Executive summary
On Monday 31 October 2005, at about 0827, a set of bi-parting doors on Train 3056, a Connex Papakura to Britomart diesel multiple unit passenger service, closed on a passenger boarding at Papatoetoe. The passenger became trapped, but was freed when the doors were prised open by a locomotive maintainer who was travelling on the train.
The passenger suffered minor leg injuries.
Safety issues identified included:
• the door control and operating mechanisms
• the use of a defective safety critical component
• the fault recording processes.
Safety recommendations have been made to the General Manager of Veolia Transport Auckland Limited and the Chief Executive of Toll NZ Consolidated Limited to address these issues.
Related Recommendations
in conjunction with the General Manager of Veolia Transport Auckland Limited, implement an integrated fault recording and management process for the Auckland suburban rail passenger vehicles that incorporates, but not limited to, the features of the existing Fleet Management Protocols and 54D Book recording systems.
in conjunction with the Chief Executive of Toll NZ Consolidated Limited, implement an integrated fault recording and management process for the Auckland suburban rail passenger vehicles that incorporates, but not limited to, the features of the existing Fleet Management Protocols and 54D Book recording systems.
provide clearer guidelines to operating staff defining the actions to be taken when safety critical components of a train consist become defective while in operation. The guidelines should include when advise is to be south, the position of the person from whom it is to be sought, and the action to be taken if that person cannot be contacted.