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Post by Deleted on Mar 11, 2008 12:27:24 GMT
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Post by astock5000 on Mar 11, 2008 16:24:50 GMT
Why didn't the driver realise they were at the wrong end, I would have thought that drivers know what side the platform is at stations.
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Chris M
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Post by Chris M on Mar 11, 2008 17:16:21 GMT
Trying to answer that question is a significant part of the report, with various factors given as possibilities. Rather than try and summarise it here, I encourage you to read it yourself.
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metman
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Post by metman on Mar 11, 2008 17:58:55 GMT
Interesting read.
What the recommendations do not suggest is some form of support for the [STOP] sign. At my station Northwood, there are reversing facilities. Trains can reverse North to South over a crossover, or can reverse South to North via the reversing siding and the said crossover. This is all overlooked by IMR JF. There is a northbound starter on platform 1 and a southbound wrong road starting signal (and shunt) also on platform 1. Southbound platform 2 has a conventional starter (with shunt) and at the northern end of platform 2 there is a fixed red light that is there to stop trains attempting to take the wrong road back towards Moor Park. This FRL is protected by a train stop, that is always in the up position until a southbound train lowers it!
Why wasn't this recommended for Camden-it is failsafe!
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Post by Chris M on Mar 11, 2008 18:02:40 GMT
It said in the text that such an arrangement would not be cost effective at Camden and so it wasn't recommended.
What surprised me was there was no recommendation for a fixed red light that did not have an associated train stop.
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metman
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Post by metman on Mar 11, 2008 18:09:50 GMT
Typical, a price put on safety!
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Post by Deleted on Mar 11, 2008 18:42:05 GMT
Typical, a price put on safety! There always is. Otherwise no railway could operate.
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Post by signalfailure on Mar 11, 2008 22:03:03 GMT
Very Interesting Read!!
I can see why Train Operator may have made that mishap.
As it clearly states in the Report at hand, Tube Trains/Stations are Symetrical, 2 sides look the same. All it takes is a minor lapse of concentraition or one to become disolusional then that unfortunate incident can rear its ugly head.
However, IMHO.
Train Operator should have made appropiate checks before opening up and applying power.
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Post by Deleted on Mar 11, 2008 23:44:36 GMT
One section of the RAIB report, points 74-84, gives examples of previous wrong direction incidents on LUL, and then point 85 (common features) states:
"In each of these incidents, the train operator found himself on a station platform unexpectedly and each train was required to move forward, out of the platform........"
Now, when a service controller informs a T/op of a curtailment, he will generally use the word 'reverse', as in "driver, reverse at Wood Green". Could the very use of the word 'reverse' cause the (perhaps newly qualified and sometimes under pressure) drivers to take this term too literally, forgetting the correct procedure for a given move in their haste to minimise delay/change ends/get on the move again? (And no, its not an attempt to knock controllers.....well, not this time anyway!)
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mrfs42
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Post by mrfs42 on Mar 12, 2008 0:52:18 GMT
After reading the report - if there was a note that FCFS was NOT to be used then the situation may not have occurred.
However, this reflects in no way upon the actions of those involved: the mitigation measures seem very workable and apposite.
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metman
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Post by metman on Mar 12, 2008 0:55:45 GMT
If it were trainstop protected the incident wouldn't have happened! Why does Northwood have what Camden doesn't?
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Post by Deleted on Mar 12, 2008 3:07:50 GMT
because Northwood is a reversing point and Camden isn't
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Post by c5 on Mar 12, 2008 3:23:44 GMT
Quite, MRFS. They seemed to mention far too many times about a problem earlier on in the day and the mode that the Programme Machines were in.
What they didnt say was that Stock and Crews, reforms and reversing short are used many times on a daily basis without incident.
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Post by Deleted on Mar 12, 2008 8:54:28 GMT
There was an interesting situation in Sydney a few years ago.
A train became faulty and was to be run empty to the depot, which was situated behind the train. The driver was told to move forward until clear of a trailing crossover, then change ends and go over the crossover to the down line and so to the depot.
