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view document PDF (1.8Mb download)The management of safety in Railtrack - A Review by the Health and Safety Executive

Document Summary

A report on safety management arrangements in Railtrack following the high speed collision at Ladbroke Grove in 1999.

This document was published in 2000 by Health and Safety Executive.

It was written by Health and Safety Executive.


This item is linked to the Accident at Ladbroke Grove on 5th October 1999


The original document format was Paper, and comprised 144 pages.

This document was kindly sourced from Office of Rail Regulation and is in our Safety reports collection. It was added to the Archive on 1st June 2009.

Copyright Information

This document is Crown Copyright, and is subject to the terms governing the reproduction of crown copyright material. Depending on the status and age of the original document, you may need an OPSI click-use license if you wish to reproduce this material, and other restrictions may apply. Please see this explanation for further details.

"This is a report of a review of safety management arrangements within Railtrack carried out by HSE. The review was commissioned by the Deputy Prime Minister following the Paddington rail crash on October 5 1999. The review began on October 21 and was completed on November 18 1999.

The review team was made up of 14 inspectors from across HSE and one from the Civil Aviation Authority. HSE staff came from a variety of disciplines and sectors including nuclear, offshore, chemicals, manufacturing, railways and HSE's Operations Unit.

During the review the team spent time at Railtrack's headquarters and in 3 Railtrack Zones: London North Eastern, based in York; East Anglia, based in London; and Midlands, based in Birmingham. Team members also held discussions with one contracting company working for Railtrack and with a train operating company.

There are a large number of safety related topics which could have been examined during the review. The team had to work to a short time scale and broad remit which meant that, of necessity, it had to be selective in its approach. A sample of Railtrack's activities were examined to provide a view on the company's arrangements for managing safety. There was a limit to how far the information obtained from interviews and documents could be verified in practice. Interviews were held with staff down to supervisor level and it was not possible in the time available to assess safety on site. Trades Union safety representatives in the Zones visited were kept informed of the review. "

Timeline:
TPWS introduction

30th July 1999
Railway Safety Regulations 1999

8th October 1999
Train Accident At Ladbroke Grove: First HSE Interim Report

1st November 1999
Ladbroke Grove: HSE Enforcement and Other Action since the Accident

November 1999
Train Accident At Ladbroke Grove: Second HSE Interim Report

2000
The management of safety in Railtrack - A Review by the Health and Safety Executive

February 2000
Automatic Train Protection for the rail network in Britain: A study

24th February 2000
The Southall Rail Accident Inquiry Report

April 2000
The Southall Rail Accident Inquiry Report: HSC Action Plan Progress Report To End February 2001

14th April 2000
Train Accident At Ladbroke Grove: Third HSE Interim Report

May 2000
The Southall Rail Accident Inquiry Report: HSC Action Plan to implement recommendations

August 2000
Supplementary Report to Automatic Train Protection for the Railway Network in Britain – a Study

September 2000
Southall Rail Accident Inquiry Report: Summary of progress on the Health and Safety Commission's Action Plan to end August 2000...

December 2000
The Train Collision at Ladbroke Grove 5 October 1999: A Report into the Investigation

29th March 2001
The Joint Inquiry Into Train Protection Systems

19th June 2001
The Ladbroke Grove Rail Inquiry: Part 1 Report

19th June 2001
Track and Driving Diagrams to the Ladbroke Grove Rail Inquiry

20th September 2001
The Ladbroke Grove Rail Inquiry: Part 2 Report

November 2001
Ladbroke Grove Rail Inquiry Part 1 Report - HSC's Action Plan

December 2001
Ladbroke Grove Rail Inquiry Part 1 Report - HSC's Action Plan: Progress Report

2002
Railway Safety - Assessment of Railtrack's Management of Multi-SPAD Signals

February 2002
Southall Rail Accident Inquiry Report: Progress on the Action Plan Relating to the Recommendations at February 2002...

March 2002
The Ladbroke Grove Rail Inquiry Part 2 Report: Progress Report

April 2002
The Southall Rail Accident Inquiry Report: Summary of Progress At February 2002

November 2002
Report on Overall Progress on All Recommendations from the Rail Public Inquiries

August 2003
Report on Progress on the Remaining Recommendations from the Rail Public Inquiries

14th September 2004
Report on Progress on the Remaining Recommendations from the Rail Public Inquiries

March 2005
HSC report on overall progress as of March 2005 on the remaining recommendations from the Rail Public Inquiries...

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