Risk Profile Bulletin version 6 This report is issued by: Rail Safety and Standards Board If you would like to give feedback on any of the material contained in this report, or if you have any suggestions for future editions, please contact: George Bearfield RSSB Block 2, Angel Square 1 Torrens Street London EC1V 1NY 020 3142 5464 risk@rssb.co.uk © RAIL SAFETY AND STANDARDS BOARD LTD. 2009 ALL RIGHTS RESERVED This publication may be reproduced free of charge for research, private study or for internal circulation within an organisation. This is subject to it being reproduced and referenced accurately and not being used in a misleading context. The material must be acknowledged as the copyright of Rail Safety and Standards Board and the title of the publication specified accordingly. For any other use of the material please apply to the Risk Team for permission. This publication can be accessed via the RSSB website www.rssb.co.uk. Printed June 2009 Page left blank intentionally Contents Contents Executive Summary vii 1 Introduction 1 2 SRM Objectives 3 3 System Boundaries and Changes to the SRM 4 3.1 Overview 4 3.2 Key assumptions and exclusions 5 3.3 Significant changes to SRMv6 5 4 Total Risk on the Mainline Railway 6 5 Overall Risk Profiles 9 5.1 6 7 Discussion 10 HLOS Requirements 14 6.1 Passenger safety metric 15 6.2 Staff safety metric 15 Detailed Risk Profiles 16 7.1 Risk by accident type 16 7.1.1 Train accidents 16 7.1.2 Movement accidents 18 7.1.3 Non-movement accidents 20 7.1.4 Trespass accidents 22 7.2 Risk by person type 24 7.2.1 Passenger risk 24 7.2.2 Workforce risk 27 7.2.3 Public risk 29 8 SSP Key Risk Areas 31 9 Individual Risk 34 9.1 Introduction 34 9.2 Fatality risk 35 9.3 Passengers 35 9.4 Workforce 37 9.4.1 Track workers 38 9.4.2 Passenger train drivers 38 9.4.3 Freight train drivers 39 9.5 10 Members of the public 40 Multiple Fatality Risk: The F-N Curve 41 10.1 F-N results 41 10.2 F-N modelling approach 42 Version 6.1 – June 2009 i Contents 11 Passenger Train Derailments 45 11.1 Impact of changes upon risk 45 11.1.1 Overall change from SRMv4 to SRMv6 45 11.1.2 Contributions from derailment speeds 46 11.1.3 SRMv6 consequences with and without containment 47 12 Using Risk Information to Support Decisions 48 13 SRM Governance and RPB Updates 50 13.1 SRM practitioners working group 50 13.2 Independent review of the SRM 50 13.3 Update history 51 13.4 Future updates 51 14 Injury Weightings 53 15 Access to the model and its outputs 54 15.1 The SRM 54 15.2 The RPB document 54 15.3 SRM guidance 54 15.4 Templates 54 15.5 Assistance 55 16 Contributors 56 17 References 57 18 Glossary 58 List of Acronyms 62 Appendix A: SRMv6 Risk Estimates by Hazardous Event 65 Appendix A1 A.1 Appendix A2 SRMv6 results by hazardous event 65 Frequency, consequence, and risk estimates by hazardous event 65 Changes in the risk profile 106 A.2.1 Passenger risk 106 A.2.2 Workforce risk 108 A.2.3 Public risk 110 A.2.4 Assaults risk 111 Appendix B: Table B1 113 Appendix C: Key Risk Areas and Selected Risk Groupings 115 Appendix D: Individual Risk 117 Appendix E: Modelling Approach 122 E.1 ii Risk at level crossings 123 E.1.1 Overview 123 E.1.2 Background 123 E.1.3 Level crossing hazardous events and sub-hazardous events 123 E.1.4 Road vehicle collisions (HET-10 and HET-11) 124 Version 6.1 – June 2009 Contents E.2 E.3 E.4 E.1.5 Passenger and MOP collisions (HEM-11 and HEM-27) 126 E.1.6 Non-movement hazardous events (HEN-44, HEN-46 and HEN-75) 126 Derailment risk 127 E.2.1 128 Details of Passenger train derailments Use of loading and timetable data in the SRM 130 E.3.1 SRM train loadings 131 E.3.2 Changes for SRMv6 131 Risk inside possessions 133 E.4.1 Train accident risk inside possessions 133 E.4.2 Movement accident risk inside possessions 135 E.4.3 Non-movement accident risk inside possessions 136 E.4.4 Possession risk figures 136 E.5 Normaliser data 139 E.6 Revised approach to trending using normalisers 141 E.6.1 142 Example of the normalised event count technique in HEM/HEN analysis Appendix F: Key Assumptions and Hazardous Event Definitions Version 6.1 – June 2009 145 iii Contents List of Charts Chart 1. Chart 2. Chart 3. Chart 4. Chart 5. Chart 6. Chart 7. Chart 8. Chart 9. Chart 10. Chart 11. Chart 12. Chart 13. Chart 14. Chart 15. Chart 16. Chart 17. Chart 18. Chart 19. Chart 20. Chart 21. Chart 22. Chart 23. Chart A1. Chart A2. Chart A3. Chart A4. Chart E1. Chart E2. Chart E3. iv System boundaries Total risk profile for passengers, workforce, and MOP Combined risk profile in FWI/year Combined risk profile in fatalities/year Risk profiles for train accidents in FWI/year Risk profiles for movement accidents in FWI/year Risk profiles for non-movement accidents in FWI/year Risk profiles for trespass accidents in FWI/year Risk profiles for passenger accidents in FWI/year Risk profiles for workforce accidents in FWI/year Risk profiles for public accidents excluding trespass in FWI/year Breakdown of SRMv6 by risk area group (inner ring) and risk area (outer ring) HSE individual risk targets Fatality risk for each person type Passenger individual risk by event type Fatality risk for the workforce Track worker individual risk Passenger train driver individual risk Freight train driver individual risk Frequency of train accident-related incidents leading to multiple fatalities (events/year) F-N Curve for all train accident hazardous events Average speed of passenger train derailments Timeline for future updates of the SRM and the RPB Top 10 risk changes in passenger risk between SRMv5.5 and SRMv6 – FWI/year Top 10 risk changes in workforce risk between SRMv5.5 and SRMv6 – FWI/year Top 10 risk changes in public risk between SRMv5.5 and SRMv6 – FWI/year Change in assaults risk profile – from SRMv5.5 toSRMv6 Distribution of derailment speeds Distribution of train km by time of day and train loading. Use of normalised event counts for analysis of HEN-14: PSTRUNSPEE. 4 8 11 13 17 19 21 23 26 28 30 32 34 35 36 37 38 39 39 42 43 45 52 107 109 111 112 128 132 142 Version 6.1 – June 2009 Contents List of Tables Table 1. Table 2. Table 3. Table 4. Table 5. Table 6. Table 7. Table 8. Table 9. Table 10. Table 11. Table 12. Table 13. Table 14. Table 15. Table A1. Table A1. Table A1. Table A2. Table A3. Table A4. Table A5. Table B1. Table C1. Table C2. Table C3. Table D1. Table E1. Table E2. Table E3. Table E4. Table E5. Table E6. Table E7. Table E8. Table E9. Table E10. Table F1. Table F2. Total risk by accident category 6 Total risk by person category 7 Total risk to each person type from each accident category 7 Event type description 9 Grouped risk figures for SRMv6 31 Selected SRMv6 risk groupings 33 Total passenger individual risk 36 Workforce individual risk 38 Frequency of train-related incidents leading to multiple fatalities 41 Return periods of train-related incidents leading to multiple fatalities 41 SRMv4 to SRMv6 differences 46 Contribution from derailment speeds (on open track only) 46 Impact of containment on SRMv6 risk (open track only) 47 SRM update history 51 Injury degrees and weightings 53 List of risk, frequency, and average consequences (HETs) 67 List of risk, frequency, and average consequences (HEMs) 73 List of risk, frequency, and average consequences (HENs) 81 Reasons for changes in reported frequency and risk between SRMv5.5 and SRMv6 89 Change in passenger risk 106 Change in workforce risk 108 Change in public risk 110 Cause precursor risk contributions Available electronically Grouped precursor risk contributions Available electronically Grouped precursor fatality contributions Available electronically Selected risk groupings – summary of Table C2 115 Individual risk data for SRMv6 119 The Crossing types considered for each hazardous event 125 Typical event tree end descriptions 130 Train loading bands 131 Final train loadings for SRMv6 132 SRMv6 HEN possession figures 136 Possession risk for all train hazardous events (HETs) for SRMv6 137 Possession risk for movement hazardous events (HEMs) for SRMv6 137 Possession risk for non-movement hazardous events (HENs) for SRMv6 138 Normaliser data for SRMv6 139 Normalisers used for SRMv6 HEM/HEN analysis 143 Assumptions relating to the SRM modelling processes 145 Hazardous event definitions Available electronically Version 6.1 – June 2009 v Page left blank intentionally vi Version 6.1 – June 2009 Executive Summary Executive Summary The Safety Risk Model (SRM) consists of a series of fault tree and event tree models representing 120 hazardous events which, collectively, define the overall level of risk on the mainline railway. It provides a structured representation of the causes and consequences of potential accidents arising from railway operations and maintenance. The reported risk estimates relate to the network-wide risk situation, and they indicate the current level of ‘residual risk’ (i.e. the level of risk remaining with the current risk control measures in place and with their current degree of effectiveness). Version 6 of the model (SRMv6) comprises a full update of all train accidents (HETs), movement accidents (HEMs), and non-movement accidents (HENs) using data from incidents up to and including September 30th 2008. In addition to this data refresh, a number of substantial modelling changes have been undertaken. The Department for Transport (DfT) and the Office of Rail Regulation (ORR) are using the outputs of SRM as the primary means of measuring the performance of the industry against the High Level Output Specification (HLOS) safety metrics. The risk estimates provided in SRMv6 therefore provide the initial baseline against which safety performance through Control Period 4 (April 2009 to March 2014) will be compared. In light of this, SRMv6 was subjected to an independent peer review conducted by the Health and Safety Laboratory (HSL), and the recommendations from the review were incorporated into SRMv6. Headlines Overall Risk SRMv6 indicates that the overall level of risk predicted for the railway is 141.3 FWI/year (excluding suicides). This represents a decrease of 3.4% from the figure of 146.3 FWI/year reported in SRMv5.5 (May 2008). Note that these figures now include the risk from assaults which was previously excluded (due to data quality issues that have now been resolved). Risk by Person Type The overall figure of 141.3 FWI/year can be broken down by each exposed group as follows: Passenger 54.4 FWI/year Workforce 29.8 FWI/year Member of public 57.2 FWI/year Passenger risk has increased by 3% since version 5.5. However, over the same period passenger journeys have increased by 4%. Therefore, this increase in risk is mainly due to the use of industry data (passenger journeys and passenger kms) to normalise the risk estimates and is therefore not considered to be indicative of any real increase in underlying risk. This new method of modelling has been implemented in response to one of the recommendations made in the independent SRM peer review and the risk estimates are now considered to be more robust than before. Workforce risk is now 29.8 FWI/year, representing a 10% reduction since version 5.5. This reduction is largely considered to be a real change in the underlying risk. It is due to a Version 6.1 – June 2009 vii Executive Summary number of risk reductions across the models, but is mainly accounted for by decreases in the following event types: Workforce slip, trip or falls Workforce struck by object outside station Workforce struck/crushed due to structural collapse Workforce assault Track worker struck/crushed by train Risk to the public also shows a reduction, in this case 5%, when compared with the version 5.5 figure. Given the tolerances associated with the risk estimates, this is not considered to indicate any significant change in the underlying risk. Risk by Accident Type Alternatively, the overall risk figure of 141.3 can be broken down by accident type as follows: Train accidents (HETs) 7.7 FWI/year Movement accidents (HEMs) 56.1 FWI/year Non-movement accidents (HEMs) 77.5 FWI/year HETs have seen a 21% reduction in risk since version 5.5, the majority of which is due to a genuine risk reduction (a small amount of which is attributable to improved modelling). HEMs and HENs have seen reductions of 3% and 2% respectively. HLOS Safety Metrics The SRMv6 figures have been used to derive the baseline HLOS safety metrics. These have been calculated as follows: Baseline passenger safety metric - 1.070 FWI per billion passenger kilometres Baseline workforce safety metric - 0.134 FWI per million worker hours The risk results from SRMv6 are presented as a measure of the absolute risk on the mainline railway. As with any risk assessment, the results are estimates and should only be considered as a guide to the overall risk and the relative risk contributions from each of the 120 identified hazardous events. The risk estimates should therefore only be used as an input into, and not as a substitute for, decision taking. viii Version 6.1 – June 2009 Introduction 1 Introduction RSSB works with its members to support the development of safety strategies, set standards, and monitor and report on the safety performance of the industry. An understanding of the overall risk level and risk profile of the railway is a key foundation for this role. We support our members – the railway industry – by providing risk information to help them benchmark their performance. This in turn helps them formulate their own safety policies, plans, and measures. The Safety Risk Model (SRM) provides the network-wide risk profile and this information is communicated to the industry in a range of ways, the primary one being this Risk Profile Bulletin (RPB). Version 6 of the SRM (SRMv6) consists of a series of fault tree and event tree models representing 120 hazardous events, which collectively define the overall level of risk on the mainline railway. It provides a structured representation of the causes and consequences of potential accidents arising from railway operations and maintenance on the mainline railway as well as other areas where RSSB has a commitment to record and report accidents. The SRM has been designed to take account of both high-frequency, low-consequence events (occurring routinely, and for which there is a significant quantity of recorded data) and low-frequency, high-consequence events (occurring rarely, and for which there is little recorded data). The results for each hazardous event are presented in terms of the frequency of occurrence (number of events per year) and the risk (number of fatalities and weighted injuries (FWI) per year). The FWI weightings equate injuries of differing degree with a fatality event, which allows all of the risk on the railway to be totalled and contrasted in comparable units. Section 14 contains a more detailed explanation and definition of the current FWI weightings in use. The risk estimates presented can be used to support particular risk assessments and for judging how the risk relating to particular operations compares with and contributes to the network-wide risk. The information contained in this document relates to the network-wide risk on the mainline railway covering all running lines, rolling stock types, and stations currently in use. Risk associated with non-mainline areas, such as with yards, depots, sidings, or station car parks, is not included. The system boundaries for SRMv6 are detailed in Section 3. The risk estimates are for the current level of ‘residual risk’ on the mainline railway. ‘Residual risk’ means the level of risk remaining with the current risk control measures in place and with their current degree of effectiveness. The cut-off date for incident data used to inform the model was September 30th 2008.1 Because of the network-wide nature of the SRM, it is necessary to make average assumptions that represent the general characteristics of the network. The model also hinges on the definitions of the hazardous events and precursors by which risk estimates are reported. These assumptions and definitions are included in Appendix F, and a thorough understanding of them is essential to the correct interpretation and use of the risk information reported here. Risk profiles for specific lines of route and train operating companies are not 1 There are two hazardous event models that are exceptions to this data cut-off: HEM-25 and HEM-31. The nature of the incidents covered by these models means that confident coding of events contained within them necessitates an earlier data cut-off date. Version 6.1 – June 2009 1 Introduction provided through the SRM. Without further localised analysis, the information in this bulletin should not be considered to be representative of the risk for any particular line of route or train operating company. The SRM Practitioners Working Group (SRMPWG) is the industry governance body for the SRM. It was formed under the authority of the Safety Policy Group (SPG) to engage stakeholders in the development and control of future versions of the SRM and its related outputs. Section 13 contains more information regarding this group and its aims. The DfT is using the outputs of SRMv6 as the primary means of measuring the performance of the industry against the HLOS safety metrics, rather than using a measure of safety performance based solely on accident statistics. The risk estimates provided in SRMv6 therefore provide the initial baseline against which to compare safety performance through Control Period 4 (April 2009 to March 2014). The main part of the document sets out: The objectives of the SRM (page 3) System boundaries and changes for version 6 (page 4) Total risk on the mainline railway (page 6) Overall risk profile (page 9) Details of the HLOS requirements (page 14) Detailed risk profiles (page 16) Access to the model and its outputs, can be found on page 54 (Section 15), where details on how to download parts of the following appendices may be found. Appendix A contains frequency, consequence and risk estimates for each hazardous event (Table A1), and describes the changes since version 5.5 in detail (Table A2). Appendix B contains frequency and risk contributions for all precursors leading to each hazardous event (Table B1 – this is contained within a separate volume). Appendix C contains a breakdown of risk into the key risk areas (Table C1: available for download) plus selected risk groupings (Table C2: available for download). Appendix D contains details of the key assumptions used in calculating individual risk along with a summary of the calculations for each person type (Table D1). Appendix E contains details of the modelling approach implemented for version 6. Appendix F contains a list of all of the assumptions and definitions (Table F1: available for download) related to the analysis and update of the hazardous events for version 6. 2 Version 6.1 – June 2009 SRM Objectives 2 SRM Objectives The primary objectives of the SRM are: To provide an understanding of the nature of the current risk on the mainline railway. To provide risk information and risk profiles relating to the mainline railway. The SRM has been developed and published to support RSSB members. Its specific purpose is to provide risk estimates for use in risk assessments, appraisals, and decisions throughout the railway industry. This includes: To enable ALARP (as low as reasonably practicable) assessments and cost-benefit analyses to be carried out to support decisions taken about: • Additional control measures which would reduce risk. • Technical modifications and upgrades such as new infrastructure investment. • Revision of Railway Group Standards (RGS), in terms of their contribution to risk mitigation (including development of impact assessments for proposed changes to RGS). To provide useful risk information to support: • The development of priorities for the industry’s Strategic Safety Plan (SSP) [Ref. 1]. • Prioritisation of areas for research on the railway. • Transport operator risk assessments, as required by the ROGS (Railways and Other Guided transport Systems) regulations. • Identification and prioritisation of issues for audit. To provide an understanding about the contribution of a particular item of equipment or failure mode to the overall risk. To provide risk estimates to be used as the basis of the HLOS safety metrics. Version 6.1 – June 2009 3 Changes to Version 6 3 System Boundaries and Changes to the SRM 3.1 Overview The SRM includes the safety risk from incidents which could occur during the operation and maintenance of the mainline railway within the boundaries defined in Chart 1 below. There have been no changes in scope for version 6. Chart 1. System boundaries IN SRM SCOPE NOT IN SRM SCOPE People People - Passengers on trains. - The SRM does not quantify the risk to staff due to long-term occupational health issues. - Railway workers on trains. - Risk associated with terrorist activity is excluded. - Railway workers involved in road traffic accidents while on duty. - MOP (not passengers) outside the mainline railway or legitimately crossing the mainline railway (i.e. on level crossings). Passengers at stations within areas to which they have legitimate access. Railway workers in public areas at stations. Railway workers working on or near the line. Railway workers in signal boxes, signalling centres, or electrical control offices. - MOP who enter the mainline railway with no legitimate purpose (e.g. trespassers including passengers who enter areas for which they have no legitimate access). - Events associated with vandalism and MOPs falling or trespassing on the mainline railway are also included. - Suicides and MOP assaults are quantified but not included in the overall results discussion. Yards, sidings and depots - Events occurring within yards, sidings, and depots are not included within the SRM. - However, those events relating to the movement of trains entering and leaving yards, sidings, and depots, and events relating to the condition of trains joining the system from the depots have been included. In Stations - Non-public areas at stations, i.e. the work side of a ticket office (however, where a member of the workforce is assaulted by a member of the public who is on the public side of the office, this has been included). - Retail outlets within stations. - Offices. On Trains - All on-train events. - All accidents related to the movement of OTP that occur within possessions. Events on the mainline railway which affect trains including level crossings. In Stations - 4 All public areas associated with the movement of passengers and staff inside the physical boundaries of stations. Station toilets. Everything road-side of stations (e.g. station access roads, car parks and forecourts, and taxi ranks). Version 6.1 – June 2009 Changes to Version 6 3.2 Key assumptions and exclusions Table F1 (in Appendix F) lists key assumptions that are applicable to the SRM, including exclusions from the model setup. Further clarity on the definitions and assumptions applicable to individual hazardous events can be provided on request. 3.3 Significant changes to SRMv6 A number of significant changes have been made for this update of the SRM. SRMv6 comprises a full update of all train accidents (HETs), movement accidents (HEMs) and nonmovement accidents (HENs) using data from incidents occurring up to and including September 30th 2008.2 In addition to this data refresh a number of substantial modelling changes have been undertaken as follows: The level crossing models (HET-10 and HET-11) have been substantially re-modelled to align with the All Level Crossing Risk Model (ALCRM). For more information, see Section E.1 in Appendix E. The train derailment models (HET-12 and HET-13) have been restructured to include better modelling of high-speed derailments. Separate models now exist for low-speed (0-15mph), medium speed (15-75mph), and high-speed derailments (75-125mph). For more information see Section E.2. All train loading distributions have been updated for consistency with the loading assumptions used in the Network Modelling Framework (NMF) model [Ref. 2]. For more information see Section E.3. Previously, the SRM included specific sub-hazardous events for ‘on-track plant’ (OTP) operation. SRMv6 dispenses with on-track plant risk to concentrate on ‘inside possession’ and ‘outside possession’ risk. For more details of the modelling change, see Section E.4. The model for collision of train with object on line (not resulting in derailment) (HET04) now includes all incidents where passengers or train crew are struck by objects that are thrown through windows (previously HEM-04 and HEM-18). Previously, the risk from train fires that originated on trains outside stations (HET-18) was modelled separately from train fires originating inside stations (HET-17). Both of these models have now been amalgamated into a single model HET-17 Fire on passenger trains. In a number of cases the analysis of movement and non-movement accidents has been modified to take account of normalised event counts. This results in the data trends for SRMv6 being analysed using these normalised event counts, rather than using only the observed event counts as in previous versions of the SRM. This change results from a recommendation made in the independent review of the SRM [Ref. 3]. More information on this approach is provided in Section E.6. 2 There are two hazardous event models that are exceptions to this data cut-off: HEM-25 and HEM-31. The nature of the incidents covered by these models means that confident coding of the events contained within them necessitates an earlier data cut-off date. Version 6.1 – June 2009 5 Total Risk on the Mainline Railway 4 Total Risk on the Mainline Railway This section presents the overall risk results for the 120 hazardous events on the mainline railway which are considered within the SRM. The risk results are separated into train accidents (HETs), movement accidents (HEMs), and non-movement accidents (HENs) – see Table 1. They are also presented in terms of passengers, workforce, and members of the public (MOP) – see Table 2. It should be noted that total figures presented here exclude the direct risk from MOP suicides and attempted suicides. However, all other passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing a suicide or attempted suicide, or secondary injuries received in attempting to prevent suicide, have been included. Total risk figures for version 5.5 in Table 2 and Table 3 have been adjusted to include assaults. In addition, ontrack plant (OTP) incidents inside possessions are now modelled as inside possession (POS) risk and OTP incidents outside possessions are now modelled as non-passenger train risk. This means that the figures in Table 1 cannot be directly compared with version 5.5. Table 1. Total risk by accident category Accident Category FWI/year Fatalities/ year Major injuries/ year NonReportable Class 1 Class 2 reportable minor shock/ shock/ minor injuries/yr trauma/yr trauma/yr injuries/yr Train Accidents (excl POS) Movement Accidents (excl POS and Trespass) Non-movement Accidents (excl POS and Trespass) 7.4 5.6 14.1 74.3 36.2 1.3 24.0 24.7 13.9 65.6 312.7 1554.1 209.9 53.3 59.0 8.0 335.0 1580.4 7538.6 1.5 2026.2 Inside possession 9.9 2.1 60.2 149.2 1027.5 2.0 4.5 40.3 37.3 26.7 19.3 9.8 28.4 1.1 141.3 67.0 501.5 2136.0 10166.2 243.2 2109.1 Trespass Total Note: The risk from MOP suicides and attempted suicides has been excluded, but all passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide, has been included. Figures in Table 1 show that the total risk from the 120 hazardous events on this basis is assessed to be 141.3 FWI/year. The details of the breakdown of this figure are shown in the table. In particular, this includes 67.0 fatalities/year. This compares to 146.3 FWI/year for version 5.5 (updated from the previously reported figure of 137.4 FWI/year to include assaults).3 It is not possible to compare the breakdown with version 5.5 directly, as explained above. Table 2 shows the risk to each person category on the railway. Despite a 5% reduction since version 5.5, MOP risk still forms the greatest proportion of the total risk, at 57.2 FWI/year. This is mainly due to a large number of fatalities from trespassing events. Total MOP risk is closely followed by the total passenger risk, which has seen an increase of 3% from 52.8 to 54.4 FWI/year. 3 Due to a data quality research project undertaken by RSSB and BTP, culminating in better data quality, passenger and MOP assaults have been significantly remodelled – see Appendix A for details. 