Safe railways for Australia

ATSB report: Signal ME45 passed at danger, involving suburban passenger train 1A21, Bowen Hills, Brisbane, Queensland, 26 August 2017


3 April 2018

The Australian Transport Safety Bureau has released the final investigation report into an incident on 26 August 2017 involving a ‘signal passed at danger’ by suburban passenger train 1A21 in Bowen Hill, Queensland.

Report summary

At about 0948, suburban passenger train 1A21 exceeded its limit of authority by passing signal ME45 while it displayed a stop indication. The driver of the train was distracted on approach to Bowen Hills station and was further distracted after departing from the station. The sequence of distractions led to the driver overlooking risk control measures that would normally be applied when approaching a stop signal. This resulted in the driver applying the brakes too late to stop before the signal. The signal had been placed at ‘stop’ to define the limit of a Track Occupancy Authority, which was in the process of being lifted for normal operations.

This incident serves as an important reminder to train drivers that distraction while operating trains is a hazard which increases risk. To manage the risk appropriately, drivers are required to follow a robust risk-based approach. This includes applying the appropriate procedures and control measures

Investigation Report: Signal ME45 passed at danger, involving suburban passenger train 1A21, Bowen Hills, Brisbane, Queensland, 26 August 2017