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Australia: State Labor government tries to find scapegoats
for train disaster
By Terry Cook
27 January 2004
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A damning 435-page report released this month into last years
Waterfall train disaster has blamed the management of former New
South Wales (NSW) State Rail for the accident, the worst in 26
years.
Seven people, including the 53-year-old train driver Herman
Zeides, were killed and about 42 passengers suffered injuries
on January 31, 2003, when the Tangara passenger train hit an embankment.
The train suddenly increased speed and jumped the tracks after
leaving Waterfall railway station, about 40 kilometres south of
Sydney.
The inquiry, which was headed by Justice Peter McInerney, concluded
that the crash was the failure of the trains deadman
brake to operate after the driver suffered a heart attack.
While the NSW Labor government previously attempted to blame the
deceased driver for the disaster, the report exonerated Zeides,
declaring that he had not contributed to the accident through
recklessness or carelessness.
It also found that the trains guard, William Van Kessel,
whose role over past months has been the subject of considerable
adverse media speculation, was unable to respond adequately during
the accident. Van Kessell, the inquiry said, had not been properly
trained to cope with emergency situations, was suffering fatigue
at the time of the accident because of his rostering, and was
unaware of problems with the deadman brake.
Pointing to what it termed a pervasive lack of safety
awareness and weak safety culture at managerial
levels, the inquiry revealed that State Rail management had ignored
reports made as early as 1988 warning that the deadman brake on
Tangara trains may not have been foolproof.
At least three reports by consultants and experts between 1992
and 1996 said that the device, which activates the braking system
if the driver fails to keep constant pressure on a floor pedal,
was inadequate. They warned that the brake could be overridden
by the passive weight of an unconscious mans leg and recommended
the urgent installation of a backup Vigilance Control System,
which would require drivers to periodically press a button indicating
that they were alert. The advice, however, was not acted on.
The Waterfall inquiry report pointed out that despite these
serious warnings no appropriate testing was carried out.
It declared that State Rails cursory attitude was,
and remains, indefensible, given that a critical piece of safety
equipment was involved.
The inquiry also uncovered other safety issues, including the
lack of proper emergency training for rail staff, failure to fix
reported hazards, rostering that ignored the dangers of fatigue,
and an unsatisfactory medical checking system for staff. State
rail medical examiners failed to establish that Zeides was suffering
from a chronic heart condition. His post mortem revealed that
one of the two arteries supplying blood to his heart was 90 percent
blocked.
As soon as the report was released NSW state premier Bob Carr
called a press conference and denounced rail management, blaming
them for the accident. Flanked by current Minister for Transport
Michael Costa and Carl Scully, the former transport minister,
Carr said that his government would shake this organisation
[the railways] until managers become safety fanatics.
While claiming that the Labor government took full responsibility
and would ensure fair compensation for crash victims,
Carr declared, however, that his ministers were not to blame and
defended Scully, who held the public transport portfolio at the
time of the disaster.
Carr claimed that numerous safety problems with the Tangara
trains, including the faults with the deadman brake, had been
kept from Scully and previous transport ministers and rail CEOs.
Echoing Carr, Costa said: I blame management. Management
allowed this to happen.
A few days later Arthur Smith, former deputy chief executive
of State Rail, and Ron Bruce, a project manager in the capital
works department and head of the Tangara project, were sacked
and denied termination payments.
Carrs denunciations of rail management are a cynical
attempt to prevent any connection being made between the Waterfall
disaster and the state governments cost-cutting policies.
One of the first actions taken by the Carr after coming to
power in 1996 was to break up the State Rail Authority into three
separate stand-alone commercial entities responsible for various
aspects of railway operations and management given orders to cut
costs. This was in line with big business demands for cuts in
public spending and the preparation of profitable sections of
public transport for privatisation.
