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Thoughts On Derailment 12.12.2021
Thoughts On Derailment 12.12.2021
Thoughts On Derailment 12.12.2021
I have been engaged in many derailment investigation cases and have gathered wide
experience in this field. I have tried to ease the difficulties faced by the members by
providing data to be recorded/ collected/ measured/evidences to be noticed while
conducting investigation cases of derailment and prepared these documents which
are not available in one place or easily found. I have referred, different manuals,
circulars, correction slips issued time to time from Railway Board, books published by
Railway authorities or private writers on this subject matters, derailment
investigations and inquiry reports & also my own field experience in derailment
investigation for more than 2 decades. I have tried my very best to provide enough
field documents required in this presentation.
PRESENTED BY -
DERAILMENT MECHANISM
1. REDUCTION IN INSTANTANEOUS
WHEEL LOAD (Q).
2. INCREASE IN FLANGE FORCE (F).
When the increase in flange force is greater
than. the reduction in instantaneous wheel
load, there is a short and distinct travel mark
on the rail table.
• Prevent loss of human lives by providing medical aid to the injured person within the golden hour.
• Be prompt in providing relief, re-assurance and comfort to the affected Passengers.
• Seek assistance of Doctors traveling on the train to attend the injured.
• Arrange for refreshments and drinking water free of charge to the affected passengers.
• Give timely information to the passengers.
• Collect details of the dead/injured passengers.
• Record evidence of passengers with their names and addresses.
• Arrange for safeguard of Railway and Passengers property.
• Assist other railway staff and the Medical Team to identify the dead and in rendering first-aid to the
injured passengers.
INVESTIGATION TEAM MUST KNOW
• HOW TO TAKE MEASUREMENT OF TRACK AT SITE AND ROLLING STOCK AND LOCOMOTIVE AT
SHED OF DERAILMENT INVOLVED STOCK.
• EVIDENCE OF MARKING OF FLANGE TRAVEL ON RAIL TABLE TO BE RECORDED AND RAIL PROFILE
TO BE TAKEN.
• TO FIND OUT THE REASON OF CLIMBING WHEEL ON RAIL TABLE, RAIL & WHEEL PROFILE PLAY
VITAL ROLE HENCE TO BE TAKEN CAUSESLY.
• REPLACEMENT OF ATTENTION OF TRACK SUCH AS RAIL, TONGUE RAIL AND ITS FITTING CARRIED
OUT AS PER SCHEDULE OR NOT.
• ALL THE SCHEDULE OF TRACK, STOCK AND LOCOMOTIVE TO BE NOTED.
HOW TO TAKE MEASUREMENT
AT THE TIME OF DERAILMENT
• Ahead of site of derailment the station should be taken
positive (+ ve) & rear of site should be negative (-) .
MARKING OF
track gauge with higher super elevation
and sudden change in super elevation,
higher super elevation slow speed train
FLANGE TRAVEL 3.
derailed.
Single travel marks 3 -10 mts. (> 3 mtrs.) on
rail table gradual derailment– off loading,
ON RAIL uneven loading of consignment, sudden
change of super elevation or less super
elevation higher speed train derailed ,
suspension arrangement of vehicle.
4. Several flange travel marks on rail table –
serious track deformation or track fault
occurred , sudden failure of discontinuity of
track or obstruction on track.
5. Flange travel marks inside the track –
wheel breakage, spread gauge due to
failure of track fittings.
DERAILMENT
CO-EFFICIENT
At the time of derailment when flange
force (Y) is in the process of climbing
on rail, its ratio or comparison with the
instantaneous wheel load (Q) is called
1403 Dn Godavari Express had derailed while negotiating a left-hand curve, the driver
saw bend in track ahead of him and applied emergency brakes.
coefficient.
When it happens ;
b) Corrosion had also eaten the metal liners and foot of rail section thus
contributing to the decrease in toe load,
CRS Recommendation :
a) No LWR should be under jurisdiction of two SE/P. Ways
b) De-stressing should be carried out at one temperature and in shortest
time not exceeding a week in any case.
DERAILMENT OF 1033 BOMBAY VT – LUCKNOW PUSHPAK
EXPRESS AT BHUPAL DIV ON 12.10.1996
Engine and coach next to it and rearmost five coaches were on rail, while
12 other Coaches had derailed.
Defect: The tongue rail of SEJ had broken at the location of the change of
section at the foot of rail.