6 Version 6.1 – June 2009 Total Risk on the Mainline Railway Table 2. Total risk by person category Version 6 Person category Fatalities/ FWI/year year Major injuries/ year Version 5.5 NonReportable Class 1 Class 2 reportable minor shock/ shock/ minor injuries/yr trauma/yr trauma/yr injuries/yr FWI/year % Change Passenger 54.4 11.3 303.8 1387.4 4881.4 0.5 879.5 52.8 3% Workforce 29.8 4.7 142.7 670.8 5094.1 241.2 1165.9 33.1 -10% MOP 57.2 51.0 54.9 77.7 190.8 1.4 63.8 60.4 -5% Total 141.3 67.0 501.4 2136.0 10166.2 243.1 2109.1 146.3 -3% Note: The risk from MOP suicides and attempted suicides has been excluded, but all passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide, has been included. The increase in passenger risk can be substantially attributed to the use of industry data (passenger journeys and passenger km) to normalise the risk estimates (this is explained in detail in Section E.6 in Appendix E) and is therefore not considered to be indicative of any real increase in underlying risk. However, the workforce risk is now 29.8 FWI/year, representing a 10% reduction since version 5.5, and is considered to be a real change in underlying risk. Table 3 presents the total FWI/year, broken down into person type and accident categories. The table shows that HETs have seen a 21% reduction in risk since SRMv5.5. This large reduction in risk is considered to be partly due to a genuine risk reduction, most notably a reduction in derailments (see Appendix A2 for more detail), and partly due to modelling changes (see Appendix E). HEMs and HENs have seen reductions of 3% and 2% respectively and, as these contribute a large proportion of the risk, the total reduction in risk since version 5.5 is 3%. Table 3. Total risk to each person type from each accident category Hazardous Passenger event FWI/year Version 6 Workforce MOP FWI/year FWI/year Total FWI/year Version 5.5 % change Total FWI/year HET 3.2 1.2 3.3 7.7 9.7 -21% HEM 11.9 6.6 37.7 56.1 57.7 -3% HEN 39.3 21.9 16.3 77.5 78.9 -2% Total 54.4 29.8 57.2 141.3 146.3 -3% Note: The risk from MOP suicides and attempted suicides has been excluded, but all passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide, has been included. Chart 2 presents the total risk profile for passengers, workforce, and MOP. It shows that the bulk of the total risk is split evenly between passengers and MOP, with 39% and 40% respectively – the remaining proportion (21%) results from workforce incidents. The profiles of the injuries in the person type categories have remained similar to version 5.5 with approximately 50% of the risk to passengers and workforce resulting from major injuries. Fatalities still dominate MOP risk with 90% of the risk – this is due to MOP trespass events contributing 37.3 fatalities per year. Version 6.1 – June 2009 7 Total Risk on the Mainline Railway Class 1 shock/ trauma (4.1%) Reportable minor injuries (11.3%) Non-reportable minor injuries (17.1%) Fatalities (15.7%) Major injuries (48.0%) Non-reportable minor injuries (9.0%) Class 2 shock/ trauma (1.6%) Class 2 shock/ trauma (3.9%) PASSENGER 39% MEMBER OF THE PUBLIC 40% Fatalities (89.3%) Reportable minor injuries (0.7%) Major injuries (9.6%) WORKFORCE 21% Major injuries (55.9%) Reportable minor injuries (12.8%) Total risk profile for passengers, workforce, and MOP - including % of total FWI/yr Fatalities (20.8%) Total risk = 141.3 FWI/yr Chart 2. Note: The risk from MOP suicide and attempted suicides has been excluded, but all passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide, has been included. The chart does not show injury categories that contribute <0.5% of the risk for each person type, e.g. class 1 shock/trauma to passengers. 8 Version 6.1 – June 2009 Overall Risk Profiles 5 Overall Risk Profiles In this section the hazardous events (HEs) have been grouped into 18 event types. Combining the hazardous events in this manner allows us to identify readily the types of events that contribute the greatest proportion of risk to the overall figure. The hazardous events have been grouped as shown in Table 4. Table 4. Event type description Event type Description Hazardous events Assaults Assaults on passengers, members of the workforce and MOP. HEN-64, 65, 66 Boarding and alighting HEs related to boarding and alighting trains while in the station. HEM-05, 06, 09, 16, 21, 23 Collision with road vehicle at level crossing Collision with RVs by passenger trains, non-passenger trains and OTP. HET-10, 11 Contact with object Events relating to objects striking passengers; members of the workforce; or MOP. HEM-20, 32, 38, 39, 42 Electric shock HEs related to electric shock to passengers, members of the workforce, or MOP. HEN-09, 10, 11, 30, 31, 32, 51, 52, 53 Fires and explosions Fires or explosions on trains; in stations; or on the mainline railway. HET-17, 20, 23, 24, HEN-01, 02, 03, 04, 05, 48, 49 Lean or fall from train in running HEs relating to injuries caused by passengers or staff leaning or falling from trains in running. HEM-03, 15, 17, 44 Machinery operation HEs relating to workforce injuries, e.g. being trapped in machinery or burns due to welding. HEN-22, 27, 28 Manual handling Injuries due to manual handling by passengers or staff. HEN-73, 74 On-train incidents HEs occurring on trains not included in any other category. HEN-62, 63 Platform edge incidents Incidents occurring or originating on platforms. HEM-08, 10, 40, 41, 43, HEN-13, 67 Slips, trips, and falls (incl. from height) HEs relating to slips, trips, and falls for passengers, staff, and MOP, including falls from a considerable height (e.g. roofs, scaffolding, etc). HEN-14, 15, 16, 24, 25, 45, 46, 68 Struck/crushed by large object/structure HEs relating to structural collapse, injuries from level crossing equipment, etc. HET-21, HEM-29, HEN-21, 23, 26, 35B, 44, 55, 56, 59, 75 Version 6.1 – June 2009 9 Overall Risk Profiles 5.1 Event type Description Hazardous events Struck/crushed by train Passengers, members of the workforce and MOP being struck at level crossings on the mainline railways and inside possessions. HEM-11, 14, 19, 27 Suicide S/T Suicide shock/trauma, excluding injuries to the attempted suicide victim. HEM-31 Train collisions and derailments Collisions between trains, collisions with buffer stops and derailments, excluding collisions with RVs at level crossing. HET-01, 02, 03, 04, 06, 09, 26 Trespass HEs relating to trespassing on the railway. HEM-12, 25, 26, 30, HEN-36, 37, 38, 39, 40, 41, 42, 43, 71, 72 Other HEs which do not fit easily into the above categories. HET-22, 25, HEM-01, 07, 13, 07, 08, 17, 22, 29, 33, 35A, 50, 54, 57, 58, 60, 61 Discussion Chart 3 presents the risk profile in FWI/year and indicates the percentage change in risk between versions 5.5 and 6 for each of the 18 hazardous event types listed above. The greatest overall risk contribution results from Trespass with 40.3 FWI/year, which is dominated by fatality risk. However, this change, which relates mainly to HEM-25 Adult trespasser struck/crushed while on the mainline railway, results predominantly from a modelling change rather than a genuine change in risk. Review of the version 6 data for HEM-25 identified that the delayed receipt of the coroner’s verdict in trespasser and suspected suicide cases results in inaccuracies in the prediction of risk for these events. As a result, the end of 2007 was chosen as the version 6 data cut-off time for these events, rather than the end of September 2008 (which applies to version 6 in general). In addition, a five-year dataset was used, rather than the three-year dataset used in version 5.5, in order to more effectively reflect the longterm changes in the rate of trespass. The next highest contribution results from Slips, trips, and falls, with 37.1 FWI/year – this hazardous event has seen a slight overall decrease of 1% since version 5.5. However, the passenger risk component has seen an increase of 6%. This increase can partly be explained by the increased number of passenger journeys and how these have now been modelled (see Section E.6 in Appendix E). The group with the greatest increase in risk is Lean or fall from train in running, with an increase of 244% since version 5.5. Although this is a large percentage change, the actual increase is only 0.52 FWI/year. This is mainly due to an increase in the estimate of fatality risk in this category – as the risk estimate is small it is very sensitive to changes in the number of incidents observed. The next greatest increase in risk is from Platform edge incidents, which have seen an increase of 18% to 4.6 FWI/year. 10 Version 6.1 – June 2009 Version 6.1 – June 2009 0.961 (+1%) 0.775 (+5%) Suicide S/T Fires, explosions Machinery operation 0.363 (-6%) 0.727 (+244%) 0.983 (0%) Other Lean or fall from train in running 1.15 (-6%) 1.19 (-39%) 1.71 (-16%) Manual handling Electric shock Contact with object 2.8 (-21%) 4.59 (-29%) Train Collisions and derailments 5.85 (+5%) 12.2 (-2%) 15 10.7 (+4%) 7.43 (-6%) 4.61 (+18%) Collision with road vehicle at level crossing 10 7.91 (-1%) Platform edge incidents On-train incidents Struck/crushed by large object/structure Boarding and alighting Struck/crushed by train Assaults 5 20 25 30 35 40.3 (-6%) 45 MOP Workforce Passenger 37.1 (-1%) 40 Chart 3. Slips, trips and falls (incl from height) Trespass 0 Overall Risk Profiles Combined risk profile in FWI/year - includes % change from version 5.5 11 Overall Risk Profiles The event type with the greatest decrease in risk is Electric shock, which has fallen 39% since version 5.5. This is due to a decrease in the frequency of reported electric shock events. Again, this risk estimate is small and is therefore sensitive to change in the number of incidents. The next greatest decrease in risk is from Train collisions and derailments, which has decreased to 4.59 FWI/year, dropping 29% from version 5.5. This is largely due to a genuine reduction in our risk estimate for derailments of 1.2 FWI/year (HET-12 and 13). The group that presents the highest risk to passengers is Slips, trips, and falls, which contributes 25.4 FWI/year, or 47% of the overall risk to passengers, followed by Assaults which contributes 8.0 FWI/year. The greatest workforce risk also comes from the Slips, trips, and falls event type, with the second highest contribution coming from Struck/crushed by large object/structure. The MOP risk contribution is dominated by trespass, which accounts for 70% of the risk to MOP, followed by Struck/crushed by train with 13%. Chart 4 shows the risk by event type in fatalities/year. Fatality risk is dominated by Trespass events, which accounts for more than half, (37.3 fatalities/year). The group with the second highest fatality contribution is Struck/crushed by train which contributes 10.3 fatalities per year, a rise of 4% since version 5.5. Despite seeing a reduction of 20% in fatality risk, Slips, trips, and falls is the third highest contributor, although this is a far smaller contribution when compared to the FWI risk/year. The group with the greatest increase in fatality risk is Lean or fall from train in running, which has displayed a 430% increase since version 5.5. As there are so few fatalities in this category (0.56 fatalities/year), estimates of fatality risk are sensitive to change, hence large percentage changes can occur. The group with the greatest decrease in overall risk is Contact with object, with a 73% decrease since version 5.5. Again, this is sensitive to small changes because it only contributes 0.013 fatalities/year. 12 Version 6.1 – June 2009 Version 6.1 – June 2009 0.95 (-37%) Electric shock 0 (0%) 0 (0%) Manual handling Suicide S/T 0.0128 (-73%) Contact with object 0 (0%) 0.0773 (+10%) Machinery operation On-train incident 0.433 (-7%) 0.524 (+14%) Other Struck/crushed by large object/structure 0.542 (+5%) Fires, explosions 0.555 (+430%) 1.05 (+8%) Lean or fall from train in running 2.4 (-22%) 3.11 (+23%) 1.74 (+39%) Boarding and alighting Assaults Collision with road vehicle at level crossing Platform edge incidents Train Collisions and derailments Slips, trips and falls (incl from height) 3 4.59 (-3%) 4.78 (-20%) 6 9 10.3 (+4%) 12 37 Public Workforce Passenger 37.3 (-6%) 40 Chart 4. Struck/crushed by train Trespass 0 Overall Risk Profiles Combined risk profile in fatalities/year - includes % change from version 5.5 13 HLOS Requirements 6 HLOS Requirements The government’s white paper Delivering a Sustainable Railway [Ref. 4] sets out the High Level Output Specification (HLOS). This describes the improvements in safety, reliability, and capacity that the government wants the industry to deliver during Control Period 4 (CP4, April 2009 to March 2014) and the Statement of Funds Available (SoFA) to secure these improvements. The improvements in safety are quoted in terms of a reduction in two safety metrics. These state that there should be a 3% reduction in the national level of risk for both passengers and workforce over Control Period 4. The passenger risk is expressed as fatalities and weighted injuries (FWI) per billion passenger kilometres, whilst the workforce risk is expressed as FWI per million employee hours. The Department for Transport (DfT) is using SRMv6 as the primary means of measuring the performance of the industry against these safety metrics, rather than using a measure of safety performance based on accident statistics. This is because for rare high-consequence events the rate of occurrence of accidents over any given period does not provide a good measure of underlying safety performance. The risk estimates from SRMv6 are being used in order to calculate the baseline risk from which the 3% reduction will be measured. As agreed with the DfT and ORR, the metrics exclude SRMv6 risk estimates for non-physical assaults. In addition, the workforce risk estimate does not include the risk from Workforce involved in road traffic accident whilst on duty (HEN-35A) as this is not considered to be within the scope of the SRMv6 safety monitoring in relation to the operation and maintenance of the railway. DfT has confirmed that the HLOS metrics exclude the risk associated with ‘High Speed 1’ services. Although SRMv6 does not include any specific model of the train accident risk associated with these services, some of the hazardous event risk estimates in SRMv6 make use of Eurostar incident data. Therefore, some risk associated with movement and nonmovement accidents has been extracted from the SRMv6 risk estimate used as the basis of the HLOS metrics. According to the scope definition of SRMv6 passengers who are killed or injured whilst they are in places they are never authorised to be (for example any passenger injured whilst taking a short-cut across the tracks) are considered to be trespassers. This risk is grouped with other trespass risk in the SRMv6, which relates to members of the public. The risk from these types of incidents is therefore also excluded from the HLOS passenger safety metric. The normalisation figure for passenger kilometre has been taken from ORR national rail trends (2007 Q4 - 2008 Q3). This figure aligns with the data cut-off date for SRMv6 (September 30th 2008). For the purposes of producing a comparable risk estimate at the end of Control Period 4, the SRM data cut-off date is proposed as September 30th 2013 and that the passenger kilometre figure used for normalisation will be the ORR reported figure for 2012 Q4 -2013 Q3. Normalisation data for workforce hours has been collected, as agreed with Safety Policy Group (SPG). The estimate of workforce hours is based on industry responses received by 14 Version 6.1 – June 2009 HLOS Requirements RSSB. Some of the figures supplied – especially those relating to contract staff – are based on best estimates. 6.1 Passenger safety metric The estimate of the absolute risk to which passengers are exposed is: 53.72 FWI/year The annual number of passenger kilometres for the purpose of normalisation is estimated to be 50.2 billion. The baseline passenger safety estimate is therefore: 1.070 FWI per billion passenger kilometres The normalisation figure for passenger km has been taken from ORR national rail trends (2007 Q4 - 2008 Q3), which aligns with the data cut-off for SRMv6 (September 30th 2008). 6.2 Staff safety metric The estimate of the absolute risk to which workforce are exposed is: 28.18 FWI/year The annual number of worker hours for the purpose of normalisation is estimated to be 210 million. The baseline workforce safety metric is therefore: 0.134 FWI per million worker hours The estimate of worker hours that was used to calculate this metric is based on industry estimates available to RSSB (for the calendar year 2008), and supplemented by RSSB estimates where data has not be supplied. As previously agreed with the SPG, the estimate of workforce hours does not include those hours associated with management and administration staff. Version 6.1 – June 2009 15 Detailed Risk Profiles 7 Detailed Risk Profiles 7.1 Risk by accident type Chart 5 – Chart 8 present the risk profiles for train accidents, movement accidents, nonmovement accidents, and trespass accidents respectively. These risk profiles exclude the direct risk from MOP suicide and attempted suicide. However, all other passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide or secondary injuries received in attempting to prevent suicide, have been included. Passenger and public assaults are now included in the total risk figures as they were modelled using enhanced data (compared to previous versions of the SRM). 7.1.1 Train accidents Chart 5 shows the risk profile for train accidents in FWI/year and also as the percentage change in risk from version 5.5 to version 6. Notable modelling changes are discussed in detail in Appendix E. Note that the only train accidents that were updated for version 5.5 were train fires (HET-17 and HET-20) and so the percentage change of the other train accidents relate to changes in risk estimates from version 5 to version 6. HET-10: Passenger train collision with road vehicle on level crossing has become the largest risk contributor to train accident risk, whereas in version 5 it was HET-12: Derailment of passenger trains. Overall the risk for train accidents has reduced by 21%, with 13 of the 18 hazardous events showing reductions in risk. The most significant reductions are from: HET-04: Collision of train with object (not resulting in derailment) – the risk has decreased by 40%, to 0.68 FWI/year. Note that HET-04 now includes HEM-04: Passenger struck by object through train window and HEM-18: Train crew hit by object through train window – version 5 figures have been adjusted accordingly. The change in risk is mainly due to a change in the injury weightings (as a result of a weightings error in version 5.5) and a reduction in consequences. HET-10: Passenger train collision with road vehicle on level crossing – the risk has decreased by 21% to 2.4 FWI/year. This is due to a combination of modelling changes and a reduction in frequency. The reduction is due to a fall in the number of level crossing incidents and the expert judgement that the consequence from such incidents has reduced when compared to the version 5 risk figure. HET-12: Derailment of passenger trains – the risk has decreased by 37% to 1.98 FWI/year. Again, this is due to a combination of modelling changes and a reduction in frequency. The reduction is generally due to a fall in incident data. A small proportion of the reduction is due to a change in modelling approach – see Section E.6 in Appendix E for more details. HET-02: Collision between non-passenger and passenger train has seen a large increase in risk of 75% since version 5. This is due to a small increase in the frequency and modelling changes discussed in detail in Section E.3 (in Appendix E). For a more detailed explanation, Table A2 (Appendix A) provides a set of explanations of the changes in train accident hazardous event risk estimates from version 5 to version 6. 16 Version 6.1 – June 2009 Version 6.1 – June 2009 0.0387 (0%) 0.0359 (-32%) 0.0117 (-47%) 0.0113 (-12%) 0.0063 (+39%) 0.00501 (+10%) HET-22: Structural collapse at station HET-20: Fire on non-passenger train HET-26: Collision between a failed train and an assisting train HET-25: Train divisions (not leading to collision) HET-21: Train crushed by structural collapse or large object (not at station) HET-23: Explosion on passenger train 0.0488 (-34%) HET-06: Collision between two passenger trains in station 0.123 (-35%) HET-03: Collision between two non-passenger trains 0.0688 (-1%) 0.136 (-6%) HET-24: Explosion on freight train 0.548 (-6%) 0.63 (+75%) 0.434 (-17%) 0.146 (+50%) 1 0.679 (-40%) 0.406 (-20%) HET-09: Collision with buffer stops HET-17: Fire on passenger train HET-11: Non-passenger train collision with road vehicle on level crossing HET-01: Collision between two passenger trains HET-13: Derailment of non-passenger train HET-02: Collision between a passenger train and non-passenger train HET-04: Collision of train with object (not resulting in derailment) 0.5 1.5 2 1.98 (-37%) Shock/trauma class 2 Shock/trauma class 1 Minor Non-reportable Minor Reportable Major Fatalities 2.4 (-21%) 2.5 3 Chart 5. HET-12: Derailment of passenger trains HET-10: Passenger train collision with road vehicle on level crossing 0 Detailed Risk Profiles Risk profiles for train accidents in FWI/year - includes % change from SRMv5.5 17 Detailed Risk Profiles 7.1.2 Movement accidents Chart 6 shows the risk profile for the top 20 movement accidents in FWI/year, and also the change in risk from version 5.5 to version 6. Again, this excludes the direct risk from MOP suicide and attempted suicides. However, all other passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide or secondary injuries received in attempting to prevent suicide, have been included. It is apparent that the highest risk contribution for movement accidents comes from HEM-27: MOP pedestrian struck/crushed by train on level crossing. This is broadly similar to version 5.5 and is still by far the largest contributor, standing at 7.32 FWI/year. The hazardous event that has seen the largest absolute increase in risk is HEM-10: Passenger struck by train while on platform, with an increase of 0.8 FWI/year (157%) since version 5.5. This is predominantly due to the range of incidents in the updated data which has increased the average consequences per event. The largest percentage change in risk comes from HEM-15: workforce fall from train in running, with an increase of 285%. Although this is a large increase, the absolute change in risk is quite small with an increase of 0.17 FWI/year to 0.236 FWI/year. This is due to observed increases in both the frequency and average consequences since version 5.5. As the risk is low, the estimate is sensitive to small changes in the underlying rate of observed incidents. The greatest reductions in risk come from: HEM-06: Passenger fall between train and the platform – the risk has reduced by 12% and now stands at 1.77 FWI/year. HEM-16: workforce injury while boarding/alighting train – this hazardous event has seen a reduction in risk of 18%, which results in a risk of 0.81 FWI/year. HEM-19: Track worker struck/crushed by train – the risk has continued to decrease, with a drop of 11% from version 5 to 5.5 and 12% from version 5.5 to 6. This results in a risk of 2.05 FWI/year. For further details, Table A2 (in Appendix A) provides a complete set of explanations of the changes in risk estimates for movement hazardous events from version 5.5 to version 6. 18 Version 6.1 – June 2009 Version 6.1 – June 2009 HEM-03: Passenger struck while leaning out of train (train in running) HEM-20: Workforce struck by flying object HEM-41: MOP fall between train and platform HEM-40: MOP struck by train due to standing too close to platform edge HEM-23: Train door closes on workforce HEM-15: Workforce fall from train in running HEM-44: Passenger jump from train in running 0.0938 (+110%) 0.124 (+11%) 0.127 (New HE) 0.19 (+4%) 0.211 (-11%) 0.236 (+285%) 0.386 (New HE) 0.433 (+21%) 0.535 (+6%) HEM-21: Workforce fall between train and platform HEM-14: Workforce (not track worker) struck/crushed by train 0.541 (-3%) 0.712 (+2%) HEM-38: Passenger injury due to braking or lurching HEM-05: Train door closes on passenger 0.809 (-18%) 0.91 (+105%) HEM-11: Passenger struck by train while crossing track at station on crossing HEM-16: Workforce injury while boarding/alighting train 1.03 (-7%) 1.32 (+157%) HEM-39: Train crew injury due to braking or lurching HEM-10: Passenger struck by train while on platform 1.77 (-12%) 2.05 (-12%) HEM-19: Track worker struck/crushed by train HEM-06: Passenger fall between train and platform 2.19 (-7%) 2 HEM-08: Passenger fall from platform and struck by train 1 3 3.87 (+8%) 4 7.32 (+2%) Shock/trauma class 2 Shock/trauma class 1 Minor Non-reportable Minor Reportable Major Fatalities 7 8 Chart 6. HEM-09: Passenger injury while boarding/alighting train (platform side) HEM-27: MOP pedestrian struck/crushed by train on level crossing 0 Detailed Risk Profiles Risk profiles for movement accidents in FWI/year - includes % change from SRMv5.5 19 Detailed Risk Profiles 7.1.3 Non-movement accidents Chart 7 presents the risk profile for the top 20 non-movement accidents in FWI/year and also the change in risk from version 5.5 to version 6. This excludes the direct risk from MOP suicide and attempted suicides. However, all other passenger, workforce, and MOP risk from these events, such as shock/trauma due to witnessing suicide or attempted suicide or secondary injuries received in attempting to prevent suicide, have been included. The non-movement risk profile is dominated by HEN-14: Passenger slip, trip, or fall, with a risk figure of 25.3 FWI/year. This represents an increase of 7% since version 5.5. The second largest contributor is HEN-64: Passenger assault, with 8.08 FWI/year, which represents a reduction of 5% since version 5.5. However, this change in passenger assault risk is predominately due to a data quality research project undertaken by RSSB and BTP, which has culminated in better data quality, along with detailed remodelling for version 6 – see Appendix A2 for more details. The greatest percentage increase in non-movement risk comes from HEN-66: MOP assault, providing an increase of 142% since version 5.5. The change in MOP assault risk is due to the same, aforementioned data quality research project – see Appendix A for more details. The next greatest percentage increase is from HEN-35: Workforce involved in road traffic accident while on duty, this has increased by 105% since version 5 due to an update of data in the dataset for version 6. The greatest reductions in non-movement risk are from: HEN-24: Workforce slip, trip or fall <2m – the risk shows a reduction since version 5.5 of 10% (0.75 FWI/year) resulting in 6.74 FWI/year. This is due to a reduction in the observed events for version 6. HEN-68: MOP non-trespasser fall in station – the risk has reduced by 49% (0.7 FWI/year), resulting in 0.72 FWI/year. This reduction is due to changes in the number of events recorded in the updated data which has reduced the frequency and consequences since version 5.5. For further details, Table A2 (in Appendix A) provides a complete set of explanations of the changes in risk estimates for non-movement hazardous events from version 5.5 to version 6. 20 Version 6.1 – June 2009 Version 6.1 – June 2009 1.08 (-2%) HEN-74: Workforce manual handling HEN-26: Workforce struck/crushed by non-train vehicle HEN-35: Workforce involved in road traffic accident whilst on duty 0.326 (-3%) 0.365 (+105%) 0.384 (-28%) HEN-10: Passenger electric shock at station (conductor rail) 0.568 (-21%) HEN-30: Workforce electric shock (conductor rail) 0.427 (+6%) 0.597 (-21%) HEN-25: Workforce slip, trip or fall >2m HEN-46: MOP slip, trip or fall on level crossing or footpath crossing 0.716 (-49%) HEN-68: MOP non-trespasser fall in stations 0.889 (+142%) 1.14 (+6%) HEN-23: Workforce struck by/contact with/trapped in object at station HEN-66: MOP assault 1.3 (+24%) HEN-55: Passenger struck by/contact with/trapped in object at station 1.8 (-14%) 2.41 (-18%) HEN-56: Workforce struck by/contact with/ trapped in object not at station HEN-21: Workforce struck/crushed by structural collapse or large object 2.67 (-4%) 3.18 (+16%) 3.2 (-4%) 3.26 (-8%) HEN-63: Workforce on-train incident (excl sudden train movement & assaults) HEN-62: Passenger on-train incident (excl sudden train movement & assaults) HEN-45: MOP (non-trespasser) fall from outside onto the mainline railway HEN-65: Workforce assault HEN-24: Workforce slip, trip or fall <2m 5 6.74 (-10%) 8.08 (-5%) 10 20 25.3 (+7%) Shock/trauma class 2 Shock/trauma class 1 Minor Non-reportable Minor Reportable Major Fatalities 25 Chart 7. HEN-64: Passenger assault HEN-14: Passenger slip, trip or fall 0 Detailed Risk Profiles Risk profiles for non-movement accidents in FWI/year - includes % change from SRMv5.5 21 Detailed Risk Profiles 7.1.4 Trespass accidents Chart 8 shows the risk profile for the trespass accidents in FWI/year, along with the change in risk from version 5.5 to version 6. It is apparent that hazardous events related to trespass are likely to include a fatality, resulting in the charts being dominated by this type of injury. The main contributor to the trespass risk profile is HEM-25: Adult trespasser struck/crushed by train while on the mainline railway. Even with a reduction of 7% (1.9 FWI/year) since version 5.5 it still contributes 24.0 FWI/year. However, this change, results from a modelling change rather than a genuine change in risk. Review of the version 6 data for HEM-25 identified that the delayed receipt of the coroner’s verdict in trespasser and suspected suicide cases results in accuracies in the prediction of risk for these events. As a result, the end of 2007 was chosen as the version 6 data cut-off time for these events, rather than the end of September 2008 (which applies to version 6 in general). In addition, a five-year dataset was used rather than the three-year dataset used in version 5.5 to reflect the longterm changes in the rate of trespass more effectively. The second highest contributor is HEN-38: Adult trespasser electric shock (conductor rail). This has seen an increase of 10% resulting in 6.07 FWI/year. The hazardous events with the largest percentage increases are HEN-39: Adult trespasser electric shock (non-traction supply), with an increase of 1168%, and HEN-43: Child trespasser electric shock (non-traction supply), with an increase of 1127%. These hazardous events contribute relatively small amounts of absolute risk and are sensitive to small changes in the risk profile. An extensive remodelling of the consequences for the electric-shock events of the SRM was undertaken for the version 6 update. Therefore, these increases are largely the result of improved consequence modelling rather than a genuine change in risk. For further details, Table A2 (in Appendix A) provides a complete set of explanations of the changes in risk estimates for trespass hazardous events from version 5.5 to version 6. 