Rail safety issues and actions
Recommendation issued to: Queensland Rail
|Date issued:||21 November 2005|
|Safety action status:|
|Background:||Why this Recommendation was developed|
The ATSB recommends that QR review their SPAD investigations and related Employee Management System procedures with focus on the following:
- Ensuring that a system of investigation and counselling for relevant safetycritical staff exists, which adheres to strict timelines, to ensure SPAD incidents are fully dealt with in the timeliest manner.
- Investigation of SPADs includes examination of individual actions and organisational factors so that all causal factors are identified.
- Review the monitoring and management of employees who have returned to safety-critical tasks after involvement in a SPAD, particularly multi-SPAD or high-category SPAD employees.