SR SafetyBook2023 21

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INDEX
(A) Collision cases
Case Page
Description
No: No:
1 Collision of T.No.11005 at CSTM 10

2 Collision of T.No.Up FOU/SAIN at DURG-G 11
3 Collision of T.No.BRN/KAV 12
Collision of T.No.12623 with EMU train at
4 13
PRES
Collision of T.No.78408 with Goods Train
5 14
E/DKAE/BCN @ BRAG-CTC
Collision of T.No.47178 with T.No.17028 at
6 15
KCG
(B) SPAD cases
Case Page
No: Description No:
1 SPAD of T No. 06649 at VAPM 17

2 SPAD of AC Light Engine at ADT Station 18
3 SPAD of T No. 15205 at JBP 19
4 SPAD of T No. 12707 at DDMT-PAR 20
5 SPAD of 15713 at KWO 21
6 SPAD of 06188 at PADIL 22
7 SPAD of N/SEB at BSP 23
4
(C) P. Way, Track Machine, Material Train cases
Case Page
Description
No: No:
1 Derailment of UP/M-BBMN/BOXN at RAA-KES 25
2 Derailment of T.No.18477 at KAT 26
3 Derailment of Ey BTPN in SRR-CHTS 27
4 Derailment of Material train in POI-NG 28
5 Derailment of T.no 04134 at IZN 29
6 Derailment of KSNK Goods at UBL 30
7 Derailment of PNV BTPN at GTL-DHNE 31
8 Derailment of BCN-CTC AT SLRA 32
9 Derailment of T.No 08851 at JYP 33
10 Derailment of T.No 15706 at HIR 34
11 Derailment of BOXN/E at CPU-MDHA 35

Derailment of BRN with UTV Machine at
12 SSM-MGS 36
13 Derailment of BOBY at DG-MDU 37
14 Derailment of T.No.75715 at BRQ-DDM 38
15 Derailment of T.No.18448 at SPRD-VZM 39
16 Passengers fallen down from T.No.40701 at STM 40
17 Derailment of T.No.12487 at SDG 41
18 Derailment of T.No.19046 at GTST 42
5
(D) Rolling Stock cases
Case Page
Description
No: No:
Derailment of T.No.NTCD BOXN HL in
1 44
CBH-GYA
2 Derailment of EBR/N at LCR 45
Derailment of T No. R/AOMM at KOTA -
3 46
GGC
Derailment of T No. Long haul BDTP DDU
4 47
at SSM-MGS
5 Derailment of T No BSPC at ET-AMLA 48
6 Derailment of T No. UP BOXN/EY at MAM 49
7 Derailment of T No. DN BCN/E at SC-KZJ 50
8 Derailment of T No. 07546 at JAG - KUB 51
9 Derailment of DBKT/AKT at BKTL 52
(E) Signalling cases
Case Page
No: Description
No:
1 Derailment of T No. BOXN/E at PSPG 54
2 Fire in relay room of DAPD 55
3 Derailment of T No. 12869 at TATA Yard 56
4 Bursting of Point No. 101/B at Kohli Station 57
5 Derailment of Power car of TNo.12394 at GZB 58
6 Derailment of T.No. 14003 at LKO-BSB 59
6
(F) Fire cases
Case Page
No: Description
No:
1 Fire in T No. 05541 at BLV Station 61

2 Fire in VPU of T No. 12721 at BN Station 62
3 Fire in Pantry Car of T No. 12993 at NDB Stn 63
4 Fire in SLRD of T No. 06630 at QLN-TVC 64
5 Fire in DER/MDPT/Container at SIOB-BHUJ 65
6 Fire in Motor Coach of T No. 04460 DRLA 66
(G) Unsecured Door cases
Case Page
No: Description
No:
1 Derailment of Ey/Steel City at MAS-AJJ 68

2 Derailment of BRN Wagon at AJJ yard 69
3 Derailment of T No. NBOXHL/E at BPRH 70
7
(H) Shunting cases
Case Page
No: Description
No:
Rolling down of multiple Light Engine at
1 72
BSP-JSG
2 Derailment of Shunting Loco at KCVL Yard 73
3 Derailment of ACCN at NCJ 74
4 Derailment of Ey Rake of 02270 at MSB 75
5 Derailment of FCZ98 at UMB 76
6 Derailment of Empty EMU at MSB 77
7 Derailment of DY/BTPN at SGE 78
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9
Case Study - 1
Accident ID 20220401002
Date & Time
15/04/2022 at 21:41
of Accident
Rly / Div /
CR / CSTM / CSTM-CLA
Section
Train No. 11005DN, Load-17 bogies, DR-

PDY EXP, while departed at DADAR
Accident
terminal, PF No. 7, at 21:36 HRS, its 3
Description
coaches S1,S2 and S3 derailed at KM
9/344-10/401.
LP of T.No.11139 Dn passed starter signal

S/8 of DR station of PF No.4 on single
yellow. He overlooked the aspect of next
Reason
signal S/15 and passed it at 'ON' position
with speed of 38 kmph and side collided
with S2 coach of Dn T.No.11005.
Responsibility LP, ALP
Rules violated GR 3.78(1)(a)
LP & ALP should callout the actual signal

Lesson learnt
aspect rather than calling it habitually.
10
Case Study - 2
Date & Time
17/08/2022 at 01:18 hrs.
of Accident
Rly / Div /
SEC / NAG / DURG-G
Section
Goods T.No. Up FOU/SAIN/Sanat Nagar
departed Gudma station at 00.58 hrs and
stopped at ‘On’ aspect at Automatic Signal
No. 147 in the Automatic signalling
Accident section between Gudma and Gondia
Description stations. Meanwhile, another Train No.
20843 (Bilaspur – Bhagat Ki Kothi)
Express departed Gudma station at 1.08
hrs and collided in rear of the stationary
goods train.
LP and ALP after starting the
T.No.20843from dead stop before foot of
Auto signal No.A-149 at "ON", failed to
maintain the prescribed speed of 15/10
Reason
KMPH and collided in rear of
T.No.FOU/SAIN-SNF which was dead
stop at foot of next auto signal A-147 on
UP line between GDM-Gondia.
Responsibility LP & ALP
Rules violated G&SR 9.02.01(b)(ii)(a)&(c) and GR 4.45
Crew must follow the speed restrictions
Lesson learnt
for automatic signalling sections.
11
Case Study - 3
Date & Time
28/03/2022 at 16:11
of Accident
Rly / Div /
SEC / BSP / BSP-JSG
Section
UP train BRN/KAV overshoot UP home

signal of JMG at 16:07 hrs and collidedin
Accident
rear of the T.No.N/GZB causing
Description
derailment of 22 wagons, 1 brake van and
loco of BRN/KAV.
LP and ALP failed to stop train at the

Home signal of JMG station at ON
Reason position resulting into collision with rear
end of T.No.N/GZB on line No.7 of JMG
station.
Rules violated GR 3.78(1)
Crew should be always alert to stop the

