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All RAIB Reports 24/11/2018 at 14:58 #113499
72 posts

190 The accident at Waterloo and the Cardiff East Junction incident resulted from
people taking actions which were inconsistent with the processes in which they
had been assessed as competent. Had these processes been followed, the
events would have been prevented. The RAIB found no evidence that the staff
and organisations involved at Waterloo and Cardiff lacked a commitment to
safety. In this respect, the RAIB’s findings at Waterloo and Cardiff have much in
common with this extract from the Hidden report [i.e. the Clapham Junction accident] chapter 17 ‘Where things went
wrong – The Lessons to be learned’: [...]

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All RAIB Reports 25/11/2018 at 01:30 #113531
271 posts
Agree it was an interesting comment - rarely does RAIB conjecture like this... how can you base this conclusion in fact?

But fair play to them - with the recent signalling events in their investigation list maybe they feel there’s a point to be made... another signalling case might trigger one of their class investigations.

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All RAIB Reports 25/11/2018 at 14:10 #113536
1481 posts
I don't think it's conjecture. There were distinct similarities, at least behaviourally, between both these cases and Clapham, and both resulted in the safety systems becoming ineffective. Yet all 3 were carried out by people and organisations who were absolutely committed to safety. RAIB's point is that the corporate memory is disappearing as the Clapham generation reaches retiring age, and something needs to be done about that. (They're not alone in that conclusion; Roger Ford effectively said the same in his analysis of RAIB's interim report.)
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The following user said thank you: BarryM
All RAIB Reports 02/05/2019 at 21:59 #118031
769 posts
---published yesterday---

RAIB has today released its report into a train dispatch accident at Elstree & Borehamwood station, 7 September 2018.


AJP in games
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