The train crew had conflicting responsibilities distracting them from the safety critical task of driving. GWA did not have specific policies and procedures to define responsibilities of train crews approaching safety critical phases of operation.
At the time of this report release, the safety action advised by GWA had not yet been fully implemented.
As per safety issue RO-2013-028-SI-02, Genesee Wyoming Australia advised that they will be introducing a critical safety zone behaviours workshop and program, incorporating lessons learnt from occurrence investigations.
In addition, GWA management advised that in February 2014, a Shared Learnings information sheet was issued as an item of discussion for train crews at toolbox meetings across the organisation.
The ATSB is satisfied that, when fully implemented, the actions proposed by Genesee Wyoming Australia should address this safety issue.
