Queensland Rail’s management oversight of the Citytrain driver maintenance of competency (MOC) process did not include planned assurance activities or regular and effective auditing of how the MOC assessments were being conducted, even after there were multiple indications that the process was not being conducted as designed.
The ATSB acknowledges the significant increase in assurance activities undertaken by Queensland Rail in this area and is satisfied that, if such activities continue to be undertaken, the risk of the safety issue will be reduced.
In March 2021, Queensland Rail (QR) advised the ATSB that ‘robust assurance had been put in place to provide oversight’ of the maintenance of competency (MOC) process, with ‘continuous review and periodic external audits scheduled’. More specifically, QR advised:
In October 2018, Queensland Rail completed a quality review of written maintenance of competency assessments: Q1 2018-19 1 July - 30 September 2018. 181 Written Maintenance of Competency (MoC) Assessments were reviewed.
In December 2018, Queensland Rail completed a quality review of written maintenance of competency assessments: Q2 2018-19 1 October - 30 November 2018. 173 Written Maintenance of Competency (MoC) Assessments were reviewed.
In February 2019, Queensland Rail completed a quality review of written maintenance of competency assessments: 1 December 2018 – 31 January 2019. 189 Written Maintenance of Competency (MoC) Assessments were completed.
In June 2020, Queensland Rail undertook an assurance activity to determine the adequacy and effectiveness of:
- Train Service Delivery’s (TSD) new Rail Traffic Crew (RTC) Monitoring Lifecyle Procedure MD-19-235
- Assess Compliance with SEMS training requirements eg Rail Safety Workers (RSW) Competency (Safeworking Training Standard MD-10-199)
- Risk Trigger Commentary Driving (SEQ Train Drivers) TSD Professional Driving – Risk Triggered Commentary Driving MD-13-165)
- The adequacy of any related 1st line assurance activities.
Outcomes from the assurance activity confirmed: