Rail safety issues and actions

The management of fatigue impairment

Issue number: RO-2012-011-SI-01
Who it affects: Rail operators and rail safety workers
Issue owner: Specialised Bulk Rail Pty Ltd
Operation affected: Rail: Freight
Background: Investigation Report RO-2012-011
Date: 22 June 2015

Safety issue description

SBR’s fatigue-management processes were ineffective in identifying the fatigue impairment experienced by the driver leading up to, and at the time of the occurrence.

Proactive Action

Action organisation: Specialised Bulk Rail Pty Ltd
Action number: RO-2012-011-SI-01
Date: 22 June 2015
Action status: Closed

SBR conducted an internal investigation on this incident which identified fatigue impairment of the driver on the train due to ill health. Since that time, SBR has instructed all staff that should they be identified and medically “unfit” for rail safety work, they will not be allowed to self-assess and return to work, unless the medical certificate has expired, or the doctor provides a release. In all cases, staff MUST be declared “fit” for rail safety work.

Current issue status: Adequately addressed
Status justification:

The ATSB is satisfied that the actions taken by SBR will adequately address this safety issue.

Last update 15 October 2015