March 21, 2011 | Mark Paradies

Monday Accident & Lessons Learned: Human Error Lessons From a Railroad Accident

The UK Rail Accident Investigation Branch (UK RAIB) has released its report into a fatal accident at Moreton-on-Lugg, near Hereford, 16 January 2010. There are four recommendations to learn from. See:

This was a “human factors” type accident. Here’s a short description from the report about a train colliding with two cars at a railroad crossing:

The level crossing is controlled from the adjacent signal box. The cause of the accident was that the signaller raised the barriers in error when the train was approaching and too close to be able to stop before reaching the level crossing. He had just been involved in an absorbing telephone call that had interrupted his normal task of monitoring the passage of the train. As a result he believed that the train had already passed over the crossing.

See what you think of the report and the lessons learned. Are they applicable to your industry?

Root Cause Analysis
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