Recommendation Date
Recipient Name
NZTA
Text
The quality of crew resource management to achieve outcomes in this case, including the management of resources at different locations such as the train control centre, locomotive cabs and track work sites, sometimes using different communication methods, was of a poor standard, and previously published occurrence reports, as well as other, still open investigations, indicate that the standard of crew resource management across the rail industry is not adequate.
Reply Text
New Zealand Transport Agency (NZTA) acknowledges receipt of the letter from your Chief Commissioner dated 6 October 2008 that outlines the list of safety issues that you have asked NZTA to address, and requests a timeframe for the implementation of these issues.
In relation to the tragedy that occurred at Ohinewai, the NZTA will need to liaise closely with, in particular, ONTRACK, to fully understand the necessary and practicable actions that are required to help ensure that such an accident will not happen again. The TAIC investigation is one of several reports on this accident that will inform the response required from NZTA.
Until that work is carried out, NZTA is not in a position to advise how, or when, the safety issues raised in your report can be closed out. NZTA will keep TAIC informed of progress.
In relation to the tragedy that occurred at Ohinewai, the NZTA will need to liaise closely with, in particular, ONTRACK, to fully understand the necessary and practicable actions that are required to help ensure that such an accident will not happen again. The TAIC investigation is one of several reports on this accident that will inform the response required from NZTA.
Until that work is carried out, NZTA is not in a position to advise how, or when, the safety issues raised in your report can be closed out. NZTA will keep TAIC informed of progress.
Related Investigation(s)