Lesson learnt
train when the stop signal is at ON.
12
Case Study - 4
Date & Time
05/05/2016 at 20:15 hrs.
of Accident
Rly / Div /
SR / MAS / MAS-AJJ
Section
Train No.12623 Trivandrum Mail Ex -
MAS-TVC passed PRES down fast line
home signal at danger and hit EMU train
Accident no- 43121. Loco, SLRD and one GS coach
Description got derailed, obstructing up slow line,
down fast line and up fast line. Two
passengers sustained grievous hurt and
four with minor injuries.
LP of T.No.12623 passed PRES down fast

Reason home signal no- E2 at danger and
collided (side collision) with T.No.43121.
Rules violated GR 3.80
LP & ALP should be always alert and

Lesson learnt
obey the aspect of signals.
13
Case Study - 5
Date & Time
29/09/2016 at 18:40 hrs.
of Accident
Rly / Div /
ECo / KUR / KUR-BHC
Section
T.No.78408 dashed against rear of goods

Accident Train No. E/DKAE/BCN on down line
Description between BRAG-CTC. Two passengers
were killed.
The speed limit after Auto signal
No.AS312 in between BRAG-CTC was
Reason disregarded by LP of 78408 pass and
dashed against rear of goods train
No.E/DKAE/BCN.
Prescribed speed limit for Automatic

Lesson learnt sections to be adhered strictly by LP &
ALP.
14
Case Study - 6
Date & Time
11/11/2019 at 10:40
of Accident
Rly / Div /
SC / HYB / SC-DNC
Section
At KCG station, while admitting 17028
Exp on to Road No.4, LP of 47178 MMTS
Accident pass train passed Road No.2 Main Line
Description starter S-2 and collided with Loco of
17028 Exp. Motorman of MMTS got
killed.
LP of MMTS passenger train passed
starter at ON.
Bell code given by Guard of MMTS for
Reason starting the train was in violation of G.R
provisions.
Operation of signal and point knob by SM
violating the provisions of SWR/KCG.
Responsibility Guard, SM(Panel).
Aspect of signal should be observed

strictly by LP.
Lesson learnt Bell code for starting the EMU/MEMU
train should be given by Guard as per
G&SR provisions.
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16
Case Study - 1
Date & Time
12/08/2021 at 07:13
of Accident
Rly / Div /
SR / PGT / CAN-MAQ
Section
Train No.06649 MAQ - NCJ Parsuram

Express passed starter cum LSS signal No.
Accident 15 Rd -1, main line UP direction, of
Description Valapattanam station at danger at 07.13
hrs on 12.08.2021. The train restarted at
08.35 Hrs after crew change.
The LP of train No. 06649 passed VAPM
Road-1 UP Starter cum LSS Signal No.15
Reason at Danger due to lack of alertness and late
application of brakes (It is not a scheduled
stoppage).
Responsibility LP and ALP
Rules violated GR 3.81(1), 3.83(1)
LP and ALP should be vigilant and alert

There should not be any distraction and
Lesson learnt
they should be ready for out of scheduled
stoppage if any.
17
Case Study - 2
Date & Time
27/06/2022 at 15:30 hrs.
of Accident
Rly / Div /
SR / TPJ / TPJ-MV
Section
AC Light Engine passed DN HOME Signal

Accident
at Danger of ADT Station at 15.30 hrs on
Description
27.06.2022.
LP&ALP could not control the light engine
due to inadequate brake power. Loco was
sent out for service by the shed with
Reason inadequate brake power. LP failed to
conduct loco stationary brake test before
starting LE .Also not assessed poor brake
power during BFT and BPT.
Maintenance staff of Loco Shed/
Responsibility
LP&ALP,CLI
Rules violated G.R 3.80,G.R.2.06
Before sending a loco out of shed to put in
service, prescribed maintenance to be
carried out as per laid down standards. LP
shall carry out necessary brake tests (Loco
Lesson learnt stationary brake test, BFT, BPT) to ensure
adequate brake power while on run.
Defects recorded in the loco log book to be
highlighted to concerned authorities for
necessary attention.
18
Case Study - 3
Date & Time 21/10/2022 at 05:51 aWn¡v
of Accident
Rly / Div /
WC / JBP / JBP-STA
Section
On 21.10.2022 at 5.51 hrs at Jabalpur

Station of JBP division, Train no 15205
Accident
Chitrkoot Express was entering on PF No-
Description
3 train, passed starter signal (S-87) at
"ON" position.
LP while approaching Starter Signal
missed application of brake resulting in
train drawing ahead of the Starter signal.
Reason
He was in communication with SS in
walkie-talkie and missed the aspect of the
signal.
Responsibility LP,ALP,SS
Rules violated G.R 3.80
There will be VHF communication in the

station yards related to various
operations. LP while entering station
Lesson learnt
should be more focused on the aspect of
signal without getting diverted by any
other communication.
19
Case Study - 4
Date & Time
11/10/2022 at 03:17
of Accident
Rly / Div /
CR / NGP / AMLA-NGP
Section
Loco Pilot of 12707 TPTY-NZM AP

Accident
Sampark Kranti Express passed UP
Description
DDMT-PAR IBS at 'ON'.
LP was in napped state and ALP was not

Reason attentive thus, leading to SPAD due to late
application of brake.
Responsibility LP and ALP
Rules violated GR 3.78, GR 3.75
Running staff must take adequate rest

Lesson learnt
before sign on for duty.
20
Case Study - 5
Date & Time
12/09/2022 at 12:00 hrs.
of Accident
Rly / Div /
EC / DNR / BKP-DNR
Section
LP of T.No. 15713 (KIR - PNBE Intercity)

Accident passed Main Line Starter Signal (S-
Description 3)/KWO at 'ON' Position by engine &
front 1/2 coach (About 32-35 meters).
Higher speed of train while observing one
yellow aspect of UP Home signal and ON
aspect of UP M/L starter signal at KWO
Reason
and late application of emergency brake to
control the train by LP and ALP caused
SPAD of the train.
Responsibility LP/M, ALP
Rules violated G&SR 3.07 & 3.08.
Crew should apply brake following the

various aspects of different signals and
Lesson learnt
adhering right speed at which train can be
controlled.
21
Case Study - 6
Date & Time
19/05/2020 at 01:30 hrs.
of Accident
Rly / Div /
SR / PGT / MAQ-PADIL
Section
Train No. 06188 TIR-JP Shramik Spl left
MAJN at 01.22 hrs , train passed Home
Accident signal 31A at danger, passed point no. 52
Description and entered into over run line and all
wheels of leading Loco 11295 and one pair
wheel of rear Loco 11113 got derailed.
The derailment occurred due to LP of
T.No.06188 passed Up Home Signal of
Padil station at 'ON' without authority.
The train travelled on overrun line, hit the
dead end and dragged upto the length of
25 meters, resulting in derailment of
leading locomotive. The LP & ALP were
Reason
not possessing a valid LR for the
particular section and not aware of
relocation of new signals after
commissioning of remodelling of MAJN
and Padil yard. Also, the concerned LP
who was LP/Goods was not screened to
work the Mail/Exp. train.
Responsibility LP, ALP, Power Controller, SS.
Rules violated G.R 3.80(1) and 3.78(6).
Crew having valid LRS only to be booked.
Screening of LP/G to work Mail/Exp.
trains should not be bye-passed. The
Lesson learnt
issuing of Caution Order for 10 days
should be followed meticulously for newly
commissioned signals.
22
Case Study - 7
Date & Time
25/05/2022 at 10:09 hrs.
of Accident
Rly / Div /
SEC / BSP / BSP-JSG
Section
Train No. N/SEB started from BSP at 9:50

