| Safety issue description |
Pacific National’s SPAD strategy focuses on individual crew actions and the costs of SPADs, rather than developing integrated error tolerant systems of work with regard for the broader systemic issues known to contribute to SPAD events. |
|---|---|
| Issue number | RO-2013-003-SI-04 |
| Issue owner | Pacific National |
| Transport function | Rail: Freight |
| Date issue released | 15/11/2013 |
| Issue status justification | Pacific National has commenced a review of its existing SPAD risk management processes |