Change of ends process is unclear
The park brakes were ineffective
Unapproved practice during TWA
Use of event recorders to monitor driver performance
Implementation of risk triggered commentary driving (RTCD)
Design of the automatic warning system (AWS)
Oversight of the train driver maintenance of competency process
Inspection processes
Management of track lateral stability
Radial unitising straps not required in the Freight Loading Manual
Radial unitising straps contacting the cradle
Rubber load mats not required in the Freight Loading Manual