hrs. Train stopped near GTW station
building to detrain pilot Crew from loco at
Accident 10:07 hrs and started. Again train stopped
Description to detrain pilot Guard from brake van at
10:09 hrs, that time train passed DN
starter signal S 6 of line No. 4 at ON
position.
SPAD occurred due to LP and ALP
misinterprets the middle line Starter
Signal, which was green, as of their line.
Reason They failed to ensure the signal aspect of
down line. They got engaged in listening
walkie-talkie and overlooked the starter
signal and passed it at ON.
Responsibility LP, ALP
Rules violated G.R 3.78(1)(a), 3.81(1).
LP and ALP should call out the signal only

after ensuring signal of their line. Trains
Lesson learnt used for detraining Pilot crew and Train
Manager must stop at nominated signals
only.
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24
Case Study - 1
Date & Time
20/04/2017 at 13:30 hrs.
of Accident
Rly / Div /
NR / UMB / SRE-UMB
Section
Train no. UP/M-BBMN/BOXN left RAA
station at 13:23 Hrs and while moving
Accident
Description
between km 244/19-21, loco plus 13 other
wagons derailed .All wagons capsized and
3 wagons fell on DN line also.
Section Controller has permitted block in
Down Line only between KES-RAA at Km
243/18-240/24 for working of Track
machine from 13:00 to 14:30 Hrs.
However, Trackman has conveyed wrong
Reason message of block of UP line to SSE/P.Way.
Under the wrong impression of block of
UP line, Engineering staff commenced
work of replacement of SEJ at Km
244/19-21 between RAA-KES on UP line
without permission of block.
Responsibility SSE/P.Way
Rules violated G&SR 15.08(2), 15.09(1)(a)
Work requiring block should commence
at the block site only after getting
confirmation from concerned SM/SS
Lesson learnt
through written memo with details about
the exact line (UP or Down), timings and
location at which work is to be carried out.
25
Case Study - 2
Date & Time
19/08/2017 at 17:50 hrs.
of Accident
Rly / Div /
NR / DLI / SRE-DLI
Section
T.No. 18477 derailed by 13 coaches after
Accident passing advance starter of KAT station at
Description km no 101/16-17 at about 17.50 hrs.
between Khatauli-Mansurpur stations.
On duty P.Way staff cut the rail without
taking Engineering block, without
protecting the site and also without
Reason
imposing speed restriction. Optg. staff of
station did not permit block despite
highlighting of emergency.
Responsibility Engg. And Optg. Staff
i. The works permitted to be undertaken
only under traffic block (as listed in
P.Way Manual) must not be
undertaken without taking block &
without site protection.
ii. In emergent situation, line should be
suspended under advise to
Lesson learnt station/control and track should be
protected properly.
iii. In case of rail/weld fractures, requisite
speed restriction must be imposed
immediately.
iv. The station staff and controller should
grant block immediately in
emergencies/unsafe conditions.
26
Case Study - 3
Date & Time
11/02/2022 at 14:00 hrs.
of Accident
Rly / Div /
SR / TVC / SRR-CHTS
Section
After passing LSS at km 47/22 Train

Accident
engine plus 1 BOXN EY plus 4 BTPN EY
Description
derailed at worksite location
One sleeper missing and inner fittings at
RH rail missing for subsequent 5
Reason sleepers.Also 30kmph caution imposed
instead of 20 kmph.
Responsibility JE/P.Way,SSE/P.Way,Gangmate
Before permitting train passing, safe track

condition to be ensured at worksites by
Lesson learnt providing minimum required fittings and
imposing suitable caution for the existing
worksite condition.
27
Case Study - 4
Date & Time
16/09/2021 at 02:43 hrs.
of Accident
Rly / Div /
SR / MAS / AJJ-RU
Section
Working of material train during line

block between POI-NG, TE
Accident
16805/WDM2/TNP front truck all wheels
Description
and rear truck one pair of wheels derailed
on plain track.
The cause of derailment is due to
availability of large flame cut holes in
track resulting in stress concentration and
Reason
weakening the rail resulting in fracture,
failing of top table and due to inadequate
fastening of the track.
SSE/PWay, Track Maintainer and
Responsibility
Contractor
Rules violated IRTMM-PARA 417(4) & GR 2.11(b)
SSE/Track Maintainer should follow the

rules given in SR 4.65 with regard safety
at work site. Assurance register is to be
maintained and contractor staff to be
Lesson learnt sensitized as given in RB
orders/CE11/TK14 dated 11/10/19. Check
list to be formulated and cross-checked by
track maintainer and contractor before
start of work.
28
Case Study - 5
Date & Time

28/10/2022 at 10:40 hrs.
of Accident
Rly / Div /
NE / IZN / CNB-FBD
Section
Derailment of GSLRD/144735 NCR of

Accident passenger train no. 04134, next to train
Description engine derailed by 2 wheels of front
trolley. Main line blocked.
Derailment was due to short closure (i.e.
rail piece of 1.35 metre length) which was
less than prescribed length of 5.5./4 metre
Reason
and use of pair of joggle fish plates instead
of normal fish plates on either side of 1.35
Metre rail closure
Responsibility SSE/PWay
Rules violated IRPWM PARA 614(1)
Prescribed length of rail closure should be

used. All measurements for rail
Lesson learnt
replacement at site should be crossed-
checked/double checked.
29
Case Study - 6
Date & Time

24/10/2022 at 00:21 hrs.
of Accident
Rly / Div /
SW / UBL / MVD-JML
Section
6 Wagons of KSNK Load with Loco No

Accident 12450/12927 passed through JML station
Description at 23:51hrs got derailed at KM-164/900 at
MVD Yard.
There was kidney flaw on the rail head
which was not traced during USFD
testing. This flaw developed due to
Reason
continuous stress because of passage of
train and got fractured leading to
derailment.
Responsibility SSE/USFD
USFD testing should be done as per the

laid down standards. Latest modified and
Lesson learnt
recording facility of USFD machines to be
explored.
30
Case Study - 7
Date & Time
21/10/2022 at 19:50 hrs.
of Accident
Rly / Div /
SC / GTL / GTL-DHNE
Section
T. No. UP PNV BTPN Empty Goods while

on run between Dhone - Bogolu stations
Accident
of DHNE - KCG section of GTL Division,
Description
11th from BV one pair wheels derailed at
KM 295/18.
Derailment happened due to excessive

Reason variation of versines and cross levels while
wagon was negotiating a six degree curve.
Responsibility SSE/PWay
Rules violated IRPWM Para 109(1)(a), (b) & (C).
Versines and cross levels to be maintained

Lesson learnt
within the permissible limit.
31
Case Study - 8
Date & Time
12/10/2022 at 20:40 hrs.
of Accident
Rly / Div /
ECo / SBP / ANGL-SBP
Section
While dispatching BCN-CTC from Line

