The purpose of communication between key operational people was not always clearly stated nor understood leading to misunderstandings between people.
Reinforcing correct and effective communication procedures is an appropriate action.
Sydney Trains conducted a Level 5 investigation into the incident. Recommendation 1 from the investigation was the “Immediate briefing of all staff (within RMC) in relation to effective communication”. This has been completed.
NSW Trains investigation made the following recommendations to address this safety issue;