Recommendation Status Report: Near miss with two track workers at Penkridge, Staffordshire
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Superseded: The recommendation has been superseded either by a newer recommendation or actions have
subsequently been taken by the end implementer that have superseded the recommendation.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 Near miss with two track workers at Penkridge, Staffordshire
Report Number 09/2023
Date of Incident 11/07/2022
Rec No. Status RAIB Concern Recommendation RAIB Summary of current status
09/2023/01 Open None The intent of this recommendation is to ensure that appropriate safety ORR has reported that Network
arrangements remain in place when groups split during activities on or Rail has a proposed action plan
near the line. and timescale for delivery to be
taken in response to the
Network Rail should undertake a review of the relevant rules, standards, recommendation. ORR will advise
procedures and training material to ensure that adequate instructions and when the status of this
guidance exist for Persons in Charge and Controllers of Site Safety about recommendation changes.
the actions to be taken when track workers split from a group while on or
near the line. This review should specifically examine how the safety of
the staff being split from the group is maintained and the way in which
modified arrangements will be planned, implemented, briefed and
recorded. Network Rail should develop a timebound programme for the
implementation of any appropriate changes identified (paragraph 106a).
09/2023/02 Closed - I None The intent of this recommendation is to ensure that Persons in Charge and
Controllers of Site Safety are able to maintain appropriate control of the
groups for which they are responsible during activities on or near the line.
Network Rail should undertake a review of how the Rule Book
requirement for COSSs to observe and advise their group is being
undertaken in practice. The results from this review should be used as
required to produce appropriately updated rules, guidance and training
for those planning, approving and implementing safe systems of work
(paragraph 106b).
Created on 03 October 2024