No-4; loop line of SLRA station towards
SBPY, 04 BCNHL load, 11th to 14th from
Accident brake van derailed at KM 555/29 at SLRA
Description yard near point no 32B towards SBPY
obstructing line No 3, UP main line
towards SBP & SBPY and line no-4 of
SLRA.
Derailment occurred due to excess cross

Reason level variation and irregular twist in track
and R4 with scanty ballast.
Responsibility JE./PWay
Rules violated IRPWM 2020 - Para No. 526
Track parameters should be taken at

regular intervals followed by desired
action such as slack packing and
Lesson learnt
recoupment of ballast after completion of
lifting and packing work until the track is
consolidated.
32
Case Study - 9
Date & Time
12/09/2022 at 15:05 hrs.
of Accident
Rly / Div /
ECo / WAT / KRPU-KRDL
Section
08551 Exp Train while approaching JYP
Accident Home signal four coaches derailed (2nd -
Description 195876(S1), 6th- 194964, 9th -194965 &
10th – 199475) from engine.
Packing work was going on at the
derailment site, whereascaution order
was issued for other location. The cross
level variation was very much on higher
side which caused twist of the track
Reason
beyond permissible limit and the cant
measured was also very much on higher
side in circular as well as in transition
portion of the curve and contributed to
derailment.
Responsibility SSE/P.Way, Gangmate
Rules violated G.R.15.09, G.R 15.08 & IRPWM-2020.
Caution Order location should be
matching with the actual location of the
work. Contractor, Supervisor as well as
Lesson learnt
Labour to be regularly
counselled/education about Railway
safety.
33
Case Study-10
Date & Time
10/09/2022 at 15:10 hrs.
of Accident
Rly / Div /
EC / SPJ / PNYA-NKE
Section
Derailment 02 Coaches of train no. 15706

Accident
at Harinagar (HIR) Station in Paniyahawa
Description
(PNYA) - Narkatiaganj (NKE) Section.
The twist in the track created due to cross
level difference in rails,on account of
improper ballast packing work which was
Reason
being done manually. Lifting and packing
was done without the personal
supervision of SSE/P.Way.
Responsibility SSE/P.Way, Trackman
Rules violated G.R 15.06, 15.08, IRPWM Para 638(4)
Whenever work is carried out by outside

agencies, Supervisor from Railway must
Lesson learnt be available at the worksite to ensure work
is done without compromising safety
parameters of the track.
34
Case Study - 11
Date & Time
05/09/2022 at 16:35 hrs.
of Accident
Rly / Div /
EC / DHN / CPU-MDHA
Section
Train no. Boxn empty/SGRL while
entering KRLR stn on line no. 2 one
Accident
BOXN empty no. Ecr22131129542boxn
Description
empty 11th from train engine got derailed
at 16.35 hrs.
Versine difference (station to station) of
curve was beyond permissible limit. Also,
on other site versine was found to be
excessive. Twist also out of permissible
Reason
limit between station 0 and 1. The versine
difference between station 4 and 5 was 87
mm and between station 1 and 2 was 84
mm, which was excessive.
Rules violated Para No.525 of IRPWM
Deficient track geometry (Versine

difference), twist and degree of curve was
Lesson learnt found much beyond the permissible limits
should be eliminated by scheduled
maintenance work.
35
Case Study - 12
Date & Time
04/09/2022 at 17:00 hrs.
of Accident
Rly / Div /
EC / DDU / SSM-MGS
Section
Track Machine block was granted from

15.50 hrs to 17.15 hrs, between Block Hut
'K' and New West Cabin, DDU on Dn
Accident
PRYJ Line. During the block work, one
Description
BRN wagon uncoupled with UTV
Machine & Rolled Down & got derailed by
04 wheels.
BRN wagon uncoupled from UTV and roll
down on a falling gradient due to no
pressure in wagon derailed at the open
Reason
worksite in the downstream where
TRR(P) block was in progress in the
shadow of main block.
Responsibility SSE/TMC
Rules violated G&SR 4.12, 4.62 & 4.65
No vehicle/wagon, another Track

machine should be attached unbraked.
The movement of only braked wagon with
Lesson learnt
Track machine shall be allowed after
ensuring brake power continuity test by
machine operator.
36
Case Study - 13
Date & Time
21/03/2021 at 13:52 hrs.
of Accident
Rly / Div /
SR / MDU / DG-MDU
Section
Ballast Train formation consisting of 25

BOBY N + 1 BV was permitted for
unloading of ballast between KQN - VDP
Accident down line (DG - MDU section). After
Description unloading 16 BOBYN, the train was
received in down loop line of VDP station
at 13.52 hrs. BOBYN 14 & 15 took different
routes and derailed.
Uneven Unloading (SR 70060360727) ie

15th wagon, one side ballast fully
Reason
unloaded and other side 1/4 of the BOBYN
was with ballast.
Responsibility SSE/P.Way, J.E/P.Way, SS
3.11 of CTE/SR Report

Rules violated
No.W.506/33/Ballasting dt.15.10.2020.
The unloaded BOBYN wagons must be

physically viewed inside to check for
Lesson learnt
residual ballast and to be levelled or
discharged to avoid uneven distribution.
37
Case Study - 14
Date & Time
13/12/2018 at 09:07 hrs/
of Accident
Rly / Div /
NF / APDJ / GLMA-SMTA
Section
While the T.No.75715 was passing Km-
Accident 41/9-42/0 between BRQ-DDM, its Coach
Description No.13524 5th from DPC got derailed by
front trolley all wheels.
Installation of RH girder at Bridge
No.90A which is situated in a curve
alignment of 2.75◦ and with a super
elevation of 140 mm.
Twist between station 0 and -1, in
Reason unaffected side was {(29-22)/3}=2.33
mm/mtr. But there was a gap of 90mm
between sleeper No.2 and the bottom of
rail, so effective twist was {(29+90-
22)/3}=32.33 mm/mtr. But allowable
twist is 6mm.
G&SR 2.11(1)(a), Rule 3.1(ii) & (iii) of
Rules violated
Conduct Rules.
Normally RH girder should not be laid on
curve, these should be laid on straight
Lesson learnt
only. RH girder should be laid without
any super elevation.
38
Case Study - 15
Date & Time
21/01/2017 at 23:20 hrs.
of Accident
Rly / Div /
ECo / WAT / SPRD-VZM
Section
Engine,1 SLR,6 Coaches of T.No.18448

Accident
got derailed and two coaches capsized. 40
Description
passengers got killed.
Accident occurred due to rail fracture in

Reason Point No.21A initiated by the fracture in
Tongue rail at 5.5m from Toe of Switch.
Responsibility P.Way staff
All tongue rail of turnouts which have

outlived their codal life should be replaced
Lesson learnt
on priority. USFD testing must be done
meticulously.
39
Case Study - 16
Date & Time
24/07/2018 at 08:25 hrs.
of Accident
Rly / Div /
SR / MAS / MS-VM
Section
T.No.40701 MSB-TMLP EMU while

entering Main Line Platform No. 4 of St.
Accident
Thomas Mount station, around 10
Description
passengers on foot-board travel have
fallen down of which 3 died on the spot.
Incident happened due to passengers

hanging/leaning outside the coach
Reason
dimensions coming in contact with
infringing concrete pale fencing at STM.
Any infringement violating SOD should