Instead, he immediately changed ends and started merrily driving in the down direction on the up suburban line. With an up train coming along the line. Fortunately, the errant train occupied the track circuit and turned signals to red in front of the up train. About the same time, the driver going the wrong way realised that he was not on the correct line in the six-track layout, and decided to stop.
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Post by Deleted on Mar 12, 2008 10:57:15 GMT
Looking at the history a similar incidents it looks like there should be a test on a lines track layout for new drivers.
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Post by Colin on Mar 12, 2008 12:01:59 GMT
Looking at the history a similar incidents it looks like there should be a test on a lines track layout for new drivers. It's called a 'Road Test', which is done by a qualified duty manager - there is also an 'Audio/Visual' computer based test which is done prior to the road test. Both of these cover route knowledge, amongst other things. Don't forget though, a new train operator has to learn, and remember, the three week 'operational procedures training', three or four weeks worth of Stock training (add in two more weeks for a dual stock line like the District) then five weeks worth of 'road training' - so it's quite possible for snippets of information to be forgotten. That said, if a driver isn't sure about something, they really should clarify it with the line controller, signaller, other driving colleagues, duty managers or whoever. The worst thing a train driver can do is assume - but that's exactly what this one did........he saw the platform repeater in the opo screen and assumed he was good to go.......
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metman
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Post by metman on Mar 12, 2008 12:22:14 GMT
Was the train operator sacked?
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Post by Chris M on Mar 12, 2008 12:40:56 GMT
Was the train operator sacked? Standard procedure would almost certainly see them "stood down" from driving duties pending an investigation. Hopefully, for the operator's sake, this internal investigation would take less time than the RAIB's did. I am not employed by LU so this is conjecture, but I would expect that the investigation would come to one of the following conclusions 1. The operator is safe to continue driving without further action or sanction. 2. The operator is safe to continue driving following disciplinary action - some sort of formal warning most likely, but if they were an instructor operator they might be demoted to just a plain t/op. 3. The operator is safe to continue driving, but only following refresher training (with or without disciplinary action as well). 4. The operator is not safe to continue driving, and would be demoted to station staff or other non-driving role 5. The operator is determined not fit to continue working for London Underground in any capacity and is sacked. In this case I think 1 is the least likely, as this outcome would be most appropriate in the case of a technical failure outside of the driver's control. In the case of options 1 to 3, it is also possible that the operator could choose to request a sideways move if they did not feel up to continuing driving. What the actual outcome was, we will almost certainly not be told as it will likely be classed as an confidential internal personell issue.
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Post by Deleted on Mar 12, 2008 12:54:13 GMT
Well, at least that explained how the wrong stick happened, which sparked this incident in the first place. Had that not been accepted there would have been no confusion.
Not recommending FRL is madness, bearing in mind that the presence of a light is more likely to be noticed than the absence of one.
Perhaps a system to prevent a train being driven from the wrong end on a changeover like this would be a good thing to have, but of course, it is one more thing to go wrong.
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Post by c5 on Mar 12, 2008 12:57:33 GMT
Well, at least that explained how the wrong stick happened, which sparked this incident in the first place. Had that not been accepted there would have been no confusion. Not recommending FRL is madness, bearing in mind that the presence of a light is more likely to be noticed than the absence of one. Perhaps a system to prevent a train being driven from the wrong end on a changeover like this would be a good thing to have, but of course, it is one more thing to go wrong. Wrong signals are lowered all the time day in day out, it had probably happened during the day already! It is down to equipment or LUL staff error or lack of information. Though PTI on the Northern makes it simpler to avoid. If the CTBC had been correctly stowed then movement would not have been able to be obtained from the wrong end, and this would have twigged something to the Train Operator (as alluded to in the "report"). As to installing Fixed Red Lights. I believe there is a project to do so now. As to installing associated Train Stops I can see that the cost outweighs the risk - and the train would be tripped not long after going the wrong way in 99% of cases
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Post by Deleted on Mar 12, 2008 13:36:01 GMT
I have not yet read the report in full, but migh as well mention that, if an outgoing Train Op left the TBC out of stow, and the incoming T/Op opened up the other end, The Round Train Curcuit would be broken, with a warning displayed, along with an audio alarm.
