GWA had no documented system in place to assess the suitability of second-hand components for re-use.
The ATSB is satisfied that the actions taken by GWA will adequately address this safety issue.
To mitigate the likelihood of a similar derailment, GWA conducted an inspection of all mainline fishplated joints to ensure structural integrity of each join and have since removed all the joints through a welding program.
In addition to the welding program, GWA completed an organisational audit and review of maintenance standards and processes. This review included the contracted maintainer (Transfield Services Australia), and targeted:
Through their own investigation GWA identified the degradation of the track substructure as a contributor to the derailment of 24KW. In cooperation with Arrium Iron Ore they are currently completing a study into the track substructure in the section between Iron Baron and 21km Junction and have engaged a subject matter expert to manage this process.