Lesson learnt
be assessed properly and to be removed.
40
Case Study - 17
Date & Time
03/02/2019 at 03:55 hrs.
of Accident
Rly / Div /
EC / SEE / BJU-SEE
Section
Train no. 12487 has got derailed by 11
Accident coaches before Advance starter while
Description passing SDG yard. 06 passengers got
killed.
Reason Derailment occurred due to rail fracture.
Responsibility P.Way staff
Maintenance of track to be carried out as

per laid down standards. Any defects
Lesson learnt
leading to rail fracture if noticed, the
same to be attended immediately.
41
Case Study - 18
Date & Time
31/03/2019 at 09:45 hrs.
of Accident
Rly / Div /
NE / BSB / GCT-CI
Section
13 coaches of Train no.19046 UP Tapti
Accident Ganga exp. derailed from rear while
Description entering in Gautamsthan station yard line
no.2 main line.
Derailment occurred due to effect of
lateral track shifting upto 44 cm caused by
Reason normal lateral forces exerted on already
ballast deficient and track with deficient
fittings.
Responsibility J.E/P.Way
Required ballast quantity should be

maintained on the track, deep screening
Lesson learnt
should be done on due dates and track
fittings to be as per the norms.
42
43
Case Study - 1
Date & Time

26/10/2022 at 06:24 hrs.
of Accident
Rly / Div /
EC / DHN / CBH-GYA
Section
While approaching Dilwa station, crew

failed to control the train even after
emergency brake application and speed
Accident
continued to increase on down
Description
gradient.Train was taken in Gurpa loop
for run off line, where 54 wagons got
derailed.
The train was fitted with BMBS. Loss of
brake power/effectiveness resulting into
attacking/approaching Dn gradient (in
Reason
GJD-GAP section) at higher speed
(exceeding 100 kmph) leading to
uncontrolled movement.
Responsibility LP, ALP, SSE/C&W, Goods Guard
Rules violated G&SR 2.11, 4.31, 4.32 & 4.41
Single pipe working with BMBS rakes

should be thoroughly disallowed. Staff
should be counselled about APM
Lesson learnt
functioning. LP should do mandatory
brake tests. Design review of complete
BMBS system by RDSO may be done.
44
Case Study - 2
Date & Time

27/06/2021 at 08:31 hrs.
of Accident
Rly / Div /
SR / SA / JTJ-SA
Section
Train No. EBR/N with Loco. No.

23591/23879/WAG5H/AESA, left LCR at
Accident 8.20hrs. Train parted between 16th and
Description 17th wagon. Rear bogie rear pair of wheels
of 18th wagon SE BOXNM1 10067960074
derailed.
16th wagon yoke pin support plates rivets
sheared and yoke pin support plate given
up and fallen down, subsequently yoke
Reason pin fallen down resulting in trailing CBC
coupler body fallen down. Train parted
between 16th and 17th wagon. 18th wagon
rear bogie rear pair of wheels derailed.
Responsibility SSE/C&W
Rules violated GR 4.31(i)(a)
Fracture of rivets which have happened

long back should be noticed and
Lesson learnt
consequences should be analyzed during
rake examination before issuing BPC.
45
Case Study - 3
Date & Time
02/10/2022 at 10:51 hrs.
of Accident
Rly / Div /
WC / KOTA / KOTA-GGC
Section
On 02.10.2022 at 10.51 hours, while the

train no. R/AOMM was on run between
Accident Laban – Ghat Ka Varana stations, two
Description wheels of rear trolley of its one BLCB
wagon (3rd from loco) derailed at km
971/21. Only up line blocked.
Due to worn out root defect (As per joint
wagon measurement reading) in all
wheels of derailed wagon excessive lateral
play resulted in mounting of flange over
Reason rail. Excess longitudinal clearance
between axle box adopter & side frame,
LH-58mm & RH-38mm against (10+5/-
0)mm as per IRCA part-III caused
angular movement of axle.
Responsibility SSE/C&W
Rules violated IRCA Part-III
Clearance between axle box adopter and

Lesson learnt side frame to be maintained as per
standard.
46
Case Study - 4
Date & Time
21/09/2022 at 06:30 hrs.
of Accident
Rly / Div /
EC / DDU / SSM-MGS
Section
Derailment of 21 Wagons of DN train no.

Accident
Long Haul BD TP DDU 425/60106 at
Description
Kumahu
Bent axle and de-seating (during run) of
one of the wheel disc on this axle of culprit
wagon which was at 32nd position in the
marshalling sequence in trailing load of
long haul train which is togetherness,
Reason
reduced wheel gauge varying from 0.95 to
16.05mm which caused wobbling of the
wheel set and thus led to flange hitting on
difference track fittings culminating into
mount, drop and derailment of wagons.
Responsibility RWF/SBC
Proper assembly of wheel disc on the axle

must be ensured during manufacturing.
Lesson learnt This factor should be thoroughly noticed
during rake examination while issuing
BPC.
47
Case Study - 5
Date & Time
08/08/2022 at 16:35 hrs.
of Accident
Rly / Div /
CR / NGP / ET-AMLA
Section
While entering in Maramjhiri yard one

wagon loaded with lime stone wagon no.
CR 22011922157 BOXNHL, 3rd from
Accident brakevan of train no. BSPC with engine
Description no. 31883+31819 WAG-9/BNDM derailed
at MJY yard between point no 102A and
104B. All four wheels of leading trolley
derailed.
Derailment occurred due to left side guide
plate of primary beam frame was in worn
out condition also it's housing was
Reason
partially broken. Due to this, LH side
portion of primary beam hung down
leading to derailment.
Responsibility ROH Shed, TXR staff.
During overhauling and rake

examination, wagons must be thoroughly
checked for any worn out parts, which
Lesson learnt may not fail immediately but may break in
the subsequent operations. Such kind of
defective parts to be replaced with proper
fittings.
48
Case Study - 6
Date & Time
18/07/2022 at 00:15 hrs.
of Accident
Rly / Div /
WR / RTM / GDA-RTM
Section
16 wagons of UP NBOXE derailed at MAM

Accident
station yard KM 517/23. Blocking UP &
Description
DN main line.
Derailment happened due to
entanglement of various hanging parts of
wagons with track components and S&T
Reason
gears. Overdue POH and ROH wagons
were available in the rake. Some of the
wheel flanges were not in required profile.
Responsibility Maintenance staff of C&W Depot.
Overdue wagons should not be allowed for

service as far as possible. If permitted,
Lesson learnt thorough checking for worn out fittings
and attention to be done before allowing
overdue wagons for service.
49
Case Study - 7
Date & Time
06/07/2022 at 12:30 hrs.
of Accident
Rly / Div /
SC / SC / SC-KZJ
Section
At GNP station, while T. No. DN BCN

