Shunt Y35, track warrant overrun, Mataura, 4 May 2000
Status
Closed
Occurrence Date
Report Publication Date
Jurisdiction
NZ
Legacy Inquiry Number
00-106
At approximately 1010 hours on Thursday, 4 May 2000, Y35 shunt overran its track warrant limit at Mataura by 15 km. There was no opposing traffic.
Safety issues identified included:
• the need for better communication between train controllers and remote control operators when track warrants issued for main line shunts did not reflect work-between localities requested
• the need for more effective ways of communicating, and monitoring compliance with, amendments to rules and regulations to improve safety
• the need for formalised crew resource management training for Tranz Rail operational staff.
A safety action taken by Tranz Rail and 3 safety recommendations address these issues.
Safety issues identified included:
• the need for better communication between train controllers and remote control operators when track warrants issued for main line shunts did not reflect work-between localities requested
• the need for more effective ways of communicating, and monitoring compliance with, amendments to rules and regulations to improve safety
• the need for formalised crew resource management training for Tranz Rail operational staff.
A safety action taken by Tranz Rail and 3 safety recommendations address these issues.
Location
Mataura (-46.195677,168.863569) [may be approximate]