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Post by Deleted on Mar 12, 2008 15:24:43 GMT
I have not yet read the report in full, but migh as well mention that, if an outgoing Train Op left the TBC out of stow, and the incoming T/Op opened up the other end, The Round Train Curcuit would be broken, with a warning displayed, along with an audio alarm. Yes that is mentioned in the report as a possible recommendation for stock and crew changeovers. Also since this incident new precautions have been put in place for stock and crews at Camden, which mean that controllers have to take the leading car number of the trains concerned, and each driver is instructed not to move the train until they have spoken to the controller again - which means we can confirm that they are at the correct end of the train and that they can see the station starter. I am much more hesitant to stock and crew at Camden than I used to be (can't think why?) but occasionally it needs to be done. If I had this scenario again though, I'd probably divert the train to Archway then Mornington Crescent, up to Golders for relief, sorry you're off late for your grub driver but you took the wrong stick.
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Post by astock5000 on Mar 12, 2008 19:26:19 GMT
There was an interesting situation in Sydney a few years ago. A train became faulty and was to be run empty to the depot, which was situated behind the train. The driver was told to move forward until clear of a trailing crossover, then change ends and go over the crossover to the down line and so to the depot. Instead, he immediately changed ends and started merrily driving in the down direction on the up suburban line. With an up train coming along the line. Fortunately, the errant train occupied the track circuit and turned signals to red in front of the up train. About the same time, the driver going the wrong way realised that he was not on the correct line in the six-track layout, and decided to stop. I read somewhere that a Piccadilly staff train did a similar thing at West Kensington years ago.
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Post by Deleted on Mar 12, 2008 19:52:36 GMT
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Post by Deleted on Mar 12, 2008 20:12:26 GMT
Well, at least that explained how the wrong stick happened, which sparked this incident in the first place. Had that not been accepted there would have been no confusion. Not recommending FRL is madness, bearing in mind that the presence of a light is more likely to be noticed than the absence of one. Perhaps a system to prevent a train being driven from the wrong end on a changeover like this would be a good thing to have, but of course, it is one more thing to go wrong. ATO would have prevented the train being driven in the wrong direction, and possibly the train being given the wrong stick in the first place! Wrong signals are lowered all the time day in day out, it had probably happened during the day already! It is down to equipment or LUL staff error or lack of information. Though PTI on the Northern makes it simpler to avoid. If the CTBC had been correctly stowed then movement would not have been able to be obtained from the wrong end, and this would have twigged something to the Train Operator (as alluded to in the "report"). As to installing Fixed Red Lights. I believe there is a project to do so now. As to installing associated Train Stops I can see that the cost outweighs the risk - and the train would be tripped not long after going the wrong way in 99% of cases
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Colin
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Post by Colin on Mar 13, 2008 0:18:22 GMT
Was the train operator sacked? What the actual outcome was, we will almost certainly not be told as it will likely be classed as an confidential internal personell issue. There's no "almost certainly not be told" - you won't be told and that's that! ;D ;D ;D You are quite correct Chris - whatever happened to the train op is confidential......certainly as far as this forum goes anyway. Posting any information about the driver would contravene the forum guidelines on what is considered sensitive material.
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Post by Tomcakes on Mar 13, 2008 0:23:29 GMT
I doubt that internal employee matters are ever made "public" (by that I mean officially released by a source, e.g. in a press statement or similar) unless there are criminal consequences or the like - for example, in an incident which involves a public enquiry, or a criminal trial. (Thinking broader than the railways here).
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Post by Deleted on Mar 13, 2008 0:47:29 GMT
the only time the name of an employee has been made public to my knowledge , is the northfields driver that liked to stick his bag on the handle. his train left him on the platform at kx e/b and continued towards cally road ... he was instantly sacked and prosecuted . and it made the local news . the driver actually served time as well iirc
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Post by metman on Mar 13, 2008 0:50:09 GMT
Blimey! That's not what we like to hear! I hope that never happens again.
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Post by Tomcakes on Mar 13, 2008 0:51:40 GMT
Ah, was that the time a driver was tipping out, but didn't want to shut the cab down or something?
That would, I imagine, be unavoidable - it goes beyond normal disciplinary procedures, and it is a fundamental part of the justice system that it is open.
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