Executive summary
On Monday, 9 March 1998, at about 0655 hours Train 1603, a Masterton to Wellington suburban passenger service, collided with a transition head which had fallen from the locomotive cowcatcher. Damage to the underside of the train resulted in a 3000 litre diesel fuel spillage.
The cause of the collision was a transition head becoming displaced in transit due to inadequate stowage details.
Safety deficiencies identified were:
• The lack of adequate investigation of the work necessary to convert overseas rolling stock for New Zealand coupling requirements.
• The failure of the safety system to prevent unauthorised modification of rolling stock.
The suitability of the fixing detail for stowage of transition heads on cowcatchers was identified as a safety issue.
The Commission investigated this incident because of the potential for derailment associated with the loss of such a heavy and irregular object during transit.
Related Recommendations
Reinforces procedures to prevent unauthorised modifications by field staff to overcome design deficiencies.
Reviews the procedures for converting used rolling stock purchased overseas to ensure: variations within the stock purchased are recognised and provided for, each modification required for safe operation on Tranz Rail systems is identified, the modifications required are designed, and installation managed, to ensure controlled implementation.
Reviews the acceptability of the relocated spigots as a safe stowage for transition heads on QR and DQ locomotives.