Safety issue
| Safety issue description |
STM did not follow its change management process for adopting the new hardwood chock type. Subsequently, the hardwood chock could not be applied reliably under the ‘J’ class wheel and could not restrict its movement. |
|---|---|
| Issue number | RO-2016-006-SI-02 |
| Issue owner | Sydney Tramway Museum |
| Transport function | Network Operations |
| Date issue released | 17/05/2019 |
Safety action
| Action type | Proactive action |
|---|---|
| Action number | RO-2016-006-NSA-015 |
| Organisation | Sydney Tramway Museum |
| Action date | 17/05/2019 |
| Action description |
Since the incident, STM has communicated to all staff that any proposed changes are required to be communicated to the Rail Safety Management Team (RSMT). The changes will subsequently be implemented in accordance with STM’s change management procedure. |
| ATSB response |
The Australian Transport Safety Bureau notes the response provided and is satisfied that the action taken by STM addresses the safety issue. |
| Action status | Closed |