Date Reported:

Railcar access and egress

Concern summary

Safety concern regarding access and egress issues due to the high number of bicycles permitted on railcars.

Recommendation mode
Rail
Date reported
Reference Number
RR2022-00011

Modifications to trams

Concern summary

Modifications to microphones and electronic gongs on [letter] class trams 

Recommendation mode
Rail
Date reported
Reference Number
RR2021-00084

Inadequate maintenance of track and rolling stock

Concern summary

Overall reporting and safety culture of the operator, resulting in maintenance of track and rolling stock. 

 

Recommendation mode
Rail
Date reported
Reference Number
RR2020-00009

Track Occupancy Authority procedures

Concern summary

The report concerned an amendment to policy that removed in-field protection for track machines operating within a Track Occupancy Authority. 

The reporter raised a safety concern regarding proposed changes to policy, due to be implemented on [date], that will see all in-field protection for R1 and R2 track machines operating within a Track Occupancy Authority removed.

The reporter advised that the current procedures state that in-field protection, rail traffic signals (detonators) and/or red boards, must be in place at the limits of the Track Occupancy Authority, where the track is obstructed or otherwise made unsafe for rail traffic.

The proposed removal of all in-field protection enables track machines that are working clear of a set of points, to potentially reach a set of points without the machine operator receiving any prior warning. A train travelling at road speed could potentially reach the same set of points at the same time, resulting in a train to train collision.

The reporter queried what the rationale is behind the decision to remove the in-field protections and what, if any, assessments have been conducted to mitigate the risk of a track machine exceeding its limit of authority.

The reporter advised that due to the nature of work conducted on the track machines, operators are routinely looking at the ground, preoccupied with the type of work they are performing, and are often located at the rear or centre of the machine resulting in machine operators having a limited view of the track ahead.

The ATSB noted that there have been numerous instances where track machines have exceeded their limit of authority during work.

Recommendation mode
Rail
Date reported
Reference Number
RR201900028

Introduction of train planning software

Concern summary

The concern related to the removal of paper train graphs to accommodate new train planning software prior to the software being adequately tested in an operational environment.

Recommendation mode
Rail
Date reported
Reference Number
RR201900021

Removal of safety check rails

Concern summary

Safety concern regarding the removal of safety check rails on bridges throughout [Operator's] network.

 

Recommendation mode
Rail
Date reported
Reference Number
RR2020-00059

Use of Colour Light Points Indicators (CLPI)

Concern summary

The concern related to the use of Colour Light Points Indicators (CLPI) across the [Operator] network.

Recommendation mode
Rail
Date reported
Reference Number
RR201800036

Document control within Network Control

Concern summary

The concern related to insufficient document control by [Operator] train controllers.

Recommendation mode
Rail
Date reported
Reference Number
RR201800037

Repeated breaches of work on track authorities

Concern summary

The reporter expressed a safety concern regarding repeated breaches of safe work procedures in the [Location] region.

Recommendation mode
Rail
Date reported
Reference Number
RR201900018

Use of personal electronic devices

Concern summary

The concern related to train drivers and network controllers utilising personal electronic devices whilst operating trains and control boards.

Recommendation mode
Rail
Date reported
Reference Number
RR201800023

Training and supervision for track workers

Concern summary

The concern related to inadequate training and supervision for track workers, which the reporter believes is resulting in several serious incidents where track workers have had near misses with trains.

Recommendation mode
Rail
Date reported
Reference Number
RR201800028