Rail safety issues and actions

Rail lubricator maintenance

Issue number: RO-2016-002-SI-01
Who it affects: Owners and operators of passenger rail services in Victoria
Issue owner: Metro Trains Melbourne
Transport function: Rail: Passenger - metropolitan
Background: Investigation Report RO-2016-002
Issue release date: 16 May 2018
Current issue status: Adequately addressed
Issue status justification:

The safety action taken by MTM should address the safety issue.

Safety issue description

The maintenance of rail lubricators had become less effective in the months leading up to the derailment. This work was being transferred from contractors to internal Metro Trains Melbourne (MTM) staff and the transition was not adequately managed.

Proactive Action

Action number: RO-2016-002-NSA-003
Action organisation: Metro Trains Melbourne (MTM)
Date: 16 May 2018
Action status: Closed

Metro Trains Melbourne (MTM) has reinforced adherence to its Management of Change Process through recruitment and new training. It has also implemented improved collaboration across MTM departments, including the establishment of a cross-divisional Wheel/Rail Interface Committee to monitor and address wheel-to-rail interface matters.

Additionally, MTM has updated its rail lubrication strategy based on an assessment of alternative lubrication technologies. This has resulted in the roll-out of electronic lubricators across the MTM network, with technical information and training to support the change.

Last update 16 May 2018