Risk assessment for a rail-mounted equipment interaction incident
Signaller supervision
The ASB rule and procedure for using an alternative route
Inconsistencies with application of fatigue management system
Absence of authority-overrun protection
Unaware of forced lead function
Change of ends process is unclear
The park brakes were ineffective
Axle bearing installation process
Unapproved practice during TWA
Use of event recorders to monitor driver performance
Implementation of risk triggered commentary driving (RTCD)