Safeworking irregularity involving Indian Pacific (4SA8) and XPT (WT28), Tarana, New South Wales, on 14 January 2009

RO-2009-002

Final report

Executive summary

At about 1858 on 14 January 2009, a safeworking irregularity occurred involving two passenger trains, 4SA8, the Indian Pacific, and WT28, an XPT, at Tarana in NSW. Both trains had been authorised to occupy the single line within the Tarana interlocked area at the same time. Fortunately, each driver saw the opposing movement and brought their trains to a stand about 524 m apart. After a short wait, the trains were authorised to continue their respective journeys.

The investigation determined that the West Board network controller located at Broadmeadow train control centre, did not adequately plan the intended train movements through the sections Wallerawang to Tarana and Bathurst to Tarana or determine a specific limit of authority on the Special Proceed Authority (SPA) number 37 issued to the driver of the XPT, WT28. The West Board network controller also issued SPA number 38 to the driver of train 4SA8, even though it overlapped the authority of SPA number 37.

The investigation report indentified three safety issues relating to the risks of using a manual train management system, inadequate auditing of safeworking systems, and ambiguous authority limits.

Occurrence summary

Investigation number RO-2009-002
Occurrence date 14/01/2009
Location Tarana
State New South Wales
Report release date 11/12/2009
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Rail
Rail occurrence category Safe Working Irregularity/Breach
Occurrence class Serious Incident
Highest injury level None

Train details

Train number XPT & Indian Pacific
Type of operation Passenger Train
Departure point Dubbo
Destination Sydney
Train damage Nil

Train details

Train number Indian Pacific 4SA8
Type of operation Passenger Train
Departure point Sydney
Destination Perth
Train damage Nil