Pacific National’s SPAD strategy focuses on individual crew actions and the costs of SPADs, rather than developing integrated error tolerant systems of work with regard for the broader systemic issues known to contribute to SPAD events.
Response to safety issue and/or Proactive safety action taken by: Pacific National
Noting previous comments in regard to the purpose of the Bulk Rail SPAD Strategy document, Pacific National has commenced a review of its existing SPAD risk management processes and will consider the findings of this report.
ATSB comment/action in response:
The Australian Transport Safety Bureau notes the response provided and is satisfied that the action initiated by Pacific National will, when completed, address the safety issue.