Recommendation: 2019001-01

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Ref # 2019001-01
Status Closed
Occurrence Wrongside Door Failure at Ashtown Station, 12th August 2018
Occurrence Date 12 August 2018
Date Closed 15/04/2021

Basis for Recommendation

Vehicle Maintenance Instruction (VMI) Z1C29A0001 'Examination of 29000 class vehicle after an incident/accident' did not require a thorough examination of the coupler after the collision on the 6th June 2018, despite the examination identifying damage to the exterior of the coupler; a more thorough examination would have identified the detached crimps, as a result the RAIU make the following safety recommendation:

Recommendation

IÉ-RU CME should review VMI Z1C29A0001 ‘Examination of 29000 class vehicle after an incident / accident’ to develop a more thorough and robust VMI that is commensurate with the safety risk of faults occurring after rolling stock has been involved in an incident or accident.