Recommendation: 2023005-10

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Ref # 2023005-10
Status Open / In progress
Occurrence Self-detrainment of passengers between Shankill & Bray, 24th July 2022
Occurrence Date 24 July 2022

Basis for Recommendation

The RAIU made a safety recommendation (2018001-003) related to impromptu evacuations on the 15th August 2018 which was closed by the CRR in November 2021 based on actions taken by IÉ-RU (paragraphs 286 and 287). The RAIU considers that a more effective implementation of this safety recommendation could have helped address factors identified in this investigation. It is noted that the CTC Operations Control Room Manual was updated in 2023, which does address some concerns; however, it does not address all concerns.

Recommendation

IÉ-RU should review their suite of documents which reference major customer disruptions and emergencies (in particular, in terms of stranded trains) and address the management of passengers on these trains. Considerations should be given to, but not limited to, the effective development of the following:

  • A common understanding and shared awareness of the circumstances in order to recognise when minor operational occurrences have the potential to develop into major incidents unless decisions are taken in a timely and decisive manner;
  • Effective communication and information sharing arrangements between the controlling signalman/ traffic regulators to the driver/s;
  • Assist driver/s in managing, informing and reassuring passengers in order to encourage passengers to stay onboard the train/s;
  • Anticipate and understand the needs of passengers in a train stranding situation (information, air conditioning, etc.) and to focus action plans accordingly;
  • Anticipate the need to provide on-site support to drivers of such trains in managing passengers’ needs.