22 Version 6.1 – June 2009 Version 6.1 – June 2009 0.00582 (+1168%) HEN-39: Adult trespasser electric shock (non-traction supply) HEN-40: Child trespasser fall while on the mainline railway 0.00844 (+1127%) 0.11 (+140%) HEN-43: Child trespasser electric shock (non-traction supply) 0.166 (+44%) 0.512 (-26%) HEN-42: Child trespasser electric shock (conductor rail) HEN-72: Child trespasser fall/jump from outside onto the mainline railway 0.604 (-23%) HEN-37: Adult trespasser electric shock (OHL) 0.243 (-31%) 0.856 (-9%) HEM-30: MOP fall while riding illegally on train HEN-41: Child trespasser electric shock (OHL) 0.95 (-24%) 1.41 (+13%) 1.85 (-17%) HEN-36: Adult trespasser fall while on the mainline railway HEN-71: Adult trespass fall/jump from outside onto the mainline railway HEM-26: Child trespasser struck/crushed while on mainline railway HEM-12: Adult/child trespasser struck while crossing track at station 3 3.5 (-0.1%) 6 6.07 (+10%) 9 24 (-7%) Shock/trauma class 2 injuries Shock/trauma class 1 injuries Non-rep minor injuries Rep minor injuries Major injuries Fatalities 24 27 Chart 8. HEN-38: Adult trespasser electric shock (conductor rail) HEM-25: Adult trespasser struck/crushed while on the mainline railway 0 Detailed Risk Profiles Risk profiles for trespass accidents in FWI/year - includes % change from SRMv5.5 23 Detailed Risk Profiles 7.2 Risk by person type This section presents the risk profile for passengers, workforce, and MOP broken down by hazardous event. In many cases, the risk from a hazardous event includes more than one person type. However, in this section, only the injuries associated with a single person type are included. For example, HEM-11 Passenger struck while crossing track at station on crossing includes only the passenger injuries and not the workforce shock and trauma injuries associated with witnessing the event. This accounts for small differences in the risk values described in Section 7.1. 7.2.1 Passenger risk The total passenger risk is estimated to be 54.4 FWI/year, an increase of 3% from version 5.5. Chart 9 presents the current risk profile for the top 20 passenger hazardous events in FWI/year and the change in risk from version 5.5 to version 6. HEN-14: Passenger slip, trip, or fall is once again the major contributor to passenger risk with 25.3 FWI/year, or 47% of the overall passenger risk profile. This is dominated by major injuries – 69% of the risk results from major injuries despite most slips, trips, or falls resulting in minor injuries. The increase in risk is fundamentally due to the revised modelling approach discussed in Section E.6 (in Appendix E). Other non-movement hazardous events include: HEN-64: Passenger assault – the risk from this hazardous event is 8.04 FWI/year, which has decreased by 5% since version 5.5 due to remodelling of the passenger assaults (explained in Appendix A). HEN-62: Passenger on-train incident (excl sudden train movement and assaults) – the risk from this hazardous event is 3.18 FWI/year, representing an increase of 16% since version 5.5. The increase is due to an increase in the frequency, of which the majority is due to the use of normalisers to predict the risk estimate (see Section E.6). HEN-55: Passenger struck by/contact with/trapped in object at station – the risk from this hazardous event is 1.3 FWI/year, representing an increase of 24% since version 5.5. The majority of the increase in risk is due to changes in the number of events recorded in the updated data. The hazardous event with the largest percentage change is HEM-10: Passenger struck by train while on platform, with an increase of 160% since version 5.5, resulting in 1.3 FWI/year. This is mainly due to changes in the observed data, which has lead to an increase in the estimated average consequences, and also due to the new technique for using normalisers (see Section E.6 for more details). Other significant changes in movement hazardous events include: HEM-11: Passenger struck by train while crossing track at station on crossing, with an increase of 104% resulting in 0.906 FWI per year. This is mostly due to a doubling in the recorded frequency of the events in the update of the dataset. HEM-06: Passenger fall between train and the platform, with a reduction of 12% in the events recorded in the since version 5.5, resulting in a risk of 1.77 FWI/year. This is principally due to the update of the dataset. 24 Version 6.1 – June 2009 Detailed Risk Profiles HEM-08: Passenger fall from platform and struck by train, resulting in a risk of 2.17 FWI/year, a reduction of 7% since version 5.5. This is due to a reduction in the events recorded in the update of the dataset. HEM-09: Passenger injury while boarding/alighting train, which has a risk of 3.87 FWI/year, an increase of 8% from version 5.5. This is mainly due to the use of normalisers to predict the risk estimate – see Section E.6 for more details. Notable train accidents in the passenger risk include: HET-02: Collision between a non-passenger train and passenger train, which has increased by 150% since version 5.5 and now contributes 0.385 FWI/year. This rise is due to a revised assumption in the modelling where the increased probability of mixed traffic in peak loaded times has resulted in an increase in the high consequence and therefore an increased risk for HET-02 (see Section E.3 for more details). HET-12: Derailment of passenger trains, which is ranked 7th in the list (1.62 FWI/year). This has decreased by 37% since version 5.5. The reduction is generally due to a fall in incident data. A small proportion of the reduction is due to a change in modelling approach (see Section E.2 for more details). For more details, Table A2 (in Appendix A) provides a complete set of explanations of the changes in hazardous event risk estimates from version 5.5 to version 6. Version 6.1 – June 2009 25 26 0.279 (-52%) 0.25 (+26%) HET-10: Passenger train collision with road vehicle on level crossing HET-13: Derailment of non-passenger train 0.12 (0%) 0.336 (-12%) HET-01: Collision between two passenger trains HEN-05: Explosion at station 0.382 (-29%) 0.385 (New HE) HEM-44: Passenger jump from train in running HEN-10: Passenger electric shock at station (conductor rail) 0.385 (+150%) HET-02: Collision between a non-passenger train and passenger train 0.541 (-3%) 0.712 (+2%) HEM-05: Train door closes on passenger HEM-38: Passenger injury due to braking or lurching 0.731 (-9%) 0.906 (+104%) HEM-11: Passenger struck by train while crossing track at station on crossing HEN-13: Passenger fall from platform onto track (no train present) 1.3 (+160%) HEM-10: Passenger struck by train while on platform 1.62 (-37%) HET-12: Derailment of passenger trains 1.3 (+24%) 1.77 (-12%) HEM-06: Passenger fall between train and platform HEN-55: Passenger struck by/contact with/trapped in object at station 2.17 (-7%) 3.18 (+16%) 3.87 (+8%) HEM-08: Passenger fall from platform and struck by train HEN-62: Passenger on-train incident (excl sudden train movement & assaults) HEM-09: Passenger injury while boarding/alighting train (platform side) 5 8.04 (-5%) 10 20 25.3 (+7%) Shock/trauma class 2 Shock/trauma class 1 Minor Non-reportable Minor Reportable Major Fatalities 25 Chart 9. HEN-64: Passenger assault HEN-14: Passenger slip, trip or fall 0 Detailed Risk Profiles Risk profiles for passenger accidents in FWI/year - includes % change from SRMv5.5 Version 6.1 – June 2009 Detailed Risk Profiles 7.2.2 Workforce risk The total workforce risk is estimated to be 29.8 FWI per year, which is a decrease of 10% from version 5.5. Chart 10 presents the current risk profile for the top 20 workforce hazardous events in FWI/year and the change in risk from version 5.5 to version 6. The highest ranked hazardous event is HEN-24: Workforce slip, trip or fall <2m, with 6.74 FWI/year, a decrease of 10% since version 5.5. The next greatest percentage decreases in risk come from: HEN-65: Workforce Assault – the risk has decreased by 8% since version 5.5 and is now 3.26 FWI/year. This is due to a reduction in the frequency due to changes in the number of events recorded in the updated data. HEN-63: Workforce on-train incident (excl sudden train movements and assaults) – the risk has decreased by 4% to 2.67 FWI/year. This is due to a reduction in the estimated frequency from version 5.5 to version 6. HEN-56: Workforce struck by/contact with/trapped in object not at station – the risk has decreased by 18% and is now 2.41 FWI/year. This is due to a reduction in the estimated frequency since version 5.5. The main increases in risk are: HEN-23: Workforce struck by/contact with/trapped in object at station – this is ranked seventh in the top 20 workforce hazardous events with an increase of 6% resulting in 1.14 FWI/year. This is due to an increase in the estimated frequency since version 5.5 to version 6. HEM-31: MOP suicide or attempted suicide (open verdict) – this has increased by 1% since version 5.5 and is now 0.955 FWI/year. All of this risk comes from either the shock/trauma associated with witnessing a suicide or attempted suicide, or injury in trying to prevent a suicide (i.e. strains and injuries). The largest increase in risk comes from HEN-35: Workforce involved in road traffic accident whilst on duty, which has risen by 105% since version 5.5, resulting in 0.365 FWI/year. It is thought that this increase in risk is due to an increase in reporting of these types of accidents. The only train accident types to make the top 20 workforce profile are HET-12: Derailment of passenger train, with 0.28 FWI/year, and HET-13: Derailment of non-passenger train, with 0.22 FWI/year. Both events have seen decreases in risk since version 5.5 (31% and 9% respectively). For more details, Table A2 (in Appendix A) provides a complete set of explanations of the changes in hazardous event risk estimates from version 5.5 to version 6. Version 6.1 – June 2009 27 28 0.955 (+1%) HEM-31: MOP suicide or attempted suicide (open verdict) HET-13: Derailment of non-passenger train 0.222 (-9%) 0.236 (+285%) HEM-15: Workforce fall from train in running 0.365 (+105%) HEN-35: Workforce involved in road traffic accident whilst on duty 0.282 (-31%) 0.433 (+21%) HEM-14: Workforce (not track worker) struck/crushed by train HET-12: Derailment of passenger trains 0.535 (+6%) HEM-21: Workforce fall between train and platform 0.326 (-3%) 0.568 (-21%) HEN-30: Workforce electric shock (conductor rail) HEN-26: Workforce struck/crushed by non-train vehicle 0.597 (-21%) HEN-25: Workforce slip, trip or fall >2m 0.809 (-18%) 1.03 (-7%) HEM-39: Train crew injury due to braking or lurching HEM-16: Workforce injury while boarding/alighting train 1.08 (-2%) 2.05 (-12%) 4 3.26 (-8%) 2.67 (-4%) 3 2.41 (-18%) 1.8 (-14%) 2 1.14 (+6%) HEN-74: Workforce manual handling HEN-23: Workforce struck by/contact with/trapped in object at station HEN-21: Workforce struck/crushed by structural collapse or large object HEM-19: Track worker struck/crushed by train HEN-56: Workforce struck by/contact with/ trapped in object not at station HEN-63: Workforce on-train incident (excl sudden train movement & assaults) 1 5 6 Shock/trauma class 2 Shock/trauma class 1 Minor Non-reportable Minor Reportable Major Fatalities 6.74 (-10%) 7 8 Chart 10. HEN-65: Workforce assault HEN-24: Workforce slip, trip or fall <2m 0 Detailed Risk Profiles Risk profiles for workforce accidents in FWI/year - includes % change from SRMv5.5 Version 6.1 – June 2009 Detailed Risk Profiles 7.2.3 Public risk The total MOP risk is estimated to be 57.2 FWI/year, excluding suicide. As trespass has been discussed in detail in Section 7.1.4, this section focuses on MOP risk excluding suicide and trespass, which is estimated to be 16.9 FWI/year. Chart 11 presents the current risk profile for the top 20 MOP hazardous events (excluding trespass) in FWI/year and the change in risk from version 5.5 to version 6. The greatest contributor to the MOP risk profile is HEM-27: MOP pedestrian struck/crushed by train on level crossing, with 7.28 FWI/year. This is a 2% increase from version 5.5. No other movement accident is in the top ten. The highest non-movement accident is HEN-45: MOP (non-trespasser) fall from outside onto the mainline railway, which is ranked second in the risk profile. This contributes 3.2 FWI/year and has decreased by 4% from version 5.5. The next non-movement accidents in the list are: HEN-66: MOP Assault – this contributes 0.889 FWI/year, an increase of 142% from version 5.5. This is due to a data quality research project undertaken by RSSB and BTP, which had culminated in better data quality. This has led to significant modelling changes in the analysis of assaults for version 6. HEN-68: MOP non-trespasser fall in stations – this contributes 0.716 FWI/year, a decrease of 49% from version 5.5. This is due to a reduction in the frequency and consequence from version 5.5. The highest ranked train accident is HET-10: Passenger train collision with road vehicle at level crossing, which contributes 2.0 FWI/year to the MOP risk profile. Other train accidents of note are: HET-04: Collision of train with object (not resulting in derailment) – this has decreased by 37% from version 5.5 and contributes 0.471 FWI/year. All this risk comes from train collision with road vehicles not at level crossings which has seen a decrease due to changes in the number of events recorded in the updated data. HET-11: Non-passenger train collision with road vehicle at level crossing – this contributes 0.384 FWI/year, representing a decrease of 18%. For a more detailed explanation, Table A2 (in Appendix A) provides a complete set of explanations of the changes in hazardous event risk estimates from version 5.5 to version 6. Version 6.1 – June 2009 29 30 HEN-67: MOP fall from platform onto track (no train present) 0.0494 (+64%) 0.0579 (0%) 0.0753 (+36%) HEN-59: MOP struck by/contact with/trapped in object at station HET-24: Explosion on freight train 0.0762 (-48%) HET-12: Derailment of passenger trains 0.058 (-37%) 0.0768 (-46%) HET-13: Derailment of non-passenger train HET-03: Collision between two non-passenger trains 0.0987 (+28%) 0.1 (0%) HET-02: Collision between a non-passenger train and passenger train HEN-54: MOP exposure to hazardous substances leakage 0.126 (New HE) 0.19 (+3%) HEM-40: MOP struck by train due to standing too close to platform edge HEM-41: MOP fall between train and platform 0.3 (0%) HEN-49: MOP exposure to explosion on the mainline railway 0.322 (+1%) 0.384 (-18%) HET-11: Non-passenger train collision with road vehicle on level crossing HEN-44: MOP struck / trapped by level crossing equipment 0.427 (+6%) 0.471 (-37%) 0.716 (-49%) 0.889 (+142%) HEN-46: MOP slip, trip or fall on level crossing or footpath crossing HET-04: Collision of train with object (not resulting in derailment) HEN-68: MOP non-trespasser fall in stations HEN-66: MOP assault HET-10: Passenger train collision with road vehicle on level crossing 1 2 2 (-13%) 3 3.2 (-4%) 7 Shock/trauma class 2 Shock/trauma class 1 Minor Non-reportable Minor Reportable Major Fatalities 7.28 (+2%) 8 Chart 11. HEN-45: MOP (non-trespasser) fall from outside onto the mainline railway HEM-27: MOP pedestrian struck/crushed by train on level crossing 0 Detailed Risk Profiles Risk profiles for public accidents excluding trespass in FWI/year - includes % change from SRMv5.5 Version 6.1 – June 2009 Key Risk Areas 8 SSP Key Risk Areas Effective safety planning requires a detailed understanding of risk areas – the activities or circumstances where the safety risk profile for passengers, the workforce, and the public is the greatest. This allows resources and effort to be concentrated where they will have the greatest impact. The Strategic Safety Plan 2009-2014 (SSP) [Ref. 1] considers nine key risk areas that have been selected from the original breakdown of the SRM figures into 15 risk areas. These nine risk areas represent the top 95% of the overall SRM risk and are thus considered to be the key to understanding the causes of risk – hence the term ‘key risk area’ (KRA). A complete breakdown of the version 6 figures into the 15 risk areas is shown in Table 5 and diagrammatically in Chart 12 (the KRAs are indicated in both). Table 5. Grouped risk figures for SRMv6 Risk area group Risk (FWI/yr) % of SRMv6 risk Risk (FWI/yr) 3.41 0.28 1.95 0.03 0.19 22.78 3.13 53.95 4.07 % of SRMv6 risk 2.41% 0.20% 1.38% 0.02% 0.13% 16.12% 2.21% 38.18% 2.88% Pedestrian user 8.52 6.03% Road vehicle user 3.05 2.16% 0.06 0.80 16.12 14.99 7.96 141.3 0.04% 0.57% 11.41% 10.61% 5.63% 100% Risk area* Infrastructure Engineering 5.64 4.0% Level Crossing Rolling stock Environment 0.22 0.2% Passenger behaviour 25.91 18.3% Adjacent property/land Weather In stations On trains Crime General Public behaviour 69.59 49.3% Level Crossings Shunter Workforce behaviour Signaller 39.93 28.3% Station staff Track worker Train crew Total 141.3 100% *The nine KRAs reported in the Strategic Safety Plan (SSP) 2009-2014 are highlighted in bold. The remaining risk areas add together to give the ‘other sources of risk’ reported in the SSP. The 15 risk areas relate to the sources of risk. For example, the Track worker risk area relates to the risk that arises from track workers carrying out their activities and their behaviours in doing so, rather than the risk to track workers in their role. This means that the risk areas relate to the causes of the SRM precursors and have therefore been assigned to the relevant risk area accordingly. Version 6.1 – June 2009 31 Key Risk Areas In some cases, where a precursor has more than one cause, it has been necessary to assign proportions of the precursor risk between two or more risk areas. Appendix C gives full details of how the figures in Table 5 have been derived – it lists all of the precursors making up each of the risk areas and gives the proportions that have been applied for any precursors split between two or more risk areas. The 15 risk areas can be further grouped into five higher level risk area groups – namely engineering, environment, passenger behaviour, public behaviour, and workforce behaviour. These groupings can also be seen in Table 5. Table 5 provides valuable information to the industry regarding the significant causes of hazardous events. Precursors, by definition, are the main contributors to the hazardous events that ultimately lead to harm. Targeting the precursors through effective management actions will lead to a reduction in risk for all the associated hazardous events. Chart 12. Breakdown of SRMv6 by risk area group (inner ring) and risk area (outer ring) Infrastructure* 2.4% Level crossing 0.2% Rolling stock* 1.4% Adjacent property/land 0.02% Train crew* 5.6% Weather 0.1% Track worker* 10.6% In stations* 16.1% Workforce 28.3% Station staff* 11.4% Passengers 18.3% Engineering 4.0% On trains* 2.2% Environment 0.2% Signaller 0.6% Shunter 0.04% RV user 2.2% Pedestrian user 6.0% Level Crossing* RV user + Pedestrian user 8.2% General 2.9% Public Behaviour 49.3% Crime* 38.2% * indicates that the risk area is one of the nine key risk areas reported in the SSP 2009-2014. The remaining risk areas add together to give the ‘other sources of risk’ reported in the SSP. 32 Version 6.1 – June 2009 Key Risk Areas It is also useful to group the hazardous event and precursor risk into high level groups that relate to specific causes or areas of risk on the railway. Significant risk groupings include risk from track faults, rolling stock faults, SPADs, and level crossings. Table 6 provides a summary of the top level figures for a variety of groupings concerning these four broad categories. It should be noted that these groupings are not mutually exclusive and the same precursor risk contribution may be counted in more than one group. Table 6. Selected SRMv6 risk groupings PT risk (FWI/yr) NPT risk (FWI/yr) Total Risk (FWI/yr) - - 2.49 Track faults 2.31 0.20 2.52 Rolling stock faults 3.98 0.53 4.51 Cat A SPADs resulting in collision 0.43 0.30 0.73 Cat A SPADs resulting in derailment or level crossing collision 0.02 0.02 0.04 Cat D SPADs/ runaways 0.01 0.27 0.29 - - 11.81 2.40 0.38 2.78 Footpath crossings - - 3.83 Level crossings - - 7.96 Group description Track faults - grouped for both passenger and non-passenger trains Level crossings Level crossings (vehicle only) Appendix C provides a complete breakdown of the figures in Table 6 and shows how they have been derived. Version 6.1 – June 2009 33 Individual Risk 9 Individual Risk 9.1 Introduction ‘Individual risk’ is defined as the probability of a fatality per year to which a type of individual is exposed. Fatality risk is distinct from FWI risk, because it excludes the component of risk relating to injuries and shock/trauma. The Health and Safety Executive’s (HSE) decision-taking process document Reducing Risks, Protecting People (R2P2) [Ref. 5] specifies cross-industry targets for individual risk for passengers, employees and members of the public (MOP). These ‘limits of tolerability’, shown in Chart 13, provide a benchmark against which to compare the individual risk estimates calculated in SRMv6, also shown in Chart 13. Chart 13. HSE individual risk targets Unacceptable (All) Unacceptable (Passengers and MOP) Tolerable (Employees) 1 in 10,000 Tolerable (All) Increasing individual risk 1 in 1,000 National profile Prob. of f atality per year 9,986 1 in1 in9,986 1 in1 in 17,726 19,113 17,726 1 in 19,113 Number of exposed population 30,500 30,500 2,726 2,782 11,685 11,685 247,398 2,791,111 1 in1 in 247,398 2,791,111 11.46 1 in 1,000,000 Fatalities per year 3.97 3.05 0.15 0.15 0.61 0.61 11.28 Track worker Freight train driver Passenger train driver Passenger Broadly acceptable (All) R2P2 points out that these tolerability limits rarely ‘bite’, since they were originally derived for activities for which individual risk is the most difficult to control. The limits also reflect agreements reached at an international level, whereas most industries in the UK achieve much better levels of safety. These assertions are corroborated by SRMv6, which calculates individual risk at levels well within the appropriate tolerability limits. The industry document Taking Safe Decisions [Ref. 6] and guidance from the Office of Rail Regulation (ORR) [Ref. 7] clarify that the need to satisfy risk tolerability targets is distinct from the ALARP/SFAIRP4 duty of transport operators. It should also be noted that there is no 4 ‘As low as reasonably practicable’ and ‘so far as is reasonably practicable’. 34 Version 6.1 – June 2009 Individual Risk legal requirement to incorporate notions of risk tolerability into the formulation of ALARP arguments and, in fact, it is illogical to do so. 9.2 Fatality risk The predicted individual fatality risk from SRMv6 was analysed for each of the person types listed below (refer to Appendix D for more details): Passengers Workforce • Track workers • Passenger train (PT) drivers • Freight train (FT) drivers • Other train crew • Other workforce MOP Fatalities on the railway are dominated by suicide and trespass, amounting to 90% of the total fatality risk. Excluding these hazardous events (defined in Section 5), Chart 14 shows the fatality risk for each person type. Chart 14. Fatality risk for each person type Track workers MOP 13.7 fat./yr Passenger train drivers Workforce 4.7 fat./yr Passengers 11.3 fat./yr Other workforce Other train crew Freight train drivers In the following sections, the individual risk to each person type is discussed, along with a comparison with SRMv5 (individual risk was not assessed in SRMv5.5). 9.3 Passengers Of the population of train passengers, regular commuters have the greatest exposure to the railway environment. The individual risk to a commuter is therefore assumed to be indicative of the ‘worst-case’ for the whole population of train passengers. It is assumed that, on average, each commuter makes 450 journeys per year (two journeys per day, five days per week for 45 weeks per year). Further assumptions are shown in Table 7. Version 6.1 – June 2009 35 Individual Risk Table 7. Total passenger individual risk SRMv5 SRMv6 % change 11.53 11.28 - 2% 1,078,000,000 1,256,000,0005 Population size 2,395,556 2,791,111 Individual risk (probability of fatality per year) 4.81 × 10-6 4.04 × 10-6 1 in 207,782 1 in 247,398 Total passenger fatality risk per year No. of passenger journeys [Ref. 8] + 17% - 16% SRMv6 predicts a probability of fatality of 1 in 247,400 per year for regular commuters. As shown in Table 7, a lower overall fatality risk (spread over a larger population) resulted in a reduction of 16% in individual passenger risk since version 5. Chart 15 shows the individual risk for a passenger, broken down by the event types defined in Section 5. Chart 15. Passenger individual risk by event type Electric shock 3% Struck on / fall from train in running Other 2% Probability of fatality = 1 in 247,400 per year 4% Struck by train while on platform 8% Boarding / alighting incidents Falls at station 34% 9% Level crossing incidents 10% Assault 13% Train collision and/or derailment 17% The main changes in risk since SRMv5 are as follows: Fatality risk due to Falls at station6 has decreased by 11%, due to reductions in the risk from HEM-08 Passenger fall from platform and struck by train and HEN-14 Passenger slip, trip or fall. Fatality risk due to Train collision and/or derailment has decreased by 35%, primarily due to the reduction in the risk from HET-12 Derailment of passenger trains. PT 5 6 2008 calendar year figure. Falls at station includes falls from platform, wrong-side falls, and slips, trips, and falls. 36 Version 6.1 – June 2009 Individual Risk derailments, however, remain the largest contributor to this risk category, with 1.2 passenger fatalities per year. Fatality risk due to HEN-64 Passenger assault has increased by 27% since SRMv5, attributed to better reporting of incidents through the British Transport Police. The individual passenger risk due to Level crossing incidents shows a small increase since version 5, even though it decreased across the UK railway as a whole. This is due to improved modelling of the risk from high-speed passenger trains, thus providing better fatality estimates. Fatality risk due to Boarding / alighting incidents has improved by 44% since version 5, due to a reduction of 0.6 fatalities per year in HEM-06 Passenger fall between train and platform. Although incidents of this type have increased in frequency, the resultant injuries have significantly decreased in severity, creating the large drop in fatality risk. The biggest change in individual risk for passengers is due to HEM-10 Passenger struck by train while on platform, which increased by 0.7 fatalities per year, or 347% since SRMv5. This is due to an observed increase in fatalities due to passengers standing too close to the platform edge and a corresponding increase in the predicted consequence for this HE. 9.4 Workforce The total workforce fatality risk calculated in SRMv6 was distributed into specific workforce types in order to define their individual risk. During this process, a number of assumptions were made (detailed in Appendix D). Based on these assumptions, the fatality risk for the workforce was calculated, as shown in Chart 16. Chart 16. Fatality risk for the workforce Track workers 3.1 Passenger train drivers 0.6 Other workforce Other train crew Freight train drivers 0.5 0.4 All figures are in fatalities per year 0.2 Figures in Chart 16 show that the exposure to fatality risk for track workers and train drivers represents 82% of the total workforce fatality risk. Population numbers for each of these workforce types, estimated from Network Rail’s timesheet database and RSSB surveys of each train operating company (TOC), are presented in Table 8 along with their individual risk. A comparison of Table 7 with Table 8 shows that individual risk to the workforce is two orders of magnitude greater than for passengers, due to the smaller population size and hence greater individual exposure to each hazard. Version 6.1 – June 2009 37 Individual Risk Table 8. 9.4.1 Workforce individual risk Person type Population Track workers 30,500 PT drivers 11,685 FT drivers 2,726 Individual risk per year SRMv5 SRMv6 1.30 × 10-4 1.00 × 10-4 1 in 7,700 1 in 10,000 6.35 × 10-5 5.23 × 10-5 1 in 15,700 1 in 19,100 6.31 × 10-5 5.64 × 10-5 1 in 15,900 1 in 17,700 % change - 23% - 18% - 11% Track workers SRMv6 predicts 1 fatality in every 10,000 track workers per year, which is a reduction of 23% from the corresponding risk in SRMv5. Chart 17 shows the individual risk to a track worker, broken down by the event types defined in Section 5. Chart 17. Track worker individual risk Struck / crushed by large object or machinery Other 5% 6% Probability of fatality = 1 in 10,000 per year RTA (not at level crossing) 6% Slip, trip or fall 6% Electric shock 14% Struck / crushed by train or other vehicle 63% The risk of HEM-19 Track worker struck/crushed by train has been remodelled in SRMv6 in order to distinguish the risk from incidents occurring inside possessions from those occurring outside. This update, along with a new dataset, is responsible for the reduction of 0.6 fatalities per year for this event type. 9.4.2 Passenger train drivers SRMv6 predicts 1 fatality in every 19,100 passenger train (PT) drivers per year, which is a decrease of 18% from the corresponding risk in SRMv5. Chart 18 shows the individual risk to passenger train drivers, broken down into the event types defined in Section 5. 