Safety Culture at Interfaces (T143) : R&D Programme: Research Brief

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R&D Programme: Research Brief

Safety culture at interfaces (T143)

Why was this research required? of interest to the participating companies


An earlier safety culture project under the were not just those between companies in
International Union of Railways (UIC) different countries interfacing, but included
Value Added Safety Strategy was interfaces that may exist between or within
completed in 2002. It examined methods companies in the same country,
to assess and improve safety culture. The particularly in the light of deregulation and
case study team from the project fragmentation of the industry.
recommended that UIC carry out further
research on the specific issue of managing How was the research performed?
cultural interfaces. They recognised that The study gave primary emphasis to the
organisations will be required more and first three objectives: the latter objectives of
more to interface with each other as improving safety culture and supporting the
European companies strive for increasing Safety Directive were achieved only
interoperability of their systems, and that partially through the research carried out
safety could be affected where and by applying the SafeCulture toolkit
organisations with different safety cultures developed by the research in pilot studies.
interact. The objectives can be fully realised in the
longer term as the industry uses the toolkit
UIC therefore commissioned the Safety and thereby builds experience on these
Culture at Interfaces (SCAI) project. specific issues.

The research objectives UIC selected SINTEF a Norway based


The principle objectives of this project contractor to undertake the work, which
were: was completed in May 2004.

• To understand current approaches to The steering committee membership


safety culture and the differences comprised representatives from the
between those approaches across rail sponsoring companies:
companies in Europe
• To develop a clear understanding of BV (Sweden), Irish Rail (Eire), JBV
the safety issues that could arise when (Norway), MAV (Hungary), Network Rail
different cultures are required to (UK), ÖBB (Austria), ProRail (Netherlands),
interface with each other RSSB (UK), SNCB (Belgium), and ZSR
• To devise practical techniques to (Slovak Republic).
enable railway organisations to predict
and counteract any problems that The research findings
could arise as a result of new The first part of the study comprised a
interfaces being created between literature review and survey of the rail,
cultures aviation, oil and gas industries for
• To develop a vision and desired information relevant to the interface issue.
characteristics of a future improved
safety culture and improved cultural The key findings were:
interfaces
• To provide support for addressing • Little systematic research has been
interface problems to the Safety carried out into the problem of safety
Directive. culture at interfaces.
• A large number of unproven models
As the work progressed, it became clear to and theories of safety culture have
the steering committee that the interfaces been produced.

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R&D Programme: Research Brief

• Safety culture at interfaces is an conduct of the sessions and how to


important issue (examples of problem assign actions to group members. The
areas found in the literature review protocol is based on actual use of the
concerned inadequate communications method in workshops and pilot studies.
in unplanned situations which occurred • A safety culture questionnaire – to
because of differences in interaction enable the organisations to gain a rapid
patterns in the organisations involved). overview of their key cultural
• Safety culture can be improved and differences before the main analysis
sufficient material is available to commences. This establishes a
produce a working methodology common language for discussion of
• The most successful methods comprise safety culture and can identify potential
elements of interview, observation and safety issues for the analysis
event analysis i.e. a ‘triangulated’ • A checklist of ‘structural differences’
approach rather than a single tool (e.g. that could exist between organisations
a questionnaire). to help identify possible interface
‘scenarios’ of interest:
From the information gathered in the
review and survey and with input from the − Infrastructure (Signalling systems,
project steering committee, SINTEF Communication equipment and
developed a method known as Rolling stock)
‘SafeCulture’. This comprises a number of − Organisation (structure,
tools and checklists to facilitate the responsibilities, management
analysis of safety culture at interfaces. policies and routines to co-operate
cross interfaces)
Performing a SafeCulture analysis − Routines (procedures, rules,
SafeCulture is a toolkit for use in a group manuals and checklists)
setting and focuses on the analysis of − Environment (climate/nature,
typical risk ‘scenarios’. An example is the legislation, authorities and
scenario where a train could enter a inspectorates (structure and
section of track which is already occupied policies), languages)
by another train. − Individual and Team (training,
competencies and collaboration)
Organisations with potential interface
issues will meet to examine such scenarios • Outline descriptions of 9 typical
in detail. In particular, the groups will scenarios – the group can use these
consider whether any ‘safety critical and develop alternative scenarios
functions’ could be compromised in the specific to their own predicted problem
scenarios they envisage. They will ensure areas:
that appropriate strategies are developed
to reduce the impact of cultural differences S1 Initiating emergency stop of train
on these safety critical functions. S2 Approach to level crossing
S3 Events before and after SPAD
SafeCulture provides a number of tools to S4 Detection of errors in track routing
help in the scenario analysis: S5 Depart station
S6 Assisting a failed train as a result of
• An overall protocol for conducting a traction power
SafeCulture analysis with advice on S7 Accident and incident response to a
analysis team composition, an agenda, major train accident
a standard letter of invitation to a 2-day S8 Accident because of differences in
workshop, time estimates for each Infrastructure
analysis activity, general tips about the