Empty Goods on run on through signal, 2
Accident
wagons 12th and 13th from BV, one
Description
Trolley each derailed on DN main Line.
No obstruction to through traffic.
Derailment occurred due to shearing of
rivet of rear trolley right hand Side Bearer
Reason and dislocation of side bearer bottom
housing resulting in offloading of rear
trolley while on run and got derailed.
Responsibility C&W Maintenance staff
During rake examination, any loose or

broken rivet in wagons should not be
Lesson learnt
taken lightly, proper attention must be
given for rivets.
50
Case Study - 8
Date & Time of
03/04/2022 at 18:22 hrs.
Accident
Rly / Div /
NF / KIR / JBN-KIR
Section
While the T.No.07546 was on run, got

derailed by rear trolley all wheels of rear
Accident DPC No.080 and one axle of rear trolley
Description rear wheel of said DPC was broken at Km-
41/9 between Jalalgarh (JAG)- Kasba
(KUB) blocksection.
Derailment due to breakage of axle caused

by dent mark in wheel seat inner fillet
Reason
which was due to improper material
handling during re-discing of wheel set.
Responsibility SSE/WTS/IC
Process control during re-discing of wheel

Lesson learnt at wheel shop must be ensured without
deviation.
51
Case Study - 9
Date & Time
02/04/2022 at 17:07 hrs.
of Accident
Rly / Div /
WR / RTM / MKC-BPL
Section
While passing through Baktal, hot axle

noticed by Station Master BKTL, showed
red hand signal to the Guard of DN
DBKT/AKT. Two wheels of wagon No.
Accident
SER 30079376256, Marshalled 33rd from
Description
train engine, derailed after passing DN
Starter of BKTL. Train stopped after
passing advance starter blocking DN
Mainline of BKTL - SEH section.
CTRB fitted in the wagon failed causing

Reason
hot axle and subsequent derailment.
Responsibility Workshop which overhauled CTRB.
During overhauling CTRB, quality

measures should be followed to avoid
Lesson learnt premature failure. Care should be taken to
avoid contamination of grease used in
CTRB.
52
53
Case Study - 1
Date & Time

16/03/2022 at 02:00 hrs.
of Accident
Rly / Div /
ECo / WAT / VZM-SPRD
Section
T.No. NBOX/E while being drawn out

Accident from PSPG siding on R2, 8th wagon
Description from brake van derailed at Point
No.22A.
Cable fault which caused point failure

Reason resulting in automatic operation of
point No.22A and causing two routes.
Responsibility ESM, SSE/S&T
Signal failures to be properly recorded.

Simultaneous operation of two points if
Lesson learnt
any to be noticed properly and
attended.
54
Case Study - 2
Date & Time of
04/03/2022 at 19:10 hrs.
Accident
Rly / Div /
CR / PUNE / LNL-GIT
Section
Dy /SS DAPD reported fire in DAPD

Accident
relay room & IPS room at 19:10 hrs
Description
on 04/03/2022
Short circuit in and around signal

Reason
DC-DC convertor leading to fire.
Responsibility SSE/Sig.
Relay room must be properly

maintained. Cable arrangement
Lesson learnt
should not be in haphazard manner.
Fire alarm systems to be provided.
55
Case Study - 3
Date & Time of
21/03/2022 at 16:17 hrs.
Accident
Rly / Div /
SE / CKP / CKP-SLJR
Section
Train no 12869 Exp, While admitting in
Accident line No 5 of TATA yard, coach no LS-SE-
Description 158402 next to LSLRD derailed near
point no 173.
Accident occurred due to bypassing of
track circuit No.323T by signal
maintenance staff from the relay room
without informing the same either to
panel SM/Cabin SM or to her supervisor.
Reason Because of this, in panel, it shows line was
clear whereas train has not still cleared
the point zone. During this time, SM
resorted to super-emergency route
release leading to derailment.
Responsibility Tech.I/Sig
Whenever any bye-passing of track
circuit is carried out, the same should be
informed to SM without fail. Super-
Lesson learnt emergency route release should always
be done after proper site verification by
field SM.
56
Case Study - 4
Date & Time

12/01/2022 at 21:08 hrs.
of Accident
Rly / Div /
CR / NGP / AMLA-NGP
Section
Accident Bursting of crossover point no. 101/B at

Description ET end at Kohli station.
Reconnection without verification of

Reason setting and locking of Crossover Point
No. 101 at site.
Responsibility SSE/Sig.
Lesson learnt G.R 2.11(2)(a),(b) & (d)
57
Case Study - 5
Date & Time
09/06/2018 at 18:40 hrs.
of Accident
Rly / Div /
NR / DLI / CYZ-NDLS
Section
Rear Power car no

15865/EC/LWLRRM of Train no
12394 Sampooran Kranti Exp from
Accident NDLS to RJPB derailed by all wheels
Description near point no 336 of signal no 19
towards TDL end at about 18.40 hrs
in GZB yard while train passing run
through from station.
Track circuit 35AT, got picked up
during movement of wheels of
power car of Train No.12394 while
Reason
performing maintenance activities
without taking proper disconnection
of gears.
Responsibility SSE/S&T, SSE/Sig.
Maintenance of S&T gears

interrupting safe train running to be
Lesson learnt
carried out only after taking proper
disconnection.
58
Case Study - 6
Date & Time
10/10/2018 at 06:05 hrs.
of Accident
Rly / Div /
NR / LKO / LKO-BSB
Section
Loco and 09 coaches of T.No.14003 got
Accident derailed at KM 1009/7-8 in yard of
Description Harchandpur station of Lucknow-Rae
Bareli section. 07 passengers got killed.
Point No.42 at station was failing
repeatedly. S&T staff and SM tried to
attend that point without taking proper
Reason
disconnection. Resulted into wrong
indication at panel and train derailed on
the point set wrongly.
Responsibility ESM, ASM, Signal Inspector
Rules violated G&SR 3.77
During failure of points, train should be

Lesson learnt dealt as per the provisions given in G&SR.
No shortcut methods to be adopted.
59
60
Case Study - 1
Date & Time

03/07/2022 at 05:25 hrs
of Accident
Rly / Div /
EC / SPJ / NKE-RXL
Section
While train no. 05541 was approaching

Home/BLV, SM/BLV reported about
Accident
smoke and some flame was coming out in
Description
rear DPC and train stopped before Home
Signal/BLV.
It has been primarily established that

there was leakage of hydraulic oil and
Reason
due to shorting of cables of traction
motor, the incident of fire took place.
Responsibility DEMU shed/SSE
During maintenance, leakage of oil or

any other inflammable fluid over cable
Lesson learnt and traction motor to be thoroughly
examined and scheduled maintenance to
be done as per laid down standards.
61
Case Study - 2
Date & Time
03/07/2022 at 00:30 hrs.
of Accident
Rly / Div /
SC / SC / SC-KZJ
Section
While T. No. 12721 was on run Dy.SS/BN
reported Fire on LV VPU parcel van.
Accident Train stopped at Pagidipalli station at
Description 00:32 hrs. VPU detached from formation
and train left at 02.30 hrs from PGDP
station.
Leakage of residual petrol in the loaded
motor cycle caught fire due to falling of
Reason motor cycle and rubbing with other
loaded metal components, resulted in
extensive fire.
Lease holder of the parcel van, Chief
Responsibility
parcel clerk.
Railway Board's Lr. No.2012|TC(FM)/1
Rules violated
1/12 dated O5.O7.2012.
Before loading motor cycle, all necessary
steps to be taken to remove the residual
petrol. Random checks to be conducted
Lesson learnt
on the lease holder’s consignment to find
if there is any inflammable item loaded
against the stipulated rules.
62
Case Study - 3
Date & Time