38 Version 6.1 – June 2009 Individual Risk Chart 18. Passenger train driver individual risk Probability of fatality = 1 in 19,100 per year Other 14% Electric shock Train collision and/or derailment 14% 38% Struck/crushed by train 33% Fatality risk due to Train collision and/or derailment fell by 39% since version 5. As was shown for passenger individual risk (Section 9.3), the biggest reduction was due to HET-12 Derailment of passenger trains, which also remains the biggest contributor to this risk category, with 0.1 PT driver fatalities per year. SRMv6 predicts 0.2 PT driver fatalities per year due to HEM-14 Workforce struck/crushed by train. This is broadly equivalent to the corresponding value in SRMv5. There has been a large increase in the risk from electric shock due to the increased observed occurrence of this event. 9.4.3 Freight train drivers Chart 19. Freight train driver individual risk Probability of fatality = 1 in 17,700 per year Other 25% Train collision and/or derailment 41% Struck / crushed by train 34% Version 6.1 – June 2009 39 Individual Risk SRMv6 predicts one fatality in every 17,700 freight train (FT) drivers per year, which is a reduction of 11% from the corresponding risk in SRMv5. Chart 19 above shows the individual risk to freight train drivers, broken down into the event types defined in Section 5. Individual FT driver risk due to Train collision and/or derailment has decreased by 17% from that in SRMv5 to 0.06 fatalities per year. SRMv6 predicts 0.05 FT driver fatalities per year due to HEM-14 Workforce struck/crushed by train. This is broadly equivalent to the value reported in SRMv6. 9.5 Members of the public In hazardous industries where all operations occur within a discrete, clearly-defined, geographical location, the numbers of exposed MOP, and therefore individual risk to MOP, can be determined. For the GB railway, however, it is only possible to discuss fatality risk to the MOP population as a whole. The dominant fatality risk to MOP occurs at level crossings, equivalent to 9.3 fatalities per year. This represents 83% of all MOP fatality risk and 34% of all fatality risk on the GB railway. It is, however, a 5% improvement to the corresponding risk reported in SRMv5. 40 Version 6.1 – June 2009 The F-N Curve 10 Multiple Fatality Risk: The F-N Curve 10.1 F-N results Whilst there are currently no specific criteria associated with the acceptability of the frequency of train accidents that could potentially lead to multiple fatalities, it is important to understand the vulnerability of the railway to such accidents. Using the event tree structures within SRMv6, for all the train accident hazardous events with the potential to lead to multiple fatalities, an overall F-N curve (frequency versus number of fatalities) for train accidents can be produced. This curve is shown in Chart 21. Predictably, the curve shows that as the number of potential fatalities associated with an event increases, the frequency of occurrence of the event reduces rapidly. Key points on the curve are given in Table 9 and Table 10 below. The latest figures for version 6 can be compared with results from previous versions of the SRM (note: versions 2-4 are incomplete). Figures in Table 9 are represented graphically in Chart 20. Table 9. Frequency of train-related incidents leading to multiple fatalities Incidents (events/year) Number of fatalities (passengers, staff and MOP) SRMv2 (Jul-01) SRMv3 (Feb-03) SRMv4 (Jan-05) SRMv5 (Aug-06) SRMv6 (May-09) >=5 fatalities 0.700 0.416 0.265 0.189 0.186 >=10 fatalities 0.320 0.180 0.127 0.110 0.065 >=25 fatalities [not included] [not included] [not included] 0.021 0.020 Table 10. Return periods of train-related incidents leading to multiple fatalities Time between incidents (years) Number of fatalities (passengers, staff and MOP) SRMv2 (Jul-01) SRMv3 (Feb-03) SRMv4 (Jan-05) SRMv5 (Aug-06) SRMv6 (May-09) >=5 fatalities 1.4 2.4 3.8 5.3 5.4 >=10 fatalities 3.1 5.6 7.9 9.1 15.3 >=25 fatalities [not included] [not included] [not included] 48.5 50.2 The continued increase in time between train-related incidents that lead to multiple fatalities can be seen from version 2 to version 6. The more recent reductions are due to generally improving safety performance trends, as reflected in the SRMv6 train accident model results, as well as changes and enhancements to the train accident models themselves. For example, the train derailment models (HET-12 and HET-13) have been modified to represent a greater spread of derailment speeds by the addition of a high-speed derailment model. This results in a considerably more accurate representation of high-consequence Version 6.1 – June 2009 41 The F-N Curve derailment events. Similarly, the level crossing models (HET-10 and HET-11) have been reviewed and significantly revised to align more closely with the All Level Crossing Risk Model (ALCRM). These changes have resulted in a change in the consequence profile for the expanded set of level crossing types, taking into account such issues as the effects of road vehicle types, more accurate level crossing train speeds, etc. Chart 20. Frequency of train accident-related incidents leading to multiple fatalities (events/year) Estimated frequency of multiple fatality events 0.7 v2, Jul-01 0.6 events/year 0.5 v3, Feb-03 0.4 0.3 v4, Jan-05 v5, Aug-06 v6, May-09 0.2 0.1 0.0 Jan-01 Jan-02 Jan-03 Jan-04 Jan-05 >=5 fatalities 10.2 Jan-06 Jan-07 Jan-08 Jan-09 >=10 fatalities F-N modelling approach The approach to F-N modelling has been reviewed for SRMv6, and minor adjustments have been made to improve the accuracy of the results. However, these changes have not significantly altered the overall F-N curve results. As in SRMv5, only the train accident models have been considered as these are the main contributors to multiple fatality events. Previous F-N figures in fact included all hazardous events, but it is considered that the contribution of the non-train accident portion of these figures was in fact minimal. SRMv3 F-N results were presented in two versions – ‘with’ and ‘without’ the effects of TPWS. For comparison in this section the ‘without TPWS’ figures have been used, as SRMv3 was produced during the transition period before TPWS had been fully implemented. 42 Version 6.1 – June 2009 Version 6.1 – June 2009 1.00E-07 1.00E-06 1.00E-05 1.00E-04 1.00E-03 1.00E-02 10 100 1,000 Chart 21. 1.00E-01 1.00E+00 1 Number of passenger, staff and member of public fatalities The F-N Curve F-N Curve for all train accident hazardous events 43 Cumulative frequency (events/year) The F-N Curve As in previous SRM versions, the basic F-N analysis would suggest that the frequency of accidents leading to 25 fatalities has reduced dramatically. However, even though the event trees within the SRM break down the hazardous events into a large number of different potential outcomes, each consequence estimate still only represents a single ‘average’ consequence for that outcome. In reality a greater spread of consequences might actually be possible. This is the case, for example, with MOP fatalities in models involving the spillage of hazardous goods, where the possibility for very high consequence events exists, albeit with a very low frequency. Consequently, while the average risk associated with such outcomes is accurately modelled within the SRM, the full range of higher and lower consequence outcomes that make up this average is not always explicitly modelled. The F-N analysis has been adjusted for highfatality MOP events. The adjusted results have been calculated by redistributing the highfatality portion of MOP fatality events whilst maintaining the overall level of risk. As a result of the correction the frequencies of higher fatality events are now considered to be more realistically represented on the F-N curve. 44 Version 6.1 – June 2009 Passenger Train Derailments 11 Passenger Train Derailments Passenger train derailments are the greatest contributor to passenger risk resulting from train accidents, contributing 1.62 FWI/yr of a total 3.2 FWI/yr (51%). For this version of the SRM, additional modelling of passenger train derailments was carried out to consider the risk from high-speed derailments in greater detail. Chart 22 shows that the average speed of passenger train derailments has increased over recent years – high-speed (lower likelihood) passenger train derailments have therefore been modelled separately for the first time in SRMv6. Chart 22. Average speed of passenger train derailments Average derailment speeds 70 Speed (mph) 60 50 40 Average Speed (mph) 30 20 Linear (Average Speed (mph)) 10 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 0 average incident speed (by year) The train derailment incidents have been divided into slow, medium, and fast derailment categories. The greatest proportion of incidents is at lower speeds, with 45% occurring at a slow speed. The medium speed group involves a further 41% of the derailments and the remaining 14% have been classified as fast. In order to define these groupings, the consequences of slow speed derailments are modelled as if they occurred at 15mph, the medium speed derailments are modelled as if they occurred at 40mph, and the high speed derailments are modelled as if they occurred at 100mph. For more details, see Section E.2 in Appendix E. This section includes a chart showing the distribution of derailment speeds. 11.1 Impact of changes upon risk 11.1.1 Overall change from SRMv4 to SRMv6 Both the frequency and consequences of passenger train derailments have reduced since version 5. The reduction in estimated frequency is a result of a genuine reduction in the number of passenger train derailment incidents in recent years. In 2006 there were four, in 2007 there were seven, and in 2008 there were five; the average rate over the last five years is 6.2/year. The SRMv6 frequency takes account of passenger train derailments over a period of up to 18 years, particularly where there is a shortage of precursor data. Therefore, Version 6.1 – June 2009 45 Passenger Train Derailments the final frequency is slightly higher than what the most recent data suggests, but significantly lower than the frequencies in version 5. The average consequences per event have also reduced, which is due to improved crashworthiness – this is discussed further in Section 14.1.3, in terms of passenger containment. The overall changes from version 4 to version 6 are described in Table 11. Table 11. SRMv4 to SRMv6 differences Frequency (events/year) Av. consequences per event (FWI) Risk (FWI/year) Version 4 (Jan 2005) 9.82 0.30 2.91 Version 5 (Aug 2006) 9.14 0.34 3.13 Version 6 (May 2009) 7.00 0.28 1.98 2.14 (-23%) 0.06 (-18%) 1.15 (- 37%) Change from SRMv5 to SRMv6 11.1.2 Contributions from derailment speeds For ease of comparison between version 5 and 6 the figures in Table 12 relate to derailments on open track only. The marked difference due to the new derailment speed modelling is shown by considering the average consequences per event. For version 6, the average consequence for a fast derailment is 0.99 FWI per event, whereas for version 5 the average consequence was 0.47 FWI per event for fast derailments (which also covers medium speed derailments). The consequences of a slow derailment are only 4% of a fast derailment and the consequences of a medium speed derailment are 21% of a fast derailment. This also shows that the additional modelling of fast derailments, which represent only 14% of all passenger train derailments now account for 56% of passenger train derailment risk. Table 12. Contribution from derailment speeds (on open track only) Frequency (Events per Year) Speeds Slow Version 5 4.34 Version 6 3.09 46 Med Fast 4.00 2.78 0.94 Average Consequences per Event (FWI) Slow Med 0.12 0.04 Fast 0.47 0.21 Risk (FWI / year) Slow Med 0.51 0.99 0.14 Fast 1.87 0.59 0.93 Version 6.1 – June 2009 Passenger Train Derailments 11.1.3 SRMv6 consequences with and without containment An allowance has been made in the update of the passenger train derailment risk model for improved containment of passengers within carriages in the event of trains falling on their side. Modern rolling stock is fitted with laminated windows which have greater strength and the carriages are much more likely to contain passengers in the event of overturning during catastrophic events such as high-speed derailments. RSSB research report, T424 Requirements for train windows in passenger train vehicles, makes the following statement regarding ejection from vehicles: Investigations of the previous seven significant accidents on the UK mainline, spanning from 1996-2006, indicated that there have been 12 fatalities due to passengers being ejected through train body-side windows. All of the ejections occurred in vehicles which rolled to 45 degrees or further in the lateral direction. In those circumstances a loss of integrity of the window led to a loss of passenger containment. It was found that if ejected from a body-side window there was a greater than 50% chance of a passenger receiving fatal injuries. To take account of the greater use of laminated glass, the passenger injury consequences associated with the derailment end events, where carriages overturn, have been reduced slightly. This was achieved by changing a proportion of previously predicted fatalities to major injuries. The results of these changes are shown in Table 13 below: Table 13. Impact of containment on SRMv6 risk (open track only) Frequency (Events per Year) Average Consequences per Event (FWI) Risk (FWI / year) Speeds Slow Med Fast Slow Med Fast Slow Med Fast Without Containment 3.09 2.78 0.94 0.04 0.22 1.12 0.14 0.61 1.06 With Containment 3.09 2.78 0.94 0.04 0.21 0.99 0.14 0.59 0.93 It can be seen from this table that the greatest benefits are achieved for the high-speed derailments. This aligns with recent experience – for example, the Class 390 Pendolino EMU that derailed at Grayrigg was fitted with laminated glass [Ref. 9]. Despite the accident occurring at a high speed, most of the train windows withstood the accident and only a single fatality occurred. This is less than might otherwise have been expected had a different type of stock that did not have laminated glass been involved in the accident. Version 6.1 – June 2009 47 Supporting Risk Decisions 12 Using Risk Information to Support Decisions The principles that are applied to taking decisions in the GB railway industry are described in the industry publication Taking Safe Decisions [Ref. 6]. The document describes how risk information is used to support judgements about whether or not particular measures are necessary in order to reduce risk to a level that is as low as is reasonably practicable (ALARP). There are various ways in which this judgement can be reached. If there is established good practice, and it is valid and appropriate in the particular circumstances envisaged, then this suggests that the practice is ‘reasonably practicable’. Where no established good practice exists, then the judgement must be based on an estimation of costs and benefits. Risk estimates and information are used to help decision takers apply the test of reasonable practicability as outlined in case law: …a computation must be made…in which the quantum of risk is placed on one scale and the sacrifice involved in the measures necessary for averting the risk (whether in money, time or trouble) is placed in the other [Ref. 10]. In practice, the ‘sacrifice’ is taken to be the costs of a potential measure and the ‘quantum of risk’ is the safety benefit associated with that measure – a collective risk estimate quantified in ‘fatalities and weighted injuries’ (FWI). The value of preventing a fatality (VPF) is used to translate the safety benefit to a financial value. The value of the VPF for the calendar year 2008 was calculated by RSSB, from DfT guidance, to be £1,652,000. The VPF figure is recalculated annually and is available on the RSSB website [Ref. 11]. The balancing of costs and safety benefits can be undertaken qualitatively or quantitatively. In some cases, simple inexpensive controls can be adopted on the basis of qualitative analysis, using professional judgement. However, a more quantitative approach, using formal cost-benefit analysis (CBA), may be used to support a judgement where issues are more complex. Often decisions involve investments in measures where costs and benefits will accrue over a number of years. Therefore all relevant future costs and benefits must be calculated in present-value terms. A discount rate is chosen to do this, and net present value calculated. Further guidance on how to do this may be found in Taking Safe Decisions. Ultimately the output of a CBA provides an indication of the relative scale of costs and benefits and is only an input to assist in the taking of decisions. Judgement must be applied to each individual case. Further guidance about how to take safety related decisions and how to use the results of a CBA to inform decision making are provided in Taking Safe Decisions. The SRM provides system-wide risk information that duty holders might use as an input to their risk assessment and analysis activities, and hence CBA. However, in the final analysis transport operators must satisfy themselves that any risk estimates they use to support their decisions are valid given their particular circumstances. 48 Version 6.1 – June 2009 Supporting Risk Decisions SRM templates can be obtained from RSSB to support this process. These templates can be used to estimate risk from portions of the network. For example they can be used to estimate the risk profile of a given train operator. RSSB is working towards the development of CBA tools to help our members undertake these types of analysis. For details of how to obtain more information about the support we can provide, please refer to Section 14. Version 6.1 – June 2009 49 SRM Governance and RPB Updates 13 SRM Governance and RPB Updates 13.1 SRM practitioners working group The SRM Practitioners Working Group (SRMPWG) is the industry governance body of the SRM. It was set up to facilitate a structured process for eliciting industry’s views on the development and use of the SRM. The fundamental purpose of the SRMPWG is to provide governance for changes to the SRM. The SRMPWG was formed under the authority of the Safety Policy Group (SPG) to engage stakeholders in the development and control of future versions of the SRM and its related outputs which include the RPB, SRM Templates, and related documents such as the update of Railway Group Guidance Note GE/GN 8561, now entitled Guidance on the Preparation of Risk Assessments for transport operators. It comprises a range of industry representatives including Network Rail, train operators, rolling stock manufacturers, infrastructure maintenance companies and the ORR. The aims of the group are: To ensure that the SRM and its outputs meet the needs of the industry. To provide stakeholders with a formal opportunity to contribute to, oversee, and recommend developments from the SRM, and to provide transparency for any development activities carried out by RSSB. To create a forum for industry to inform RSSB of changes to the network that should be reflected in the SRM, thus ensuring that the SRM provides the best possible representation of the underlying level of risk on the railway. To enhance the channels through which RSSB delivers, promotes and supports SRM risk information. 13.2 Independent review of the SRM Given that the SRM is being used to provide the ORR with information to monitor industry performance with respect to HLOS safety metrics, the model and its related processes have been subjected to an independent peer review conducted by the Health and Safety Laboratory (HSL). The review was undertaken in order to: Determine the integrity and accuracy of the risk estimates developed via the SRM and through the application of the SRM modelling processes. Identify any issues that might hamper the ability to make comparisons of risk estimates from successive versions of the SRM during the HLOS period. Make any recommendations for change of the SRM modelling approach that might improve either the accuracy of the risk estimates, or the ability of users to fully understand their meaning and tolerances. A number of recommendations were generated as part of the review [Ref. 3] and these have all been addressed and closed out to HSL’s satisfaction during the production of SRMv6. One particular revision of process that resulted from this review was a changed approach to trending using normalisers (see Section D.2 in Appendix D for more details). 50 Version 6.1 – June 2009 SRM Governance and RPB Updates 13.3 Update history Since the issue of version 1 of the RPB in 2001, the RPB has been updated regularly so that the risk profile remains as current as possible. Since version 2, the RPB has been issued approximately every 18 months. Version 6 of the RPB is actually the seventh issue. The update history up to and including this version is shown in Table 14 below. Table 14. SRM update history 13.4 Version Issue Date Major Change (from previous version) 1 January 2001 First version 2 July 2001 3 February 2003 4 January 2005 5 August 2006 Removal of Mk1, inclusion of OTP SRM 5.5 May 2008 Interim partial update Change in FWI weightings 6 May 2009 Full data update (to 30 September 2008), model enhancements, Control Period 4, HLOS benchmark version Inclusion of TPWS Future updates After this current version, SRMv6, a further full update of the SRM will be produced in March 2014 so that the underlying safety performance over Control Period 4 can be measured. The following figure (Chart 23) illustrates a potential timeline for future updates of the SRM. This timeline shows at least one full update of the SRM, halfway through Control Period 4. It may be appropriate to carry out further interim updates over this period for the following reasons: New analyses or analysis methods are incorporated into the SRM or the SRM is extended to cover new hazardous events beyond the current scope. A significant change in the risk profile becomes apparent due to the introduction of a new control measure or a significant deterioration in the application of one or more existing control measures is identified. If an update to the modelling approach is applied to the SRM after the benchmark version 6, then version 6 may need to be recalculated to take account of any modelling changes, and allow the risk profile over Control Period 4 to be calculated consistently. Version 6.1 – June 2009 51 SRM Governance and RPB Updates Chart 23. Timeline for future updates of the SRM and the RPB Issue 6 Mar 2009 (risk figures) Jun 2009 (RPB) 2008 2009 Control Period 3 Issue 7 Sep 2011 2010 2011 2012 Control Period 4 Issue 8 Mar 2014 (risk figures) Jun 2014 (RPB) 2013 2014 Minimum committed future updates RSSB has committed to deliver at least one further update of the SRM prior to the 2014 release to coincide with the end of the HLOS period. The release of two intermediate updates in this period is currently being considered. 52 Version 6.1 – June 2009 Injury Weightings 14 Injury Weightings The current fatality and weighted injuries (FWI) figures are based on a set of weightings that came into effect on 1 April 2008. The weightings were approved by the RSSB Board following a major research project, and consultation with the industry, ORR, and DfT. This was the first time that the weightings had changed since the use of FWI as a measure of railway safety first gained widespread acceptance in the 1980s. Table 15 shows the different injury classifications and their associated weightings, as used in this report. The figures in the weight column represent the number of injuries of each type that are ‘statistically equivalent’ to one fatality. For example, if an accident resulted in one fatality and three major injuries, the total FWI would be 1.3. Table 15. Injury degrees and weightings Injury degree Definition Fatality Death occurs within one year of the accident. Major injury As defined in RIDDOR 1995 [Ref. 12] – includes losing consciousness, most fractures, major dislocations and hospital stays of 24 hours or more. 1/10 RIDDOR-reportable minor injury Physical injuries that are not major, but which result in more than three days’ absence from work (for members of the workforce) or require hospital treatment (for passengers and members of the public). 1/200 Non RIDDOR-reportable minor injury All other physical injuries. 1/1000 Class 1 shock / trauma Caused by witnessing a fatality or being involved in a collision, derailment or train fire. 1/200 Class 2 shock / trauma Other causes, such as verbal abuse, near misses and witnessing non-fatal assaults. 1/1000 Version 6.1 – June 2009 Weight 1 53 Access to the Model 15 Access to the model and its outputs The SRM has been developed as a resource for the railway industry. The RPB is just one output of the SRM, and the Risk Team at RSSB is on hand to support our members in getting the maximum benefit from the model in a range of different ways. Our key deliverables and services are summarised in the following sub-sections. 15.1 The SRM The SRM is a comprehensive mathematical representation of 120 hazardous events affecting passengers, workers and members of the public (MOP) that could lead directly to injury or fatality on the railway within the boundaries described in Section 3. It is a detailed fault tree and event tree analysis model which requires FaultTree+ (FT+) software and a comprehensive understanding of the model. The SRM itself is generally not made available in electronic format to users outside RSSB. 15.2 The RPB document The outputs of the SRM are made available in a form that will assist members and other interested parties in undertaking risk assessment without the need to undertake detailed software-based fault tree and event tree analyses. The outputs from the SRM are presented in this document and can be downloaded through www.rssb.co.uk. 15.3 SRM guidance Guidance on the use of the SRM outputs for risk assessment formats are provided in the published RSSB Guidance Document – Guidance on the preparation of risk assessments for transport operators [Ref. 13] available from www.rssb.co.uk. 15.4 Templates SRM templates can be obtained from RSSB (through www.rssb.co.uk) to support this process. These templates can be used to estimate risk from portions of the network. For example, they can be used to estimate the risk profile of a given train operator. They provide a starting point for transport operators to assess the risk of their own operations and are designed to be used in conjunction with the RPB and the SRM. The templates have been designed so that they are relevant for all of the following groups: a) Passenger train operators. b) Freight train operators. Collectively known as transport operators c) Infrastructure managers and contractors 54 Version 6.1 – June 2009 Access to the Model 15.5 Assistance If you would like any assistance or training in the use of the SRMv6 and its associated outputs, please contact the risk team on 020 3142 5464 or risk@rssb.co.uk. The risk team can provide on-site training and visits for groups or individuals – they can also offer a hot desk at their offices where you can work closely with the team on a risk problem such as a risk assessment or template analysis. Version 6.1 – June 2009 55 Contributors 16 Contributors Details of the preparation of the Risk Profile Bulletin are shown below: Prepared by: Stuart Archbold George Bearfield Ben Gilmartin Katherine Green David Griffin Chris Harrison Oliver Kneale Richard Minson Wayne Murphy Tracey Tan Kevin Thompson Reviewed by: Colin Dennis George Bearfield Scope and changes to version 6 endorsed by: SRM Practitioners Working Group (SRMPWG) Safety Policy Group (SPG) Approved by: Colin Dennis Release date: June 2009 Correspondence should be addressed to the above at: RSSB Block 2 Angel Square, 1 Torrens Street London EC1V 1NY 56 Version 6.1 – June 2009 References 17 References 1. RSSB, The Railway Strategic Safety Plan 2008-2010, January 2008. 2. Department for Transport paper on NMF: http://www.dft.gov.uk/about/strategy/ whitepapers/whitepapercm7176/railwhitepapersupportingdocs/nmfdemands.pdf. 3. Health and Safety Laboratory, Review of the Rail Safety and Standards Board's Safety Risk Model, RSU/2008/26, December 2008. 4. Department for Transport, Delivering a sustainable railway, CM-7176, July 2007. 5. The Health and Safety Executive, Reducing risks, protecting people. Crown copyright, UK, 2001, http://www.rssb.co.uk/safety/safety_strategies/sdmoukr.asp. 6. RSSB, Taking Safe Decisions – How Britain’s railways take decisions that affect safety, 2008, www.rssb.co.uk/safety/safety_strategies/ sdmoukr.asp. 7. Office of Rail Regulation, Internal guidance and general principles for assessing whether health and safety risks on Britain’s railways have been reduced ‘so far as is reasonably practicable’, 2008. 