Track maintenance
Date issue released
Safety Issue Description

There were track defects identified in the vicinity of the derailment site prior to the derailment. The maintenance of defects in this section of track was not successful in preventing the defects from re-occurring.

Issue number
RO-2017-014-SI-01
Transport Function
Rail: Infrastructure
Issue Owner
Australian Rail Track Corporation (ARTC)
Mode of Transport
Rail
Issue Status Justification

The safety action addresses the issue at the location of the derailment and changes have been made to address maintenance issues on a more systemic level.

Proactive action
Action number
RO-2017-014-NSA-013
Organisation
Australian Rail Track Corporation (ARTC)
Action date
Action Status
Closed
Action description

ARTC have advised that they have included the cause ‘train over speed transporting heavier axle loads than permitted’ into the strategic risk of train derailment.

ARTC have also reviewed Route Access Condition Notices 190007, 190008 and 190009. As a result, an amendment was made to the infrastructure assessment (below rail) section of procedures which added the requirement that:

‘The proposer for the change, shall assign the management responsibility for assessing the impact on track degradation and maintenance requirements under the influence of increased axle loads.’

The change was published on the ARTC homepage under Route Access Standards Amendments and the documents re-issued on 22 February 2019.

The ARTC consulted with Pacific National regarding:

  • The requirements for rolling stock to travel within the maximum speed as advertised within the relevant Route Access Condition notices.
  • The requirement for the operator to provide ARTC with the correct train manifest information prior to entering the ARTC network.

Also, as part of their strategic plan, ARTC have introduced a number of changes, including:

  • The introduction of a new role within the maintenance provisioning centres titled ‘Asset Assurance Engineer’. This engineering role specialises in the track and civil disciplines. Two key components of this role are:
    • To ensure that quality maintenance is undertaken on ARTCs assets by maintaining a level of oversight of work performed; and
    • To utilise network condition, operational performance and reliability data to support decision making and prioritisation for maintenance and project works.

These objectives are targeted at addressing systemic issues identified during the Narwonah derailment investigation by:

  • Ensuring that defect rectification work is undertaken to an acceptable quality;
  • Ensuring that inspection activities are thorough and network issues are captured within ARTCs Enterprise Asset Management System for planning and future rectification; and
  • Interrogating network data to identify where reoccurring issues are developing and request project work to rectify.

ARTC has also commenced a work program titled ‘Asset Management Improvement Program’; this work focusses on improving the functionality of ARTC’s Enterprise Asset Management System and it’s supporting business processes. One of the key components of this program is the introduction of a review meeting at the maintenance provisioning centres. Here maintenance personnel, work coordinators and asset assurance engineers discuss network issues that have been raised or rectified since the previous meeting. This will provide an additional level of assurance that the appropriate priority has been assigned to network issues awaiting repair. It will also ensure that the repair works are scheduled to take place accordingly, and provides a forum where the asset assurance engineer is able to review work documentation to ensure quality maintenance is undertaken.

ARTC has continued to invest funding in the Central and North West areas of New South Wales in activities such as steel and concrete re-sleepering and rail joint removal programs. These upgrades have improved the condition of the Central and North West track assets, as well as reducing the occurrence of such defects that contributed to this derailment.