Date of occurrence Location name Fauske station. Longitude

Transkript

1 Occurrence Summary What Location Date of occurrence Location name Fauske station Local time Event type Railway vehicle movement events Level crossing event Level crossing accident Latitude Longitude Description On the 30th of March 2016 a person was hit by train 471 at Fauske station. The accident occured when the person was using the pedestrian level crossing over track 1 at Fauske station. At the same time, train 471 from Trondheim to Bodø arrived at the station. The person was hit by the train and died immediately. Direct Cause descrip Havarikommisjonen mener det er sannsynlig at bruk av smarttelefon og lyd på øret tok bort fokus fra omgivelsene slik at vedkommende ikke oppdaget toget. Txp var tilstede på plattformen og kan, ifølge instruks og dersom det er mulig, gripe inn ved tilløp til uønskede hendelser. Slik Havarikommisjonen ser det, var ikke det mulig i den gitte situasjonen, og det er heller ikke noe de reisende kan basere seg på. I fremtiden er det sannsynlig at flere stasjoner blir ubetjente, og overvåkning og sikring av personoverganger på stasjoner må ta høyde for dette. Dersom tog 471 hadde vært kjørt i spor 2 istedenfor spor 1, ville man unngått at toget krysset personovergangen under innkjøring til stasjonen. Havarikommisjonen mener at man må vurdere sporbruk ved Fauske på nytt, og at dette arbeidet også må gjøres ved andre stasjoner som har tilsvarende kryssinger med passasjerutveksling. Final Report Other Attachments Nam Desc Type Size Last Orga Repo Nam Desc Type Size Last Orga Repo 2016 PDF /2-06 File 137 2/20 Faus 16 ke.p 9:56: df 32 PM 0 ERAIL-REP PUBLIC 1 Thursday, May 18, 2017

2 What Title Level crossing accident, , Fauske station () Occurrence type Railway vehicle movement events Level crossing event Level crossing accident Occurrence Class Serious accident Date of occurrence Local time Events Railway vehicle movement events - Level crossing event - Level crossing accident Descriptions Description On the 30th of March 2016 a person was hit by train 471 at Fauske station. The accident occured when the person was using the pedestrian level crossing over track 1 at Fauske station. At the same time, train 471 from Trondheim to Bodø arrived at the station. The person was hit by the train and died immediately. Description Den 30. mars 2016 ble en person påkjørt av tog 471 på Fauske stasjon. Location name Ulykken skjedde idet vedkommende var i ferd med å krysse personovergangen til spor 1 for å komme til mellomplattformen. Samtidig med dette var tog 471 fra Trondheim til Bodø på vei inn på stasjonen. Personen ble truffet av toget og omkom på stedet. Fauske station Railway System type Railway Country Location type Station Border Country Line type Single track Line number Allowed line speed 40 km/h Km number Latitude Location description Additional location in Location type details Longitude Fixed installations ERAIL-REP PUBLIC 2 Thursday, May 18, 2017

3 Occurrence details Railway vehicles Movement type RU Train speed at mom Vehicle description Long distance passenger train NSB AS Train number Wagons overturned Passengers onboard Other objects involved in the occurrence Other objects Parties involved IM Involved - Jernbaneverket RU - NSB AS Passengers Staff Level crossing users Unauthorised persons Others Total Fatalities Serious injuries Minor injuries Material consequences Material Damage Estimated total mate < 1500 Damage description Images Name Description Type Size Last modified Organization Repository Bilde til Pedestrian image/jpeg /14/2016 nett.jpg level crossing 11:03:41 AM ERAIL-REP PUBLIC 3 Thursday, May 18, 2017

4 Causation Causes Direct Cause description Havarikommisjonen mener det er sannsynlig at bruk av smarttelefon og lyd på øret tok bort fokus fra omgivelsene slik at vedkommende ikke oppdaget toget. Txp var tilstede på plattformen og kan, ifølge instruks og dersom det er mulig, gripe inn ved tilløp til uønskede hendelser. Slik Havarikommisjonen ser det, var ikke det mulig i den gitte situasjonen, og det er heller ikke noe de reisende kan basere seg på. I fremtiden er det sannsynlig at flere stasjoner blir ubetjente, og overvåkning og sikring av personoverganger på stasjoner må ta høyde for dette. Dersom tog 471 hadde vært kjørt i spor 2 istedenfor spor 1, ville man unngått at toget krysset personovergangen under innkjøring til stasjonen. Havarikommisjonen mener at man må vurdere sporbruk ved Fauske på nytt, og at dette arbeidet også må gjøres ved andre stasjoner som har tilsvarende kryssinger med passasjerutveksling. Underlying and root causes description Direct Cause description The (AIBN) finds it probable that the person in question was distracted from observing the surroundings as a result of using a smart phone with ear plugs and did not notice the train. A train dispatcher was present on the platform and, according to the instructions, has the authority to intervene when possible in situations that could give rise to an undesirable incident. In the AIBN s view, this was neither possible in the given situation, nor is it something that passengers should rely on. More stations are likely to be unmanned in the future, and pedestrian crossings must be monitored and secured accordingly. Had train 471 run on track 2 rather than track 1, it would not have had to cross the pedestrian crossing while approaching the station. The AIBN is of the opinion that track allocation at Fauske should be reconsidered, and that this should also be done at other stations where trains pass each other in a similar way and exchange passengers. Underlying and root causes description Causation classification Railway vehicle movement events - Level crossing event - Level crossing accident ERAIL-REP PUBLIC 4 Thursday, May 18, 2017

5 Recommendations Recommendation Issuing information Recommendation title Safety recommendation JB No 2016/06T Recommendation REC End implementer Status Sent to adressee Addressee Issue date Recommendation texts Statens havarikommisjon for transport tilrår Statens jernbanetilsyn å be Jernbaneverket gjennomgå og om mulig endre sporvalg, ved kryssinger med passasjerutveksling, der ankommende tog passerer over en personovergang. The recommends to Norwegian Railway Inspectorate to ask Jernbaneverket to review and, if possible, change the track allocation where an approaching train crosses a pedestrian crossing. Implementation information Implementation status Implementation date NSA Response NIB Comment Recommendation Issuing information Recommendation title Safety recommendation JB No 2016/07T Recommendation REC End implementer Status Sent to adressee Addressee Issue date Recommendation texts ERAIL-REP PUBLIC 5 Thursday, May 18, 2017

6 Statens havarikommisjon for transport tilrår Statens jernbanetilsyn å be Jernbaneverket gjennomgå og presisere sine krav til sikring av personoverganger på stasjoner, sett i sammenheng med en økende bruk av lyd på øret og smarttelefoner. The recommends to Norwegian Railway Inspectorate to ask Jernbaneverket to review and clarify its requirements for securing pedestrian crossings at stations with regard to the increasing use of ear plugs and smart phones. Implementation information Implementation status Implementation date NSA Response NIB Comment Causation links Railway vehicle movement events - Level crossing event - Level crossing accident Investigation details Legal Basis Other reason descrip National rules imposed by implementing of the Safety Directive 2004/49/EC - in light of Article 19, 1 of SD Reporting Body National investigatio Occurrence creation :50:42 Investigator in charge Decision to investigate Declaration date Date of IM/RU notific Report Type Final report Workflow Status Waiting for validation Report Version 2 Investigation Status Closed Other Attachments Name Descriptio Type Size Last Organizati Repositor 0 Final Report Name Descriptio Type Size Last Organizati Repositor ERAIL-REP PUBLIC 6 Thursday, May 18, 2017

7 ERAIL-REP PUBLIC 7 Thursday, May 18, 2017