Greg Morse LHSBR Editor and Operational Feedback Lead ...

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Greg Morse LHSBR Editor and Operational Feedback Lead - Health and Safety Management A Better, Safer Railway

Transcript of Greg Morse LHSBR Editor and Operational Feedback Lead ...

Greg MorseLHSBR Editor and Operational Feedback Lead -

Health and Safety Management

A Better, SaferRailway

Travelling by rail hasn’t been easy recently – for any of us.

But now all Britain’s rail companies are pulling together –

doing whatever it takes to return you to a national rail network you

can depend on.

Wednesday 17th October 2001

20

4060

80

100

1200

Mile/h

20

40 60

80

1000

Brake pipe

Four fatalities

70 injured

Four seriously injured, including two members of staff

20mph

20mph

20mph

20mph

20mph

Alastair Morton

Chairman of the Strategic Rail Authority

Gauge corner

An incomplete appreciation of the risks presented by gauge

corner cracking, and

A consequent failure to develop and disseminate comprehensive

instructions on its identification and the control measures

required’.

Contact point

U3ProbeU14

Probe

Sep 2000Mar 1995

Sep 2000

U3Probe

untestableTotal loss of

rail bottom

Jan 2001

Jul2000Jun

2000May 2000Apr

2000Mar 2000Nov 1999

Oct 92000

100mph

100mph

I have never been trained to recognise Gauge Corner

Cracking or understand what risks it brought with it.

Target 6 per year

1997 1998 1999 2000

Trac

k w

alks

Target 6 per year

1997/88 1998/99 1999/00

Cab

rid

es

Railtrack LNE Compliance and Engineering Manager –Was unable to follow a discussion of track work at Hitchin because

he didn’t understand its technical nature.

The Zone Quality Standards Manager -Had neither ‘knowledge of railway engineering nor railway safety’

Piper Alpha 6-7th July 1988167 fatalities

David Ventry, Professional Head of Track at Railtrack HQ.

‘a key driver in the rise in the number of broken rails is the current poor maintenance or, more precisely, the lack of adequate and

appropriate maintenance’.

Nov 1999May 1999

David Ventry, Professional Head of Track at Railtrack HQ.

the current state of the track on parts of our network [was] heading towards the boundary of acceptability’,

there was ‘widespread noncompliance’ with track maintenance standards and good practice.

the ‘balance between commercial drivers and safety’ was ‘overwhelmingly towards the commercial’

Nov 1999May 1999

1997/88 1998/99

Bro

ken

Rai

ls

21%

755

937

Tom Windsor Rail Regulator

More clarity on what Railtrack deemed acceptable?

Nov 1999Aug 1999

Nov 1999Aug 1999

Project Destinystrategy

Replacing assets only when necessary and

not at fixed time

Need excellent knowledge of one’s

asset condition

Nov 1999Aug 1999

Project Destinystrategy

Replacing assets only when necessary and

not at fixed time

Asset?

Condition?

Expiry?Asset

Database

‘that he alerted senior colleagues to the non-compliant state of rail maintenance, however, Railtrack as an organisation, failed to implement

and monitor his advice to ensure rails were properly maintained’

David Ventry, Professional Head of Track at Railtrack HQ.

May 2000Jan

1999Early 1998

Poor Maintenance

Non-compliance with standards

Zone DirectorNick Pollard

Please investigate

it [was] very clear from recent events that [it was] not providing resources adequate to tasks and scope of the

maintenance contract’

Nov 2000May 2000Tom Windsor

Rail Regulator

Transport Technology

Centre

Metallurgy

Ultrasonic railflaw detection

Wheel-rail interaction

Brake design Suspension design

20022001

2001 2002

Pro

fits

£733m Hatfield compensation

and costs

£200m

£-200m

£199m

£534m

Nov 2000

The Health and Safety at Work etc Act 1974

£10,000,000+

£300,000

Sept 20052002

£3,500,000+

£300,000

Sept 2005

Sept 2005

2000Sept 2005

Safety Case containing a Safety Management

System

April20062000

Safety Certificate or Safety Authorisation

April2006

Ladbroke Grove Accident 1999

Lord Cullen Inquiry

Railway Safety

Railway Safety

RiskAnalysis

Standards ReportingResearch and Development

System Interface Committees

Vehicle/Track systems interface

Vehicle/Structures

systems interface

Vehicle/Train Energy systems

interface

Whole system interface

Data & Information

systems interface

Vehicle/Train control &

communications

Vehicle/Vehicle system interface

Vehicle/Track systems interface

Vehicle/Structures

systems interface

Vehicle/Train Energy systems

interface

Whole system interface

Data & Information

systems interface

Vehicle/Train control &

communications

Vehicle/Vehicle system interface

1970-2010 2010 - 2020

Bro

ken

Rai

lsA

vera

ge p

er

year

400

200

750 per year

150 per year

600

800

Corporate Memory ?

Greg MorseLHSBR Editor and Operational Feedback Lead

Health and Safety Management

A Better, SaferRailway