SEJ located on the LHS rail had been fractured with the left hand
rail dislodged
Reason: Failure of SEJ due to reduced fracture toughness arising out of gas
cutting in manufacturing process and structural weakness due to
inadequate sleeper support.
CRS Recommendation:
Turn out is 52 kg 1in 12 RH T/O with straight switch on wooden sleeper located on left
DERAILMENT hand curve.
OF 2628 NEW
Cause :
DELHI – a) Gauge/ versine variations exceeding tolerances prescribed and a gap in
BANGALORE tongue rail. Variation in alignment up to 6-station rear was found 0 to42 mm.
EXPRESS AT ON b) Both cant and versine variation beyond permissible limits.
03.03.97 ON c) Gauge at ATS was +8mm.
JHANSI – BINA d) Wheel flange thickness less by 1mm limit.
SECTION OF e) Wheel diameter difference of 2mm on same axle.
JHANSI DIV. CRS Recommendation :
a) RDSO/LKO to precisely lay down gauge tolerances in turnout especially on
the switch portion.
b) Zero missing fittings to be ensured.
c) No two consecutive sleepers should be allowed without rubber pads.
Derailment of Diwa – Sawant wadi passenger train of
50105 – Loco and 07 coaches derailed on 04.05.2014.
• Passenger died in accident – 23 nos.
• Passengers sustained grievous injuries – 37 nos.
• Passenger got minor injury – 50 nos.
• Damage Cost – 2.98 Cr.
• Km – 135/3172 135/765
• Right hand curve – 5 Degree.
• Cant – 75 mm
• Permanent speed restriction – 65 Kmph
• Falling gradient – 1:125
• Rolling mark on fracture rake – 880/52/O/SAIL/VIII/1992 - D
• Rail and weld fracture in PNVL-ROHA section (Rail fracture prone area)
• in last four years – 164 nos.
• In Central Railway D - Mark rail (presence of hydrogen in rail) available - 698 KM
• Point of Mount – 0.67 mm ahead of Rail fracture.
• Point of Drop – 2.13 mm
• Raging distance – 117 m
• GMT – 21.4 - 52 kg rail (525 – 09 UTS rail)
• Due to non-availability of traffic block - deep screening not done
• Average time taken for maintenance of rake – 3.15 hrs. (Stipulated period – 6 hrs).
• Time taken for examination – not adequate
• Staff strength – not adequate
• Loco side bearer plate locating spigot is not available with chassis(Superstructure)
• Corresponding side bearer plate – Locating spigot found inside
• Officers Tenure – (Sr DEN – DEN of the section) – 4 to 11 months.
• Provisional finding of CRS – System failure.
RAIL
FRACTURE
AND
LOCATING
SPIGOT
BROKEN OF
SIDE BEARER
OF ENGINE OF
DIWA –
SAWANTWADI
PASSENGER
CRS recommendation
• High output track machine required – if not available then 02
track machine at a time.
• Voice recorder to be introduce to filter noise in engine
• Software supported rail fracture/Manufacture technology to
be used
• Patrolling of D/Mark rail round the clock and replacement on
priority
• Provision in Guard van should have speedometer with speed and
voice recorder
• Railway should take MOU (memorandum of understanding between
parties) with various ambulance service.
• The sectional officer should have adequate tenure.
• Premature failure of rail and weld manufacturer should be
penalized
• Platform length should be increased.
Sr. Failure type % of
ACCIDENT No. Failure
TYPE 1 Rail Fracture 44 %
STATICS 2 Distortion of track 24 %
ON CRS
REPORT 3 Derailment due to 12 %
failure of turn out/ SEJ
4 Other 20 %
DERAILMENT OF EMPTY RAKE OF 12138 PANJAB MAIL AT CST YARD ON 10.09.2014
WHILE NEGIOTIATING RIGHT TURN CURVE.
• Cause for derailment on Wheel diameter difference Left shorter than right side, and left
wheel mounted on left rail –
• Positive angularity of larger diameter wheel and negative angularity of shorter diameter
wheel while moving on straight track.
• It should cause climbing over of larger diameter RHS wheel disc due to its positive
angularity at leading edge.
WHEEL GAUGE
VARIATION IMPACT
1. If
the wheel gauge is more than permissible limit,
there exists a possibility of a relatively newer
wheel hitting the nose of crossing. This happens
because the wheel gauge is one of the
parameters affecting the clearance at check rail
opposite the nose of crossing.
