Rail safety issues and actions

Preventative maintenance systems

Issue number: RO-2016-004-SI-01
Who it affects: Pacific National
Issue owner: Pacific National
Transport function: Rail: Operations control
Background: Investigation Report RO-2016-004
Issue release date: 04 June 2018
Current issue status: Adequately addressed
Issue status justification:

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

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 number: RO-2016-004-NSA-01
Action organisation: Pacific National
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 comment:

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

Last update 04 June 2018