Fatigue levels not monitored
Tool control issues
Ineffective pre-flight inspections
Pacific National fatigue reporting processes
Arc Infrastructure network control procedures for an immediate response to a SPAD
Pacific National limited risk controls for driver only operations
Arc Infrastructure network control procedures for an emergency call following a SPAD
Arc Infrastructure network control procedures – stopping advice
Pacific National use of FAID
Train Operators unaware of locomotive specifications
Operational procedure and training discouraged use of emergency brakes
Risk management of inadvertent instrument meteorological conditions