Safety issue

Safety issue description

Reporting and communications were not carried out in accordance with Sydney Trains rules and procedures, so that key employees in the Rail Management Centre received delayed and/or partial information and allowed the train to continue in service.
Issue number RO-2014-001-SI-02
Issue owner Sydney Trains
Transport function Network Operations
Issue status Closed – Adequately addressed
Date issue released 03/12/2015
Issue status justification

There is evidence that this safety action was addressed.
Issue finalisation date 17/06/2021

Safety action

Action type Proactive action
Action number RO-2014-001-NSA-024
Organisation Sydney Trains
Action date 03/12/2015
Action description

Sydney trains advised of the following actions:

  • Commence an immediate program that insists on the use of approved methods of safety critical communication and continuously monitor the status of this program to effect compliance. This program should consolidate all existing programs to ensure the delivery of an organisation wide standard of communication.
  • In conjunction with safety action (above), mandate the use of checklists for incident response and sample their use for all defined safety critical responses.
  • Clarify, train and promote as necessary to all levels of the organisation the correct means of reporting emergency related communication to the Rail Management Centre.
ATSB response

The Australian Transport Safety Bureau is satisfied that the above safety actions if completed and implemented, will address the identified safety issue.
Action status Released