Safeworking irregularity involving a freight train and an empty passenger train, Manildra, New South Wales, on 10 February 2010

RO-2010-002

Final report

Overview

At approximately 1650 on 10 February 2010, empty passenger train WP46 was authorised to travel through Manildra Yard on the main line. However, at the same time a freight train was already standing on the main line, having recently completed shunting within the yard limits relating to preparation of train 8938.

The driver of WP46 heard radio chatter relating to the freight train, so he broadcast that train WP46 was approaching and was authorised to travel through Manildra on the main line. The crew of the freight train immediately replied that they were standing on the main line and advised train WP46 to stop. Train WP46 had already passed the yard limit board but the driver had sighted and reacted to a main line indicator (MLI) showing a red (stop) indication. Train WP46 stopped before passing the MLI, which was located more than 530 m before the track occupied by the freight train.

While a number of defences served to avoid a collision in this case, the event posed a serious safeworking irregularity where one train had been authorised to proceed over track occupied by a second train.

The investigation concluded that the ARTC network controller fulfilled a shunt order without entering information into the computer system identifying that both the main line and loop were occupied. The controller had later forgotten about the track occupancies when authorising train WP46 to travel through the Manildra Yard.

The ARTC, Pacific National and the Manildra Group have put processes in place to ensure shunt orders are not fulfilled unless all shunt operations have ceased and either the main line is clear or a form of train protection has been implemented in accordance with the network rules.

Occurrence summary

Investigation number RO-2010-002
Occurrence date 10/02/2010
Location Manildra
State New South Wales
Report release date 18/05/2011
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 Train WP46A
Type of operation Passenger
Train damage Nil

Train details

Train number Train 8938
Type of operation Grain train
Train damage Nil