Safety issue

Safety issue description

The maintenance of rail lubricators had become less effective in the months leading up to the derailment. This work was being transferred from contractors to internal Metro Trains Melbourne (MTM) staff and the transition was not adequately managed.

Issue number RO-2016-002-SI-01
Issue owner Metro Trains Melbourne
Transport function Rail: Passenger - metropolitan
Issue status Closed – Adequately addressed
Date issue released 16/05/2018
Issue status justification

The safety action taken by MTM should address the safety issue.

Safety action

Action type Proactive action
Action number RO-2016-002-NSA-003
Organisation Metro Trains Melbourne (MTM)
Action date 16/05/2018
Action description

Metro Trains Melbourne (MTM) has reinforced adherence to its Management of Change Process through recruitment and new training. It has also implemented improved collaboration across MTM departments, including the establishment of a cross-divisional Wheel/Rail Interface Committee to monitor and address wheel-to-rail interface matters.

Additionally, MTM has updated its rail lubrication strategy based on an assessment of alternative lubrication technologies. This has resulted in the roll-out of electronic lubricators across the MTM network, with technical information and training to support the change.

Action status Closed