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Rail Safety Recommendations

This page displays a list of safety recommendations that relate to the rail mode.  You can use the filter tool to refine the results and to search for keywords within the text of each recommendation.

Urgent safety recommendations

Urgent safety recommendations released publicly in advance of a final report are available here until release of a final report at which time they are incorporated into the database.

 

Keywords: Recipient: Mode: Status:

Safety Recommendation 002/12
Issued To NZTA on 28 Mar 12
The Commission recommends to the Chief Executive of the NZ Transport Agency that he requires the Executive of the National Rail System Standard to develop standards to ensure that all rail participants meet a consistently high level of crew resource management, and communication that includes the use of standard rail phraseology (002/12).
Implementation Status: Open
Reply: We intend to work closely with the National Rail System Standard (NRSS) Executive with an aim to implementing and closing out this recommendation as soon as practicable. The NZ Transport Agency sits of the NRSS Executive as an observer. We will also consider a strategy for rail operators outside the NRSS coverage.

Safety Recommendation 033/10
Issued To MoT on 19 Aug 10
It was recommended to the Secretary for Transport that he address the status of the National Rail System Standard and the relationship between these standards and rail participants' safety cases and underlying safety systems is not clear. For example, it is not clear whether KiwiRail's safety case and its underpinning safety system can be required to comply with the NRSS as a minimum, or whether the NRSS is subservient to KiwiRail's safety system. An approved (by the regulator) change to KiwiRail's safety system could then by default become an approved change to the NRSS. If the latter, then it is also unclear what the relationship between the NRSS and other rail participants' safety cases and underpinning safety systems would be.
Implementation Status: Open
Reply: As the National Rail System Standards are industry standards, which are developed by the NRSS Committee, and approved for inclusion in a rail operator's safety case by the regulator, the Ministry is well placed to carry out an independent review. In carrying out this review, the Ministry will particularly focus on the matters raised in recommendations 033/10 and 034/10.

Safety Recommendation 034/10
Issued To MoT on 19 Aug 10
It was recommended to the Secretary for Transport that he address the following safety issues: The status of the NRSS Committee, the rights to membership of that committee and the responsibilities of each Committee member, and the terms of reference of the Committee is currently unclear. (034/10)
Implementation Status: Open
Reply: As the National Rail System Standards are industry standards, which are developed by the NRSS Committee, and approved for inclusion in a rail operator's safety case by the regulator, the Ministry is well placed to carry out an independent review. In carrying out this review, the Ministry will particularly focus on the matters raised in recommendations 033/10 and 034/10.

Safety Recommendation 035/10
Issued To MoT on 19 Aug 10
the National Rail System Standard has not been fully reviewed since they were established in 2004. Once the status of the standards and its Committee has been established then an independent review of the standards should be conducted to determine if they are still applicable to the New Zealand rail industry, and to ensure if they are representative of standards set in other comparative countries operating modern rail systems.
Implementation Status: Open
Reply: The Ministry accepts this recommendation

Safety Recommendation 094/04
Issued To Toll NZ Consolidated on 08 Mar 05
Introduce a regime to provide unique identification of each bogie to enable the tracking of its operational and maintenance history.
Implementation Status: Open
Reply: For the last few years, both Hillside and Hutt workshops have been marking and recording serial numbers on bogies when they are overhauled. Subsequently we can trace when and where a bogie was last overhauled if it is involved in an incident. However it will be several years before all bogies have gone through a workshop for overhaul, to have a serial number assigned.

We are not recording which wagons these serialised bogies are going into, although bogies are checked at a two-yearly C-check and also whenever a bogie is swapped. At this time bogie wear limits are programmed into Alstom?s computer system, which creates alerts for more regular checks as the bogie nears its limit.

As bogies are changed based on condition (rather than kilometres travelled or time in service), we are unsure how the serialisation of bogies would help prevent a similar incident.

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