Rail safety issues and actions

Change of ends process is unclear

Issue number: RO-2020-008-SI-02
Issue owner: Aurizon
Transport function: Rail: Rolling stock
Background: Investigation Report RO-2020-008
Issue release date: 26 October 2021
Current issue status: Closed – Adequately addressed
Issue status justification:

Status to be provided by Operator during DIP process

Safety issue description

Aurizon did not ensure train crews had a consistent understanding of how to safely change ends on banking locomotives

Proactive action

Action number: RO-2020-008-PSA-02
Action organisation: Aurizon
Date: 01 February 2022
Action status: Closed

Aurizon has modified its procedure for changing ends and continues to monitor the correct application of the procedure through regular analysis of locomotive downloads.

ATSB comment:

Changes to the bank locomotive working Chilcotts Creek to Ardglen procedure added additional procedural controls to ensure control of the locomotives is maintained by train crew.

Ongoing monitoring for the correct application of the procedure is required to ensure effectiveness.

Last update 01 February 2022