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| Date | 2025-01-24 |
|---|---|
| Type | Commercial Circular |
| Topic | freight |
Railway Accidents on Traffic account Cause wise number of accidents on account of Traffic Deptt.
feda मल्होत्रा भारत सरकार सदस्य (परिचालन एवं व्यवसाय विकास) रेल मंत्रालय रेलवे a ‘ रेल भवन, रायसीना रोड एवं पदेन सचिव सत्यमेव जयतें नई दिल्ली-110001 HITENDRA MALHOTRA GOVERNMENT OF INDIA MINISTRY OF RAILWAYS RAIL BHAWAN, RAISINA ROAD NEW DELHI-110001 Member (Operations & Business Development) Railway Board & ex-officio Secretary 0.0. 2024/TT-IV/12/5 Dated : 24.01.2025 All PCOMs Zonal Railways Subject : Railway Accidents on Traffic account. | am writing to bring your attention to causes of railway accidents attributed to the Traffic Department. To have a big picture, last ten year’s data was seen with the cause wise and Railway wise breakup. Data summary is attached. In traffic department Human Error is the most significant factor unlike other departments, where there may be design/material defects also contributing. The ‘Human- Related Factors’ can be summarised as follows : 1. Improper Setting of Point and/or Route : The leading cause of accidents (224 derailments), primarily resulting from operational errors during route and point management. 2. Failure to Observe shunting Rules : Adopting shortcuts to save time. If it is successful few times, it will be developed as habit. Staff should not be forced to do the operations in a hurry. 3. Negligence by Staff (Gatemen, Station Masters) : Contributed to accidents at manned level crossings, with incidents attributed to negligence by gatemen and station masters. 4. Breach of Block Rule, Non-Securing of Rake and Negligent Shunting : These procedural lapses have led to derailments, collisions, and other incidents, highlighting gaps in adherence to safety protocols. 5. Communication and Coordination Issues : Inadequate coordination among operational staff, such as point operation under moving wheel, failure to observe shunting rules, dashing in dead end, has been a recurring factor in incidents on Traffic account. 6. Oversight : Issues such as wooden wedges not being removed, loose coupling highlight oversight in established procedure of working. Page 1 of 2 To address these issues, | suggest the following corrective actions : 1. Improve Quality of Training: o Accident Case studies must be part of every training module. At least ten such cases must be discussed in one session. Safety bulletins must be regularly issued containing accident summaries on Traffic account. (Half a page per accident: small brief of the accident, cause found and lesson learnt). These safety bulletins should be used during regular counselling and also circulated widely. o As far as feasible, develop simulation-based training modules in the Institutes to prepare staff for emergency scenarios. o Proper infrastructural facilities, including lodging and fooding should be ensured at all the training centres, so that staff is comfortable. 2. Strengthening Communication and Coordination: o Implement robust communication systems between officials involved in train operation. o Provide multilingual support or visual cues where language barriers might exist. The understanding of the rule or procedure is more important than the Counselling record/register. 3. Fatigue, Stress and Mental Health Management: Assistance of PCMO/CMS must be taken for organising Counselling sessions at regular intervals. 4. Error Management and Reporting Culture o Blame-Free Reporting: Foster a culture where employees feel safe to report mistakes or near-misses without fear of retribution. It will help in timely course correction. o Root Cause Analysis: Investigate errors systematically to identify and address underlying issues. Focus on why staff may adopt shortcut or unsafe procedure just to save time. If it is accepted by supervisors, it becomes a habit. o Feedback Mechanisms: Provide timely feedback to staff to correct behaviours and reinforce good practices. 5. Leadership and Supervision: o Proactive Leadership: Supervisors should model safety-conscious behaviours and actively monitor adherence to protocols
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