Passenger Train 4045, uncontrolled movement, between Britomart station and Quay Park junction,
9 October 2006
9 October 2006
Status
Closed
Occurrence Date
Report Publication Date
Jurisdiction
NZ
Legacy Inquiry Number
06-110
On Monday 9 October 2006 at 0806, passenger Train 4045 travelled 526 metres between Britomart station and Quay Park junction with the locomotive engineer not at the controls of the train. The locomotive engineer had left the train to operate a valve to restore air-brake pressure following an uninitiated emergency brake application. Once air-brake pressure had been restored, the train began to move before the locomotive engineer re-boarded the train.
There was no damage and none of the 3 crew and 12 passengers on board at the time was injured.
Safety issues identified included:
- adherence to standard operating procedures
- maintenance and testing of passenger emergency stop mechanisms
- diagnosing and correcting intermittent faults on old passenger rolling stock
- the provision of event recorders
- monitoring fault trends for safety-critical equipment
- audit performance
Four safety recommendations have been made to the Chief Executive of the New Zealand Transport Agency to address these issues.
There was no damage and none of the 3 crew and 12 passengers on board at the time was injured.
Safety issues identified included:
- adherence to standard operating procedures
- maintenance and testing of passenger emergency stop mechanisms
- diagnosing and correcting intermittent faults on old passenger rolling stock
- the provision of event recorders
- monitoring fault trends for safety-critical equipment
- audit performance
Four safety recommendations have been made to the Chief Executive of the New Zealand Transport Agency to address these issues.
Location
Britomart (-36.844238,174.767901) [may be approximate]