• These fastening hold the rail with sleeper under continuous vertical
pressure (i.e. toe load), and provide longitudinal /creep resistance in
both the directions.
• Rubber pad resist shock & vibration, lateral movement of rail & electric
insulation.
• This fastening is the force by which clip holds the rail flange with the
sleeper i.e. toe load. During service, actual toe load depends upon :
a) In effective rubber pads
b) Over driven /under driven ERC
c) Broken insulating liner.
Insert distance
ELECTRONIC
TOE LOAD
TESTING
MACHINE
PERIODICITY
OF THE TOE
LOAD
MEASUREMENT
POINT &
CROSSING
FABRICATED & CMS CROSSING
OBTUSE CROSSING
A VIEW OF THE EXPANSION JOINT MAX PERMISSIBLE LIMIT
IS 120 MM
TONGUE RAIL
STOCK RAIL
IMPROVED
SEJ
IMPROVED
SEJ (RT-
6902) MAX
GAP 80 MM
POINT AND CROSSING
CURVE
CURVE
DETAIL OF
ANY
LOCATION
IS
AVAILABLE
IN
GRADIENT
CHART
GRADIENT CHART
RAIL PARAMETERS
• Classification of rails.
• Measurement of rail profile- various methods.
• Wear of the rail – vertical and lateral wear.
• Reduction in cross section of the rails.
• Rail fractures.
• Ultrasonic testing of rails.
RAIL
SECTION
RECOMMENDED RAIL SECTION FOR 22.1 TON AXLE LOAD
RAIL
WEAR
g
The entire Ballast of Track should be Deep Screened at least once in ten y ears OR 500GMT Whichever is Earlier.
This Improves Cross Drainage of Water and Improves Elasticity of Cushion which further gives Good Riding Quality .
•Rails have a tendency to move gradually in the direction of the dominant traffic is
call creep
•(a) Inadequate toe loads of the rail to sleeper fastening and rails not secured
properly to sleeper.
•(b) Inadequate ballast resistance to the movement of sleepers.
•(c) Inefficient or badly maintained rail joints.
•(d) Rails too light for the traffic they carry.
•(e) Improper expansion gaps.
•(f) Broken sleepers, uneven spacing of sleepers.
•(g) Lack of proper drainage.
•Creep posts should be erected at all interlocked facing points opposite the toe of
the switch and creep should not be allowed to exceed permissible limits.
•Permissible amount of creep – Creep in excess of 150 mm. shall not be permitted.
MEASURING THE CREEP AT EXPANSION JOINT
BUCKLING
Gauge.
Versine.
GUAGE LEVEL INSTRUMENT
GAUGE
• Shortest distance between the inner faces of the two rails.
2. Measured with the “Gauge- cum- level” instrument & “spirit level”
It may directly
be used this
formula
C = V²x D
127
Where D is the
degree of
curve,
V is the
sectional
speed.
WHAT IS THEORITICAL SUPER ELEVATION & ACTUAL SUPER
ELEVATION?
7. Square or not
9. In case of Rail facture – if one side rail broken multiple flange hit /cut mark on that side wheels
and multiple flange hitting marks to be noticed.
a) Observation of rail
20. Versine – Small curve/ Point & crossing 6mts chord 3 mts
apart Long curve 20 mts chord 10 mts apart.
In straight road in
heel of switch.
MEASUREMENT AT CROSSING
1. 1000 mm ahead of nose.
1. Basic information
observation
service limit.
Basic information:
(a) Date of accident:
(b) Train number:
(c) Locomotive class:
(d) Locomotive number:
(e) Locomotive manufacture year and place:
(f) Base shed of locomotive:
(g) Date and place of last POH:
(h) Kilometers earned after last POH:
(i) Date and place of last major inspection:
(j) Date and place of last schedule inspection:
(k) Whether any schedules are overdue? :
(l) Damage to the loco (brief description) and Cost of
damage to the loco (in rupees)
BRIEF PARTICULARS OF THE SAFETY FITTINGS/ SAFETY
ITEMS PROVIDED /NOT PROVIDED
• During service, the wheel dia reduces due to wear and so the height of
flange above tread increases. The tyre defect gauge permits wear of wheel
dia of individual wheel discs to an extent that flange height above tread
does not exceed by 6.5 mm. The height of new flange above tread is 28.5
mm and tyre defect gauge is designed to allow maximum flange height
upto 35 mm in service on account of wheel diameter wear. Since, extent of
wear on each of the wheel discs of same axle is independent of each other
and may be different in the range of zero to max 6.5 mm, the theoretical
maximum possible variation in wheel diameters of two disc of same axle
can reach even upto 13.
