Executive summary
On Monday 14 February 2005, at about 0831, Train 3037, a Connex Auckland Limited Britomart to Papakura via Newmarket diesel multiple unit passenger train was wrong routed past Signal 30RAC at Westfield to an industrial siding, instead of the Down main. While attempting to regain the correct path, the locomotive engineer multiple unit passed Signal 36LD at stop and travelled ‘wrong line ’ on the Down main where he stopped adjacent to a signal that applied to the opposite main. There were no conflicting movements approaching Train 3037 in either situation.
- safety issues identified included:
- signal awareness training for locomotive engineer multiple units
- signal box workload
- use of non-standard terminology for siding names
- voice-recording in signal boxes
Three safety recommendations have been made to the Chief Executive of ONTRACK to address these issues.
Related Recommendations
install a voice recording system in all major signal boxes under the same conditions and purposes as operating in the national train control centre
conduct a workload analysis at all signal boxes in the Auckland area, including train control, to ensure adequate resourses are available to meet existing and projected increased passenger traffic
in conjunction with the operating companies and using Signalling and Interlocking diagrams as the standard, institute a policy for the agreement and adoption of appropriate siding names connected directly to the controlled network on the diagram