8. Office of Rail Regulation, National Rail Trends, 2009. 9. RAIB Rail Accident Report, Derailment at Grayrigg, report 20/2008, v2, January 2009. 10. All England Law Reports, Edwards vs. National Coal Board, 1949, vol. 1, pp. 743–749. 11. RSSB Safety Strategy Paper, www.rssb.co.uk/safety/safety_strategies/vpf.asp. 12. The Health and Safety Executive, Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR), HMSO, 1995. 13. RSSB, Guidance on the preparation of risk assessments within railway safety cases, Railway Group Guidance Note GE/GN8561, Issue 1, June 2002. 14. Ovenstone I. M. (1973) A psychiatric approach to the diagnosis on suicide, British journal of psychiatry, 123 (572), pp15-21. 15. RSSB, Profile of safety risk associated with on-track plant on the mainline railway, Issue 1, March 2004. 16. Arthur D Little Consulting, All Level Crossing Risk Model - an Enhanced Specification, a report prepared for RSSB, April 2008. Version 6.1 – June 2009 57 Glossary 18 Glossary Term Definition ALARP/SFAIRP The Health and Safety at Work etc Act 1974 (HSWA) places duties on employers in the UK to ensure safety ‘so far as is reasonably practicable’ (SFAIRP). When these duties are considered in relation to risk management the duty is sometimes described as a requirement to reduce risk to a level that is ‘as low as is reasonably practicable’ (ALARP). These terms therefore express the same concept in different contexts and should be considered to be synonymous. Assault SMIS records incidents in which ‘in circumstances related to their work, a member of staff is assaulted, threatened or abused, thereby affecting their safety or welfare.’ BTP records and categorises criminal assaults in accordance with Home Office rules. Automatic Train Protection (ATP) This system provides either a continuous or regular update of speed monitoring for each train and causes the brakes to apply if the driver fails to bring the speed within the required limit. It can minimise – but not eradicate – the chances of a train passing a signal at danger. Automatic Warning System (AWS) This is a system that provides audible and visual warnings to the driver on the approach to signals, certain level crossings and emergency, temporary, and certain permanent speed restrictions. It is a track inductor-based system linked to the aspects of fixed line-side signals. Child This term is used to describe a person aged 15 years or below. Collective risk In general the collective risk is the aggregate risk, possibly to a range of different exposed groups, associated with a particular scenario or hazardous event. The Safety Risk Model (SRM) calculates collective risk as the average number of fatalities, or fatalities and weighted injuries per year that would be expected to occur from a hazardous event, or group of hazardous events. When undertaking an assessment of whether or not a measure is necessary to reduce risk to a level that is ALARP the change in risk associated with the measure is a collective risk estimate. Consequences The number of fatalities, major and minor injuries, shock and trauma resulting from the occurrence of a particular hazardous event outcome. Control measures The measures (hardware systems and equipment or procedural) that are put in place to prevent or minimise the frequency of a hazardous event and/or the consequences following the occurrence of a hazardous event. Escalation factor A system failure, sub-system failure, component failure, human error, physical effect or operational condition which could, individually or in combination with other escalation factors, result in significantly different outcomes following a hazardous event. For instance, following a train derailment there could be a bridge collapse onto a train, a fire or a hazardous goods release. Escalation factors are those that give rise to increased consequence outcomes following the occurrence of a hazardous event. Fatalities and weighted injuries (FWI) An overall measure of safety harm, taking account of injury and fatalities in the following way: One FWI = one fatality = 10 major injuries = 200 RIDDORreportable minor injuries or class 1 shock/traumas = 1,000 non-RIDDORreportable minor injuries or class 2 shock/traumas. Fatality Death within one year of the causal accident. 58 Version 6.1 – June 2009 Glossary Term Definition Frequency The frequency of an event is the number of times it occurs over a specified period of time (e.g., the number of events per year). Hazardous event An event that has the potential to lead directly to death or injury. Individual risk Individual Risk relates to the probability of fatality per year to which an individual is exposed from the operation of the railway. Individual risk is a useful notion when organisations are seeking to understand their risk profile and to prioritise and target safety management effort. The ORR categorises individual risk as ‘unacceptable’, ‘tolerable’ and ‘broadly acceptable’ for the purposes of prioritising and targeting its enforcement activity. Level crossing The ground-level interface between a road and the railway. Improper use refers to occasions when users cross when a train is imminent, but are either honestly mistaken about its proximity and the warnings given by signs, sirens and so on (error), or deliberately disregard them (violation). Proper use refers to occasions when users begin to cross entirely legitimately, but unforeseen events lead to a transgression (as when a motor vehicle breaks down half-way across a crossing, or the level crossing fails due to an error outside the user's control). Major injury An injury to a passenger, staff or member of the public as defined in Schedule 1 to RIDDOR 1995 (including most fractures, amputations, losses of consciousness), or where the injury resulted in hospital attendance for more than 24 hours. Minor injury Physical injuries to passengers, staff or members of the public that are not major injuries. For workforce, minor injuries are RIDDOR-reportable if they result in greater than three days’ lost time. For passengers and members of the public, minor injuries are RIDDOR-reportable if the injured person was taken from the accident site direct to the hospital. Other minor injuries are not reportable under RIDDOR. Movement accidents These are accidents to people involving trains (in motion or stationary), but excluding injuries sustained in train accidents. Network Rail managed infrastructure (NRMI) This falls within the boundaries of Network Rail’s operational railway and includes the permanent way, land within the line-side fence, and plant used for signalling or exclusively for supplying electricity for operational purposes to the railway. It does not include stations, depots, yards or sidings that are owned by, or leased to, other parties. However, it does include the permanent way at stations and plant within these locations. Ovenstone criteria Explicit set of criteria, adapted for the railway, which provides an objective assessment of suicide where a coroner’s verdict is not available. The criteria are based on the findings of a 1970 research project into rail suicides and cover aspects such as the presence (or not) of a suicide note, the clear intent to commit suicide, behavioural patterns, previous suicide attempts, prolonged bouts of depression and instability levels [Ref. 14]. Non-movement accident These are accidents unconnected with the movement of trains, which occur to people on railway premises. Version 6.1 – June 2009 59 Glossary Term Definition Outcomes The range of scenarios that could arise following the occurrence of a hazardous event. Passenger A person on railway infrastructure, who either intends to travel, is travelling or has travelled. Note this does not include passengers who are trespassing or who commit suicide – they are included as members of the public. Possession The complete stoppage of all normal train movements on a running line or siding for engineering purposes. This also includes protection as defined by the Rule Book (GE/RT 8000). Precursor A system failure, sub-system failure, component failure, human error or operational condition which could, individually or in combination with other precursors, result in the occurrence of a hazardous event. Probability The likelihood of an event occurring over an unspecified period of time or on demand (when an individual component or system is called upon to operate). Public (members of) Persons other than passengers or workforce members (that is, trespassers, persons on business and other persons). Note this includes passengers who are trespassing (when crossing tracks between platforms, for example). Residual risk Residual risk relates to the level of risk remaining when the current risk control measures and their degrees of effectiveness are taken into account. Risk contribution This is a term used in the SRM analysis software. It relates to a reduction in the total collective risk estimate for a hazardous event if the frequency or probability of a precursor, or escalation factor or group of escalation factors, were reduced to zero. RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations) RIDDOR 1995 is a set of health and safety regulations that require any major injuries, illnesses or accidents occurring in the workplace to be formally reported to the enforcing authority. It defines major injuries and lists notifiable diseases – many of which can be occupational in origin. It also defines notifiable dangerous occurrences, such as collisions and derailments. Running line A line that is ordinarily used for the passage of trains, as shown in Table ‘A’ of the sectional appendices. Safety Management Information System (SMIS) A national database used by railway undertakings and infrastructure managers to record any safety-related events that occur on the railway. SMIS data is accessible to all of the companies who use the system, so that it may be used to analyse risk, predict trends and focus action on major areas of safety concern. Safety Risk Model (SRM) A quantitative representation of the safety risk that can result from the operation and maintenance of the GB rail network. It comprises 120 individual models, each representing a type of hazardous event (defined as an event or incident that has the potential to result in injuries or fatalities). Shock/trauma Shock or traumatic stress affecting an employee, passenger or member of the public who has been involved in, or a witness to, an event. Class 1 refers to shock or traumatic stress related to being involved in or witnessing fatality incidents and train accidents (collisions, derailments and fires). Class 2 refers to shock or traumatic stress related to all other causes of shock/trauma, such as verbal assaults, witnessing physical assaults, witnessing non-fatal incidents and near misses. 60 Version 6.1 – June 2009 Glossary Term Definition Signal passed at danger (SPAD) An incident when any part of a train has passed a stop signal at danger without authority or where an in-cab signalled movement authority has been exceeded without authority. A category A SPAD is a SPAD that occurs when the stop aspect, end of incab signalled movement authority or indication (and any associated preceding cautionary indications) was displayed correctly, in sufficient time for the train to be stopped safely at the signal or end of in-cab movement authority. Suicide and suspected suicide A fatality is classified as a suicide where a coroner’s verdict is suicide. It is classified as a suspected suicide where the coroner has yet to return a verdict or returns an open verdict, but where objective evidence of suicide exists based on the application of Ovenstone criteria. Track worker A member of workforce whose responsibilities include engineering or technical activities on or about the track. This includes track maintenance, civil structure inspection, S&T renewal/upgrade, engineering supervision, acting as a controller of site safety (COSS), hand signaller or lookout and machine operation. Trackside This is a collective term that refers to the running line, Network Rail managed sidings, and depots. Train accident RIDDOR-reportable train accidents are defined in RIDDOR 1995. To be reportable under RIDDOR, the accident must be on or affect the running line. There are additional criteria for different types of accident, and these can vary depending on whether or not the accident involved a passenger train. Train Protection and Warning System (TPWS) A safety system that automatically applies the brakes on a train which either passes a signal at danger, or exceeds a given speed when approaching a signal at danger, a permissible speed reduction or the buffer stops in a terminal platform. A TPWS intervention is when the system applies the train’s brakes without this action having been taken by the driver first. A TPWS activation is when the system applies the train’s brakes after the driver has already initiated braking. TPWS reset and continue incidents occur when the driver has reset the TPWS after an activation (or intervention) and continued forward without the signaller’s authority. Trespass Trespass occurs when people go where they are never authorised to be, rather than where they behave inappropriately (either from error or violation) at places where they are allowed to go at certain times and under certain conditions, such as level crossings. Workforce Persons working for the industry on railway operations (either as direct employees or under contract). Version 6.1 – June 2009 61 Acronyms List of Acronyms Term Definition ABCL AHB ALARP AOCL ASPR BTP CBA CCTV DfT DEMU DLOCO DMU ECS ELOCO EMU FP FT FTF FTP FWI H&V HEM HEN HET HLOS HST KRA LX/LC MCB MG MOP NRMI OC OHL OHLE ORR OTM OTP PT RGS RIDDOR ROGS RPB RSSB automatic barrier crossing locally monitored automatic half-barrier crossing as low as reasonably practicable automatic open crossing, locally monitored annual safety performance report British Transport Police cost-benefit analysis closed-circuit television Department for Transport diesel electric multiple unit diesel locomotive diesel multiple unit empty coaching stock electric locomotive electric multiple unit footpath level crossing freight train derailment of freight trains on freight only lines derailment of freight trains on passenger lines fatalities and weighted injuries heating and ventilation hazardous event – movement hazardous event – non-movement hazardous event – train high level output specification high speed train key risk areas level crossing manually controlled barrier crossing manned gates member of the public Network Rail managed infrastructure open crossing overhead line overhead line equipment Office of Rail Regulation on-track machine on-track plant passenger train railway group standard Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 Railways and Other Guided Transport Systems (Safety) Regulations 2006 Risk Profile Bulletin Rail Safety and Standards Board 62 Version 6.1 – June 2009 Acronyms Term Definition RTA RV SBC SBC+WL SFAIRP SMIS SPAD SPC SPC+MWL SPG SRM SRMPWG SSP TPWS UWC UWC+MWL UWC+T UWG VPF WSF road traffic accident road vehicle station barrow crossing station barrow crossing with white indicator lights so far as is reasonably practicable safety management information system signal passed at danger station pedestrian crossing station pedestrian crossing with miniature warning lights safety policy group Safety Risk Model Safety Risk Model Practitioners Working Group Strategic Safety Plan train protection and warning system user-worked crossing user-worked crossing with miniature warning lights user-worked crossing with telephone user-worked gated crossing value of preventing a fatality wrong-side signal failures Version 6.1 – June 2009 63 Page left blank intentionally 64 Version 6.1 – June 2009 Appendix A Appendix A: SRMv6 Risk Estimates by Hazardous Event Appendix A1 A.1 SRMv6 results by hazardous event Frequency, consequence, and risk estimates by hazardous event The tables in this Appendix present the 120 hazardous events on the mainline railway – separated into train accidents, movement accidents, and non-movement accidents. For each hazardous event, the risk, frequency, and average consequences per event are given, together with its potential to result in multiple fatality consequences. The frequencies calculated for all the train accident hazardous events relate to the frequencies of all incidents per year whether or not they lead to an injury. However, for the movement and non-movement accidents, the predicted hazardous event frequencies relate only to the frequency of the incidents that lead directly to injury. Due to the lack of data for these hazardous events, it has not been possible to quantify the frequency of all incidents and determine the probability of an injury occurring. The types of frequency estimate applicable to each hazardous event is identified on each of the tables. The number of fatalities, major injuries and reportable and non-reportable minor injuries per event are presented in Table A1. Reasons for variation in reported risk between versions 5.5 and 6 are contained in Table A2. In order to understand the way in which Table A1 is constructed, the derivation of the total risk is as follows (the numbers in brackets relate to the column numbers in Table A1): Total = Freq x Risk (5) FWI/ year (3) Events/ year [ FAT (6) + (11) + (16) Fatalities/ event + { 0.1 x MA} + { 0.005 x (MR + ST1) } + {0.001 x (MN + ST2) } ] (7) + (12) + (17) Major injury/event (8) + (13) + (18) Rep minor injury/event (10) + (15) + (20) Shock/trauma 1/event (9) + (14) + (19) (10) + (15) + (20) Non-rep minor Shock/trauma injury/event 2/event FAT, MA, MR, and MN refer to fatalities, major injuries, reportable minor injuries, and nonreportable minor injuries. ST1 and ST2 refer to class 1 and class 2 shock/trauma injuries. The notes contained in column (21) of Table A1 are defined as follows: MF/SF – Hazardous events with the potential for multiple or single fatalities. ST1/2 – The injuries from shock/trauma are specifically class 1 or 2. XX% – The percentage of the risk that is inside possession (HENs only). All HETs include the frequency of all incidents, whereas all HEMs and HENs include the frequency of only those incidents leading to injury Version 6.1 – June 2009 65 Appendix A Information in normal text (not bold) indicates where a hazardous event has been broken down into sub-hazardous event categories, e.g. HEM-10 is split into HEM-10A, HEM-10B and HEM-10 POS. In general, this is because the consequences for each of the sub– hazardous events are significantly different from each other. 66 Version 6.1 – June 2009 Table A1 Table A1. List of risk, frequency, and average consequences (HETs) Passenger Hazardous event (1) Hazardous event no. HET-01 HET-01A HET-01B HET-02P HET-02PA HET-02PB HET-02NP HET-02NPA HET-02NPB HET-02NP POS HET-03 HET-03A HET-03B HET-03 POS HET-04 HET-04A HET-04B HET-04 POS HET-06 HET-06A HET-06B HET-06C HET-09 HET-09A HET-09B HET-09C HET-09 POS (2) Hazardous event description Collision between two passenger trains resulting from a passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between two passenger trains resulting from a passenger train Cat A SPAD, misrouted train, or WSF Collision between two passenger trains resulting from a passenger train Cat D SPAD / runaway Collision between a passenger train and non-passenger train resulting from a passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between a passenger train and non-passenger train resulting from a passenger train Cat A SPAD, misrouted train, or WSF Collision between a passenger train and non-passenger train resulting from a passenger train Cat D SPAD / runaway Collision between a non-passenger train and passenger train resulting from a non-passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between a non-passenger train and passenger train resulting from a non-passenger train Cat A SPAD, misrouted train, or WSF Collision between a non-passenger train and passenger train resulting from a non-passenger train Cat D SPAD / runaway Collision between OTP and passenger train resulting from OTP incorrectly outside possession Collision between two non-passenger trains resulting from a non-passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between two non-passenger trains resulting from a non-passenger train Cat A SPAD, misrouted train, or WSF Collision between two non-passenger trains resulting from a non-passenger train Cat D SPAD / runaway Collisions between trains inside possession (including OTP) Collision of train with object (not resulting in derailment) Collision of train with object outside possession (not resulting in derailment) Collision of train with RV outside possession (not resulting in derailment) Collision of OTP with object inside possession (not resulting in derailment) Collision between two passenger trains in station (permissive working) Collision between two passenger trains in station (permissive working): rollbacks Collision between two passenger trains in station (permissive working): low speed Collision between two passenger trains in station (permissive working): potential for high speed Collision with buffer stops Collision with buffer stops: rollbacks Collision with buffer stops: low speed Collision with buffer stops: potential for high speed Collision with buffer stops: OTP inside possession Version 6.1 – June 2009 National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries Staff Shock / trauma Fatalities Major injuries Rep. minor injuries MOP (3) (4) (5) (6) (7) (8) Nonrep. minor injuries (9) (10) (11) (12) (13) Nonrep. minor injuries (14) Shock / trauma Fatalities Major injuries Rep. minor injuries (15) (16) (17) (18) Nonrep. minor injuries (19) Shock / trauma Notes (20) (21) (events/ year) (FWI/ event) (FWI/ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) 0.2535 1.712 0.4339 0.2482 0.7451 2.622 0 0 0.0612 0.3456 0.4511 0 0 5.73E-05 1.15E-04 2.29E-04 0 0 0.2295 1.853 0.4253 0.2462 0.7254 2.521 0 0 0.0608 0.3111 0.4034 0 0 5.46E-05 1.09E-04 2.18E-04 0 0 MF, ST1 0.0239 0.3594 0.0086 0.0020 0.0197 0.1012 0 0 3.95E-04 0.0345 0.0477 0 0 2.72E-06 5.43E-06 1.09E-05 0 0 MF, ST1 0.0398 2.628 0.1045 0.0637 0.1583 0.2134 0 0 0.0106 0.0511 0.0331 0 0 0.0065 0.0131 0.0262 0 0 0.0360 2.831 0.1019 0.0629 0.1561 0.2049 0 0 0.0104 0.0457 0.0294 0 0 0.0059 0.0119 0.0237 0 0 MF, ST1 0.0038 0.6768 0.0025 7.94E-04 0.0023 0.0085 0 0 1.74E-04 0.0054 0.0037 0 0 6.16E-04 0.0012 0.0025 0 0 MF, ST1 0.4921 1.067 0.5252 0.2361 0.6155 1.343 0 0 0.0568 0.7129 0.4227 0 0 0.0743 0.1487 0.2973 0 0 0.1557 1.834 0.2856 0.1593 0.3982 0.6379 0 0 0.0293 0.2140 0.1391 0 0 0.0262 0.0524 0.1048 0 0 MF, ST1 0.2863 0.6761 0.1936 0.0597 0.1648 0.6246 0 0 0.0133 0.4082 0.2836 0 0 0.0481 0.0963 0.1926 0 0 MF, ST1 0.0500 0.9202 0.0460 0.0171 0.0525 0.0808 0 0 0.0142 0.0908 0 0 0 0 0 0 0 0 MF, ST1 6.879 0.0179 0.1235 8.41E-04 0.0016 0.0050 0 0 0.0318 0.2493 1.529 0 0 0.0476 0.0952 0.1903 0 0 0.0497 0.7208 0.0359 2.48E-04 4.13E-04 0.0016 0 0 0.0088 0.0629 2.73E-04 0 0 0.0168 0.0335 0.0670 0 0 MF, ST1 0.0914 0.5904 0.0540 2.83E-04 4.70E-04 0.0018 0 0 0.0031 0.1296 3.51E-04 0 0 0.0308 0.0616 0.1232 0 0 MF, ST1 6.738 2860.3 0.0050 2.37E-04 0.0336 0.6787 3.10E-04 0 7.13E-04 0 0.0016 3.000 0 17.01 0 2.001 0.0199 0 0.0567 1.005 1.529 5.027 0 19.31 0 23.48 2.37E-05 0.4271 4.74E-05 0.4271 9.47E-05 0.2136 0 0 0 0 MF, ST1 2842.0 7.04E-05 0.2000 0 0 3.000 17.00 2.000 0 1.000 5.000 19.00 22.00 0 0 0 0 0 SF, ST2 3.464 0.1349 0.4673 0 0 0 0.0107 0.0013 0 0 0.0013 0.2038 1.332 0.4176 0.4176 0.2088 0 0 SF, ST1 14.82 7.70E-04 0.0114 0 0 0 0 0 0 0.0052 0.0260 0.1032 0.1446 0.0095 0.0095 0.0048 0 0 SF, ST2 7.572 0.0064 0.0488 0.0054 0.1066 4.870 0 0 0.0024 0.0251 0.6733 0 0 0 0 0 0 0 5.221 0.0016 0.0085 0 0 1.595 0 0 0 0 0.1044 0 0 0 0 0 0 0 SF, ST1 1.402 0.0018 0.0025 0 0 0.4282 0 0 0 0 0.0701 0 0 0 0 0 0 0 SF, ST1 0.9488 0.0398 0.0378 0.0054 0.1066 2.847 0 0 0.0024 0.0251 0.4988 0 0 0 0 0 0 0 MF, ST1 6.654 2.500 0.7476 3.273 0.1333 0.0204 0.0016 0.0018 0.0397 0.0041 0.1360 0.0041 0.0013 0.1301 5.52E-04 0.0185 0 0 0.0185 0 0.3681 0 0 0.3681 0 10.81 0.7635 0.2284 9.821 0 0 0 0 0 0 0 0 0 0 0 0.0084 0 0 0.0084 0 0.0892 0 0 0.0866 0.0027 1.865 0.0500 0.0374 1.721 0.0571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SF, ST1 SF, ST1 MF, ST1 SF, ST1 67 Table A1 Table A1. List of risk, frequency, and average consequences (HETs) National average frequency Hazardous event (1) Hazardous event no. HET-01 HET-01A HET-01B HET-02P HET-02PA HET-02PB HET-02NP HET-02NPA HET-02NPB HET-02NP POS HET-03 HET-03A HET-03B HET-03 POS HET-04 HET-04A HET-04B HET-04 POS HET-06 HET-06A HET-06B HET-06C HET-09 HET-09A HET-09B HET-09C HET-09 POS (2) Hazardous event description Collision between two passenger trains resulting from a passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between two passenger trains resulting from a passenger train Cat A SPAD, misrouted train, or WSF Collision between two passenger trains resulting from a passenger train Cat D SPAD / runaway Collision between a passenger train and non-passenger train resulting from a passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between a passenger train and non-passenger train resulting from a passenger train Cat A SPAD, misrouted train, or WSF Collision between a passenger train and non-passenger train resulting from a passenger train Cat D SPAD / runaway Collision between a non-passenger train and passenger train resulting from a non-passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between a non-passenger train and passenger train resulting from a non-passenger train Cat A SPAD, misrouted train, or WSF Collision between a non-passenger train and passenger train resulting from a non-passenger train Cat D SPAD / runaway Collision between OTP and passenger train resulting from OTP incorrectly outside possession Collision between two non-passenger trains resulting from a non-passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train, or WSF Collision between two non-passenger trains resulting from a non-passenger train Cat A SPAD, misrouted train, or WSF Collision between two non-passenger trains resulting from a non-passenger train Cat D SPAD / runaway Collisions between trains inside possession (including OTP) Collision of train with object (not resulting in derailment) Collision of train with object outside possession (not resulting in derailment) Collision of train with RV outside possession (not resulting in derailment) Collision of OTP with object inside possession (not resulting in derailment) Collision between two passenger trains in station (permissive working) Collision between two passenger trains in station (permissive working): rollbacks Collision between two passenger trains in station (permissive working): low speed Collision between two passenger trains in station (permissive working): potential for high speed Collision with buffer stops Collision with buffer stops: rollbacks Collision with buffer stops: low speed Collision with buffer stops: potential for high speed Collision with buffer stops: OTP inside possession Version 6.1 – June 2009 National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) 0.2535 1.712 0.4339 0.2295 1.853 0.4253 0.0239 0.3594 0.0086 0.0398 2.628 0.1045 0.0360 2.831 0.1019 0.0038 0.6768 0.0025 0.4921 1.067 0.5252 0.1557 1.834 0.2856 0.2863 0.6761 0.1936 0.0500 0.9202 0.0460 6.879 0.0179 0.1235 0.0497 0.7208 0.0359 0.0914 0.5904 0.0540 6.738 2860.3 0.0050 2.37E-04 0.0336 0.6787 2842.0 7.04E-05 0.2000 3.464 0.1349 0.4673 14.82 7.70E-04 0.0114 7.572 0.0064 0.0488 5.221 0.0016 0.0085 1.402 0.0018 0.0025 0.9488 0.0398 0.0378 6.654 2.500 0.7476 3.273 0.1333 0.0204 0.0016 0.0018 0.0397 0.0041 0.1360 0.0041 0.0013 0.1301 5.52E-04 Open out for full breakdown68 Table A1 Passenger Hazardous event (1) (2) National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) Hazardous event no. Hazardous event description HET-10 Passenger train collision with road vehicle on level crossing 12.40 0.1934 2.397 0.1939 0.6650 3.629 0 0 0.0651 0.1134 8.003 0 0 1.786 1.997 3.258 0 0 HET-10A Passenger train collision with road vehicle on level crossing: MCB + CCTV 0.1761 0.2636 0.0464 0.0033 0.0111 0.0621 0 0 8.93E-04 0.0024 0.1288 0 0 0.0370 0.0270 0.0403 0 0 MF, ST1 HET-10B Passenger train collision with road vehicle on level crossing: MCB 0.3509 0.2639 0.0926 0.0066 0.0224 0.1229 0 0 0.0018 0.0049 0.2565 0 0 0.0738 0.0538 0.0802 0 0 MF, ST1 HET-10C Passenger train collision with road vehicle on level crossing: MCG 0.1226 0.2588 0.0317 0.0019 0.0065 0.0418 0 0 5.73E-04 0.0016 0.0897 0 0 0.0258 0.0188 0.0280 0 0 MF, ST1 HET-10D Passenger train collision with road vehicle on level crossing: ABCL 0.3417 0.0855 0.0292 0.0012 0.0049 0.0666 0 0 7.18E-04 2.47E-04 0.2276 0 0 0.0165 0.0812 0.1402 0 0 MF, ST1 HET-10E Passenger train collision with road vehicle on level crossing: AHB 3.489 0.2054 0.7168 0.0640 0.2138 1.052 0 0 0.0162 0.0406 1.978 0 0 0.5527 0.4035 0.6010 0 0 MF, ST1 HET-10F Passenger train collision with road vehicle on level crossing: AOCL 2.974 0.0859 0.2555 0.0079 0.0351 0.5681 0 0 0.0057 0.0015 2.021 0 0 0.1469 0.7209 1.244 0 0 MF, ST1 HET-10G Passenger train collision with road vehicle on level crossing: UWC + MWL 0.7308 0.2737 0.2000 0.0173 0.0595 0.2912 0 0 0.0064 0.0100 0.5303 0 0 0.1532 0.1118 0.1666 0 0 MF, ST1 HET-10H Passenger train collision with road vehicle on level crossing: UWC + T 2.189 