Rail safety issues and actions

Preventative maintenance systems

Issue number: RO-2016-004-SI-01
Who it affects: Pacific National
Issue owner: Pacific National
Operation affected: Rail: Operations control
Background: Investigation Report RO-2016-004
Date: 04 June 2018

Safety issue description

The presence of the earlier design of yoke on wagon NGKF 35898X was not detected during preventative maintenance activities.

Proactive Action

Action organisation: Pacific National
Action number: RO-2016-004-NSA-01
Date: 04 June 2018
Action status: Closed

Pacific National has advised of the following proactive safety actions to address the issue:

  • Develop and distribute Rolling Stock Notice to all wagon maintenance and engineering teams to reiterate required inspections on early model yokes on wagons and replacement of specified parts.
  • Develop a Safety Alert detailing the contributing factors for derailment and distribute to NSW and Victorian operations.

ATSB response:

PN confirmed all 140 older style yokes in the grain fleet had been changed out.

Current issue status: Adequately addressed
Status justification:

Risk is controlled when all older style yokes are out of service.

Last update 04 June 2018