Sydney Trains internal safety investigation identified similar incidents i.e., where a freight train failed, that were not managed in accordance with the requirements of NTR 432, Protecting activities associated with in-service rail traffic. Recent ATSB investigations also identified examples where the requirements of NTR 432 and NPR 750 were not adequately applied.
The ATSB is satisfied that the safety action undertaken by the operator has resolved this safety issue
Sydney Trains accepts this safety issue and advises that the following has been undertaken since this incident occurred:
SafeTracks 10-2021 was issued immediately following the incident.
A communications cue card for signallers and rail traffic crew was developed and distributed
A 30 minute e-learning course has been developed and assigned to all signallers, Sydney Trains & NSW TrainLink train crew, Sydney Trains track vehicle operators and contractors (commenced March 2022).
A review of the network hazard of instance of worker in path of rail vehicle - protecting activities associated with in service rail traffic - incorrectly implemented / maintained is currently being undertaken.