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SHARE THIS STORY: MANITOBA TRAIN COLLISION IN 2019 DUE TO CREW FATIGUE,
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MANITOBA TRAIN COLLISION IN 2019 DUE TO CREW FATIGUE, INEXPERIENCE: SAFETY BOARD

Author of the article:

The Canadian Press
Brittany Hobson
Publishing date:
Aug 24, 2022  •  August 24, 2022  •  3 minute read  •  Join the conversation
The Transportation Safety Board logo is seen in this undated handout photo. The
TSB is expected to issue two recommendations following an investigation of a
2019 train collision and derailment that happened west of Winnipeg.THE CANADIAN
PRESS/HO-TSB *MANDATORY CREDIT* Photo by HO /The Canadian Press


ARTICLE CONTENT

WINNIPEG — The Transportation Safety Board says a 2019 train collision and
derailment west of Winnipeg was the result of crew fatigue and inexperience and
has made recommendations to prevent similar accidents in the future.


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“If Transport Canada and the railway industry do not act more quickly to
implement physical fail-safe defences to reduce the consequences of inevitable
human errors, the risk of collisions and derailments will persist with a
commensurate risk to people, property and the environment,” board chair Kathy
Fox said Wednesday.


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ARTICLE CONTENT



Two freight trains, both carrying dangerous goods, derailed near Portage la
Prairie, Man., in January 2019. The investigation found the train travelling
eastbound collided with the tail end of the train heading westbound after the
crew failed to follow signals to stop in time.



Two locomotives and eight freight cars went off the tracks.



The agency said a diesel leak was detected at the time, but it was contained.


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ARTICLE CONTENT



Crew members from the train travelling east had to jump from the locomotive and
were treated for minor injuries.



The board found the engineer on the eastbound train had missed a signal to stop
because of fatigue and the conductor on the same train deferred to the engineer
because of inexperience on the job.



Fox said the engineer was fatigued due to inconsistent rest periods during the
two days leading up to the accident.



“Fatigue management has been an issue of concern on the Transportation Safety
Board watch list since 2016.”



The Transportation Safety Board said Transport Canada should implement physical
fail-safe train controls more quickly on Canada’s high-speed rail corridors,
which would act as backup safety defences against human error.


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“When a crew does not follow signal indication, the administrative defence
fails. In the absence of a physical defence, there’s no automatic intervention
to slow or stop a train, as was the case in this accident,” said Fox.



Having enhanced train control measures means a system would automatically
intervene to bring the train to a controlled stop if a crew goes past the signal
indication when they’re not supposed to, said Rob Johnston, a manager with the
board.



“Essentially, it would prevent an accident, something like this.”



The agency also recommends Transport Canada require railways to bolster their
training for employees.



They suggest a formal crew resource management training model become a
requirement for railway operating employees. This model focuses on crew
communication, situational awareness and problem solving.


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“When there’s a difference in experience between operating crew members … a
less experienced crew member may not always intervene to ensure compliance with
all of the rules,” said Fox.



The board said it has investigated eight other rail occurrences since 1996 in
which similar practices were identified factors.



The agency has also been pushing Transport Canada for physical fail-safe
measures for the past two decades.



“We feel there’s a sense of urgency that’s lacking,” said Fox.



In a statement Wednesday, Transport Canada said it is reviewing the safety
board’s investigation report and the minister of transport is to respond within
90 days.



“Transport Canada monitors railway companies for compliance with rules,
regulations and standards made under the Railway Safety Act through risk-based
audits and inspections,” it said.



“The department conducted over 35,000 rail safety inspections last year and does
not hesitate to take enforcement actions in the interest of public safety.”



The department said it is working with other government agencies and industry
for the rollout of enhanced train control technology.



This report by The Canadian Press was first published Aug. 24, 2022.







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