Change of ends process is unclear
Date issue released
Safety Issue Description

Aurizon did not ensure train crews had a consistent understanding of how to safely change ends on banking locomotives

Issue number
Issue Status
Closed – Adequately addressed
Transport Function
Rail: Rolling stock
Issue Owner
Mode of Transport
Issue Status Justification

Status to be provided by Operator during DIP process

Proactive action
Action number
Action date
Action Status
Action description

Aurizon has modified its procedure for changing ends and continues to monitor the correct application of the procedure through regular analysis of locomotive downloads.

ATSB Response

Changes to the bank locomotive working Chilcotts Creek to Ardglen procedure added additional procedural controls to ensure control of the locomotives is maintained by train crew.

Ongoing monitoring for the correct application of the procedure is required to ensure effectiveness.