11.07.2015 Views

SANS 3000-1:2009 - Railway Safety Regulator

SANS 3000-1:2009 - Railway Safety Regulator

SANS 3000-1:2009 - Railway Safety Regulator

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<strong>SANS</strong> <strong>3000</strong>-1:<strong>2009</strong>Edition 2j) the name of the station operator (if different from that of the train operator),k) the content of the load of the freight train (if applicable),l) the names of train personnel involved,m) the weather conditions (at the time of the occurrence),n) a description of the immediate natural and built environment,o) the method of train authorization,p) normal or abnormal train working,q) the possible cause of the incident, andr) the number of injuries and fatalities.7.6.5.2 The said regulator shall receive prompt notification of any occurrence that otherwise mightnot have been reported in terms of 7.6 in order to be in a position to respond to queries. Suchqueries might include queries from politicians (on national, provincial and municipal level), thecommunity, local interest groups and the media.8 Occurrence investigations8.1 Operators are encouraged to adopt a just culture to occurrence investigations in which the solefocus will be to determine the facts and the root cause(s) of the occurrence and to makerecommendations to prevent or reduce the risk of recurrence rather than to allocate blame orliability (or both).8.2 In compliance with the provisions of the relevant national railway safety legislation (seeforeword), operators shall establish, develop or adopt, implement and maintain procedures forinvestigating the root cause(s) of occurrences and implementing the corrective action(s) needed toprevent recurrences of occurrences.8.3 The scope and level of investigation shall be determined by the frequency, severity andconsequences, both actual and potential, of the occurrence.8.4 Persons appointed to investigate occurrences shall have the necessary competence andseniority, both in relation to the nature and seriousness of the occurrence, and the scope and levelof the investigation.8.5 Operators shall ensure that their respective occurrence investigation processes provide forcooperation, support in collating evidence, and the undertaking of joint occurrence investigations atthe interface/intraface of railway operations.8.6 Occurrence investigation reports shall be retained by operators (see 5.8.7) and made availableto the relevant national railway safety regulator (see foreword), when required.NOTE Depending on the scope and level of the investigation, and as a minimum recommendation, thecontents of the occurrence investigation report described in annex C should be addressed.26

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