This page displays a list of safety recommendations that relate to the rail mode. You can use the filter tool to refine the results and to search for keywords within the text of each recommendation.
Safety Recommendation
025/05
Issued To
ONTRACK
on 24 Jun 05
correct inconsistencies identified in the Foul Time Rule 918 and Rail Operating Code relating to safety buffer, clearance of occupations and safeguarding positions when circumstances alter.
Implementation Status:
Open
Reply:
ONTRACK accepts this recommendation. This should be implemented by end of Decermber 2005.
Safety Recommendation
010/05
Issued To
Toll NZ Consolidated
on 04 Apr 05
In conjunction with New Zealand Railways Corporation critically review current track and mechanical code standards and maintenance tolerances to ensure they are compatible and minimise the potential for derailments caused by dynamic interaction.
Implementation Status:
Open
Reply:
We accept this recommendation. A similar recommendation has been raised during the joint internal investigation into a similar incident and has been accepted by Ontrack and Toll Rail management.
Safety Recommendation
094/04
Issued To
Toll NZ Consolidated
on 08 Mar 05
Introduce a regime to provide unique identification of each bogie to enable the tracking of its operational and maintenance history.
Implementation Status:
Open
Reply:
For the last few years, both Hillside and Hutt workshops have been marking and recording serial numbers on bogies when they are overhauled. Subsequently we can trace when and where a bogie was last overhauled if it is involved in an incident. However it will be several years before all bogies have gone through a workshop for overhaul, to have a serial number assigned.
We are not recording which wagons these serialised bogies are going into, although bogies are checked at a two-yearly C-check and also whenever a bogie is swapped. At this time bogie wear limits are programmed into Alstom?s computer system, which creates alerts for more regular checks as the bogie nears its limit.
As bogies are changed based on condition (rather than kilometres travelled or time in service), we are unsure how the serialisation of bogies would help prevent a similar incident.
Safety Recommendation
079/04
Issued To
NZ Railways Corporation
on 16 Nov 04
Draft an amendment for the approval of the Executive of National Rail Safety System that requires all locomotives and self propelled rail vehicles to be equipped with a facility to record voice communication on the local radio channel (currently Channel 1 and Channel 5).
Implementation Status:
Open
Reply:
Further work is required by New Zealand Railways Corporation (NZRC) before deciding whether to implement this recommendation, based on the following. NZRC considers that a risk review is necessary to determine the policy that should apply for the provision of a voice recording facility on a Rail Service Vehicle (RSV), before any amendment is proposed to the relevant NRSS standard.
This review would obviously consider the risks and timeframes to apply for
various types of RSVs in use on the National Rail System. For example the risks are different for Trains vs Mobile Track Maintenance (MTMV) and High Rail Vehicles (HRV).
The cost of implementation of voice recoding facilities is significant, and any implementation programme needs to be weighed up against other priorities for investment in safety migration projects, that may provide greater risk reduction.
Safety Recommendation
066/04
Issued To
Toll NZ Consolidated
on 15 Sep 04
Ensure that in all cases of a train parting, the whole train is inspected before any attempt is made to couple up and move off.
Implementation Status:
Open
Reply:
Toll NZ intends to review procedures for train inspection following train partings and burst hoses.
This will include analysis of incident statistics and actual practices supplied by Locomotive Engineers (and staff deployed to provide assistance).
It is expected this review will be completed by end of December 2004.
Safety Recommendation
008/03
Issued To
Tranz Rail
on 15 Jul 03
Critically review policy for train control rosters with respect to allowable numbers of consecutive shifts and hours worked to ensure:
? mini rosters are controlled within defined criteria compatible with the principles used in compiling base rosters.
? defined criteria are met before offering additional shifts to train controllers.
? actual hours are monitored and immediate corrective action taken when factors increase rostered shifts beyond acceptable limits.
Implementation Status:
Open
Reply:
Tranz Rail accepts this recommendation.
Safety Recommendation
021/03
Issued To
Tranz Rail
on 06 Jun 03
Introduce the use of flashing red lights to identify the rear of all trains, not only those operating under ATC conditions.
Implementation Status:
Open
Reply:
[Tranz Rail intends to further investigate end of train protection.]
Safety Recommendation
030/02
Issued To
Tranz Rail
on 30 Jul 02
Introduce changes to the existing staff training and promotion process, to ensure that prospective guards complete a predetermined length of time in a passenger operators? role, before progressing on to training and certification as a guard
Implementation Status:
Open
Reply:
Tranz Rail intend to implement this recommendation. A period of 80 hours is currently in place as a predetermined period that prospective Guards must complete in a passenger operator?s role.
Safety Recommendation
032/02
Issued To
Tranz Rail
on 30 Jul 02
Install an audio system, similar to that available to the Tranz Metro Driver, as an additional advice to the guard when a right-of-way signal is sent
Implementation Status:
Open
Reply:
Tranz Rail requires to carry out further work before deciding whether to implement this recommendation. In light of the safety actions taken to eliminate the root cause of this incident, Tranz Rail need to establish how this recommendation might add significant improvement to transport safety.
Safety Recommendation
019/01
Issued To
Tranz Rail
on 19 Jun 01
revise the operation of the vigilance device system to provide a better defence against short duration microsleeps.
Implementation Status:
Open
Reply:
Tranz Rail accept this recommendation.
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