Reporting and communications were not carried out in accordance with Sydney Trains rules and procedures, so that key employees in the Rail Management Centre received delayed and/or partial information and allowed the train to continue in service.
At the time of this report release, the safety actions advised by Sydney Trains had not yet been fully implemented. The ATSB is satisfied that the actions proposed by Sydney Trains will, when completed, adequately address this safety issue
Sydney trains advised of the following actions:
The Australian Transport Safety Bureau is satisfied that the above safety actions if completed and implemented, will address the identified safety issue.