The Skitube system for managing access to track did not detect the conflict of the rail maintenance worker under the train at the same time the train was being shunted.
Re-iteration of the procedure and form requirements has merit in keeping current employees aware of the procedures’ purpose. Re-iteration of these requirements would be required at regular intervals to maintain awareness of the risks controlled by the procedures. A refresher of the safe working rules and procedures prior to each operating season would achieve this.
Internal consultation was carried out and the Temporary Track Access Procedure (Procedure) was reviewed, updated and documented.
Internal consultation was carried out and the Temporary Track Access Form (Form) that would be referred to by the Duty Controller in all cases where temporary track access was requested, was reviewed and updated to include the situation where access is required in close proximity to a stationary train.
Information regarding the Procedure and the Form was provided to staff (Duty Controllers, Train Drivers, Maintenance staff and Concourse staff) prior to the 2020 operating season in the form of an information packet.
A document titled Skitube Safe Working (Network) Rules and Processes was produced and supplied to Skitube staff. This document is a compilation of all major safety rules and processes and a reference tool for staff. As part of the communication and training process, staff were required to complete a short quiz on the material to demonstrate an understanding of the requirements.
