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Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Issue: RO-2018-019-SI-01Wiring error was not detected
Number: RO-2018-019-SI-01
Description: RO-2018-019-SI-01:The wiring error was not detected by Metro Train Melbourne’s (MTM) verification program.
Who it affects: Passenger rail transport operations
Issue owner: Metro Trains Melbourne
Operation affected: Rail: Passenger - metropolitan
Date, status, type
Date: 09 Oct 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2018-015-SI-01Process control
Number: RO-2018-015-SI-01
Description: RO-2018-015-SI-01:V/Line did not have a documented detailed process for inhibiting and reinstating level crossing protection equipment.
Who it affects: Rail: Passenger - regional
Issue owner: V/Line
Operation affected: Rail: Passenger - regional
Date, status, type
Date: 08 Oct 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2017-009-SI-02Single source of information for Lookout Working prohibition
Number: RO-2017-009-SI-02
Description: RO-2017-009-SI-02:Lookout Working (LOW) was implemented in an area deemed unsuitable for LOW on the Sydney Trains Worksite Protection Hazardous Locations Register (WPHLR). This is likely due to the WPHLR not being clearly stated as a reference with specific requirements that must be adhered to.
Who it affects: All track managers
Issue owner: Sydney Trains
Operation affected: Rail: Passenger - metropolitan
Date, status, type
Date: 25 Jul 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2017-009-SI-01Use of warning lights
Number: RO-2017-009-SI-01
Description: RO-2017-009-SI-01:Warning lights were utilised at Tempe to overcome sighting hazards and justify the use of Lookout Working (LOW). Warning lights rely on lookouts maintaining continuous observation and their use were not specifically referenced in the LOW Network Rules.
Who it affects: All track managers
Issue owner: Sydney Trains
Operation affected: Rail: Passenger - metropolitan
Date, status, type
Date: 25 Jul 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2018-005-SI-02Management of rail stress
Number: RO-2018-005-SI-02
Description: RO-2018-005-SI-02:A variety of techniques to indicate and record rail stress at specific locations are available, however, Aurizon had not used any of these techniques in some locations with elevated risk of rail stress, such as tangent track on steep grades. As a result, Aurizon could not readily determine the presence ...
Who it affects: Train crew and passengers on board trains on Aurizon-owned track
Issue owner: Aurizon
Operation affected: Rail: Infrastructure
Date, status, type
Date: 28 Jun 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2018-005-SI-01Use of hazard location register
Number: RO-2018-005-SI-01
Description: RO-2018-005-SI-01:When planning track disturbing work, Aurizon’s normal practice was to use its Hazard Location Register as a record of past occurrences at a specific location. Aurizon did not use the Hazard Location Register as a resource to consider the situational characteristics of a location that may increase risk, such as ...
Who it affects: Train crew and passengers on board trains on Aurizon-owned track
Issue owner: Aurizon
Operation affected: Rail: Infrastructure
Date, status, type
Date: 28 Jun 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2017-007-SI-01 QR’s track monitoring and inspection processes
Number: RO-2017-007-SI-01
Description: RO-2017-007-SI-01 :Queensland Rail’s track monitoring and inspection processes were not effective in identifying significant deterioration in the condition of level crossing ID 2309 and its approach roads to ensure the safe operating limits of the level crossing throughout its lifecycle.
Who it affects: Rail Infrastructure Managers, Rail Operators and Road Authorities/Managers
Issue owner: Queensland Rail
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Jun 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2017-013-SI-02Axle fatigue susceptibility
Number: RO-2017-013-SI-02
Description: RO-2017-013-SI-02:The GATX 840P1 axle was susceptible to fatigue cracking due to relatively minor damage that was not reliably detected prior to failure.
Who it affects: All users of 840P1 axles
Issue owner: Incitec Pivot Limited
Operation affected: Rail: Rolling stock
Date, status, type
Date: 12 Jun 2019
Status: Safety action pending
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2017-013-SI-01Magnetic particle inspection
Number: RO-2017-013-SI-01
Description: RO-2017-013-SI-01:Anomalies in the magnetic particle inspection procedures likely led to the crack not being detected.
Who it affects: All workers conducting magnetic particle inspection
Issue owner: Aurizon
Operation affected: Rail: Rolling stock
Date, status, type
Date: 12 Jun 2019
Status: Safety action pending
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: RO-2016-009-SI-05Inaccuracies in ALCAM survey data
Number: RO-2016-009-SI-05
Description: RO-2016-009-SI-05:Errors remained within the ALCAM database due to the type of equipment used to measure road and rail bearings during ALCAM surveys in 2009.  
Who it affects: All owners and operators of rail transport services in Victoria
Issue owner: VicTrack
Operation affected: Rail: Passenger - regional
Date, status, type
Date: 21 May 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-009-SI-04Risk assessment and deployment of available risk controls
Number: RO-2016-009-SI-04
Description: RO-2016-009-SI-04:V/Line’s level crossing assessment processes did not result in deployment of available risk controls at many passively protected acute-angle level crossings.
Who it affects: V/Line Pty Ltd
Issue owner: V/Line Pty Ltd
Operation affected: Rail: Passenger - regional
Date, status, type
Date: 21 May 2019
Status: Partially addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-009-SI-03Risks at other acute-angle level crossings on network
Number: RO-2016-009-SI-03
Description: RO-2016-009-SI-03:More than 100 level crossings in the V/Line regional rail network (including 35 at the intersection of passenger lines and public roads) were non-compliant with the left-side viewing angle requirements of AS 1742.7:2016. These crossings had an acute road-to-rail angle that affected the ability of drivers to sight trains approaching ...
Who it affects: V/Line Pty Ltd
Issue owner: V/Line Pty Ltd
Operation affected: Rail: Passenger - regional
Date, status, type
Date: 21 May 2019
Status: Partially addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-009-SI-02V/Line and Colac Otway Shire Council interaction
Number: RO-2016-009-SI-02
Description: RO-2016-009-SI-02:The interaction between V/Line and the Colac Otway Shire Council was ineffective at addressing identified sighting issues at the Phalps Road level crossing.
Who it affects: V/Line Pty Ltd
Issue owner: V/Line Pty Ltd
Operation affected: Rail: Passenger - regional
Date, status, type
Date: 21 May 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-009-SI-01Risk controls at Phalps Road level crossing
Number: RO-2016-009-SI-01
Description: RO-2016-009-SI-01:Available risk controls to manage the risk posed by known sighting deficiencies at the Phalps Road level crossing were not deployed by V/Line or the Colac Otway Shire Council.
Who it affects: V/Line Pty Ltd
Issue owner: V/Line Pty Ltd
Operation affected: Rail: Passenger - regional
Date, status, type
Date: 21 May 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-006-SI-04Use of all available and reasonably practicable risk controls when parking trams
Number: RO-2016-006-SI-04
Description: RO-2016-006-SI-04:STM did not require the application of all available and reasonably practicable risk controls when parking trams with respect to their location and handbrake application.
Who it affects: Rolling Stock Operators
Issue owner: Sydney Tramway Museum
Operation affected: Rail: Operations control
Date, status, type
Date: 17 May 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-006-SI-03Attending parked trams
Number: RO-2016-006-SI-03
Description: RO-2016-006-SI-03:STM did not comply with its risk control in ensuring that trams were attended when parked.
Who it affects: Sydney Tramway Museum
Issue owner: Sydney Tramway Museum
Operation affected: Rail: Operations control
Date, status, type
Date: 17 May 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-006-SI-02 Change management process implementation for safety critical changes
Number: RO-2016-006-SI-02
Description: RO-2016-006-SI-02 :STM did not follow its change management process for adopting the new hardwood chock type. Subsequently, the hardwood chock could not be applied reliably under the ‘J’ class wheel and could not restrict its movement.
Who it affects: Rolling Stock Operators
Issue owner: Sydney Tramway Museum
Operation affected: Rail: Operations control
Date, status, type
Date: 17 May 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-001-SI-03Maintenance response to recurring track defects in areas with a degraded formation
Number: RO-2016-001-SI-03
Description: RO-2016-001-SI-03:A more stringent maintenance response than that for an isolated track geometry defect was not considered or implemented in accordance with ARTC’s COP. A more stringent maintenance response should have been considered given the degraded formation and the track’s rapid deterioration between 12-14 January 2016, two days prior to the ...
Who it affects: Rail Infrastructure Managers (RIMs)
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-001-SI-01Shear key installation
Number: RO-2016-001-SI-01
Description: RO-2016-001-SI-01:The shear key was not installed in accordance with the geotechnical engineer’s specification with respect to the following: a) It did not include a cross-drain. b) Its width was less than the specified width.
Who it affects: Rail Infrastructure Managers (RIMs)
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-001-SI-02Surface drainage in areas with degraded formations
Number: RO-2016-001-SI-02
Description: RO-2016-001-SI-02:The location did not have adequate surface drainage which likely contributed to formation degradation over time.
Who it affects: Rail Infrastructure Managers (RIMs)
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Mar 2019
Status: Adequately addressed
Type: Proactive Action
First page Page 1 of 26 Last page Total records: 520