Basis for Recommendation
The current internal investigation process is ineffective in the prevention of SPAS incidents, with the current system being too generic to capture the trends around SPAS incidents.
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| Ref # | 2022003-15 |
|---|---|
| Status | Open / In progress |
| Occurrence | Trend investigation into Signals Passed At Stop on the Luas network |
| Occurrence Date | 03 January 2020 |
Recommendation
TDLR should develop their internal investigation processes, to develop a:
• Training and competency management system for internal investigators;
• Manual, or similar, outlining internal investigation processes and report writing.