Atsb transport Safety Report


General details Occurrence details



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General details

Occurrence details


Date and time:

31 January 2013 0940

Occurrence category:

Accident

Primary occurrence type:

Collision

Location:

Cleveland railway station, Brisbane, Queensland




Latitude: 27° 31.455’ S

Longitude: 153° 15.975’ E

Train: T842


Train operator:

Queensland Rail Limited

Registration:

T842

Type of operation:

Rail - Passenger - Metropolitan

Persons on board:

Crew – 2

Passengers – 17

Injuries:

Crew – 1

Passengers – Multiple minor injuries

Damage:

Substantial


Sources and submissions

Sources of information


The sources of information during the investigation included:

Bureau of Meteorology

Queensland Rail Limited

Queensland Department of Transport and Main Roads


References


Australian Emergency Management Institute. (2012). Managing Exercises. Handbook 3: Australian Emergency Management Handbook Series. Attorney General’s Department.

Australian Standard AS/NZS ISO 31000:2009 Risk management - Principles and guidelines

Bureau of Meteorology Special Climate Statement 44 – extreme rainfall and flooding in coastal Queensland and New South Wales 5 February 2013.

Burian, B, Barshi, I., & Dismukes, K. (2005). The Challenge of Aviation Emergency and Abnormal Situations. NASA Ames Research Center.

Department of Transport and Main Roads (2013). Serious Injury Collision, St Vincents Road, Banyo. 14 September 2012. Final report, rail incident investigation TMR 4617.

Downer EDI Rail Engineering Specification CES01183 Rev A (2007).

Falkenrath, R. (2005.) Homeland Security and Consequence Management. The Challenge of Proliferation: A Report of the Aspen Strategy Group: The Brookings Institution.

Flin, R., O’Connor, P., & Crichton, M. (2008). Safety at the Sharp End. A Guide to Non-Technical Skills. Ashgate: Aldershot. p53

Hopkins, A. (2005). Safety, Culture and Risk. The Organisational Causes of Disasters. CCH: Sydney. p22, pp 41.

Kahneman, D. (2011). Thinking Fast and Slow. Farrar, Straus & Giroux: New York.

Leadbeater, A. (2010). Speaking as one: The joint provision of public information in emergencies. The Australian Journal of Emergency Management, 25 (3).

Lewis R, & Olofsson U, (editors) Wheel-rail interface handbook, (2009) Woodhead Publishing Limited, pp. 510-527.

Office of the Chief Investigator, Transport Safety, Rail Safety Investigation Report No 2009/05, Platform Overruns – Siemens Nexas EMU – Connex/Metro Trains Melbourne

Office of the National Transport Safety Regulator, Reporting Notifiable Occurrences, Occurrence Notification (OC-G1) (Version 1.1 28/03/2013)

Office of the National Transport Safety Regulator, Reporting Notifiable Occurrences, Occurrence Notification Standard (ON-S1) (Version 1.1 28/03/2013).

Office of Transport Safety Investigation, Rail Safety Investigation Report – Derailment of Cityrail Service 312A –Thirroul NSW, 11 September 2006.

Rail Safety Regulators Panel Australia, National Rail Safety Accreditation Package (Version 2- December 2005)

Queensland Rail, drawing S18056 – Cleveland Station, Buffer Stop for Electric Multiple Units.

Queensland Rail IMU 160/SMU 260 Driver’s Manual 1.12.2, page 36.

Queensland Rail SPAD at Beerwah 09/01/2009 - NIR09.4364.

Queensland Rail (2012). MD-12-208. Emergency Management Standard. (Version 2.0)

Queensland Rail (2012). MD-12-279 Emergency Management Plan (Version 1.0).

Queensland Rail (2011). Specification SAF/SPC/0022/EMG Rail Emergency Response Plan. Version 1.1

Queensland Rail (2011). Specification SAF SPC/0022/EMG Module EP1-01 Rail Emergency Response Plan. Version 1.1.


Queensland Rail (2011). Specification SAF.SPC/0022/EMG. Module EP1-04 Overhead Line Equipment Emergency, Version 1.0.
Queensland Rail (2011). Specification SAF.SPC/0022/EMG. Module EP1-07 Collision, Version 1.0.
Queensland Rail (2013). Cleveland Derailment – Train Operations Internal Emergency Debrief QT.A 4697.

Queensland Transport (Rail Safety) Act 2010.

Queensland Transport (Rail Safety) Regulations 2010.

RAIB, Station overrun at Stonegate, East Sussex, 8 November 2010, Report 18/2011, November 2011. Autumn Adhesion Incidents, Parts 1,2 and 3, November 2005.

Reason, J. (1997). Managing the Risks of Organizational Accidents. Ashgate: Aldershot. p 117.

RISSB, National Guideline Glossary of Railway Terminology

Rolfe ST, Barsom JM 1977, Fracture and fatigue control in structures, applications of fracture mechanics, Prentice-Hall New Jersey, pp. 414-440.

Rolling stock Engineering QR Services Report, Document No. 200907/P, Version 1.0, Dated 25.08/2009. Source Queensland Rail

RSSB, Braking System Requirements & Performance for Multiple Units - GMRT2044 (Issue one, May 1994 - current issue four - December 2010)

RSSB, Guidance on Low Adhesion between the Wheel and Rail – Managing the Risk - GM/GN 8540 (current issue one - February 2009)

RSSB, Guidance on testing Wheel Slide Protection Systems fitted on Rail Vehicles GM/GN 2695 (current issue one - December 2010



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