• Wheel diameter to be measured after running out trolley, where cross level
is zero.
AS PER IRCA PART –III 2020 EDITION
TYRE DEFECT GAUGE
WHEEL GAUGE :
2. Speed sensors detect the speed of the wheel & sends the
signal to the Micro processor.
3. Micro processor evaluates the received signal & generates
signals enabling the dump valve/antiskid valves to control
the brake cylinder pressure, thus release brake caliper and
eliminate skidding.
WHEEL SLIDE PROTECTION SYSTEM
Microprocessor
UBatt. Vehicle-
Bus
Electric
Pneumatic
WHEEL DISC BREAKAGE OF COACH NO. CR 16122 LWACCN TRAIN NO.02062
UP (BJU-LTT HOLIDAY AC EXPRESS) ON 02.06.19 BETWEEN PKE- NGN STATION
OF BSL DIVISION. AFTER BREAKAGE COACH IS ON TRACK
BROKEN WHEEL DISC PARTICULARS
1. Diameter of wheel 868mm
7. Axle and punching details Failed End: LHB 1511, PO 78T ICF, PR 1101, GPO 29T, RWF, Year of
MFG not legible.
Another End: LHB 1511, PO 77T ICF 16, K 6088 26221
8. Place of wheel disc pressing Place of wheel pressed is not mentioned on wheel set. However,
based on axle end punching, it reveals that the failed wheel disc
was pressed by ICF at 78 T ( PO 78T ICF)
MEASUREMENT OF BUFFER/CBC HEIGHT
PRESERVATION OF CLUES
2. Lateral clearance between side frame & axle box adopter in mm.
3. Longitudinal clearance between side frame & axle box adopter in mm.
2. Wheel and axle faces particulars (in case of breakage of any wheel/axle).
Roller/Axle box)
A) Condition of axle box, rear and front covers / end cap (FLAT)
C) Condition of bearing seal & studs / locking plate and bolts (FLAT).
AS PER NEW PROFORMA FOLLOWING ITEMS HAS BEEN INTRODUCED FOR
COACH DERAILMENT
(for ICF)
16. Condition of side bearer including Oil level and Wear (for ICF)
MEASUREMENT PROFORMA
THERE ARE DISCREPENCIES IN NEW INTRODUCED
PROFORLA, HENCE SUGGESSION HAS BEEN GIVEN
FROM CENTRAL RAILWAY HQ SUGGESTED TO INCLUDE
OR ELEMINATE SOME POINTS AGAINST SUCH
PROFORMA
PART – V
DERAILMENT REPORT
STRUCTURE OF JOINT NOTE
✔ Introduction: Derailment date, place, location time Derail Wagons
position.
✔ History: Train/ Load condition in which Wagon Derailed, their Wheel
position, location, PR (POH/ROH).
✔ Observation: How many Wagons derailed, its detail position, Observation
of Track, Signal, Operational Diary extract, Lever position of Carbine,
Loco observation its Log book, Speedometer etc., Sectional Speed.
✔ Repercussion: Section Blocked, Train canceled, Damages for various
Departments.
✔ Brake Down operation:
✔ Conclusion:
✔ Responsibility:
✔ Suggestion:
ANNEXURE
✔ Site Sketch.
✔ Track Measurement.
✔ Wagon Measurement.
✔ Statements.
✔ Speedometer Chart/ TALOC Chart.
✔ SCADA- Supervisory Control and Data Acquisition.
✔ Data logger report.
SPEEDOMETER CHART
SCADA CHART
VOLTAGE FLUCTUATION IS PERMISSIBLE FROM 17.5 TO 27.5 KV
SCADA CHART
CASE OF VOLTAGE DROP LESS THAN 17.5 KV
DATALOGGER REPORT
It an unique derailment in which the Enquiry
officers reverse the finding of Joint note
committee.
JOINT NOTE:
History:
Train no. ABC, consisting 19 bogie, 740T, Loco
no. DEF WAPA, Loco pilot Shri ----, Asst. Loco
Pilot Shri -----, Guard Shri -----, round trip BPC
NO. ------, Banker no. ---, ---, ----(Driving
banker), Ghat Loco Pilot Shri ----, Asst. Loco
Pilot Shri ----started ex CSTM ---- hrs. reached
Kasar – 3/30 hrs., while passing KM 133/30,
train stopped due to BP pressure dropped.