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R&D Programme: Research Brief

S9 Maintenance scenarios (work on German and Dutch. The English language


track) version can be found on the RSSB website
by following the link provided at the end of
• A description of key safety critical this research brief.
functions (SCF) that the group can use
within the analysis (a safety critical As the methodology is used more widely,
function is a function of a system for information on best practices adopted by
which a malfunction would immediately various rail industry organisations will be
increase the risk of injury, or damage to incorporated in the main report and will be
health). SCF are related to: available on the SafeCulture website.

− Normal operation
− Ordinary traffic disturbances Contact
− Technical failures in signalling Richard Wheldon
system/Central Train Control (CTC) Head of management research
system Research and Development programme
− Degenerated infrastructure Rail Safety and Standards Board
− Work on the track richard.wheldon@rssb.co.uk
− Deficiency on rolling stock
− Cross border activity or
• The ‘STEP’ method (Sequentially Mr. Gradinariu
Timed Events Plotting) – originally Department of Infrastructure
developed as an accident investigation International Union of Railways (UIC)
tool but used here proactively by the gradinariu@uic.asso.fr
groups to graphically represent the
scenarios they are examining
• A checklist specifically to identify safety
challenges related to collaboration and
communications at interfaces

An example of a STEP analysis is included


on page 4 of this research brief.

Next steps
The methodology has been deployed to
date in workshops in Paris and Oslo and in
three pilot studies in Hungary, Sweden and
the United Kingdom. The feedback has
been very positive and resulted in a few
changes made to the original methodology.
Some of the organisations involved in the
pilot studies have already used the
information generated in these exercises to
implement practical solutions to the safety
culture interface issues identified during
the pilot trials.

The methodology is currently available


from the UIC in English, French and
Hungarian and is to be translated into

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R&D Programme: Research Brief

Example of a STEP Analysis

22/8-2003

SAFETY PROBLEMS
TIME LINE 1 2

ACTORS
MAINTENANCE ACTIVITIES RTCC ~ RAIL TRAFFIC CONTROL CENTRE
ON TRACK TIMELY TC ~ TRAFFIC CONTROLLER
MAINTENANCE INFORMED TO TCB

TCB RECEIVES REPORT TCB INSTRUCTS


TRAIN CONTROLLER AND INFORMS THAT TRAIN DRIVER B TO CROSS TO
AT RTCC COUNTRY B B WILL CROSS TO TRACK 2 TRACK 2 TOWARDS
FROM STATION 2 STATION 1

DRIVER TRAIN B DRIVER B RECEIVES


INSTRUCTION TO
NORTBOUND
CROSS TO TRACK 2

TRAIN B CROSS TO
TRAIN Y TRACK 2 TOWARDS
NORTHBOUND STATION 1

TCA RECEIVES
INFORMATION AND TCA INSTRUCTS DRIVER
TRAIN CONTROLLER UNDERSTANDS TRAIN B A TO CONTINUE ON
AT RTCC COUNTRY A CROSSING TO TRACK 2 FROM TRACK 2 TOWARDS
STATION 3 STATION 2

DRIVER A RECEIVES COLLISION


DRIVER TRAIN A INSTRUCTION TO
SOUTHBOUND CONTINUE ON TRACK 2
TOWARDS STATION 2

TRAIN A TRAIN A CONTINUES


SOUTHBOUND ROUTE ON TRACK 2
TOWARDS STATION 2

DEVIATIONS / SAFETY PROBLEMS:

1. SAFE CRITICAL FUNCTION SCF 1.1 ENSURING THAT A TRAIN DO NOT ENTER A SECTION WHICH IS OCCUPIED BY ANOTHER TRAIN

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