Safety issue

Safety issue description

A caution order instrument was used that lacked a specific requirement for train crews to check the points along their route. This requirement becomes critical under circumstances of signalling system degradation.
Issue number RO-2013-027-SI-02
Issue owner Australian Rail Track Corporation
Transport function Rail: Infrastructure
Date issue released 13/01/2015

Safety action

Action type Proactive action
Organisation Australian Rail Track Corporation
Action date 13/01/2015
Action description

ARTC has made changes to the Signalman’s Caution Order (Form number 2377). The changes include a requirement for the NCO, when issuing a Signalman’s Caution Order, to ensure the following actions are undertaken:

  • That route-setting is checked as to its compatibility with the gauge of the train about to receive the Signalman’s Caution Order
  • That route integrity has been verified by reference to the Phoenix display
  • That the driver of the train has been advised to ensure that all points to be traversed are correctly set
  • That confirmation is to be noted in the new check box area provided on Form 2377 adjacent to each of these requirements.
ATSB response

The ATSB is satisfied with the action taken by ARTC to address the safety issue.
Action status Closed