29/01/2022 at 10:30 hrs.
of Accident
Rly / Div /
WR / BCT / ST-NDB
Section
On 29.01.2022 at about 10.30 hrs while

train no. 12993 Dn (GIM-PURI) entering
Accident PF no.2 of NDB station, ACP was done by
Description pantry car staff after noticing fire in
pantry car no. 038040 (13th from train
engine).
Due to leakage from 19 Kg gas cylinder in

pantry car and cooking on gas stove on
Reason
floor of the pantry car by the staff of
IRCTC contractor.
Responsibility IRCTC Contractor
RB letter NBo. 2017/TG-III/645/02

Rules violated
dated 06.08.19 and 06.03.2020.
Unauthorized usage of LPG Gas cylinder

and burner should be strictly prohibited
Lesson learnt
in LHB AC Pantry Cars fitted with
electricity based cooking systems.
63
Case Study - 4
Date & Time
17/01/2021 at 07:35 hrs.
of Accident
Rly / Div /
SR / TVC / QLN-TVC
Section
Fire inside the luggage portion of the

Accident front SLRD 15713 of 06630 special
Description presumably due to an un emptied petrol
tank of a motor cycle caught fire.
Residual petrol in the loaded bike spilled
over the floor when the bike fell down
Reason during the train run. It caught fire when
spark generated due to rubbing of metal
parts with floor.
Responsibility Parcel Supervisor
Lr. No.2012|TC(FM)/1 1/12 dated

Rules violated
O5.O7.2012.
Before loading motor cycle, all necessary

steps to be taken to remove the residual
petrol. Bike should be secured properly
to prevent from falling down during train
Lesson learnt
run. Random checks to be conducted on
the lease holder’s consignment to find if
there is any inflammable loaded against
the stipulated rules.
64
Case Study - 5
Date & Time
30/07/2020 at 20:45 hrs.
of Accident
Rly / Div /
WR / ADI / SIOB-BHUJ
Section
On 30.07.2020 train no
DER/MDPT/Container caught fire in
Accident 13th wagon from train engine No.
Description 62270947870 BLCB at 21.00 Hrs
between Bhachau and Chirai stations at
kms 770/06.
The fire incident in the loaded power
packed container was the result of
sudden explosion due to spilling of fuel
jet over Exhaust manifold/Turbocharger
Reason
of DG diesel engine, whose temperature
range is in the range of 500-700 degree
celsious. This type of 20ft DG container
was loaded without any approval.
Responsibility M/s. CONCOR
Any new type of consignment prone to

Lesson learnt fire hazard to be loaded after proper trial
and approval only.
65
Case Study - 6
Date & Time
05/03/2022 at 07:15 hrs.
of Accident
Rly / Div /
NR / DLI / SRE-NDLS
Section
On duty SM/ DRLA (Dorala) reported
that fire incident occurred in motor
coach no. 30050 NC ( 5th from front
Accident side) and trailer coach no.31244 while
Description train arrived at DRLA station at about
07.15 hrs. Motor coach no.
30060+30050+30043. Total coaches-
12.
Fault in tap changer fitted in under frame

Reason of affected motor coach no. 30050
resulted into fire in motor coach.
Concerned Firm which supplied

Responsibility substandard tap changer, MEMU Shed
Maintenance staff.
Substandard equipment or material
should not be put in use. Care must be
taken while doing schedule inspection
Lesson learnt
and if any deviation is observed in the
standards of the equipment it must be
highlighted at appropriate level.
66
67
Case Study - 1
Date & Time
18/12/2021 at 05:20 hrs.
of Accident
Rly / Div /
SR / MAS / MAS-AJJ
Section
Empty wagon of empty SteelCity N /RU,

Accident 22nd from BV one leading pair of trailing
Description bogie derailed at 64/14 on Down slow
line.
Stanchion rod of derailed BRN was not
secured properly on its bracket.During
Reason run, stanchion rod hit against platform
and worked out from its pivot and fallen
down over rail causing derailment.
Responsibility Private steel siding,Commercial Clerk
RB letter no 2018 M(N)951/34 dated

Rules violated
23.06.2020
After loading/un-loading of BRN wagons

stanchion to be secured properly. Any
Lesson learnt
bent stanchion if noticed, to be attended
during rake examination.
68
Case Study - 2
Date & Time
21/10/2021 at 16:45 hrs.
of Accident
Rly / Div /
SR / MAS / AJJ-KPD
Section
While drawing out from Rd-7 at AJJ yard,

2 wagons derailed near point no-132 at
16.45 hrs. 3rd wagon from TE, WCR BRN
Accident HS 56160755892-- Trailing bogie all
Description wheel derailed - leading bogie RH side on
Rail LH side lifted condition and 4th
wagon SER BRN HS 56072010393 – All
wheels in derailed condition.
End flaps not secured hence one flap fell

Reason down due to bolt snapping, wheel
mounted and derailed.
Responsibility SSE/PWay, BT checker.

Rule 849, IRPWM june 2020
Rules violated
GR 4.34, 4.36
Proper closing/securing of bulk head flap
door of BRN Wagons after unloading to be
Lesson learnt
ensured. GDR must ensure this aspect
before starting the train.
69
Case Study - 3
Date & Time
05/06/2022 at 17:45 hrs.
of Accident
Rly / Div /
SEC / BSP / BSP-GAD
Section
DN Train No. NBOXHL/E-24 while

passing through BPRH over DN line No.
Accident
3 at 17:45 hrs after passing advance
Description
starter, CPH end trolley of 22nd from
engine wagon derailed.
Door open of 19th wagon from engine
struck with platform while passing
Reason through line No. 3. Broken door came out
and stuck inside of wheel of 22nd wagon
causing derailment.
Responsibility Sr.Technician/C&W
Closing and securing of doors must be

ensured after loading/unloading. Train
Lesson learnt
should not be allowed to run with open
and non-secured wagon doors.
70
71
Case Study - 1
Date & Time
11/08/2022 at 11:40
of Accident
Rly / Div /
SEC / BSP / BSP-JSG
Section
Multiple Couple Light Engine No. 24561

+ 28338/WAG-7, which was performing
shunting at Kirodimalnagar station,
rolled down towards Raigarh and dashed
Accident
in rear of the goods train BOXN/Ey. As a
Description
result, coupled Light Engine, rear loco
No. 31991 of goods train, B/Van and 3
BOXN/E wagons (next to B/Van) of the
goods train derailed.
The LP of Multi LE did not ensure correct

procedure while doing cab change to
ensure securing of loco by applying
Reason handbrake and wooden skid. Further, LP
and ALP both did not take action to turn
MU2B valve in lead and open COCs in
right position so that loco brakes apply.
Responsibility LP & Sr.ALP
Rules violated ACTM Rule No.30635(7)
While performing shunting in a gradient

section, if there is cab change, crew must
Lesson learnt
secure the loco with skids and handbrake
to prevent roll down.
72
Case Study - 2
Date & Time
14/10/2022 at 03:00 hrs
of Accident
Rly / Div /
SR / TVC / QLN-TVC
Section
While shunting Ey Rake of 22659,

Shunting loco no 13207 WDG/3A hit the
Accident
dead end and derailed at shunting neck
Description
at KCVL yard at 03.00 hrs on 14.10.2022.
Dead end of shunting neck is damaged.
Lack of alertness on part of LP/Shunter.

