Recommendation Status Report: Derailment of a passenger train at Grange-over-Sands
This report is based on information provided to the RAIB by the relevant safety authority or public body.
The status of the recommendation(s), as reported to us, are described by the following categories:
                                                                 Key to Recommendation Status
Open                                 Actions to address the recommendation are ongoing.
 (replaces Progressing and
 Implementation On-going)
Closed                               ORR consider the recommendation to have been taken into consideration by an end implementer and
 (replaces Implemented, Implemented   evidence provided to show action taken or justification for no action taken.
 by alternative means, and Non-
 implementation)
Insufficient response:               The end implementer has not provided sufficient evidence that the recommendation has been taken into
                                      consideration, or if it has, the action proposed does not address the recommendation, or there is
                                      insufficient evidence to support no action being taken.
Superseded:                          The recommendation has been superseded either by a newer recommendation or actions have
                                      subsequently been taken by the end implementer that have superseded the recommendation.
Awaiting response:                   Awaiting initial report from the relevant safety authority or public body on the status of the
                                      recommendation.
RAIB concern over the way that an organisation has responded to a recommendation are indicated by one of the following:
Red – RAIB has concerns that no actions have been taken in response to a recommendation.
Blue – RAIB has concerns that the actions taken, or proposed, are inappropriate or insufficient to address the risk identified during the investigation.
White – RAIB notes substantive actions have been reported, but the RAIB still has concerns.
Recommendation Status Report
Report Title           Derailment of a passenger train at Grange-over-Sands
Report Number          02/2025
Date of Incident       22/03/2024
Rec No.            Status                RAIB Concern     Recommendation                                                                  RAIB Summary of current status
02/2025/01         Awaiting Response     None             The intent of this recommendation is to manage the risk introduced when
                                                          temporary pumping and drainage solutions are installed and remain in
                                                          place for a protracted period.
Building on the work already completed by its North West and Central
                                                          region, Network Rail should undertake a review nationally to understand if
                                                          there are other pumping or drainage assets that were originally installed
                                                          as a temporary measure but that have stayed in operation for a period
                                                          longer than originally anticipated.
Following this review, Network Rail should put arrangements in place to
                                                          ensure that the requirements of relevant standards and procedures are
                                                          correctly applied to any assets identified, and that the associated risks are
                                                          controlled (paragraphs 161a.i, 161a.ii, 162b).
02/2025/02         Awaiting Response     None             The intent of this recommendation is to reduce the likelihood that buried
                                                          services are struck during tamping operations.
Network Rail should review how it can improve the ability of tamper
                                                          operators to detect buried services. This review should include
                                                          consideration of technological solutions that could inform tamper
                                                          operators of approaching buried services and/or which could
                                                          automatically detect and notify operators of their presence.
Once this review is complete, Network Rail should develop a timebound
                                                          programme to implement any improvements identified which will help to
                                                          control the risk of buried services from being struck (paragraph 161a.ii).
Created on 07 April 2025
Recommendation Status Report
02/2025/03   Awaiting Response   None   The intent of this recommendation is to reduce the likelihood of
                                        non-compliance associated with tamping operations at Carnforth
                                        maintenance delivery depot.
Network Rail should review staffing levels within Carnforth maintenance
                                        delivery unit to ensure that it has sufficient resources to deliver its
                                        tamping operations in accordance with the requirements of its own
                                        standards and procedures. This review should specifically consider if
                                        staffing levels are sufficiently resilient to cope with absences, including
                                        when staff are unavailable at short notice (paragraph 162c).
02/2025/04   Awaiting Response   None   The intent of this recommendation is to encourage timely
                                        decision-making in relation to the future of the Winster catchment area in
                                        order to protect the railway from risks arising from temporary mitigations.
The Environment Agency, working in conjunction with Westmorland and
                                        Furness council, the Marine Management Organisation, Network Rail, and
                                        other identified local stakeholders (including those mentioned in this
                                        report), should lead the development of a timebound strategy to respond
                                        to the pervasive flooding adjacent to the railway at this location to avoid
                                        the need to rely on temporary solutions (paragraph 162a).
02/2025/05   Awaiting Response   None   The intent of this recommendation is to reduce the risk of a derailed
                                        train being struck by a train on an adjacent line due to a failure of
                                        communication systems.
Eversholt Rail Leasing Ltd, working in conjunction with Northern
                                        Trains and CAF, should undertake a review of the design of the battery
                                        isolation switch on class 195 trains to see if it can be better protected
                                        from an inadvertent operation during foreseeable accident and incident
                                        scenarios.
This recommendation may apply to other trains operating in the UK with a
                                        similar battery isolation switch arrangement (paragraph 163).
                                                                                                                      Created on 07 April 2025
Recommendation Status Report
Created on 07 April 2025

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