0.2823 0.6179 0.0645 0.2172 0.9138 0 0 0.0207 0.0328 1.587 0 0 0.4592 0.3351 0.4992 0 0 MF, ST1 HET-10I Passenger train collision with road vehicle on level crossing: UWC 1.457 0.2646 0.3855 0.0259 0.0898 0.4774 0 0 0.0118 0.0184 1.058 0 0 0.3054 0.2228 0.3320 0 0 MF, ST1 HET-10J Passenger train collision with road vehicle on level crossing: OC 0.5013 0.0093 0.0047 2.63E-05 6.21E-05 0.0098 0 0 3.93E-06 7.92E-06 0.0793 0 0 0.0024 0.0121 0.1112 0 0 MF, ST1 0.0639 0.2677 0.0171 0.0014 0.0047 0.0233 0 0 3.51E-04 9.35E-04 0.0465 0 0 0.0134 0.0098 0.0146 0 0 MF, ST1 2.353 0.1726 0.4061 9.20E-04 0.0018 0.0040 0 0 0.0117 0.0177 1.498 0 0 0.3422 0.3870 0.6335 0 0 0.0315 0.2383 0.0075 1.69E-05 3.39E-05 7.35E-05 0 0 1.27E-04 3.44E-04 0.0210 0 0 0.0067 0.0049 0.0073 0 0 MF, ST1 0.0628 0.2383 0.0150 3.30E-05 6.62E-05 1.43E-04 0 0 2.54E-04 6.81E-04 0.0418 0 0 0.0133 0.0098 0.0146 0 0 MF, ST1 0.0219 0.2383 0.0052 1.17E-05 2.36E-05 5.11E-05 0 0 8.88E-05 2.39E-04 0.0146 0 0 0.0047 0.0034 0.0051 0 0 MF, ST1 0.0611 0.0840 0.0051 9.60E-06 1.93E-05 4.18E-05 0 0 2.25E-04 2.52E-05 0.0394 0 0 0.0031 0.0147 0.0252 0 0 MF, ST1 0.6240 0.1800 0.1123 3.48E-04 6.98E-04 0.0015 0 0 0.0020 0.0054 0.3138 0 0 0.0999 0.0739 0.1093 0 0 MF, ST1 0.5320 0.0856 0.0456 7.58E-05 1.52E-04 3.30E-04 0 0 0.0020 1.74E-04 0.3497 0 0 0.0276 0.1303 0.2238 0 0 MF, ST1 0.1307 0.2412 0.0315 6.95E-05 1.40E-04 3.02E-04 0 0 0.0010 0.0014 0.0865 0 0 0.0277 0.0204 0.0303 0 0 MF, ST1 0.3915 0.2414 0.0945 2.07E-04 4.16E-04 9.00E-04 0 0 0.0030 0.0042 0.2593 0 0 0.0829 0.0613 0.0907 0 0 MF, ST1 0.2606 0.2412 0.0629 1.41E-04 2.84E-04 6.14E-04 0 0 0.0020 0.0028 0.1725 0 0 0.0552 0.0408 0.0603 0 0 MF, ST1 0.0897 0.0164 0.0015 1.13E-06 2.26E-06 4.90E-06 0 0 2.98E-04 1.86E-06 0.0140 0 0 7.42E-04 0.0025 0.0202 0 0 MF, ST1 0.0114 0.2376 0.0027 6.18E-06 1.24E-05 2.69E-05 0 0 4.62E-05 1.25E-04 0.0076 0 0 0.0024 0.0018 0.0026 0 0 MF, ST1 0.1361 0.1642 0.0223 0 0 0 0 0 6.80E-04 0.0022 0.1774 0 0 0.0180 0.0230 0.0441 0 0 MF, ST1 7.004 0.2823 1.977 1.190 3.774 10.39 0 0 0.2103 0.3724 6.892 0 0 0.0721 0.0391 0.0463 0 0 MF, ST1 HET-10K HET-11 HET-11A HET-11B HET-11C HET-11D HET-11E HET-11F HET-11G HET-11H HET-11I HET-11J HET-11K HET-11 POS HET-12 Passenger train collision with road vehicle on level crossing: FP (includes FP MWL) Non-passenger train collision with road vehicle on level crossing Non passenger train collision with road vehicle on level crossing: MCB + CCTV Non passenger train collision with road vehicle on level crossing: MCB Non passenger train collision with road vehicle on level crossing: MCG Non passenger train collision with road vehicle on level crossing: ABCL Non passenger train collision with road vehicle on level crossing: AHB Non passenger train collision with road vehicle on level crossing: AOCL Non passenger train collision with road vehicle on level crossing: UWC + MWL Non passenger train collision with road vehicle on level crossing: UWC + T Non passenger train collision with road vehicle on level crossing: UWC Non passenger train collision with road vehicle on level crossing: OC Non passenger train collision with road vehicle on level crossing: FP (includes FP MWL) OTP collision with road vehicle on level crossing inside possession Derailment of passenger trains Version 6.1 – June 2009 69 Table A1 National average frequency Hazardous event (1) (2) National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) Passenger train collision with road vehicle on level crossing 12.40 0.1934 2.397 HET-10A Passenger train collision with road vehicle on level crossing: MCB + CCTV 0.1761 0.2636 0.0464 HET-10B Passenger train collision with road vehicle on level crossing: MCB 0.3509 0.2639 0.0926 HET-10C Passenger train collision with road vehicle on level crossing: MCG 0.1226 0.2588 0.0317 HET-10D Passenger train collision with road vehicle on level crossing: ABCL 0.3417 0.0855 0.0292 HET-10E Passenger train collision with road vehicle on level crossing: AHB 3.489 0.2054 0.7168 HET-10F Passenger train collision with road vehicle on level crossing: AOCL 2.974 0.0859 0.2555 HET-10G Passenger train collision with road vehicle on level crossing: UWC + MWL 0.7308 0.2737 0.2000 HET-10H Passenger train collision with road vehicle on level crossing: UWC + T 2.189 0.2823 0.6179 HET-10I Passenger train collision with road vehicle on level crossing: UWC 1.457 0.2646 0.3855 HET-10J Passenger train collision with road vehicle on level crossing: OC 0.5013 0.0093 0.0047 0.0639 0.2677 0.0171 2.353 0.1726 0.4061 0.0315 0.2383 0.0075 0.0628 0.2383 0.0150 0.0219 0.2383 0.0052 0.0611 0.0840 0.0051 0.6240 0.1800 0.1123 0.5320 0.0856 0.0456 0.1307 0.2412 0.0315 0.3915 0.2414 0.0945 0.2606 0.2412 0.0629 0.0897 0.0164 0.0015 0.0114 0.2376 0.0027 0.1361 0.1642 0.0223 7.004 0.2823 1.977 Hazardous event no. Hazardous event description HET-10 HET-10K HET-11 HET-11A HET-11B HET-11C HET-11D HET-11E HET-11F HET-11G HET-11H HET-11I HET-11J HET-11K HET-11 POS HET-12 Passenger train collision with road vehicle on level crossing: FP (includes FP MWL) Non-passenger train collision with road vehicle on level crossing Non passenger train collision with road vehicle on level crossing: MCB + CCTV Non passenger train collision with road vehicle on level crossing: MCB Non passenger train collision with road vehicle on level crossing: MCG Non passenger train collision with road vehicle on level crossing: ABCL Non passenger train collision with road vehicle on level crossing: AHB Non passenger train collision with road vehicle on level crossing: AOCL Non passenger train collision with road vehicle on level crossing: UWC + MWL Non passenger train collision with road vehicle on level crossing: UWC + T Non passenger train collision with road vehicle on level crossing: UWC Non passenger train collision with road vehicle on level crossing: OC Non passenger train collision with road vehicle on level crossing: FP (includes FP MWL) OTP collision with road vehicle on level crossing inside possession Derailment of passenger trains Version 6.1 – June 2009 Open out for full breakdown70 Table A1 Passenger Hazardous event (1) (2) National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) Hazardous event no. Hazardous event description HET-13 Derailment of non-passenger train 60.71 0.0090 0.5480 0.2046 0.4055 0.8860 0 0 0.1315 0.5398 7.227 0 0 0.0578 0.1807 0.1877 0 0 HET-13 FTP Derailment of freight trains on passenger lines outside possession 11.72 0.0267 0.3123 0.1594 0.3085 0.6614 0 0 0.0447 0.1708 1.162 0 0 0.0387 0.1178 0.1269 0 0 MF, ST1 HET-13 FTF Derailment of freight trains on freight only lines outside possession 5.454 0.0123 0.0668 0.0186 0.0368 0.0797 0 0 0.0139 0.0769 0.4678 0 0 0.0146 0.0531 0.0566 0 0 MF, ST1 HET-13 EP HET-13 POS HET-17 HET-17i HET-17e HET-20 HET-20A HET-20 POS Derailment of ECS&Parcels trains on passenger lines Derailment of trains inside possession (including OTP) Fire on passenger train (in station) Fire on passenger train interior Fire on passenger train exterior Fire on non-passenger train Fire on non-passenger train outside possession Fire on OTP inside possession 2.599 40.94 126.5 69.37 57.14 24.26 22.66 1.600 0.0148 0.0032 0.0012 9.67E-04 0.0014 0.0015 0.0014 0.0031 0.0385 0.1304 0.1462 0.0671 0.0791 0.0359 0.0310 0.0050 0.0194 0.0071 0.0582 0.0334 0.0248 0 0 0 0.0438 0.0164 0.3332 0.2099 0.1233 0 0 0 0.1086 0.0362 2.295 1.030 1.266 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0058 0.0671 0.0064 8.26E-04 0.0056 0.0041 9.22E-04 0.0032 0.0202 0.2719 0.2632 0.0022 0.2611 0.0212 0.0052 0.0160 0.2451 5.352 2.088 1.303 0.7857 0.3095 0.2778 0.0317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0041 3.32E-04 0 0 0 0.0231 0.0231 0 0.0092 6.64E-04 0 0 0 0.0461 0.0461 0 0.0030 0.0013 0 0 0 0.0922 0.0922 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MF, ST1 MF, ST1 HET-21 Train crushed by structural collapse or large object (not at station) 4.70E-04 13.39 0.0063 0.0054 0.0054 0.0063 0 0 2.37E-04 3.13E-04 3.20E-04 0 0 2.10E-05 4.21E-05 8.42E-05 0 0 HET-21A Train crushed by structural collapse or large object outside possession (not at station) 4.66E-04 13.52 0.0063 0.0054 0.0054 0.0063 0 0 2.35E-04 3.10E-04 3.16E-04 0 0 2.10E-05 4.21E-05 8.42E-05 0 0 MF, ST1 HET-21 POS OTP crushed by structural collapse or large object inside possession (not at station) 4.74E-06 0.5740 2.72E-06 0 0 0 0 0 2.37E-06 3.31E-06 3.79E-06 0 0 0 0 0 0 0 MF, ST1 HET-22 HET-23 HET-24 HET-25 HET-25A HET-25B HET-26 Structural collapse at station Explosion on passenger train Explosion on freight train Train divisions (not leading to collision) Train divisions (not leading to collision): in station Train divisions (not leading to collision): on running line Collision between a failed train and an assisting train 0.0100 0.0200 0.0172 11.67 8.333 3.333 0.1870 3.870 0.2506 4.009 6.79E-04 5.50E-04 0.0010 0.0313 0.0387 0.0050 0.0688 0.0079 0.0046 0.0033 0.0058 0.0257 0.0015 9.57E-05 0.0050 0.0033 0.0017 4.02E-04 0.1029 0.0138 8.83E-05 0.0033 0.0033 0 0.0036 0.1351 0.0214 1.53E-04 0 0 0 0.1497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0100 0.0025 8.33E-04 0.0017 4.39E-04 0.0200 0.0200 0.0072 8.33E-04 8.33E-04 0 0.0326 0 0 0 0 0 0 0.1276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0475 0 0 0 0 0 0 0.0950 0 0 0 0 0 0 0.1900 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MF, ST1 MF, ST1 MF, ST1 Version 6.1 – June 2009 MF, ST1 MF, ST1 SF, ST1 SF, ST1 SF, ST1 SF, ST1 SF, ST1 71 Table A1 Hazardous event (1) (2) National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) Derailment of non-passenger train 60.71 0.0090 0.5480 HET-13 FTP Derailment of freight trains on passenger lines outside possession 11.72 0.0267 0.3123 HET-13 FTF Derailment of freight trains on freight only lines outside possession 5.454 0.0123 0.0668 HET-13 EP HET-13 POS HET-17 HET-17i HET-17e HET-20 HET-20A HET-20 POS Derailment of ECS&Parcels trains on passenger lines Derailment of trains inside possession (including OTP) Fire on passenger train (in station) Fire on passenger train interior Fire on passenger train exterior Fire on non-passenger train Fire on non-passenger train outside possession Fire on OTP inside possession 2.599 40.94 126.5 69.37 57.14 24.26 22.66 1.600 0.0148 0.0032 0.0012 9.67E-04 0.0014 0.0015 0.0014 0.0031 0.0385 0.1304 0.1462 0.0671 0.0791 0.0359 0.0310 0.0050 HET-21 Train crushed by structural collapse or large object (not at station) 4.70E-04 13.39 0.0063 HET-21A Train crushed by structural collapse or large object outside possession (not at station) 4.66E-04 13.52 0.0063 HET-21 POS OTP crushed by structural collapse or large object inside possession (not at station) 4.74E-06 0.5740 2.72E-06 HET-22 HET-23 HET-24 HET-25 HET-25A HET-25B HET-26 Structural collapse at station Explosion on passenger train Explosion on freight train Train divisions (not leading to collision) Train divisions (not leading to collision): in station Train divisions (not leading to collision): on running line Collision between a failed train and an assisting train 0.0100 0.0200 0.0172 11.67 8.333 3.333 0.1870 3.870 0.2506 4.009 6.79E-04 5.50E-04 0.0010 0.0313 0.0387 0.0050 0.0688 0.0079 0.0046 0.0033 0.0058 Hazardous event no. Hazardous event description HET-13 Version 6.1 – June 2009 Open out for full breakdown72 Table A1 Table A1. List of risk, frequency, and average consequences (HEMs) Passenger Hazardous event (1) Hazardous event no. HEM-01 (2) Hazardous event description National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries Staff Shock / trauma Fatalities Major injuries MOP (3) (4) (5) (6) (7) (8) Nonrep. minor injuries (9) Rep. minor injuries (10) (11) (12) (13) Nonrep. minor injuries (14) Shock / trauma Fatalities Major injuries Rep. minor injuries (15) (16) (17) (18) Nonrep. minor injuries (19) Shock / trauma Notes (20) (21) (events/ year) (FWI/ event) (FWI/ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) 1.877 0.0103 0.0194 0.0032 0.1292 0.2385 2.166 0 0 0 0 0 0 0 0 0 0 0 1.814 0.0080 0.0146 0 0.1134 0.2165 2.144 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 0.0630 0.0771 0.0049 0.0032 0.0158 0.0221 0.0221 HEM-03 Passenger injury during evacuation following stopped train Passenger injury during evacuation following stopped train (controlled evacuation) Passenger injury during evacuation following stopped train (uncontrolled evacuation) Passenger struck while leaning out of train (train in running) 0.5421 0.1730 0.0938 0.0834 0.0834 0.2085 0.1668 0 0 0 0 0 0.1668 0 0 0 0 0 SF, ST1 HEM-05 HEM-05A HEM-05B Train door closes on passenger Train door closes on passenger (slam-door) Train door closes on passenger (non-slam door) 284.7 8.488 276.2 0.0025 0.0045 0.0024 0.7115 0.0384 0.6731 0 0 0 3.597 0.2358 3.361 16.93 1.650 15.28 247.4 6.602 240.8 19.86 0 19.86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 SF, ST2 HEM-06 HEM-07 Passenger fall between train and platform Passenger fall out of train onto track at station 252.3 0.7035 0.0070 0.0429 1.770 0.0302 0.5423 0.0156 7.747 0.1251 51.78 0.3752 179.0 0.1876 13.24 0 0 0 0 0 0 0 0.2211 0 1.288 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 SF, ST2 HEM-08 HEM-09 HEM-09A Passenger fall from platform and struck by train Passenger injury while boarding/alighting train (platform side) Passenger injury while alighting train (platform side) 5.980 507.6 286.3 0.3660 0.0076 0.0091 2.189 3.870 2.617 1.876 0.5076 0.2863 2.873 24.16 17.69 1.231 114.4 72.12 0 357.9 191.3 0 14.81 8.177 0 0 0 0 0 0 0 0 0 0 0.6940 0.5362 3.811 0.4259 0.2681 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SF, ST1 HEM-09B HEM-10 Passenger injury while boarding train (platform side) Passenger struck by train while on platform Passenger struck by train while on platform due to standing too close to platform edge Passenger struck by train door while on platform 221.3 9.504 0.0057 0.1384 1.253 1.316 0.2213 0.9147 6.470 3.667 42.29 2.403 166.7 1.604 6.628 0.2286 0 0 0 0 0 0 0.1578 0 0.1578 3.889 0 0 0 0 0 0 0 0 0 0 SF, ST2 9.146 0.1437 1.314 0.9146 3.658 2.286 1.372 0.2286 0 0 0 0 3.887 0 0 0 0 0 SF, ST1 0.3518 0.0038 0.0013 0 0.0054 0.1155 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 Passenger on platform struck by train inside possession 0.0062 0.0769 4.80E-04 1.64E-04 0.0030 0.0015 0.2309 9.87E04 0 0 0 0 0 0.0023 0 0 0 0 0 SF, ST1 1.114 0.8174 0.9101 0.8876 0.1775 0.0646 0.0323 0 0 0 0 0.0161 0.8876 0 0 0 0 0 0.2006 0.8174 0.1640 0.1599 0.0320 0.0116 0.0058 0 0 0 0 0.0029 0.1599 0 0 0 0 0 MF, ST1 0.1316 0.8174 0.1076 0.1049 0.0210 0.0076 0.0038 0 0 0 0 0.0019 0.1049 0 0 0 0 0 MF, ST1 0.0275 0.8174 0.0225 0.0219 0.0044 0.0016 7.98E04 0 0 0 0 3.99E04 0.0219 0 0 0 0 0 MF, ST1 0.0778 0.8174 0.0636 0.0620 0.0124 0.0045 0.0023 0 0 0 0 0.0011 0.0620 0 0 0 0 0 MF, ST1 0.0854 0.8174 0.0698 0.0681 0.0136 0.0050 0.0025 0 0 0 0 0.0012 0.0681 0 0 0 0 0 MF, ST1 0.0080 0.8174 0.0065 0.0063 0.0013 4.62E-04 0 0 0 0 0.0063 0 0 0 0 0 MF, ST1 0.0310 0.8174 0.0253 0.0247 0.0049 0.0018 0 0 0 0 0.0247 0 0 0 0 0 MF, ST1 4.40E-05 0.8174 3.60E-05 3.51E-05 7.02E-06 2.55E-06 0 0 0 0 3.51E05 0 0 0 0 0 MF, ST1 0.0306 0.8174 0.0250 0.0244 0.0049 0.0018 0 0 0 0 0.0244 0 0 0 0 0 MF, ST1 0.0679 0.8174 0.0555 0.0541 0.0108 0.0039 0.0020 0 0 0 0 0.0541 0 0 0 0 0 MF, ST1 0.1509 0.8174 0.1234 0.1203 0.0241 0.0088 0.0044 0 0 0 0 0.0022 0.1203 0 0 0 0 0 MF, ST1 0.2150 0.8174 0.1757 0.1714 0.0343 0.0125 0.0062 0 0 0 0 0.0031 0.1714 0 0 0 0 0 MF, ST1 0.0060 0.8174 0.0049 0.0048 9.51E-04 3.46E-04 1.73E04 0 0 0 0 8.65E05 0.0048 0 0 0 0 0 MF, ST1 0.0804 0.8174 0.0657 0.0641 0.0128 0.0047 0.0023 0 0 0 0 0.0012 0.0641 0 0 0 0 0 MF, ST1 7.62E-04 0.8174 6.23E-04 6.08E-04 1.22E-04 4.42E-05 2.21E05 0 0 0 0 1.10E05 6.08E04 0 0 0 0 0 MF, ST1 HEM-01A HEM-01B HEM-10A HEM-10B HEM-10 POS HEM-11 HEM-11A HEM-11B HEM-11C HEM-11D HEM-11E HEM-11F HEM-11H HEM-11I HEM-11K HEM-11L HEM-11M HEM-11N HEM-11O HEM-11P HEM-11 POS Passenger struck by train while crossing track at station on crossing Passenger struck/crushed by train on MCB + CCTV level crossing adjacent to station, outside possession Passenger struck/crushed by train on MCB level crossing adjacent to station, outside possession Passenger struck/crushed by train on MG level crossing adjacent to station, outside possession Passenger struck/crushed by train on ABCL level crossing adjacent to station, outside possession Passenger struck/crushed on AHB level crossing adjacent to station, outside possession Passenger struck/crushed on AOCL level crossing adjacent to station, outside possession Passenger struck/crushed on UWC + T level crossing adjacent to station, outside possession Passenger struck/crushed on UWC level crossing adjacent to station, outside possession Passenger struck/crushed on FP + MWL level crossing adjacent to station, outside possession Passenger struck/crushed on FP level crossing adjacent to station, outside possession Passenger struck/crushed on station pedestrian crossing with MWL, outside possession Passenger struck/crushed by train on station pedestrian crossing (no lights), outside possession Passenger struck/crushed on station barrow crossing with lights, outside possession Passenger struck/crushed on station barrow crossing (no lights), outside possession Passenger struck/crushed while crossing track at station on crossing by a train inside possession Version 6.1 – June 2009 2.31E04 8.99E04 1.28E06 8.86E04 1.15E04 4.49E04 6.38E07 4.43E04 9.84E04 SF, ST2 73 Table A1 Table A1. List of risk, frequency, and average consequences (HEMs) National average frequency Hazardous event (1) Hazardous event no. HEM-01 (2) Hazardous event description National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) 1.877 0.0103 0.0194 1.814 0.0080 0.0146 0.0630 0.0771 0.0049 HEM-03 Passenger injury during evacuation following stopped train Passenger injury during evacuation following stopped train (controlled evacuation) Passenger injury during evacuation following stopped train (uncontrolled evacuation) Passenger struck while leaning out of train (train in running) 0.5421 0.1730 0.0938 HEM-05 HEM-05A Train door closes on passenger Train door closes on passenger (slam-door) 284.7 8.488 0.0025 0.0045 0.7115 0.0384 HEM-05B HEM-06 Train door closes on passenger (non-slam door) Passenger fall between train and platform 276.2 252.3 0.0024 0.0070 0.6731 1.770 HEM-07 HEM-08 HEM-09 Passenger fall out of train onto track at station Passenger fall from platform and struck by train Passenger injury while boarding/alighting train (platform side) 0.7035 5.980 507.6 0.0429 0.3660 0.0076 0.0302 2.189 3.870 HEM-09A HEM-09B Passenger injury while alighting train (platform side) Passenger injury while boarding train (platform side) 286.3 221.3 0.0091 0.0057 2.617 1.253 HEM-10 Passenger struck by train while on platform 9.504 0.1384 1.316 HEM-01A HEM-01B HEM-10A HEM-10B HEM-10 POS HEM-11 HEM-11A HEM-11B HEM-11C HEM-11D HEM-11E HEM-11F HEM-11H HEM-11I HEM-11K HEM-11L HEM-11M HEM-11N HEM-11O HEM-11P HEM-11 POS Passenger struck by train while on platform due to standing too close to platform edge Passenger struck by train door while on platform 9.146 0.1437 1.314 0.3518 0.0038 0.0013 Passenger on platform struck by train inside possession 0.0062 0.0769 4.80E-04 1.114 0.8174 0.9101 0.2006 0.8174 0.1640 0.1316 0.8174 0.1076 0.0275 0.8174 0.0225 0.0778 0.8174 0.0636 0.0854 0.8174 0.0698 0.0080 0.8174 0.0065 0.0310 0.8174 0.0253 4.40E-05 0.8174 3.60E-05 0.0306 0.8174 0.0250 0.0679 0.8174 0.0555 0.1509 0.8174 0.1234 0.2150 0.8174 0.1757 0.0060 0.8174 0.0049 0.0804 0.8174 0.0657 7.62E-04 0.8174 6.23E-04 Passenger struck by train while crossing track at station on crossing Passenger struck/crushed by train on MCB + CCTV level crossing adjacent to station, outside possession Passenger struck/crushed by train on MCB level crossing adjacent to station, outside possession Passenger struck/crushed by train on MG level crossing adjacent to station, outside possession Passenger struck/crushed by train on ABCL level crossing adjacent to station, outside possession Passenger struck/crushed on AHB level crossing adjacent to station, outside possession Passenger struck/crushed on AOCL level crossing adjacent to station, outside possession Passenger struck/crushed on UWC + T level crossing adjacent to station, outside possession Passenger struck/crushed on UWC level crossing adjacent to station, outside possession Passenger struck/crushed on FP + MWL level crossing adjacent to station, outside possession Passenger struck/crushed on FP level crossing adjacent to station, outside possession Passenger struck/crushed on station pedestrian crossing with MWL, outside possession Passenger struck/crushed by train on station pedestrian crossing (no lights), outside possession Passenger struck/crushed on station barrow crossing with lights, outside possession Passenger struck/crushed on station barrow crossing (no lights), outside possession Passenger struck/crushed while crossing track at station on crossing by a train inside possession Version 6.1 – June 2009 Open out for full breakdown74 Table A1 Passenger Hazardous event (1) (2) National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) Hazardous event no. Hazardous event description HEM-12 Adult/child trespasser struck while crossing track at station 5.129 0.6819 3.497 0 0 0 0 0 0 0 0 0 3.366 3.366 1.122 0.4808 0.1603 0 HEM-12A Adult/child trespasser struck while crossing track at station 5.125 0.6819 3.495 0 0 0 0 0 0 0 0 0 3.363 3.363 1.121 0.4805 0.1602 0 SF, ST1 HEM-12 POS Adult/child trespasser struck while crossing track at station inside possession 0.0035 0.6819 0.0024 0 0 0 0 0 0 0 0 0 0.0023 0.0023 7.68E04 3.29E-04 1.10E04 0 SF, ST1 HEM-13 Train crowding leading to passenger injury 8.794 0.0071 0.0623 0 0.5113 0.7158 7.260 0.3068 0 0 0 0 0 0 0 0 0 0 SF, ST2 HEM-14 Workforce (not track worker) struck/crushed by train 0.5507 0.7856 0.4326 0 0 0 0 0 0.4178 0.1329 0 0 0.3133 0 0 0 0 0 0.3319 0.8230 0.2732 0 0 0 0 0 0.2655 0.0664 0 0 0.1991 0 0 0 0 0 SF, ST1 0.0462 0.5519 0.0255 0 0 0 0 0 0.0231 0.0231 0 0 0.0173 0 0 0 0 0 SF, ST1 0.1726 0.7763 0.1340 0 0 0 0 0 0.1291 0.0434 0 0 0.0969 0 0 0 0 0 SF, ST1 HEM-14 POS Workforce (not track worker) struck/crushed by train outside possession Workforce (not track worker) struck/crushed by train outside possession (error during coupling) Workforce (not track worker) struck/crushed by train inside possession HEM-15 Workforce fall from train in running 2.086 0.1131 0.2358 0 0 0 0 0 0.1543 0.7717 0.6173 1.235 0 0 0 0 0 0 HEM-15A Train crew fall from train in running outside possession 0.2857 0.0849 0.0243 0 0 0 0 0 0.0159 0.0794 0.0635 0.1270 0 0 0 0 0 0 SF, ST1 Workforce fall from train in running inside possession 1.800 0.1175 0.2116 0 0 0 0 0 0.1385 0.6923 0.5538 1.108 0 0 0 0 0 0 SF, ST1 Workforce injury while boarding/alighting train Workforce injury while alighting train to platform outside possession Workforce injury while alighting train to track outside possession Workforce injury while boarding train from platform outside possession Workforce injury while boarding train from track outside possession 198.7 0.0041 0.8090 0 0 0 0 0 0 4.735 35.39 158.2 0.3510 0 0 0 0 0 101.1 0.0046 0.4615 0 0 0 0 0 0 2.808 20.59 77.34 0.3510 0 0 0 0 0 SF, ST2 23.67 0.0044 0.1051 0 0 0 0 0 0 0.6121 5.203 17.85 0 0 0 0 0 0 SF, ST2 58.38 0.0027 0.1591 0 0 0 0 0 0 0.7421 6.803 50.84 0 0 0 0 0 0 SF, ST2 10.49 0.0056 0.0587 0 0 0 0 0 0 0.4153 1.765 8.306 0 0 0 0 0 0 SF, ST2 Workforce injury while boarding/alighting inside possession 5.095 0.0049 0.0248 0 0 0 0 0 0 0.1574 1.024 3.914 0 0 0 0 0 0 SF, ST2 Workforce struck while leaning out of train (train in running) 2.143 0.0053 0.0113 0 0 0 0 0 0 0.0824 0.2473 1.813 0 0 0 0 0 0 HEM-17A HEM-17 POS HEM-19 Train crew struck while leaning out of train outside possession 2.000 0.0053 0.0105 0 0 0 0 0 0 0.0769 0.2308 1.692 0 0 0 0 0 0 SF, ST2 Workforce struck while leaning out of train inside possession 0.1429 0.0053 7.53E-04 0 0 0 0 0 0 0.0055 0.0165 0.1209 0 0 0 0 0 0 SF, ST2 Track worker struck/crushed by train 4.500 0.4551 2.048 0 0 0 0 0 1.858 1.703 0.3194 0.8517 3.513 0 0 0 0 0 HEM-19A Track worker struck/crushed by train outside possession 2.616 0.4549 1.190 0 0 0 0 0 1.080 0.9905 0.1857 0.4952 2.043 0 0 0 0 0 MF, ST1 HEM19POS Track worker struck/crushed by train inside possession 1.884 0.4553 0.8577 0 0 0 0 0 0.7780 0.7130 0.1337 0.3565 1.471 0 0 0 0 0 MF, ST1 34.51 0.0036 0.1237 0 0 0 0 0 0.0128 0.5731 4.920 29.01 0 0 0 0 0 0 25.93 0.0023 0.0604 0 0 0 0 0 0 0.2009 3.641 22.09 0 0 0 0 0 0 SF, ST2 7.143 0.0074 0.0525 0 0 0 0 0 0.0106 0.3088 1.065 5.759 0 0 0 0 0 0 SF, ST2 Workforce struck by flying object inside possession 1.437 0.0075 0.0107 0 0 0 0 0 0.0022 0.0634 0.2143 1.157 0 0 0 0 0 0 SF, ST2 Workforce fall between train and platform Workforce fall between train and platform 107.6 107.5 0.0050 0.0050 0.5353 0.5345 0 0 0 0 0 0 0 0 0 0 0 0 3.456 3.451 21.33 21.29 82.37 82.24 0 0 0 0 0 0 0 0 0 0 SF, ST2 Workforce fall between train and platform inside possession 0.1653 0.0048 8.01E-04 0 0 0 0 0 0 0.0051 0.0328 0.1267 0 0 0 0 0 SF, ST2 Workforce fall out of train onto track at station Train door closes on workforce Train door closes on workforce 0.1000 72.36 70.67 0.0429 0.0029 0.0029 0.0043 0.2114 0.2065 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0022 0 0 0.0178 1.082 1.057 0.0533 7.980 7.793 0.0267 63.30 61.82 0.6461 0.6451 9.71E04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 Train door closes on workforce inside possession 1.696 0.0029 0.0050 0 0 0 0 0 0 0.0254 0.1871 1.484 0 0 0 0 0 0 SF, ST2 HEM-14A HEM-14B HEM-15 POS HEM-16 HEM-16A HEM-16B HEM-16C HEM-16D HEM-16 POS HEM-17 HEM-20 HEM-20A HEM-20B HEM-20 POS HEM-21 HEM-21A HEM-21 POS HEM-22 HEM-23 HEM-23A HEM-23 POS Workforce struck by flying object (includes objects thrown by OTM movements outside a possession) Workforce (non-track worker) struck by small flying object disturbed by or thrown from passing train outside possession Track worker struck by flying object disturbed by or thrown from passing train outside possession Version 6.1 – June 2009 SF, ST2 75 Table A1 Hazardous event (1) (2) National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) Hazardous event no. Hazardous event description HEM-12 Adult/child trespasser struck while crossing track at station 5.129 0.6819 3.497 HEM-12A Adult/child trespasser struck while crossing track at station 5.125 0.6819 3.495 HEM-12 POS Adult/child trespasser struck while crossing track at station inside possession 0.0035 0.6819 0.0024 HEM-13 Train crowding leading to passenger injury 8.794 0.0071 0.0623 HEM-14 Workforce (not track worker) struck/crushed by train 0.5507 0.7856 0.4326 0.3319 0.8230 0.2732 0.0462 0.5519 0.0255 0.1726 0.7763 0.1340 HEM-14 POS Workforce (not track worker) struck/crushed by train outside possession Workforce (not track worker) struck/crushed by train outside possession (error during coupling) Workforce (not track worker) struck/crushed by train inside possession HEM-15 Workforce fall from train in running 2.086 0.1131 0.2358 HEM-15A Train crew fall from train in running outside possession 0.2857 0.0849 0.0243 Workforce fall from train in running inside possession 1.800 0.1175 0.2116 Workforce injury while boarding/alighting train Workforce injury while alighting train to platform outside possession Workforce injury while alighting train to track outside possession Workforce injury while boarding train from platform outside possession Workforce injury while boarding train from track outside possession 198.7 0.0041 0.8090 101.1 0.0046 0.4615 23.67 0.0044 0.1051 58.38 0.0027 0.1591 10.49 0.0056 0.0587 Workforce injury while boarding/alighting inside possession 5.095 0.0049 0.0248 HEM-14A HEM-14B HEM-15 POS HEM-16 HEM-16A HEM-16B HEM-16C HEM-16D HEM-16 POS HEM-17 Workforce struck while leaning out of train (train in running) 2.143 0.0053 0.0113 HEM-17A HEM-17 POS HEM-19 Train crew struck while leaning out of train outside possession 2.000 0.0053 0.0105 Workforce struck while leaning out of train inside possession 0.1429 0.0053 7.53E-04 Track worker struck/crushed by train 4.500 0.4551 2.048 HEM-19A Track worker struck/crushed by train outside possession 2.616 0.4549 1.190 HEM19POS Track worker struck/crushed by train inside possession 1.884 0.4553 0.8577 34.51 0.0036 0.1237 25.93 0.0023 0.0604 7.143 0.0074 0.0525 Workforce struck by flying object inside possession 1.437 0.0075 0.0107 Workforce fall between train and platform Workforce fall between train and platform 107.6 107.5 0.0050 0.0050 0.5353 0.5345 Workforce fall between train and platform inside possession 0.1653 0.0048 8.01E-04 Workforce fall out of train onto track at station Train door closes on workforce Train door closes on workforce 0.1000 72.36 70.67 0.0429 0.0029 0.0029 0.0043 0.2114 0.2065 Train door closes on workforce inside possession 1.696 0.0029 0.0050 HEM-20 HEM-20A HEM-20B HEM-20 POS HEM-21 HEM-21A HEM-21 POS HEM-22 HEM-23 HEM-23A HEM-23 POS Workforce struck by flying object (includes objects thrown by OTM movements outside a possession) Workforce (non-track worker) struck by small flying object disturbed by or thrown from passing train outside possession Track worker struck by flying object disturbed by or thrown from passing train outside possession Version 6.1 – June 2009 Open out for full breakdown76 Table A1 Passenger National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) Shock / trauma Notes (18) (20) (21) (events/ year) (FWI/ event) (FWI/ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) Adult trespasser struck/crushed while on the mainline railway Adult trespasser struck/crushed