The Australian Transport Safety Bureau has released the preliminary report from its ongoing investigation into the derailment of XPT passenger train ST23 at Wallan, Victoria on 20 February 2020, in which the driver and assisting qualified worker were fatally injured.
The preliminary report details basic factual information established in the investigation’s early evidence collection phase, including the sequence of events, track information, and data downloaded from the train’s data logger.
“ATSB preliminary reports do not contain findings, identify contributing factors or outline safety issues and actions, which will be detailed in an investigation’s final report,” ATSB Chief Commissioner Greg Hood noted.
The preliminary report confirms that the train, which was travelling from Sydney to Melbourne with six crew, the assisting qualified worker (who joined the train near Kilmore) and 153 passengers onboard, entered a passing loop at Wallan at a speed of more than 100 km/h when the speed limit for entering the loop was 15 km/h.
“Earlier that afternoon, the points at either end of the Wallan loop had been changed from their ‘Normal’ position to their ‘Reverse’ position, which meant that rail traffic, in both directions, would be diverted from the Main Line into the loop track,” Mr Hood noted.
“A Train Notice reflected this change and also specified a 15 km/h speed limit for entry into the loop.”
The train’s data logger showed an emergency brake application was applied a short distance from the points before entering the passing loop.
“This slowed the train a small amount before it entered the turnout travelling at a speed in excess of 100 km/h. The train was not able to negotiate the turnout to the loop track at this speed and derailed. All vehicles derailed excepting the rear power car.”
During the derailment sequence, the lead power car rolled onto its left side and the XPT driver and the accompanying qualified worker sustained fatal injuries. Three passengers were seriously injured and 36 received minor injuries, while five train crew who were in the passenger cars also sustained injuries.
Mr Hood said the preliminary report notes that due to damaged signalling equipment a 24 km section of track between Kilmore East and Donnybrook incorporating Wallan was being managed by an ‘alternative safe working system’, and that the accompanying qualified worker boarded the lead power car near Kilmore and joined the driver as part of the alternative safeworking system.
“The continuing investigation will explore a range of factors, including a detailed examination of the alternative safeworking systems; the operation of the train; the conditions of the track and rolling stock; and crew and passenger survivability including a passenger survey,” Mr Hood noted.
Mr Hood said the investigation is being led by Victoria’s Chief Investigator, Transport Safety (CITS), under delegation from the ATSB, with support from the ATSB as well as New South Wales’ Office of Transport Safety Investigations (OTSI). CITS conducts rail investigations in Victoria on behalf of the ATSB under the Transport Safety Investigation Act 2003.
“I would like to acknowledge the efforts of CITS in particular in working diligently to build a detailed understanding of this accident, and to recognise the support the ATSB and CITS have received from a broad range of stakeholders who have contributed to this investigation’s early phases,” he said.
Mr Hood noted an investigation of this nature and complexity may take more than 18 months to complete.
“However, should any safety critical information be discovered at any time during the investigation, we will immediately notify operators and regulators, and make that publicly known.”
Read the preliminary report RO-2020-002: Derailment of NSW TrainLink XPT passenger train ST23 at Wallan, Victoria, on 20 February 2020
Last update 03 April 2020