Legislative Council Select Committee on Train Services Ian McCallum - PowerPoint PPT Presentation

Legislative Council Select Committee on Train Services Ian McCallum Chief Investigator Transport and Marine Safety Investigations

� Statutory position established 1 August 2006 � Principal Function � To investigate public transport and marine safety matters and report results to the Minister for Public Transport and/or Minister for Roads and Ports � Primary Focus � Investigate to determine causal factors rather than apportion blame or liability � Identify issues that may require review, monitoring or further consideration � Chief Investigator � Is independent of transport operators, the industry, regulators and the Department of Transport � Not subject to direction or control by Ministers

� How we decide what to investigate: � Potential for system safety improvement (safety value) that may be gained by investigating � Fatal/serious injury to passengers or other people � Extent of property damage � Public profile of event � Significance of failure of safety system � Environmental impact of incident � Part of a identifiable trend

� Rail investigation undertaken involving metro and V/Line trains since August 2006 Date Event Location Status 12 Oct 2006 V/Line train derailment Traralgon Complete 12 Nov 2006 V/Line level crossing collision Winchelsea Complete 18 Feb 2007 Connex Siemens platform overrun Springvale Complete 3 May 2007 Connex train derailment Oakleigh Complete 4 Jun 2007 V/Line derailment Seymour Complete 5 Jun 2007 V/Line train level crossing collision Kerang Complete 22 Aug 2007 Connex (loco) level crossing collision Somerville Complete 16 Nov 2007 V/Line train collision in Spencer St Yard Melbourne Complete

� Rail investigation undertaken involving metro and V/Line trains since August 2006 cont… Date Event Location Status 22 Feb 2008 Connex train overrun baulks at end of line Sandringham Complete 6 Mar 2008 V/Line pedestrian level crossing collision Ardeer Complete 27 Sep 2008 V/Line train struck pedestrian at station Springvale Complete 9 Jan 2009 Connex train overrun platform Cranbourne Complete Feb-Mar 2009 Connex Siemens train overruns at Noble Various Under Investigation Park, Ormond, Yarraman, Murrumbeena, 1 Jun 2009 PN train derailed on Connex line ABB Siding Under Investigation Dandenong 15 Jul 2009 Connex train level crossing collision Edithvale Under Investigation 12 Sep 2009 V/Line derailed after collision with a tree Stonyford Under Investigation 20 Oct 2009 Connex train drags passenger along Melbourne Under Investigation platform Central

� Oaks Day 6 November 2008 � What happened: � Infrastructure failures result is passengers detrain onto operating rail lines � Main Findings � Several critical infrastructure failures occurred causing the stoppage and delay of trains � The stopping of a train at a signal resulted in the ‘burn- through’ of the overhead wire and loss of power to portions of the Craigieburn corridor � Several of the infrastructure faults that occurred on Oaks Day were known to have occurred previously � Connex staff did not declare an emergency � Some train control processes, including communications, were inadequate

� Contributing factors - Summary � Position of the ‘air gap’ relative to Home signal № 23 � The failure of some on-train Public Announcement systems and a lack of staff at some key locations left the passengers � The ‘group call’ from Metrol to trains to lower pantographs was not specific enough as to whom it was directed � The degraded condition of some impedance bonds � The content and execution of Connex contingency planning for a disruptive event or emergency was inadequate � Some signalbox activity and processes at Kensington were deficient � Authorised Officers were unable to be effectively mobilised and deployed to assist passengers as the event developed

� Safety Actions taken since the event � Review of open ‘air gap’ locations – 8 locations had ‘section insulators’ installed � Connex reviewed use of portable radios for staff at large crowd events � Connex has undertaken to review the Customer Service Department Business Plan � Connex has undertaken to review radio resources and channel availability

� Recommended Safety Actions - Summary � Franchisee � Review ERP, specifically in the area of significant event handling � Review process in Metrol; specifically emergency & disruption indentification, responsibilities for incident direction, management of authorised officers � Review instruction around advising train drivers to lower pantographs � Ensure that there are effective methods for informing and evacuating passengers � Review impedance bonds throughout the network to determine the extent of the problem and take appropriate remedial action � Considers altering crowd management on Platform 1 at Flemington Station � Review processes at Kensington Signalbox � Department of Transport � Advance the proposed study to replace mechanical interlocking on the metro network

Thank you