while on the mainline railway outside possession 35.26 0.6797 23.97 23.02 8.436 2.204 1.202 0 35.20 0.6802 18.40 23.00 8.400 2.200 1.200 0 SF, ST1 Adult trespasser struck/crushed by train inside possession 0.0644 0.0673 0.0210 0.0364 0.0040 0.0022 0 SF, ST1 Child trespasser struck/crushed while on mainline railway Child trespasser struck/crushed while on mainline railway outside possession 2.206 1.802 0.4024 0 0 0 0 2.200 1.800 0.4000 0 0 0 MF, ST1 Child trespasser struck/crushed by train inside possession 0 0 0.0055 0.0017 0.0024 0 0 0 MF, ST1 0 0 0.1298 7.137 7.137 1.427 0.5191 0.2595 0 0 0 0 0.0115 0.6344 0.6344 0.1269 0.0461 0.0231 0 MF, ST1 0 0 0 0 0.0022 0.1235 0.1235 0.0247 0.0090 0.0045 0 MF, ST1 0 0 0 0 0 4.45E04 0.0245 0.0245 0.0049 0.0018 8.90E04 0 MF, ST1 0 0 0 0 0 0 0.0012 0.0649 0.0649 0.0130 0.0047 0.0024 0 MF, ST1 0 0 0 0 0 0 0 0.0185 1.019 1.019 0.2037 0.0741 0.0370 0 MF, ST1 0 0 0 0 0 0 0 0 0.0019 0.1024 0.1024 0.0205 0.0074 0.0037 0 MF, ST1 0.1367 0 0 0 0 0 0 0 0 0.0024 0.1333 0.1333 0.0267 0.0097 0.0048 0 MF, ST1 0.8174 0.7488 0 0 0 0 0 0 0 0 0.0133 0.7302 0.7302 0.1460 0.0531 0.0266 0 MF, ST1 0.7045 0.8174 0.5759 0 0 0 0 0 0 0 0 0.0102 0.5616 0.5616 0.1123 0.0408 0.0204 0 MF, ST1 0.0627 0.8174 0.0513 0 0 0 0 0 0 0 0 9.09E04 0.0500 0.0500 0.0100 0.0036 0.0018 0 MF, ST1 0.2566 0.8174 0.2097 0 0 0 0 0 0 0 0 0.0037 0.2045 0.2045 0.0409 0.0149 0.0074 0 MF, ST1 4.371 0.8174 3.573 0 0 0 0 0 0 0 0 0.0634 3.484 3.484 0.6969 0.2534 0.1267 0 MF, ST1 0.0061 0.8174 0.0050 0 0 0 0 0 0 0 0 8.88E05 0.0049 0.0049 9.77E04 3.55E-04 1.78E04 0 MF, ST1 0.0200 0.1180 0.0024 0 0 0 0 0 0 0 0 0 0 4.00E-04 0.0196 0 0 0 0.0200 0.1180 0.0024 0 0 0 0 0 0 0 0 0 0 4.00E-04 0.0196 0 0 0 SF, ST2 1.37E-05 0.1180 1.61E-06 0 0 0 0 0 0 0 0 0 0 2.73E-07 4.241 4.238 0.2018 0.2018 0.8557 0.8551 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MOP fall while riding illegally on train inside possession 0.0029 0.1877 5.44E-04 0 0 0 0 0 0 0 0 0 MOP suicide or attempted suicide (open verdict) MOP suicide (attempted) MOP suicide MOP struck by object from the mainline railway MOP struck by objects thrown from mainline railway operations MOP struck by object from the mainline railway thrown from inside possession 268.0 47.17 220.8 2.000 1.600 0.8408 0.0715 1.005 0.0026 0.0026 225.3 3.373 222.0 0.0052 0.0042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.3177 0 0.3177 0 0 0 0 0 0 0 0 0 0 0 0 0.8150 0.8150 0 0 0 2.257 1.834 0.4237 0 0 0.6936 0.6931 4.35E04 189.8 27.10 162.7 0 0 0.4000 0.0026 0.0010 0 0 0 0 0 0 0 0 0 0 (1) HEM-25 HEM-25A HEM-25 POS HEM-26 HEM-26A HEM-26 POS HEM-27 HEM-27A HEM-27B HEM-27C HEM-27D HEM-27E HEM-27F HEM-27G HEM-27H HEM-27I HEM-27J HEM-27K HEM-27L HEM-27 POS HEM-29 HEM-29A HEM-29 POS HEM-30 HEM-30A HEM-30 POS HEM-31 HEM-31A HEM-31B HEM-32 HEM-32A HEM-32 POS (2) Hazardous event description MOP pedestrian struck/crushed by train on level crossing or footpath crossing MOP pedestrian struck/crushed by train on MCB + CCTV level crossing, outside possession MOP pedestrian struck/crushed by train on MCB level crossing, outside possession MOP pedestrian struck/crushed by train on MG level crossing, outside possession MOP pedestrian struck/crushed by train on ABCL level crossing, outside possession MOP pedestrian struck/crushed by train on AHB level crossing, outside possession MOP pedestrian struck/crushed by train on AOCL level crossing, outside possession MOP pedestrian struck/crushed by train on UWC + MWL level crossing, outside possession MOP pedestrian struck/crushed by train on UWC + T level crossing, outside possession MOP pedestrian struck/crushed by train on UWC level crossing, outside possession MOP pedestrian struck/crushed by train on OC level crossing, outside possession MOP pedestrian struck/crushed by train on FP + MWL level crossing, outside possession MOP pedestrian struck/crushed by train on FP (no lights) level crossing, outside possession MOP pedestrian struck/crushed by train on level crossing inside possession MOP outside mainline railway struck/crushed as a result of mainline railway operations MOP outside mainline railway struck/crushed as a result of mainline railway operations MOP outside mainline railway struck/crushed as a result of mainline railway operations inside possession MOP fall while riding illegally on train MOP fall while riding illegally on train outside possession Version 6.1 – June 2009 Shock / trauma Fatalities Major injuries Rep. minor injuries (8) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) 0 0 0 0 0 23.94 0 0 0 0 0.3888 0.0250 0 0 0 2.004 0.9248 1.853 0 0 2.000 0.9255 1.851 0 0.0037 0.5225 0.0019 8.954 0.8174 0.7959 MOP Nonrep. minor injuries (19) Hazardous event Hazardous event no. Staff Nonrep. minor injuries (9) Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) (15) (16) (17) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) 0 0 0 0.2004 18.47 0 0 0 0 0.2000 0 0 0 0 0 0 0 0 0 0 0 3.66E04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7.319 0 0 0 0 0 0 0.8174 0.6505 0 0 0 0 0 0.1550 0.8174 0.1267 0 0 0 0 0.0307 0.8174 0.0251 0 0 0 0.0814 0.8174 0.0666 0 0 1.278 0.8174 1.045 0 0.1285 0.8174 0.1050 0.1672 0.8174 0.9161 0 0 0 SF, ST2 0.6936 0.6931 1.34E05 1.509 1.508 1.427 1.426 0 0 SF, ST1 4.35E-04 0.0010 0.0010 0 SF, ST1 221.2 0 221.2 0 0 31.78 31.78 0 0 0 9.780 9.780 0 0.7692 0.6154 0.6115 0.6111 4.35E04 1.222 1.222 0 1.077 0.8615 0.92898 0.61123 0.31775 0.30769 0.24615 0 0 0.1538 0.2154 0.06154 SF, ST1 SF, ST1 SF, ST2 SF, ST2 77 Table A1 National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) Adult trespasser struck/crushed while on the mainline railway Adult trespasser struck/crushed while on the mainline railway outside possession 35.26 0.6797 23.97 35.20 0.6802 23.94 Adult trespasser struck/crushed by train inside possession 0.0644 0.3888 0.0250 Child trespasser struck/crushed while on mainline railway Child trespasser struck/crushed while on mainline railway outside possession 2.004 0.9248 1.853 2.000 0.9255 1.851 Child trespasser struck/crushed by train inside possession 0.0037 0.5225 0.0019 8.954 0.8174 7.319 0.7959 0.8174 0.6505 0.1550 0.8174 0.1267 0.0307 0.8174 0.0251 0.0814 0.8174 0.0666 1.278 0.8174 1.045 0.1285 0.8174 0.1050 0.1672 0.8174 0.1367 0.9161 0.8174 0.7488 0.7045 0.8174 0.5759 0.0627 0.8174 0.0513 0.2566 0.8174 0.2097 4.371 0.8174 3.573 0.0061 0.8174 0.0050 0.0200 0.1180 0.0024 0.0200 0.1180 0.0024 1.37E-05 0.1180 1.61E-06 4.241 4.238 0.2018 0.2018 0.8557 0.8551 MOP fall while riding illegally on train inside possession 0.0029 0.1877 5.44E-04 MOP suicide or attempted suicide (open verdict) MOP suicide (attempted) MOP suicide MOP struck by object from the mainline railway MOP struck by objects thrown from mainline railway operations MOP struck by object from the mainline railway thrown from inside possession 268.0 47.17 220.8 2.000 1.600 0.8408 0.0715 1.005 0.0026 0.0026 225.3 3.373 222.0 0.0052 0.0042 0.4000 0.0026 0.0010 Hazardous event (1) Hazardous event no. HEM-25 HEM-25A HEM-25 POS HEM-26 HEM-26A HEM-26 POS HEM-27 HEM-27A HEM-27B HEM-27C HEM-27D HEM-27E HEM-27F HEM-27G HEM-27H HEM-27I HEM-27J HEM-27K HEM-27L HEM-27 POS HEM-29 HEM-29A HEM-29 POS HEM-30 HEM-30A HEM-30 POS HEM-31 HEM-31A HEM-31B HEM-32 HEM-32A HEM-32 POS (2) Hazardous event description MOP pedestrian struck/crushed by train on level crossing or footpath crossing MOP pedestrian struck/crushed by train on MCB + CCTV level crossing, outside possession MOP pedestrian struck/crushed by train on MCB level crossing, outside possession MOP pedestrian struck/crushed by train on MG level crossing, outside possession MOP pedestrian struck/crushed by train on ABCL level crossing, outside possession MOP pedestrian struck/crushed by train on AHB level crossing, outside possession MOP pedestrian struck/crushed by train on AOCL level crossing, outside possession MOP pedestrian struck/crushed by train on UWC + MWL level crossing, outside possession MOP pedestrian struck/crushed by train on UWC + T level crossing, outside possession MOP pedestrian struck/crushed by train on UWC level crossing, outside possession MOP pedestrian struck/crushed by train on OC level crossing, outside possession MOP pedestrian struck/crushed by train on FP + MWL level crossing, outside possession MOP pedestrian struck/crushed by train on FP (no lights) level crossing, outside possession MOP pedestrian struck/crushed by train on level crossing inside possession MOP outside mainline railway struck/crushed as a result of mainline railway operations MOP outside mainline railway struck/crushed as a result of mainline railway operations MOP outside mainline railway struck/crushed as a result of mainline railway operations inside possession MOP fall while riding illegally on train MOP fall while riding illegally on train outside possession Version 6.1 – June 2009 Open out for full breakdown78 Table A1 Passenger National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) Passenger injury due to braking or lurching Passenger injury due to braking Passenger injury due to lurching Train crew injury due to braking or lurching Workforce injury due to braking Workforce injury due to lurching 91.37 19.18 72.20 391.8 40.33 351.3 0.0059 0.0064 0.0058 0.0026 0.0025 0.0027 0.5409 0.1229 0.4180 1.033 0.1011 0.9314 Workforce injury due to braking or lurching inside possession 0.1429 0.0027 1.001 Hazardous event (1) Hazardous event no. HEM-38 HEM-38A HEM-38B HEM-39 HEM-39A HEM-39B HEM-39 POS HEM-40 HEM-40A HEM-40 POS HEM-41 HEM-42 HEM-43 HEM-43A HEM-43B HEM-44 HEM-44A HEM-44B (2) Hazardous event description MOP struck by train due to standing too close to platform edge MOP struck by train due to standing too close to platform edge MOP struck by train due to standing too close to platform edge MOP fall between train and platform Passenger struck by flying object thrown up by passing train Train door closes on MOP Train door closes on MOP (slam door) Train door closes on MOP (non-slam door) Passenger jump from train in running Passenger jump from slam door train in running Passenger jump from power door train in running Version 6.1 – June 2009 Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) 0 0 0 0 0 0 4.200 0.9761 3.224 0 0 0 8.202 1.722 6.480 0 0 0 78.83 16.42 62.42 0 0 0 1.035 0.2251 0.8099 0 0 0 3.79E-04 0 0 0 0 0.1901 0.1903 0 0 0 1.000 0.1901 0.1901 0 0 6.85E-04 0.1901 1.30E-04 0 0.4286 3.166 1.050 0.2587 0.7911 1.439 1.109 0.3299 0.2964 0.0015 0.0030 0.0045 0.0024 0.2683 0.3440 0.0140 0.1270 0.0048 0.0031 0.0012 0.0019 0.3861 0.3814 0.0046 0 0 0 0 0 0.3168 0.3168 0 MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) 0 0 0 0 0 0 0 0 0 4.668 0.3854 4.281 0 0 0 44.46 5.652 38.79 0 0 0 342.7 34.30 308.3 0 0 0.0017 0.0158 0.1253 0 0 0 1.038 0 1.038 4.22E04 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0656 0.1476 0.4101 0.2133 0.1476 0.0164 0 0 0 0 0 0 0 0.0656 4.49E05 0.1905 0 0 0 0 0.2409 0.1584 0.0825 0.1475 0.4098 2.81E04 0.2571 0 0.0168 0.0072 0.0096 0 0 0 0.2131 0.1475 1.01E04 0 0 0.8908 0.2012 0.6896 0 0 0 0.01639 SF, ST1 0 0 0 0 0 0 0 0 1.1E-05 SF, ST1 0 0 0 0 0 0.6666 0.6336 0.0330 0 0.4085 0 0 0 0.2277 0.0792 0.1485 0 2.757 0 0 0 0.2277 0.0792 0.1485 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.05688 0 0.05688 0 0 0 SF, ST1 SF, ST2 1.01E-04 0.1000 0 0 0 0 0 0 0 1.46E-04 0.0714 0 0.0941 0.0503 0.0438 0 0 0 SF, ST2 SF, ST2 SF, ST2 SF, ST2 SF, ST2 SF, ST2 SF, ST2 SF, ST1 SF, ST1 79 Table A1 National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) Passenger injury due to braking or lurching Passenger injury due to braking Passenger injury due to lurching Train crew injury due to braking or lurching Workforce injury due to braking Workforce injury due to lurching 91.37 19.18 72.20 391.8 40.33 351.3 0.0059 0.0064 0.0058 0.0026 0.0025 0.0027 0.5409 0.1229 0.4180 1.033 0.1011 0.9314 Workforce injury due to braking or lurching inside possession 0.1429 0.0027 3.79E-04 1.001 0.1901 0.1903 1.000 0.1901 0.1901 6.85E-04 0.1901 1.30E-04 0.4286 3.166 1.050 0.2587 0.7911 1.439 1.109 0.3299 0.2964 0.0015 0.0030 0.0045 0.0024 0.2683 0.3440 0.0140 0.1270 0.0048 0.0031 0.0012 0.0019 0.3861 0.3814 0.0046 Hazardous event (1) Hazardous event no. HEM-38 HEM-38A HEM-38B HEM-39 HEM-39A HEM-39B HEM-39 POS HEM-40 HEM-40A HEM-40 POS HEM-41 HEM-42 HEM-43 HEM-43A HEM-43B HEM-44 HEM-44A HEM-44B (2) Hazardous event description MOP struck by train due to standing too close to platform edge MOP struck by train due to standing too close to platform edge MOP struck by train due to standing too close to platform edge MOP fall between train and platform Passenger struck by flying object thrown up by passing train Train door closes on MOP Train door closes on MOP (slam door) Train door closes on MOP (non-slam door) Passenger jump from train in running Passenger jump from slam door train in running Passenger jump from power door train in running Version 6.1 – June 2009 Open out for full breakdown80 Table A1 Table A1. List of risk, frequency, and average consequences (HENs) Passenger (3) (4) (5) (6) (7) (8) (10) (11) (12) (13) Nonrep. minor injuries (14) (15) (16) (17) (18) Nonrep. minor injuries (19) (20) (21) Hazardous event description (events/ year) (FWI/ event) (FWI/ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) HEN-01 HEN-02 HEN-03 HEN-04 HEN-05 HEN-07 HEN-08 HEN-09 HEN-10 HEN-11 HEN-13 HEN-14 HEN-14A HEN-14B HEN-14C HEN-14D Workforce exposure to fire Line-side fire in station Fire in station Workforce exposure to line-side explosion Explosion at station Passenger exposure to hazardous substances Passenger exposed to electrical arcing at station Passenger electric shock at station (OHL) Passenger electric shock at station (conductor rail) Passenger electric shock at station (non-traction supplies) Passenger fall from platform onto track (no train present) Passenger slip, trip or fall Passenger slip, trip or fall (platform) Passenger slip, trip or fall (stairs) Passenger slip, trip or fall (escalator) Passenger slip, trip or fall (station concourse) 2.571 0.5714 0.6667 0.5714 0.0500 5.441 0.3299 0.0667 0.8870 0.5421 42.59 2914.7 832.0 945.6 521.7 519.5 0.0079 0.0117 0.0254 0.0423 3.000 0.0032 0.0224 0.2004 0.4331 0.0066 0.0172 0.0087 0.0084 0.0109 0.0054 0.0084 0.0203 0.0067 0.0169 0.0241 0.1500 0.0173 0.0074 0.0134 0.3842 0.0036 0.7324 25.28 7.018 10.28 2.833 4.381 0 0 0.0033 0 0.1000 0 0 0.0095 0.3548 0 0.0677 1.788 0.1953 1.299 0.1541 0.1219 0 0 0.0300 0 0.2000 0.0749 0.0660 0.0381 0.2661 0.0298 5.410 173.9 52.04 68.05 15.72 32.49 0 0 0.0333 0 0 1.117 0.1320 0.0025 0.1774 0.0238 21.39 831.1 209.2 324.7 142.4 130.6 0 0 0 0 0 4.065 0.1320 0.0166 0.0887 0.4944 14.22 1878.8 557.9 541.7 367.2 348.3 0 0 0 0 0 0.1843 0 0 0 0.0119 1.635 66.57 14.55 12.67 27.89 9.083 0 0 0.0013 0.0114 0.0250 0 0 0 0 0 0 0 0 0 0 0 0.1429 0.0519 0.0832 0.1143 0.0500 0 0 0 0 0 0 0 0 0 0 0 0.7143 0.2078 0 0.1429 0 0 0 0 0 0 0 0 0 0 0 0 2.286 0.4416 0.7485 0.5714 0 0 0 0 0 0 0 0.3082 0 0 0.3082 0 0.1429 0.0260 0 0 0 0 0 0 0.3548 0 0.8806 0.4687 0 0.3248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SF, ST2, 75% SF, ST2 MF, ST2 MF,ST2, 80% MF, ST1 SF, ST2 SF, ST2 SF, ST1 SF, ST1 SF, ST2 SF, ST2 HEN-14E Passenger slip, trip or fall while legitimately crossing line on station crossing 3.166 0.0061 0.0193 0 0.1439 0.4317 2.446 0.1439 0 0 0 0 0.1439 0 0 0 0 0 SF, ST2 HEN-14F Passenger slip, trip or fall (chair, bench, wheelchair) 20.17 0.0068 0.1380 0 0.9660 5.555 12.68 0.9660 0 0 0 0 0 0 0 0 0 0 SF, ST2 HEN-14G Passenger slip, trip or fall (ramps) 72.52 0.0084 0.6117 0.0170 4.536 18.24 48.63 1.268 0 0 0 0 0 0 0 0 0 0 SF, ST2 HEN-15 Passenger fall from overbridge at station 0.3520 0.2679 0.0943 0.0782 0.1564 0.0782 0.0391 0 0 0 0 0 0 0 0 0 0 0 SF, ST1 HEN-16 Passenger fall during evacuation at station 0.0500 0.0531 0.0027 0 0.0250 0.0203 0.0522 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 HEN-17 1.407 0.0270 0.0379 0 0.3518 0.4221 0.6332 0 0 0 0 0 0 0 0 0 0 0 SF, ST2 113.7 0.0159 1.804 0 0 0 0 0 0.1240 15.00 20.20 78.59 0.1240 0 0 0 0 0 SF, ST2, 79% 7.480 0.0264 0.1972 0 0 0 0 0 0.0773 1.064 1.787 4.552 0 0 0 0 0 0 SF, ST2, 90% 566.7 0.0020 1.139 0 0 0 0 0 0 4.800 24.00 537.6 1.548 0 0 0 0 0 SF, ST2, 7% HEN-24 Passenger crushing caused by overcrowding at station Workforce struck/crushed by structural collapse or large object Workforce trapped in machinery Workforce struck by/contact with/trapped in object at station Workforce slip, trip or fall <2m 1051.3 0.0064 6.743 0 0 0 0 0 0.0929 50.71 144.7 853.4 2.946 0 0 0 0 0 SF, ST2, 46% HEN-25 Workforce slip, trip or fall >2m 18.18 0.0328 0.5968 0 0 0 0 0 0.1743 3.948 3.089 11.67 0.5661 0 0 0 0 0 SF, ST2, 65% HEN-26 Workforce struck/crushed by non-train vehicle 13.93 0.0234 0.3259 0 0 0 0 0 0.1215 1.857 1.600 10.47 0.2396 0 0 0 0 0 SF, ST2, 56% HEN-27 Workforce burns due to welding etc 35.32 0.0019 0.0678 0 0 0 0 0 0 0.2403 2.162 32.92 0 0 0 0 0 0 HEN-27A Workforce burn due to electrical short circuit 0.9048 0.0019 0.0017 0 0 0 0 0 0 0.0062 0.0554 0.8432 0 0 0 0 0 0 SF, ST2, 34% HEN-27B Workforce burn due to welding or flame cutting 11.43 0.0019 0.0219 0 0 0 0 0 0 0.0777 0.6997 10.65 0 0 0 0 0 0 SF, ST2, 96% HEN-27C Workforce burn due to other causes 22.99 0.0019 0.0441 0 0 0 0 0 0 0.1564 1.407 21.42 0 0 0 0 0 0 SF, ST2, 36% HEN-28 Workforce exposure to arcing 7.095 0.0138 0.0982 0 0 0 0 0 0 0.9030 0.1290 7.095 0.1290 0 0 0 0 0 HEN-28A Workforce burn due to/exposure to arcing (conductor rail) 5.298 0.0138 0.0733 0 0 0 0 0 0 0.6742 0.0963 5.298 0.0963 0 0 0 0 0 SF, ST2, 72% HEN-28B Workforce burn due to/exposure to arcing (OHL) 0.9269 0.0138 0.0128 0 0 0 0 0 0 0.1180 0.0169 0.9269 0.0169 0 0 0 0 0 SF, ST2, 66% HEN-28C Workforce burn due to/exposure to arcing (other) 0.8707 0.0138 0.0120 0 0 0 0 0 0 0.1108 0.0158 0.8707 0.0158 0 0 0 0 0 SF, ST2, 74% HEN-29 Workforce exposure to hazardous substances (including stings, bites and needle injuries) 76.52 0.0023 0.1765 0 0 0 0 0 0 0.8141 3.954 75.01 0.3489 0 0 0 0 0 SF, ST2, 41% HEN-30 Workforce electric shock (conductor rail) 4.600 0.1234 0.5676 0 0 0 0 0 0.4981 0.6067 0.8038 3.251 0.3943 0 0 0 0 0 1.053 0.4311 0.4541 0 0 0 0 0 0.4514 0 0.1505 0.4514 0.3009 0 0 0 0 0 SF, ST1, 70% 3.547 0.0320 0.1135 0 0 0 0 0 0.0467 0.6067 0.6533 2.800 0.0933 0 0 0 0 0 SF, ST2, 77% (1) Hazardous event no. HEN-21 HEN-22 HEN-23 HEN-30A HEN-30B (2) Workforce (other than OTP workforce) electric shock (conductor rail) due to fall Workforce (other than OTP workforce) electric shock (conductor rail) via item/object Version 6.1 – June 2009 National average cons. National average risk Fatalities Major injuries Rep. minor injuries Shock / trauma Fatalities Major injuries Rep. minor injuries MOP Nonrep. minor injuries (9) Hazardous event National average frequency Staff Shock / trauma Fatalities Major injuries Rep. minor injuries Shock / trauma Notes SF, ST2 SF, ST2 SF, ST2 SF, ST2 81 Table A1 Table A1. List of risk, frequency, and average consequences (HENs) Hazardous event (1) National average cons. National average risk (3) (4) (5) Hazardous event description (events/ year) (FWI/ event) (FWI/ year) HEN-01 HEN-02 HEN-03 HEN-04 HEN-05 HEN-07 HEN-08 HEN-09 HEN-10 HEN-11 HEN-13 HEN-14 HEN-14A HEN-14B HEN-14C HEN-14D Workforce exposure to fire Line-side fire in station Fire in station Workforce exposure to line-side explosion Explosion at station Passenger exposure to hazardous substances Passenger exposed to electrical arcing at station Passenger electric shock at station (OHL) Passenger electric shock at station (conductor rail) Passenger electric shock at station (non-traction supplies) Passenger fall from platform onto track (no train present) Passenger slip, trip or fall Passenger slip, trip or fall (platform) Passenger slip, trip or fall (stairs) Passenger slip, trip or fall (escalator) Passenger slip, trip or fall (station concourse) 2.571 0.5714 0.6667 0.5714 0.0500 5.441 0.3299 0.0667 0.8870 0.5421 42.59 2914.7 832.0 945.6 521.7 519.5 0.0079 0.0117 0.0254 0.0423 3.000 0.0032 0.0224 0.2004 0.4331 0.0066 0.0172 0.0087 0.0084 0.0109 0.0054 0.0084 0.0203 0.0067 0.0169 0.0241 0.1500 0.0173 0.0074 0.0134 0.3842 0.0036 0.7324 25.28 7.018 10.28 2.833 4.381 HEN-14E Passenger slip, trip or fall while legitimately crossing line on station crossing 3.166 0.0061 0.0193 HEN-14F Passenger slip, trip or fall (chair, bench, wheelchair) 20.17 0.0068 0.1380 HEN-14G Passenger slip, trip or fall (ramps) 72.52 0.0084 0.6117 HEN-15 Passenger fall from overbridge at station 0.3520 0.2679 0.0943 HEN-16 Passenger fall during evacuation at station 0.0500 0.0531 0.0027 HEN-17 1.407 0.0270 0.0379 113.7 0.0159 1.804 7.480 0.0264 0.1972 566.7 0.0020 1.139 HEN-24 Passenger crushing caused by overcrowding at station Workforce struck/crushed by structural collapse or large object Workforce trapped in machinery Workforce struck by/contact with/trapped in object at station Workforce slip, trip or fall <2m 1051.3 0.0064 6.743 HEN-25 Workforce slip, trip or fall >2m 18.18 0.0328 0.5968 HEN-26 Workforce struck/crushed by non-train vehicle 13.93 0.0234 0.3259 HEN-27 Workforce burns due to welding etc 35.32 0.0019 0.0678 HEN-27A Workforce burn due to electrical short circuit 0.9048 0.0019 0.0017 HEN-27B Workforce burn due to welding or flame cutting 11.43 0.0019 0.0219 HEN-27C Workforce burn due to other causes 22.99 0.0019 0.0441 HEN-28 Workforce exposure to arcing 7.095 0.0138 0.0982 HEN-28A Workforce burn due to/exposure to arcing (conductor rail) 5.298 0.0138 0.0733 HEN-28B Workforce burn due to/exposure to arcing (OHL) 0.9269 0.0138 0.0128 HEN-28C Workforce burn due to/exposure to arcing (other) 0.8707 0.0138 0.0120 HEN-29 Workforce exposure to hazardous substances (including stings, bites and needle injuries) 76.52 0.0023 0.1765 HEN-30 Workforce electric shock (conductor rail) 4.600 0.1234 0.5676 1.053 0.4311 0.4541 3.547 0.0320 0.1135 Hazardous event no. HEN-21 HEN-22 HEN-23 HEN-30A HEN-30B (2) National average frequency Workforce (other than OTP workforce) electric shock (conductor rail) due to fall Workforce (other than OTP workforce) electric shock (conductor rail) via item/object Version 6.1 – June 2009 Open out for full breakdown82 Table A1 Passenger Hazardous event (1) (2) National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) Hazardous event no. Hazardous event description HEN-31 Workforce electric shock (OHL) 1.718 0.0732 0.1258 0 0 0 0 0 0.0643 0.5741 0.4754 0.9210 0.1585 0 0 0 0 0 HEN-31A Workforce (other than OTP workforce) electric shock (OHL) (direct contact) 0.4500 0.2003 0.0901 0 0 0 0 0 0.0643 0.2571 0 0.1286 0 0 0 0 0 0 SF,ST1, 100% HEN-31B Workforce (other than OTP workforce) electric shock (OHL) (indirect contact) 1.268 0.0281 0.0357 0 0 0 0 0 0 0.3170 0.4754 0.7924 0.1585 0 0 0 0 0 SF,ST1, 74% HEN-32 Workforce electric shock (non-traction supply) 10.15 0.0066 0.0675 0 0 0 0 0 0 0.5578 0.4463 9.260 0.2231 0 0 0 0 0 SF,ST2, 28% HEN-33 Workforce asphyxiation / drowning 0.1855 0.3501 0.0650 0 0 0 0 0 0.0583 0.0652 0.0248 0.0372 0 0 0 0 0 0 HEN-33A Workforce asphyxiation in tunnel 0.0690 0.5500 0.0379 0 0 0 0 0 0.0345 0.0345 0 0 0 0 0 0 0 0 SF,ST1, 90% HEN-33B Workforce asphyxiation at station 0.0690 0.0123 8.51E-04 0 0 0 0 0 0 0.0069 0.0248 0.0372 0 0 0 0 0 0 SF,ST2, 80% HEN-33C Workforce asphyxiation (drowning) 0.0476 0.5500 0.0262 0 0 0 0 0 0.0238 0.0238 0 0 0 0 0 0 0 0 SF,ST1, 80% HEN-35 Workforce involved in road traffic accident whilst on duty 28.11 0.0130 0.3647 0 0 0 0 0 0.3077 0.1500 3.599 24.06 0 0 0 0 0 0 HEN-35A Workforce (other than OTP workforce) involved in road traffic accident while on duty 27.86 0.0130 0.3613 0 0 0 0 0 0.3077 0.1250 3.430 24.00 0 0 0 0 0 0 HEN-35B Signaller struck by road vehicle 0.2500 0.0136 0.0034 0 0 0 0 0 0 0.0250 0.1688 0.0563 0 0 0 0 0 0 SF,ST1 HEN-36 Adult trespasser fall while on the mainline railway 19.00 0.0500 0.9496 0 0 0 0 0 0 0 0 0 0.8000 0.4000 5.000 8.800 4.600 0.2 SF,ST2 HEN-37 HEN-38 Adult trespasser electric shock (OHL) Adult trespasser electric shock (conductor rail) 1.743 8.600 0.3464 0.7060 0.6037 6.071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.3169 2.586 0.4753 5.971 1.268 0.7857 0 1.571 0 0.5286 0 0 SF,ST1 HEN-38A Adult trespasser electric shock (conductor rail) at station 5.000 0.6911 3.455 0 0 0 0 0 0 0 0 0 2.200 3.400 0.4000 0.8000 0.4000 0 SF,ST1 HEN-38B Adult trespasser electric shock (conductor rail) not at station 3.600 0.7266 2.616 0 0 0 0 0 0 0 0 0 0.3857 2.571 0.3857 0.7714 0.1286 0 SF,ST1 HEN-39 HEN-40 HEN-41 HEN-42 HEN-43 HEN-44 Adult trespasser electric shock (non-traction supply) Child trespasser fall while on the mainline railway Child trespasser electric shock (OHL) Child trespasser electric shock (conductor rail) Child trespasser electric shock (non-traction supply) MOP struck / trapped by level crossing equipment MOP struck/trapped by level crossing equipment on MCB + CCTV level crossing MOP struck/trapped by level crossing equipment on MCB level crossing MOP struck/trapped by level crossing equipment on MG level crossing MOP struck/trapped by level crossing equipment on ABCL level crossing MOP struck/trapped by level crossing equipment on AHB level crossing MOP struck/trapped by level crossing equipment on UWC + MWL level crossing MOP struck/trapped by level crossing equipment on UWC + T level crossing MOP struck/trapped by level crossing equipment on UWC + T level crossing MOP struck/trapped by level crossing equipment on FP + MWL level crossing MOP struck/trapped by level crossing equipment on FP level crossing 0.1379 2.200 1.867 1.214 0.2000 14.47 0.0422 0.0500 0.1304 0.4216 0.0422 0.0223 0.0058 0.1100 0.2434 0.5119 0.0084 0.3222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0926 0 0 0 0 0 0.0463 0.1098 0.4857 0 0.1645 0.0552 0.5789 1.318 0.2429 0.0800 1.316 0.0552 1.019 0.3294 0.3643 0.0800 3.289 0.0276 0.5326 0.2196 0.1214 0.0400 9.539 0 0.02316 0 0 0 0.16446 SF,ST2 SF,ST2 SF,ST1 SF,ST1 SF,ST2 10.00 0.0223 0.2226 0 0 0 0 0 0 0 0 0 0 0.1136 0.9091 2.273 6.591 0.11364 SF,ST2 2.105 0.0223 0.0469 0 0 0 0 0 0 0 0 0 0 0.0239 0.1913 0.4784 1.387 0.02392 SF,ST2 0.6975 0.0223 0.0155 0 0 0 0 0 0 0 0 0 0 0.0079 0.0634 0.1585 0.4597 0.00793 SF,ST2 0.1012 0.0223 0.0023 0 0 0 0 0 0 0 0 0 0 0.0012 0.0092 0.0230 0.0667 0.00115 SF,ST2 0.4702 0.0223 0.0105 0 0 0 0 0 0 0 0 0 0 0.0053 0.0427 0.1069 0.3099 0.00534 SF,ST2 0.0725 0.0223 0.0016 0 0 0 0 0 0 0 0 0 0 8.24E-04 0.0066 0.0165 0.0478 0.00082 SF,ST2 0.1795 0.0223 0.0040 0 0 0 0 0 0 0 0 0 0 0.0020 0.0163 0.0408 0.1183 0.00204 SF,ST2 0.1944 0.0223 0.0043 0 0 0 0 0 0 0 0 0 0 0.0022 0.0177 0.0442 0.1281 0.00221 SF,ST2 0.0356 0.0223 7.92E-04 0 0 0 0 0 0 0 0 0 0 4.04E-04 0.0032 0.0081 0.0234 0.0004 SF,ST2 0.6166 0.0223 0.0137 0 0 0 0 0 0 0 0 0 0 0.0070 0.0561 0.1401 0.4064 0.00701 SF,ST2 HEN-44A HEN-44B HEN-44C HEN-44D HEN-44E HEN-44G HEN-44H HEN-44I HEN-44K HEN-44L Version 6.1 – June 2009 SF,ST1, 13% 83 Table A1 Hazardous event (1) (2) National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) Hazardous event no. Hazardous event description HEN-31 Workforce electric shock (OHL) 1.718 0.0732 0.1258 HEN-31A Workforce (other than OTP workforce) electric shock (OHL) (direct contact) 0.4500 0.2003 0.0901 HEN-31B Workforce (other than OTP workforce) electric shock (OHL) (indirect contact) 1.268 0.0281 0.0357 HEN-32 Workforce electric shock (non-traction supply) 10.15 0.0066 0.0675 HEN-33 Workforce asphyxiation / drowning 0.1855 0.3501 0.0650 HEN-33A Workforce asphyxiation in tunnel 0.0690 0.5500 0.0379 HEN-33B Workforce asphyxiation at station 0.0690 0.0123 8.51E-04 HEN-33C Workforce asphyxiation (drowning) 0.0476 0.5500 0.0262 HEN-35 Workforce involved in road traffic accident whilst on duty 28.11 0.0130 0.3647 HEN-35A Workforce (other than OTP workforce) involved in road traffic accident while on duty 27.86 0.0130 0.3613 HEN-35B Signaller struck by road vehicle 0.2500 0.0136 0.0034 HEN-36 Adult trespasser fall while on the mainline railway 19.00 0.0500 0.9496 HEN-37 HEN-38 Adult trespasser electric shock (OHL) Adult trespasser electric shock (conductor rail) 1.743 8.600 0.3464 0.7060 0.6037 6.071 HEN-38A Adult trespasser electric shock (conductor rail) at station 5.000 0.6911 3.455 HEN-38B Adult trespasser electric shock (conductor rail) not at station 3.600 0.7266 2.616 HEN-39 HEN-40 HEN-41 HEN-42 HEN-43 HEN-44 Adult trespasser electric shock (non-traction supply) Child trespasser fall while on the mainline railway Child trespasser electric shock (OHL) Child trespasser electric shock (conductor rail) Child trespasser electric shock (non-traction supply) MOP struck / trapped by level crossing equipment MOP struck/trapped by level crossing equipment on MCB + CCTV level crossing MOP struck/trapped by level crossing equipment on MCB level crossing MOP struck/trapped by level crossing equipment on MG level crossing MOP struck/trapped by level crossing equipment on ABCL level crossing MOP struck/trapped by level crossing equipment on AHB level crossing MOP struck/trapped by level crossing equipment on UWC + MWL level crossing MOP struck/trapped by level crossing equipment on UWC + T level crossing MOP struck/trapped by level crossing equipment on UWC + T level crossing MOP struck/trapped by level crossing equipment on FP + MWL level crossing MOP struck/trapped by level crossing equipment on FP level crossing 0.1379 2.200 1.867 1.214 0.2000 14.47 0.0422 0.0500 0.1304 0.4216 0.0422 0.0223 0.0058 0.1100 0.2434 0.5119 0.0084 0.3222 10.00 0.0223 0.2226 2.105 0.0223 0.0469 0.6975 0.0223 0.0155 0.1012 0.0223 0.0023 0.4702 0.0223 0.0105 0.0725 0.0223 0.0016 0.1795 0.0223 0.0040 0.1944 0.0223 0.0043 0.0356 0.0223 7.92E-04 0.6166 0.0223 0.0137 HEN-44A HEN-44B HEN-44C HEN-44D HEN-44E