Recommendation Status Report: Uncontrolled evacuation of a partially platformed train at Clapham Common London Underground station
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Superseded: The recommendation has been superseded either by a newer recommendation or actions have
subsequently been taken by the end implementer that have superseded the recommendation.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 Uncontrolled evacuation of a partially platformed train at Clapham Common London Underground station
Report Number 03/2024
Date of Incident 05/05/2023
Rec No. Status RAIB Concern Recommendation RAIB Summary of current status
03/2024/01 Open None The intent of this recommendation is for London Underground to review
how it enables its staff to effectively respond to out-of-course events
which may occur when a train is positioned partially in a platform.
London Underground should undertake a risk-based review of its current
Rule Book, operating procedures and associated training material
considering the findings from this incident. This review should seek to
ensure that staff have clear guidance and instructions regarding the
actions to be taken when dealing with out-of-course events, such as
emergency evacuations, on trains that are partially positioned in a
platform. The review should particularly examine how staff communicate
with passengers during such events and if existing guidance and
instructions enable staff to make effective decisions in the timeframes
typically available during such events. London Underground should make
any changes to rules, procedures and training material identified as
appropriate following this review. London Underground should also
ensure that any changes are appropriately briefed and trained to relevant
train operations, station and control staff. This training should, where
appropriate, include practical elements such as simulation exercises
(paragraphs 154a, 154b and 155a).
03/2024/02 Closed - I None The intent of this recommendation is for London Underground to ensure
that learning from previous incidents is not lost and that safety
recommendations are captured and tracked through to implementation.
London Underground should continue its review of its processes for
learning lessons from operational experience. This review should ensure
Created on 07 April 2025
Recommendation Status Report
that it is robustly applying and retaining the safety learning identified from
accidents and incidents and using this information to enhance its
understanding and control of risk (paragraph 155b).
03/2024/03 Open None The intent of this recommendation is for London Underground to review
its risk assessment processes to ensure that the risks associated with out-
of-course incidents involving trains and stations are effectively identified
and assessed.
London Underground should review its risk management processes to
ensure it is able to identify and effectively assess the risks associated with
low frequency and potentially high-impact incidents involving trains and
stations, such as passenger self-evacuation from partially platformed
trains. As part of this review, London Underground should consider if the
effect of factors associated with specific locations which could pose an
increased risk to passengers, such as stations with narrow island
platforms, is being appropriately considered within risk assessment
processes (paragraph 155c).
Created on 07 April 2025