Asset and Infrastructure Services group risk management activities were not consistent with Pacific National policy
The risk controls addressing the greater risk of failure posed by NB axles
Collision survivability – locomotive
Train cross procedures
ARTC ability to detect and manage recurring defects
ARTC monitoring and oversight of maintenance activities
Sydney Trains did not have a response process for overspeed incidents
Ineffective controls for overspeed
Implementing temporary speed restrictions
Environmental monitoring station alarm notification system ineffective
Environmental monitoring station equipment serviceability
Competency training to identify condition affecting the network ineffective