SYS-CON MEDIA Authors: Ava Smith, Scott Bampton, Elizabeth White, Glenn Rossman, Pat Romanski

News Feed Item

TSB identifies systemic problems leading to Lac-Mégantic train accident and calls for additional safety defences to improve rail safety

LAC-MÉGANTIC, QC, Aug. 19  2014 /CNW/ - The Transportation Safety Board of Canada (TSB) investigation into the Montreal, Maine & Atlantic Railway (MMA) train derailment in Lac-Mégantic, Quebec, concluded that a multitude of factors led to the accident which left 47 people dead. The TSB is now calling for additional physical defences to prevent runaway trains, and for more thorough audits of safety management systems‎ to ensure railways are effectively managing safety.

On the evening of 5 July 2013, an MMA train was parked on a descending grade on the main track in Nantes, Quebec. The engineer applied hand brakes on all five locomotives, plus two other cars, and shut down all but the lead locomotive. Railway rules require hand brakes alone to be capable of holding a train, and this must be verified by a test. That night, the locomotive air brakes were left on during the test, meaning the train was being held by a combination of hand brakes and air brakes, giving a false impression that the hand brakes alone would hold the train. When a fire began in the engine, emergency responders shut off the engine, causing the air holding the independent brakes to leak off, reducing their effectiveness. Without enough force from the hand brakes, the train began rolling downhill toward Lac-Mégantic, just over seven miles away. As it moved down the grade, the train picked up speed, reaching a top speed of 65 mph, and derailing near the centre of town. Almost every derailed car was breached, releasing almost six million litres of crude oil, which ignited into a large fire. An animation of the accident is available on the TSB website.

"Accidents never come down to a single individual, a single action or a single factor. You have to look at the whole context," said Wendy Tadros, Chair of the TSB. "In our investigation, we found 18 factors played a role in this accident.

The TSB found MMA was a company with a weak safety culture that did not have a functioning safety management system to manage risks. The TSB also learned that Transport Canada did not audit MMA often and thoroughly enough to ensure it was effectively managing the risks in its operations. Furthermore, the Board found problems with training, employee monitoring, and maintenance practices at MMA; with industry rules for the securement of unattended trains; and with the tank cars used to carry volatile petroleum crude oil. 

"This investigation and its findings are complex, but our goal is simple: we must improve rail safety in Canada," added Tadros. "That's why, in addition to our three previous recommendations, we are issuing two new recommendations to ensure unattended trains will always be secured, and Canada's railways will have safety management systems that really work to manage safety." She concluded, "This is about governments, railways and shippers doing everything in their power to ensure there is never another Lac-Mégantic."

The TSB is an independent agency that investigates marine, pipeline, railway and aviation transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.

 

SOURCE Transportation Safety Board of Canada

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Compute virtualization has been transformational, yet security policy implementation and enforcement has lagged behind in agility and automation. There are a number of key considerations when implementing policy in private and hybrid clouds. In his session at 15th Cloud Expo, Holland Barry, VP of Technology at Catbird, will discuss the impact of this new paradigm and what organizations can do to...
Can we look to the paradigm of cloud computing from a completely different perspective? In his General Session at 15th Cloud Expo, Gundars Kulups, Sales Director at DEAC, will discuss what we can learn from our dining habits when choosing a cloud solution. Gundars Kulups is Sales Director at DEAC, full service data center operator. An IT expert, he specializes in European countries and has worke...
The 4th International DevOps Summit, co-located with16th International Cloud Expo – being held June 9-11, 2015, at the Javits Center in New York City, NY – announces that its Call for Papers is now open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and ...
SYS-CON Events announced today that SOA Software, an API management leader, will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. SOA Software is a leading provider of API Management and SOA Governance products that equip business to deliver APIs and SOA together to drive their company to mee...
As cloud gives an opportunity to businesses to buy services externally - how is cloud impacting your customers? In his General Session at 15th Cloud Expo, Fabio Gori, Director of Worldwide Cloud Marketing at Cisco, will provide answers to big questions: Do you see hybrid cloud as where the world is going? What benefits does it bring? And how does Cisco connect all of these clouds? He will also te...
SYS-CON Events announced today that TMCnet has been named “Media Sponsor” of SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Technology Marketing Corporation (TMC) is the world's leading business to business and integrated marketing media company, servicing niche markets within the communications and t...
SYS-CON Events announced today that Aria Systems, the recurring revenue expert, has been named "Bronze Sponsor" of SYS-CON's 15th International Cloud Expo®, which will take place on November 4-6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. Aria Systems helps leading businesses connect their customers with the products and services they love. Industry leaders like Pitney Bowes, E...
We live in a time when seconds – even milliseconds – can have a dramatic economic impact on your company’s future. With technology being the primary conduit for consumer interaction, the user experience is at center stage. User experience will be a deciding factor in separating the future winners from the losers. By building more speed and agility into the application delivery process, DevOps prom...
SYS-CON Events announced today that AgilePoint, the leading provider of Microsoft-centric Business Process Management software, will exhibit at SYS-CON's 2nd International @ThingsExpo which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. AgilePoint is the leading provider of Microsoft-based Business Process Management (BPM) software products, has 1,...
SYS-CON Events announced today that Parasoft will exhibit at SYS-CON's 15th International Cloud Expo®, which will take place on November 4–6, 2014, at the Santa Clara Convention Center in Santa Clara, CA. For 27 years, Parasoft has researched and developed software solutions that help organizations deliver defect-free software efficiently. By integrating Development Testing, API/cloud/SOA/composi...