He has failed to observe the dead end by
Reason
looking towards rear of the loco, instead
of front while approaching dead end.
Responsibility LP/Shunter
Rules violated G.R 5.13(2)
LP/Shunter shall always be vigilant and

cautious while performing shunting.
Lesson learnt
Shall obey necessary speed restrictions
and signals while performing shunting.
73
Case Study - 3
Date & Time
30/06/2022 at 16:40
of Accident
Rly / Div /
SR / TVC / TVC-NCJ
Section
While performing shunting of coaches of

Accident
16347, two pair of wheels in trailing trolley
Description
of SR ACCN 056116 got derailed.
Derailment happened due to buffer

interlocking because of loose screw
Reason
coupling between the coaches in the
formation while performing shunting
Responsibility Shunting staff.
Before performing shunting, tightness of

Lesson learnt
screw couplings to be ensured
74
Case Study - 4
Date & Time
28/07/2021 at 21:35 hrs.
of Accident
Rly / Div /
SR / MAS / MAS-MSB
Section
While backing Ey/rake of 02270 from

MAS to BBQ yard 4th from TE , coach
Accident
No- SR LWSCN 195470 leading truck all
Description
wheels derailed after passing manual
point No-11 at 21.35 hrs.
Point was not secured properly, the LH
side switch rail opened during the
Reason movement due to non-fixing of cotter
and pin and the coach has taken two
route and derailed.
Responsibility Pointsman
Rules violated GR SR Para No. 3.38v(a)
Manually operated points should be

properly secured with standard cotter
Lesson learnt
pin to avoid any split and becoming cause
for taking two routes.
75
Case Study - 5
Date & Time
22/10/2022 at 18:10 hrs.
of Accident
Rly / Div /
NR / UMB / KLK-SML
Section
Coach No. FCZ 98, next to Train Engine

Accident of train no. 52452 derailed by four wheels
Description of KLK end trolley as soon as train
started.
Wooden wedge was not removed before

Reason
starting the train.
Responsibility Points man, LP
Rules violated SR 5.19/5(a)(1)
Removal of safety chains/ wooden

wedges to be ensured before drawing out
Lesson learnt any stabled stock. Stabling register
should be maintained properly and
acknowledged by the concerned staff.
76
Case Study - 6
Date & Time
24/04/2022 at 16:25 hrs.
of Accident
Rly / Div /
SR / MAS / MAS-MSB
Section
Accident While moving Ey.EMU rake from stabling

Description line to PF-1, hit against the dead end.
Shunter has kept Throttle at 8%

MCH(before 200metres from dead end)
instead of keeping at 0KN ( i.e in Neutral
position) . Shunter did not realize that he
was in powering mode and ended up
Reason Passing EMU Stop board at 20kmph
speed & failed to apply brake in time
resulting hitting of the Buffer end and
caused derailment of EMU Coach and
Damages to Station building walls and
Platform shelter
Responsibility LP Shunter.
Rules violated GR 5.13 (3) and GR 2.05 (2) (b)
LP shunter must be alert while

Lesson learnt
performing shunting.
77
Case Study - 7
Date & Time
25/05/2020 at 18:42 hrs.
of Accident
Rly / Div /
SR / SA / SA-CBE
Section
While pulling out Empty rake of BTPN

from oil siding to Road 2 of SGE, the three
Accident
pair of wheels of leading bogie of leading
Description
Loco No. 27437/WAG 7/ED has derailed
at point no.52A- Trap switch.
LP passed the Stop Board and Loco got

Reason derailed in open trap point No.52A. LP
was performing shunting from rear cab.
Responsibility LP & ALP.
Rules violated G.R 4.21(1).
Cab change should be done according to

direction of movement while performing
Lesson learnt shunting to avoid hindrance of visibility
ahead, so that stop board can be clearly
seen.
78
79

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1

(A) Collision cases

1 Collision of T.No.11005 at CSTM 10

(B) SPAD cases

1 SPAD of T No. 06649 at VAPM 17

10 Derailment of T.No 15706 at HIR 34

11 Derailment of BOXN/E at CPU-MDHA 35

(E) Signalling cases

1 Fire in T No. 05541 at BLV Station 61

(G) Unsecured Door cases

1 Derailment of Ey/Steel City at MAS-AJJ 68

Train No. 11005DN, Load-17 bogies, DR-

LP of T.No.11139 Dn passed starter signal

Responsibility LP, ALP

Rules violated GR 3.78(1)(a)

LP & ALP should callout the actual signal

UP train BRN/KAV overshoot UP home

LP and ALP failed to stop train at the

Responsibility LP & ALP

Rules violated GR 3.78(1)

Crew should be always alert to stop the

LP of T.No.12623 passed PRES down fast

Responsibility LP & ALP

Rules violated GR 3.80

LP & ALP should be always alert and

T.No.78408 dashed against rear of goods

Prescribed speed limit for Automatic

Aspect of signal should be observed

Train No.06649 MAQ - NCJ Parsuram

Rules violated GR 3.81(1), 3.83(1)

LP and ALP should be vigilant and alert

AC Light Engine passed DN HOME Signal

On 21.10.2022 at 5.51 hrs at Jabalpur

Rules violated G.R 3.80

There will be VHF communication in the

Loco Pilot of 12707 TPTY-NZM AP

LP was in napped state and ALP was not

Responsibility LP and ALP

Rules violated GR 3.78, GR 3.75

Running staff must take adequate rest

LP of T.No. 15713 (KIR - PNBE Intercity)

Rules violated G&SR 3.07 & 3.08.

Crew should apply brake following the

Train No. N/SEB started from BSP at 9:50

Rules violated G.R 3.78(1)(a), 3.81(1).

LP and ALP should call out the signal only

After passing LSS at km 47/22 Train

Before permitting train passing, safe track

Working of material train during line

Rules violated IRTMM-PARA 417(4) & GR 2.11(b)

SSE/Track Maintainer should follow the

Date & Time

Derailment of GSLRD/144735 NCR of

Rules violated IRPWM PARA 614(1)

Prescribed length of rail closure should be

Date & Time

6 Wagons of KSNK Load with Loco No

USFD testing should be done as per the

T. No. UP PNV BTPN Empty Goods while

Derailment happened due to excessive

Rules violated IRPWM Para 109(1)(a), (b) & (C).

Versines and cross levels to be maintained

While dispatching BCN-CTC from Line

Derailment occurred due to excess cross