Contract documentation and specifications within the Services and Supply Umbrella Agreement were generic and did not adequately specify the intended purpose of the type 37 turnout.
The ATSB is satisfied that the actions proposed by V/Line adequately addresses this safety issue.
V/Line is developing a comprehensive safety in design process which will be integrated with the type approval process within our Safety Management System. The safety in design process will be mandated for all design of systems and products in compliance with:
The ATSB is satisfied that the actions proposed by V/Line will, when implemented, adequately address this safety issue.