB found 

The investigation found that a fatigue crack had initiated at a small indentation on the inside of the wheel rim and then radiated towards the flange and tread regions before the wheel completely failed. 

The rate of growth of the fatigue crack was influenced by high in-service mechanical loading of the wheel. 

Inspection and measurement after the incident revealed that the locomotive wheel had sufficient rim, tread and flange thickness and was not worn beyond its service life, however it was likely the crack was present at a previous visual inspection and was not detected. 

What’s been done as a result 

The locomotive owner and maintenance provider has advised that they have implemented a revised program for more regular wheel re-profiling of its SCT class locomotive wheels to remove surface stressors in the wheel rim. 

The locomotive maintenance program has also been enhanced to include a focus on visual inspections to detect impact damage to wheels and scheduled ultrasonic testing of locomotive wheels after mid-life is carried out when they are machined to detect cracks that may not be visible to the naked eye. 

Safety message 

Operators of locomotives that are exposed to high in-service mechanical loadings should be aware of the potential for wheel failure due to fatigue cracking and ensure inspection and maintenance programs include techniques for detecting and assessing wheel defects with the potential to lead to fatigue cracks. 

Download Final Report
[Download  PDF: 2.97MB]


Download Preliminary Report
[Download  PDF: 298KB]
Alternate: [Download  DOC: 426KB]

Preliminary Report Release 9 October 2011

At about 0145 on Saturday 28 May 2011, intermodal freight train 5MP9 was travelling from Melbourne to Perth when it experienced a catastrophic failure of a locomotive wheel at about the 849.700track kilometre mark near Fisher, South Australia. There were no injuries. The locomotive did not derail but separated wheel fragments damaged the locomotive traction motor and associated components. The single-line track incurred four rail breaks and broken sleepers over a distance of about 1 km.

Download Preliminary Report
[Download  PDF: 298KB]
Alternate: [Download  DOC: 426KB]


To download, click the link, then right-click and select Save As.

Copyright in material obtained from other agencies, private individuals or organisations, belongs to those agencies, individuals or organisations and should be credited accordingly.

General details
Date: 28 May 2011   Investigation status: Completed  
Time: 0145 CST    
Location   (show map): near Fisher   Investigation type: Occurrence Investigation  
State: South Australia    
Release date: 03 July 2013    
Report status: Final   Occurrence category: Incident  
  Highest injury level: None  

Train details

Train details
Train registration 5MP9  
Type of operation Freight train  
Damage to train Minor  
Departure point Melbourne, Vic.  
Destination Perth, WA  
Last update 14 November 2018