Grayrigg train accident investigation recommendations released

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RAIB final report published regarding Grayrigg train accident

In October 2008 the Rail Accident Investigation Branch published their final report into the train accident at Grayrigg, Cumbria on 23rd February 2007.

The accident
On Friday 23rd February 2007 a Virgin West Coast train travelling at the authorised speed of 95mph (153km/h), derailed on 2B points at Lambrigg, near Grayrigg, Cumbria. All nine carriages were derailed. Of the 105 passengers and four crew, one passenger was fatally injured, 28 passengers, the train driver and one crew member were seriously injured, and 59 passengers suffered minor injuries.

Key findings
The derailment was directly caused by malfunction of the 2B points due to failure of the three stretcher bars, the lock stretcher bars and their fastenings, leading to unsafe movement of the switch rail.

The report finds that this occurred as a result of three contributing factors:

  • the mechanical failure of a bolted joint

  • the incorrect set up of the points

  • a missed track inspection on 18th February 2007

All three factors were deemed necessary for the train accident to have occurred.

Underlying factors included a perception that, based on previous performance, risk of derailment from these points was low and Network Rail did not have a complete understanding of the design, maintenance and inspection requirements of the mechanism due to limited application of a risk-based assessment.

Recommendations
Of the 29 safety recommendations made by the RAIB, 21 were directed at Network Rail. A review of the design, maintenance and inspection of points has been called for, along with advanced mitigation of the risk from points in the short term. Recommendations have been issued to Network Rail to address the issues regarding underlying technical and managerial concerns and the difficulties of fatigued staff.

The full report is available at the RAIB website.

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