Guard informed on Walki – Talki that the
second coach of the rear coach no. --- IGP
end trolley derailed.
Observation:
Derailed coach no. ----- is on Bhima
bridge, KM 133/12.
Leading trolley left side wheel is
outside the track and right-side
wheel inside the track (between RH
rail & guard rail).
Flair end of guard rail found broken
in two pieces.
Power van and banker are in proper
rail.
Total dragging distance measured
989 mts.
Breath Analyzer test conducted on
crew, found negative, blood
sample collected by Sr DMO/IGP.
Defect card checked; it has found
no previous defect recorded on
card.
Line clearance given TGR – I.
No power supply trip recorded.
Detail observation of track
parameters is attached herewith.
Coach parameter as per proforma
is attached here with.
General observation of coach -
NK end left side pressed from front side.
Bio tank safety bracket shifted towards BB end.
NK end left side foot board slightly bent towards BB end due to lifting at
bottom side.
Ballast crushing mark on all wheels of derailed coaches.
Fresh rubbing mark on LTTL Brake disk about 3-inch length on its periphery.
Levelling valve of LTLR and its bracket damaged, fresh hitting marks also
noticed on trolley frame.
Coach no. ---- It’s one Air suspension damaged remaining three are
alright.
LTLR Rubbing mark notice control arm safety strap and deep hitting mark
on rear lug on same side.
On date ------- same train coach Air suspension BB end trolley leakage was
reported at CSTM, and the train was running with speed restriction 60
KMPH.
Wheel travel marks noticed on rail and as it was not prominent and
no clear mark noticed on gauge face, hence point of mount taken
from where it is clearly been seen on rail table at km 132/4.
19 OK
20 LH rail rubber pad damaged, RH rail ERC loose
21 OK
22 LH rail ERC under driven, RH rail ERC over driven
23 OK
24 LH rail wooden packing to tight ERC, RH rail ERC wooden packing used to
tight ERC
25 OK
26 LH rail Rubber pad deficient, RH rail rubber pad deficient, ERC loose
27 LH rail Rubber pad damaged, inner liner missing, RH rail wooden packing
used to tight ERC
28 LH rail wooden packing to tight ERC, RH rail wooden packing used to tight
ERC
29 LH rail rubber pad damaged, RH rail ERC loose
30 LH rail rubber pad damaged, RH rail wooden packing used to tight ERC
31 LH rail Rubber pad deficient, RH rail rubber pad deficient, ERC loose
32 LH rail Rubber pad deficient, RH rail rubber pad deficient,
33 OK
34 OK
35 LH rail Rubber pad deficient, RH rail rubber pad deficient, ERC loose
36 LH rail Rubber pad damaged, inner liner missing, RH rail wooden packing
used to tight ERC
37 LH rail Rubber pad damaged, RH rail ERC over driven
38 LH ERC loose, RH rail ERC loose
39 LH rail ERC over driven, RH rail ERC over driven
40 LH rail Rubber pad damaged, RH rail ERC loose
Conclusion:
We the undersigned Sr. Subordinate after carefully
examining the witness and record of evidence, site
observation, speedometer chart has concluded
that this derailment occurred due to Coach defect.
The leading trolley RH side air suspension found
tilted/deflated there was PSR of 45 kmph before the
derailment spot. When the speed increased from 45
to 49 kmph coach leading trolley leading left wheel
lifted on left rail table because of RH air suspension
was tilted and deflated.
Responsibility:
Mechanical dept is responsible for coach defect.
Repercussion:
DN NE Ghat line closed from --- hrs to ---hrs.
Damages:
Under investigation.
Officers Enquiry Report
Accident site photograph
Derailment of Coach /Wagon no. KM,
TIME, DATE, Location, Div. & Railway.
Documents Accompanying
Title page & particulars of accidents.
History and description of site of accident.
Observation and brief details regarding
derailment.
Rough sketch of site of accident &
gradient chart.
Relief Measured.
Findings
Remarks and reasons of finding.
List of damages.
Recommendation.
Other matter brought to light.
List of witness examined through
question and answer
List of Officers committee holding the
enquiry.
The fact noticed -
Higher banking force in comparison
of pulling loco force.