A host of cost cutting measures were undertaken in all three
sectionsState Rail, Rail Access Corporation and Rail Services
Australia. Many of these impacted directly on safety, creating
the conditions for major rail disasters. Long-standing problems
with crucial infrastructure, such as serious disrepair of scores
of rail bridges, were deliberately ignored; maintenance on rail
lines and signaling equipment was drastically cut back or outsourced;
and many hundreds of staff, essential for the safe running of
the rail system, were axed.
While State Rail managers are immediately responsible for the
Waterfall disaster, managers of the state-owned service do not
operate in a political vacuum. Their actions were guided by government
directives to slash costs, or else. Proper safety standards on
the other hand inevitably require time and moneyinvestment
in adequate staffing, training and up-to-date equipment.
For example, the recommendation to install Vigilance Control
Systems in trains was ignored because it would have cost over
$33 million, a substantial outlay for sectional heads under government
pressure to cut costs. In fact, these devices are only now being
installed because of the Waterfall inquiry, years after it was
recommended, and will not be completed until March.
Even the fact that Zeides heart condition went undetected
is related to the governments rigid financial guidelines
and its demands for the maintenance of on-time train schedules.
Under these conditions releasing drivers and other key personal
for regular medical checks, or of relieving them of duty on full
pay until a clean bill of health could be established, would have
been out the question.
Drivers with diminished capabilities because of advancing age,
poor healthoften the result of highly stressful employment
conditionshave been required to continue working because
of the cost involved in placing them in other jobs on the same
wage and the cost of training the needed replacements.
Helen Willoughby, spokesperson from the newly formed RailCorp,
highlighted the acute shortage of train drivers on January 16.
She revealed that the organisation currently employs only 1,230
drivers who were reaching retirement age at the rate of 10 a month.
Willoughby admitted that even if existing train drivers did the
maximum amount of overtime allowable, they could not provide a
full rail service.
While the state government has announced that new standards
for medical examinations would be introduced next month for drivers,
guards, signalers, train controllers and other critical rail staff,
it is also using the situation to implement cuts to services.
RailCorps chief executive Vince Graham said that his officers
would develop a hierarchy of cancellations, including
cuts to weekend timetables and low capacity services.
Costa said he expected these disruptions to continue for more
than six or eight months.
Costa has now reintegrated all three corporations into the
new entity RailCorp, but the same commercial considerations will
continue to dominate. This was made clear last April when he rejected
recommendations that the government allocate $1.5 billion emergency
funding for rail services, saying that problems could not be fixed
by throwing money at them. Just weeks ago Costa confirmed that
despite widespread public opposition he was considering a new
round of cost cutting measures including the closure of a number
of country train services and job layoffs in the next 12 months.
Despite Carrs denials, his government is fully responsible
for the parlous state of the NSW rail system. This was previously
highlighted by the train collision at Glenbrook near Sydney in
1999 that claimed seven lives. The inquiry into that disaster,
also headed by McInerney, said it was caused by inadequate rail
maintenance, equipment breakdowns, poor communications and monitoring
systems. It also determined that rail management was pressed to
maintain on-time running at the expense of safety.
The Glenbrook inquiry also recommended establishment of a totally
independent transport safety regulator free of commercial
considerations. This was ignored.
Instead, the government announced the establishment of a Transport
Safety and Reliability Regulator whose responsibilities included
overseeing train reliability and on time runningtwo competing
and incompatible tasks. In other words, under pressure of tighter
budgetary constraints and reduced manning levels, the same so-called
regulatory body was given an impossible taskto improve safety
while boosting productivity.
No one should be fooled that the Carr governments decision
to sacrifice a couple of managers will produce any change in the
policies that produced the Waterfall rail crash. The governments
ongoing attempts to find scapegoats are a sure sign that its cost
cutting measures will continue, regardless of the social consequences.
Inevitably, further accidents will occur with the potential for
even greater losses of life.
See Also:
Australia: Seven die
in rail crash near Sydney
[5 February 2003]
Report into Australian
rail disaster shows government decisions undermined safety
[1 June 2001]
The New South Wales
rail systema disaster waiting to happen
[14 August 1999]
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