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Safety Issue
There was no clear guidance within the WestNet Rail rules for
train crews that defined an allowable speed associated with
proceeding 'cautiously'. Had the train been travelling at a slower
speed it is probable that the extent of damage caused by the
derailment would have been less.
Action taken by WestNet Rail
RO-2007-006-NSA-007
WestNet Rail has advised:
Immediately after the derailment WestNet Rail implemented, on
the 47 kg/m track equipped with CTC, between Koolyanobbing and West
Kalgoorlie, the following instruction - Upon any unexplained
illumination of a track or block section in the above section the
Train controller must not permit any train to enter the section
concerned until the Infrastructure person and the Safeworking
Technician on call have both been advised and attended to ascertain
the cause and corrective action implemented.
The above instruction applies 24 hours a day until further
notice.
ATSB assessment of action
The Australian Transport Safety Bureau notes that WestNet Rail
has taken action in response to this safety issue. However, WestNet
Rail has not addressed the lack of guidance within their rules for
train crews who are requested to proceed 'cautiously'. WestNet
Rail's rules in this regard are not best practice when compared to
rules in other rail systems.
Safety Recommendation
The Australian Transport Safety Bureau recommends that WestNet
Rail undertake further work to address this safety issue.
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