HEN-44G HEN-44H HEN-44I HEN-44K HEN-44L Version 6.1 – June 2009 Open out for full breakdown84 Table A1 Passenger Hazardous event (1) Hazardous event no. HEN-45 HEN-45A HEN-45B HEN-45C (2) Hazardous event description MOP (non-trespasser) fall from outside onto the mainline railway MOP (non-trespasser) fall from outside onto the mainline railway from bridge (incl. RTA) MOP (non-trespasser) fall from outside onto the mainline railway from wall, bank, roof or fence (incl. RTA) MOP (non-trespasser) fall from outside onto the mainline railway from other e.g. viaduct (incl. RTA) National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) 14.26 0.2246 3.202 9.800 0.2750 3.600 Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) 0 0 0 0 0 2.695 0 0 0 0 0.0940 0.3384 0 0 0 0.8571 0.1975 0.1693 0 0 MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) 0 0 0 0 0.6260 2.465 7.140 3.407 1.607 0.30532 0 0 0 0 0 0.6000 2.200 4.800 2.200 0.8000 0 SF,ST1 0 0 0 0 0 0 0 0.1440 1.872 1.008 0.7200 0.288 SF,ST1 0 0 0 0 0 0 0 0.0260 0.1212 0.4675 0.1991 0.0866 0.01732 SF,ST1 HEN-46 MOP slip, trip or fall on level crossing or footpath crossing 15.34 0.0278 0.4267 0 0 0 0 0 0 0 0 0 0 0.1461 2.483 4.820 7.888 0.29213 HEN-46A MOP slip, trip or fall on MCB + CCTV level crossing 6.441 0.0278 0.1792 0 0 0 0 0 0 0 0 0 0 0.0613 1.043 2.024 3.313 0.12269 SF,ST2 HEN-46B MOP slip, trip or fall on MCB level crossing 3.583 0.0278 0.0997 0 0 0 0 0 0 0 0 0 0 0.0341 0.5801 1.126 1.843 0.06825 SF,ST2 HEN-46C MOP slip, trip or fall on MG level crossing 0.6748 0.0278 0.0188 0 0 0 0 0 0 0 0 0 0 0.0064 0.1093 0.2121 0.3471 0.01285 SF,ST2 HEN-46D MOP slip, trip or fall on ABCL level crossing 0.2607 0.0278 0.0073 0 0 0 0 0 0 0 0 0 0 0.0025 0.0422 0.0819 0.1341 0.00497 SF,ST2 HEN-46E MOP slip, trip or fall on AHB level crossing 0.7244 0.0278 0.0202 0 0 0 0 0 0 0 0 0 0 0.0069 0.1173 0.2277 0.3725 0.0138 SF,ST2 HEN-46F MOP slip, trip or fall on AOCL level crossing 0.3512 0.0278 0.0098 0 0 0 0 0 0 0 0 0 0 0.0033 0.0569 0.1104 0.1806 0.00669 SF,ST2 HEN-46G MOP slip, trip or fall on UWC + MWL level crossing 0.2386 0.0278 0.0066 0 0 0 0 0 0 0 0 0 0 0.0023 0.0386 0.0750 0.1227 0.00455 SF,ST2 HEN-46H MOP slip, trip or fall on UWC + T level crossing 0.5993 0.0278 0.0167 0 0 0 0 0 0 0 0 0 0 0.0057 0.0970 0.1884 0.3082 0.01142 SF,ST2 HEN-46I MOP slip, trip or fall on UWC level crossing 0.6566 0.0278 0.0183 0 0 0 0 0 0 0 0 0 0 0.0063 0.1063 0.2063 0.3377 0.01251 SF,ST2 HEN-46J MOP slip, trip or fall on OC level crossing 0.0230 0.0278 6.40E-04 0 0 0 0 0 0 0 0 0 0 2.19E-04 0.0037 0.0072 0.0118 0.00044 SF,ST2 HEN-46K MOP slip, trip or fall on FP + MWL level crossing 0.0957 0.0278 0.0027 0 0 0 0 0 0 0 0 0 0 9.11E-04 0.0155 0.0301 0.0492 0.00182 SF,ST2 HEN-46L MOP slip, trip or fall on FP level crossing 1.689 0.0278 0.0470 0 0 0 0 0 0 0 0 0 0 0.0161 0.2734 0.5307 0.8684 0.03216 SF,ST2 HEN-48 MOP exposure to fire on the mainline railway 0.0500 0.0290 0.0015 0 0 0 0 0 0 0 0 0 0 0 0.0125 0.0375 0.0125 0 SF,ST2 HEN-49 MOP exposure to explosion on the mainline railway 0.0500 6.000 0.3000 0 0 0 0 0 0 0 0 0 0 0.2500 0.5000 0 0 0 MF,ST1 HEN-50 MOP exposure to electrical arcing 0.2000 0.0224 0.0045 0 0 0 0 0 0 0 0 0 0 0 0.0400 0.0800 0.0800 0 SF,ST2 HEN-51 MOP electric shock (OHL) 0.2000 0.0281 0.0056 0 0 0 0 0 0 0 0 0 0 0 0.0500 0.0750 0.1250 0.025 SF,ST1 HEN-52 MOP electric shock (conductor rail) 0.0595 0.4311 0.0257 0 0 0 0 0 0 0 0 0 0 0.0238 0.0179 0.0119 0.0060 0 SF,ST1 HEN-53 0.2500 0.0066 0.0017 0 0 0 0 0 0 0 0 0 0 0 0.0137 0.0110 0.2280 0.00549 SF,ST2 0.0100 10.00 0.1000 0 0 0 0 0 0 0 0 0 0 0.1000 0 0 0 0 MF,ST1 370.4 0.0035 1.303 0 7.190 54.83 299.2 10.72 0 0 0 0 0 0 0 0 0 0 SF,ST2 565.7 0.0043 2.411 0 0 0 0 0 0 17.06 38.95 510.0 0.1177 0 0 0 0 0 SF,ST2, 76% 6.332 0.0017 0.0109 0 0 1.136 5.195 0 0 0 0 0 0 0 0 0 0 0 SF,ST2 2.200 0.0144 0.0316 0 0 0 0 0 0 0 0 0 0 0 0.2750 0.5500 1.375 0 SF,ST2 10.33 3.086 0.4394 0.0073 0.0012 0.0010 0.0755 0.0038 4.39E-04 0 0 0 0 0 0 0 0 0 0 0 0.4394 0 0 0 0 0 0 0 0 0 0 0.1469 0 0.1950 2.939 0 0 0.1469 0 0 0 0 0.5849 0 0 1.755 0 0 7.799 0 0 0.19497 0 0 SF,ST2 SF,ST2, 28% SF,ST2 846.9 0.0038 3.184 0 19.57 98.10 721.9 13.63 0 0 0 0.4339 0.2657 0 0 0 0 0 SF,ST2 1276.0 0.0021 2.666 0 0 0 0 0 0 9.932 99.31 1171.9 4.476 0 0 0 0 0 SF,ST2, 1% HEN-64 MOP electric shock (non-traction supplies) MOP exposure to hazardous substances leakage on the mainline railway Passenger struck by/contact with/trapped in object at station Workforce struck by/contact with/ trapped in object not at station Passenger burn (not on train) MOP injury on bridges/steps/subways (other than in stations) whilst on the mainline railway MOP struck by/contact with/trapped in object at station Workforce exposure to noise (not on train) Passenger exposure to noise (not on train) Passenger on-train incident (excluding sudden train movement & assaults) Workforce on-train incident (excluding sudden train movement & assaults) Passenger assault 1974.1 0.0041 8.076 1.475 40.68 139.8 1058.3 735.3 0 0 0 0 40.68 0 0 0 0 0 SF,ST2 HEN-65 Workforce assault 1757.3 0.0019 3.258 0 0 0 0 0.1128 0.0527 9.925 92.51 664.3 1085.7 0 0 0 0.1128 0 SF,ST2, 0.4% HEN-66 MOP assault 170.0 0.0052 0.8891 0 0 0 0 0 0 0 0 0 0 0.2092 4.645 12.52 92.37 60.4914 SF,ST2 HEN-67 MOP fall from platform onto track (no train present) 2.857 0.0173 0.0494 0 0 0 0 0 0 0 0 0 0.0571 0.0044 0.3668 1.451 0.9373 0.10596 SF,ST2 HEN-68 MOP non-trespasser fall in stations 85.33 0.0084 0.7160 0 0 0 0 0 0 0 0 0.0074 0.0050 0.0371 5.054 23.08 56.17 1.91278 SF,ST2 HEN-54 HEN-55 HEN-56 HEN-57 HEN-58 HEN-59 HEN-60 HEN-61 HEN-62 HEN-63 Version 6.1 – June 2009 85 Table A1 Hazardous event (1) Hazardous event no. HEN-45 HEN-45A HEN-45B HEN-45C (2) Hazardous event description MOP (non-trespasser) fall from outside onto the mainline railway MOP (non-trespasser) fall from outside onto the mainline railway from bridge (incl. RTA) MOP (non-trespasser) fall from outside onto the mainline railway from wall, bank, roof or fence (incl. RTA) MOP (non-trespasser) fall from outside onto the mainline railway from other e.g. viaduct (incl. RTA) National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) 14.26 0.2246 3.202 9.800 0.2750 2.695 3.600 0.0940 0.3384 0.8571 0.1975 0.1693 HEN-46 MOP slip, trip or fall on level crossing or footpath crossing 15.34 0.0278 0.4267 HEN-46A MOP slip, trip or fall on MCB + CCTV level crossing 6.441 0.0278 0.1792 HEN-46B MOP slip, trip or fall on MCB level crossing 3.583 0.0278 0.0997 HEN-46C MOP slip, trip or fall on MG level crossing 0.6748 0.0278 0.0188 HEN-46D MOP slip, trip or fall on ABCL level crossing 0.2607 0.0278 0.0073 HEN-46E MOP slip, trip or fall on AHB level crossing 0.7244 0.0278 0.0202 HEN-46F MOP slip, trip or fall on AOCL level crossing 0.3512 0.0278 0.0098 HEN-46G MOP slip, trip or fall on UWC + MWL level crossing 0.2386 0.0278 0.0066 HEN-46H MOP slip, trip or fall on UWC + T level crossing 0.5993 0.0278 0.0167 HEN-46I MOP slip, trip or fall on UWC level crossing 0.6566 0.0278 0.0183 HEN-46J MOP slip, trip or fall on OC level crossing 0.0230 0.0278 6.40E-04 HEN-46K MOP slip, trip or fall on FP + MWL level crossing 0.0957 0.0278 0.0027 HEN-46L MOP slip, trip or fall on FP level crossing 1.689 0.0278 0.0470 HEN-48 MOP exposure to fire on the mainline railway 0.0500 0.0290 0.0015 HEN-49 MOP exposure to explosion on the mainline railway 0.0500 6.000 0.3000 HEN-50 MOP exposure to electrical arcing 0.2000 0.0224 0.0045 HEN-51 MOP electric shock (OHL) 0.2000 0.0281 0.0056 HEN-52 MOP electric shock (conductor rail) 0.0595 0.4311 0.0257 HEN-53 0.2500 0.0066 0.0017 0.0100 10.00 0.1000 370.4 0.0035 1.303 565.7 0.0043 2.411 6.332 0.0017 0.0109 2.200 0.0144 0.0316 10.33 3.086 0.4394 0.0073 0.0012 0.0010 0.0755 0.0038 4.39E-04 846.9 0.0038 3.184 1276.0 0.0021 2.666 HEN-64 MOP electric shock (non-traction supplies) MOP exposure to hazardous substances leakage on the mainline railway Passenger struck by/contact with/trapped in object at station Workforce struck by/contact with/ trapped in object not at station Passenger burn (not on train) MOP injury on bridges/steps/subways (other than in stations) whilst on the mainline railway MOP struck by/contact with/trapped in object at station Workforce exposure to noise (not on train) Passenger exposure to noise (not on train) Passenger on-train incident (excluding sudden train movement & assaults) Workforce on-train incident (excluding sudden train movement & assaults) Passenger assault 1974.1 0.0041 8.076 HEN-65 Workforce assault 1757.3 0.0019 3.258 HEN-66 MOP assault 170.0 0.0052 0.8891 HEN-67 MOP fall from platform onto track (no train present) 2.857 0.0173 0.0494 HEN-68 MOP non-trespasser fall in stations 85.33 0.0084 0.7160 HEN-54 HEN-55 HEN-56 HEN-57 HEN-58 HEN-59 HEN-60 HEN-61 HEN-62 HEN-63 Version 6.1 – June 2009 Open out for full breakdown86 Table A1 Passenger Hazardous event (1) Hazardous event no. (2) Hazardous event description National average frequency National average cons. National average risk Fatalities Major injuries Rep. minor injuries (3) (4) (5) (6) (7) (events/ year) (FWI/ event) (FWI/ year) (no./ year) 9.943 0.1421 1.413 6.600 0.1477 3.200 Staff Shock / trauma Fatalities Major injuries Rep. minor injuries (8) Nonrep. minor injuries (9) (10) (11) (12) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) 0 0 0 0 0 0.9747 0 0 0 0 0.1282 0.4101 0 0 0 0.1429 0.1975 0.0282 0 0 1.119 0.1488 0.1665 0 0.1667 0.1477 0.0246 0.6667 0.1282 0.2857 MOP Shock / trauma Fatalities Major injuries Rep. minor injuries (13) Nonrep. minor injuries (14) Shock / trauma Notes (18) Nonrep. minor injuries (19) (15) (16) (17) (20) (21) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (no./ year) (-) 0 0 0 0 0.7543 0.8664 5.278 2.749 1.326 0.00289 0 0 0 0 0 0.7500 0.6000 3.600 2.100 0.4500 0 SF,ST1 0 0 0 0 0 0 0 0.2462 1.600 0.6154 0.8615 0 SF,ST2 0 0 0 0 0 0 0 0.0043 0.0202 0.0779 0.0332 0.0144 0.00289 SF,ST1 0 0 0 0 0 0 0 0 0.0276 0.1068 0.5801 0.2476 0.2197 0.00577 0 0 0 0 0 0 0 0 0 0.0189 0.0152 0.0909 0.0530 0.0114 0 SF,ST1 0.0854 0 0 0 0 0 0 0 0 0 0 0.0513 0.3333 0.1282 0.1795 0 SF,ST2 0.1975 0.0564 0 0 0 0 0 0 0 0 0 0.0087 0.0404 0.1558 0.0664 0.0289 0.00577 SF,ST1 5.323 0.0120 0.0637 0 0.5323 1.419 3.371 0 0 0 0 0 0 0 0 0 0 0 SF,ST2 SF,ST2, 31% HEN-73 Adult trespass fall/jump from outside onto the mainline railway Adult trespass fall/jump from outside onto the mainline railway from bridge Adult trespass fall/jump from outside onto the mainline railway from wall, bank, roof or fence Adult trespasser fall/jump from outside onto the mainline railway from other e.g. viaduct Child trespasser fall/jump from outside onto the mainline railway Child trespass fall/jump from outside onto the mainline railway from bridge Child trespass fall/jump from outside onto the mainline railway from wall, bank, roof or fence Child trespasser fall/jump from outside onto the mainline railway from other e.g. viaduct Passenger manual handling HEN-74 Workforce manual handling 471.0 0.0023 1.085 0 0 0 0 0 0 2.976 79.66 388.7 0 0 0 0 0 0 HEN-75 MOP involved in RTA on level crossing 1.258 0.0306 0.0385 0 0 0 0 0 0 0 0 0 0 0.0168 0.1804 0.5306 0.5306 0.09648 HEN-75A MOP involved in RTA on MCB + CCTV level crossing 0.4464 0.0307 0.0137 0 0 0 0 0 0 0 0 0 0 0.0060 0.0641 0.1881 0.1881 0.03459 SF,ST1 HEN-75B MOP involved in RTA on MCB level crossing 0.3243 0.0304 0.0099 0 0 0 0 0 0 0 0 0 0 0.0043 0.0462 0.1369 0.1369 0.02432 SF,ST1 HEN-75C MOP involved in RTA on MG level crossing 0.0775 0.0303 0.0023 0 0 0 0 0 0 0 0 0 0 0.0010 0.0110 0.0328 0.0328 0.00568 SF,ST1 HEN-75D MOP involved in RTA on ABCL level crossing 0.0536 0.0300 0.0016 0 0 0 0 0 0 0 0 0 0 7.00E-04 0.0075 0.0227 0.0227 0.00377 SF,ST1 HEN-75E MOP involved in RTA on AHB level crossing 0.2489 0.0299 0.0074 0 0 0 0 0 0 0 0 0 0 0.0032 0.0348 0.1054 0.1054 0.01708 SF,ST1 HEN-75F MOP involved in RTA on AOCL level crossing 0.0172 0.0445 7.65E-04 0 0 0 0 0 0 0 0 0 0 3.44E-04 0.0036 0.0066 0.0066 0.00396 SF,ST1 HEN-75G MOP involved in RTA on UWC + MWL level crossing 0.0124895 0.0310289 0.0003875 0 0 0 0 0 0 0 0 0 0 0.00017 0.00182 0.00525 0.00525 0.00102 SF,ST1 HEN-75H MOP involved in RTA on UWC + T level crossing 0.0276491 0.0315075 0.0008712 0 0 0 0 0 0 0 0 0 0 0.00038 0.00409 0.01159 0.01159 0.0024 SF,ST1 HEN-75I MOP involved in RTA on UWC level crossing 0.0494718 0.0299483 0.0014816 0 0 0 0 0 0 0 0 0 0 0.00064 0.00694 0.02094 0.02094 0.00345 SF,ST1 HEN-75J MOP involved in RTA on OC level crossing 0.0009239 0.04446 4.108E-05 0 0 0 0 0 0 0 0 0 0 1.8E-05 0.00019 0.00036 0.00036 0.00021 SF,ST1 HEN-71 HEN-71A HEN-71B HEN-71C HEN-72 HEN-72A HEN-72B HEN-72C Version 6.1 – June 2009 87 Table A1 Hazardous event (1) Hazardous event no. (2) Hazardous event description National average frequency National average cons. National average risk (3) (4) (5) (events/ year) (FWI/ event) (FWI/ year) 9.943 0.1421 1.413 6.600 0.1477 0.9747 3.200 0.1282 0.4101 0.1429 0.1975 0.0282 1.119 0.1488 0.1665 0.1667 0.1477 0.0246 0.6667 0.1282 0.0854 0.2857 0.1975 0.0564 0.0637 HEN-73 Adult trespass fall/jump from outside onto the mainline railway Adult trespass fall/jump from outside onto the mainline railway from bridge Adult trespass fall/jump from outside onto the mainline railway from wall, bank, roof or fence Adult trespasser fall/jump from outside onto the mainline railway from other e.g. viaduct Child trespasser fall/jump from outside onto the mainline railway Child trespass fall/jump from outside onto the mainline railway from bridge Child trespass fall/jump from outside onto the mainline railway from wall, bank, roof or fence Child trespasser fall/jump from outside onto the mainline railway from other e.g. viaduct Passenger manual handling 5.323 0.0120 HEN-74 Workforce manual handling 471.0 0.0023 1.085 HEN-75 MOP involved in RTA on level crossing 1.258 0.0306 0.0385 HEN-75A MOP involved in RTA on MCB + CCTV level crossing 0.4464 0.0307 0.0137 HEN-75B MOP involved in RTA on MCB level crossing 0.3243 0.0304 0.0099 HEN-75C MOP involved in RTA on MG level crossing 0.0775 0.0303 0.0023 HEN-75D MOP involved in RTA on ABCL level crossing 0.0536 0.0300 0.0016 HEN-75E MOP involved in RTA on AHB level crossing 0.2489 0.0299 0.0074 HEN-75F MOP involved in RTA on AOCL level crossing 0.0172 0.0445 7.65E-04 HEN-75G MOP involved in RTA on UWC + MWL level crossing 0.0124895 0.0310289 0.0003875 HEN-75H MOP involved in RTA on UWC + T level crossing 0.0276491 0.0315075 0.0008712 HEN-75I MOP involved in RTA on UWC level crossing 0.0494718 0.0299483 0.0014816 HEN-75J MOP involved in RTA on OC level crossing 0.0009239 0.04446 4.108E-05 HEN-71 HEN-71A HEN-71B HEN-71C HEN-72 HEN-72A HEN-72B HEN-72C Version 6.1 – June 2009 Open out for full breakdown88 Table A2 Table A2. Reasons for changes in reported frequency and risk between SRMv5.5 and SRMv6 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) National average frequency (events/yr) National average risk (FWI/yr) SRMv6 National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 Train accidents Train loading distributions were reviewed and revised for consistency with the loading assumptions used in the Network Modelling Framework (NMF) model. HET-01 Collision between two passenger trains resulting from a passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train or WSF 5 0.3564 0.5250 0.2535 0.4339 -0.0911 Distribution of rolling stock reviewed and updated, taken from the database version of the timetable (TSDB). SPAD data reviewed and updated. Cat D/runaways, Signaller Error/Misroutes and WSF data was reviewed and updated. HET-02P Collision between a passenger train and a non-passenger train resulting from a passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train or WSF HET-02NP Collision between a passenger train and a non-passenger train resulting from a non-passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train or WSF 5 0.3667 0.2558 0.4421 HET-02 POS Collision between OTP and passenger train resulting from OTP incorrectly outside possession 5 0.0500 0.0460 0.0500 Version 6.1 – June 2009 5 0.0390 0.0571 0.0398 0.0473 As for HET-01. Although the passenger train/non-passenger train collision frequencies have remained comparable between v5.5 and v6 the risk has increased. This has been primarily due to the changes in train loading distributions. The most significant effect is in collisions between Passenger and Nonpassenger trains where the increased probability of mixed traffic in peak loaded times has resulted in an increase in the high consequence PT/NPT collisions and therefore an increased risk for HET-02P. 0.4792 0.2234 As for HET-01. As for HET-2P although the collision frequencies have remained comparable between v5.5 and v6 (in fact a slight increase) the risk has increased. This has been primarily due to the changes in train loading distributions. The most significant effect is in collisions between Passenger and Non-passenger trains where the increased probability of mixed traffic in peak loaded times has resulted in an increase in the high consequence PT/NPT collisions and therefore an increased risk for HET-02NP. 0.0460 8.67E-06 0.1045 No change 89 Table A2 SRMv5.5 Hazardous event no. Hazardous event description HET-03 Collision between two nonpassenger trains resulting from a non-passenger train Cat A SPAD, Cat D SPAD/runaway train, misrouted train or WSF HET-03 POS Collision between OTP and nonpassenger train inside possession Last updated (version) 5 5 SRMv6 National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 0.2341 0.1446 0.1412 0.0898 11.00 0.0463 6.738 0.0336 Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 -0.0547 As for HET-01. -0.0127 The hazardous event structure has been remodelled; and a new dataset has been used. This has resulted in a reduction in the frequency and risk estimated for HET-03 POS. -0.2044 The structure has been remodelled with HEM-04 and HEM-18 now modelled under HET-04. There is a large decrease in risk – the main reason for this is the change in injury weightings and the fact that HET-04 now includes minor non-reportables. The non-RV events, which previously in v5.5 were incorrectly assigned a shock/trauma weighting of class 1, are now correctly assigned a shock/trauma weighting of class 2 - this also accounts for some of the decrease. These combined changes result in 0.2418 FWI/Yr less than what the risk would be if calculated using the old injury weightings. The rest of the difference is mainly due to a reduction in consequences. HET-04 Collision of train with object on line (not resulting in derailment) HET-04 POS Collision of OTP with object inside possession (not resulting in derailment) 5 15.97 5.77E-04 14.82 0.0114 0.0108 The frequency has decreased slightly but is now based mostly on data as opposed to expert judgement. The consequences have been reworked and are now higher than v5, as they also include collision with RV inside possession, meaning that the risk has also increased. HET-06 Collision between two passenger trains in station (permissive working) 5 12.83 0.0741 7.572 0.0488 -0.0254 There has been a significant decrease in the number of incidents of this type occurring since the last full model update Version 6.1 – June 2009 5 2865.8 0.8717 2845.5 0.6673 90 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) National average frequency (events/yr) National average risk (FWI/yr) SRMv6 National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 The net effect of the changes to the model parameters was a small (6%) reduction in the risk, and a larger (41%) reduction in the frequency of events. The main factor behind these was a reduction in precursor frequencies (recent years have seen fewer events, particularly for roll backs and low speed only collisions). HET-09 Collision with buffer stops 5 11.14 0.1443 6.521 0.1354 -0.0088 Further minor reductions arose from re-evaluating the probability of a potential for high speed collision being outside buffer capacity & the consequent probability of fire. The reductions more than compensated for increases in risk caused by (i) the change in average loadings; (ii) the change in modelled accident consequences. The change to consequences with the greatest effect on the final figures was a small increase in the expected number of passenger injuries arising from potentially high speed collisions within the capacity of the buffers; the number was amended from SRM v5 to reflect recent data [e.g. Sudbury 2006, plus Walton on Naze 2002, Edinburgh Waverley 2001]. HET-09 POS Collision with buffer stops: OTP inside possession Version 6.1 – June 2009 5 0.0667 3.19E-04 0.1333 5.52E-04 2.33E-04 The risk has increased from version 5.5, although it remains extremely small. This is due to an increase in the modelled frequency for all precursors. The frequencies were revised upwards because a single accident occurred (in June 2006). Previously, the data used contained no such accidents and the estimate was based on expert judgement (a recollection of a single accident occurring in a 15-year period). 91 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) National average frequency (events/yr) SRMv6 National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 Level Crossing Modelling Changes The level crossing models have been substantially re-modelled to achieve alignment with Network Rail's All Level Crossing Risk Model (ALCRM). This has required the development of separate models for each crossing type and the development of a wider range of causes for each crossing type. For the models assessing the risk from collisions with road vehicles, the change has also enabled the escalation of accidents at each type of crossing to be different to account for: • the distribution of different types of road vehicles being struck • the distribution of operational speeds at each type of crossing • the subsequent likelihood of a derailment. HET-10 Passenger train collision with road vehicle on level crossing 5 15.62 3.031 12.40 2.397 -0.6336 A result of the modelling change is to reduce the average consequence per event at some crossings types; in particular the likelihood of a derailment at lower speed crossing has been reduced. Additionally, the likelihood of derailment at some crossings has been reduced as account is taken of the types of vehicle that are typically struck at the different types of crossing, i.e., heavy vehicles, such as tractors are more likely to be struck at user worked crossing than at AHBs. Additionally, the consequence of passenger train derailment has reduced in line with HET-12. Level Crossing Data Changes There has also been a reduction in the predicted frequency of collisions with road vehicles (for HET-10 and HET-11 combined), from 15.6 to 12.4 per year. The cause of the reduction in frequency is the generally lower level of collisions since the model was last updated using data up to the end of 2005; in 2006 and 2007, there were 11 collisions per year. The rate in 2008 was higher at 19. Approximately 80% of such collisions are predicted to be with passenger trains rather than freight trains. Another, less significant, cause of the reduction is caused by accounting for the changing population of crossing over the data period analysed. Version 6.1 – June 2009 92 Table A2 SRMv5.5 Last updated (version) National average frequency (events/yr) SRMv6 National average risk (FWI/yr) National average frequency (events/yr) Hazardous event no. Hazardous event description HET-11 Non-passenger train collision with road vehicle on level crossing 5 3.110 0.5077 2.217 HET-11 POS Collision between OTP and road vehicle inside possession 5 0.0900 0.0167 0.1361 HET-12 HET-13 FTP HET-13 FTF HET-13 EP HET-13 POS Derailment of passenger trains Derailment of freight trains on passenger lines outside possession Derailment of freight trains on freight only lines outside possession Derailment of ECS&Parcels trains on passenger lines Derailment of OTP inside possession Reasons for changes from SRMv5.5 to SRMv6 0.3837 -0.1240 For details, see HET-10 above. In addition, the consequences of freight and ECS train derailment have increased in line with HET-13.There has also been a 3.9% reduction in the number of ECS and freight train miles. 0.0223 0.0056 Change in frequency due to an additional event identified during the recent data review. Hence, the overall risk increases as well. High speed derailments (>75 mph) have been specifically modelled for version 6. In addition greater use of laminated glass has resulted in a reduction in consequences where vehicles turn over. Revised passenger loadings and probability of next train on the line have increased the consequences of some events and the revisions to the precursor frequencies, taking into account more recent derailment data has resulted in a reduction in frequency. 5 9.139 3.129 7.004 1.977 -1.152 5 13.82 0.3344 11.72 0.3123 -0.0221 5 7.192 0.1037 5.454 0.0668 -0.0369 5 2.400 0.0560 2.599 0.0385 -0.0175 5 34.03 0.0870 HET-17 Fire on passenger train 5.5 12.88 0.0423 HET-18 Fire on passenger train (not in station) 5.5 151.9 0.0552 Version 6.1 – June 2009 Change in risk (FWI/yr) National average risk (FWI/yr) 40.94 126.5 0.1304 0.1462 Now part of HET-17 The frequency and consequences of Freight train derailments have been updated taking account of the latest data. In addition some escalation factors and next train on the line probabilities have been revised. 0.0434 The hazardous event structure has been remodelled; and a new dataset has been used. This has resulted in an increase in the frequency and risk estimated for HET-13 POS. 0.0487 HET-17 now includes HET-18 risk and the total frequency has decreased due to the data update. However, due to changes to the rule sets and the train loadings, the overall risk has increased. HET-18 has been amalgamated into HET-17 for SRMv6. 93 Table A2 SRMv5.5 Last updated (version) SRMv6 Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 0.0310 -0.0199 The data update reduced the frequency, and this has resulted in a reduction in overall risk due to freight train fires. 1.600 0.0050 0.0030 The frequency has increased due to the data update. As a result, the risk has increased accordingly. 0.0045 4.66E-04 0.0063 0.0018 The frequency and risk has increased due to remodelling the exposure of trains under structures. 1.71E-05 1.97E-05 4.74E-06 2.72E-06 -1.70E-05 The frequency and risk has decreased due to remodelling the exposure of OTP and OTM cabs under structures and reviewing the assumptions for the consequences. 5 0.0100 0.0387 0.0100 0.0387 0 Explosion on passenger train 5 0.0200 0.0046 0.0200 0.0050 4.13E-04 There has been no change in frequency. The increase in risk is due to changes to the consequence modelling. HET-24 Explosion on freight train 5 0.0184 0.0693 0.0172 0.0688 -5.20E-04 The changes in risk are due to a reduction in frequency from updating the modelling with current diesel train utilisation HET-25 Train divisions (not leading to collision) 5 13.67 0.0128 11.67 0.0079 -0.0049 The reduction in frequency and risk is due to an observed decrease in the frequency of passenger train division events leading to a reduction in the estimated frequency of train divisions. HET-26 Collision between a failed train and an assisting train 5 0.8571 0.0220 0.1870 0.0058 -0.0161 The estimated frequency has decreased due to an observed decrease in the number of events observed. This has led to a reduction in the estimated risk. National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 5.5 27.46 0.0509 22.66 Fire on non-passenger train inside possession 5 0.6360 0.0020 HET-21 Train crushed by structural collapse or large object (not at station) 5 3.96E-04 HET-21 POS OTP crushed by structural collapse or large object inside possession (not at station) 5 HET-22 Structural collapse at station HET-23 Hazardous event no. Hazardous event description HET-20 Fire on non-passenger train HET-20 POS Version 6.1 – June 2009 The estimated frequency and risk have not changed since v5.5. 94 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) National average frequency (events/yr) SRMv6 National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 -0.2164 The hazardous event structure has been remodelled; moving some incidents into HEN-62, POTOHEAT-E: Passenger ontrain fainting due to train overheating. This has caused a reduction in the estimated frequency and risk for HEM-01. Movement accidents HEM-01 Passenger injury during evacuation following stopped train HEM-02 Passenger fall from train in running HEM-03 Passenger struck while leaning out of train (train in running) HEM-04 HEM-05 HEM-06 5.5 5.5 2.567 0.7560 0.2358 0.0704 5 2.533 0.0447 Passenger struck by object through train window 5.5 21.75 0.0774 Train door closes on passenger 5.5 275.7 0.6962 Passenger fall between train and platform Version 6.1 – June 2009 5.5 221.0 2.011 1.877 0.0194 Now moved to HEM-44 0.5421 0.0938 0.0490 Now part of HET-04 284.7 252.3 0.7115 1.770 This hazardous event has been restructured. The incidents involving passengers deliberately jumping from a train in running have been moved to a new hazardous event, HEM-44. The remaining frequency and risk of passenger fall from train in running is not significant. Events previously covered by this hazardous event have moved to HEN-62 resulting in a reduction in the scope of events covered by this event - hence the estimated frequency has reduced. The events that are still in scope are now of a more severe nature and thus the average consequences have increased. This coupled with the fact that the events covered by this hazardous event have doubled on a like-for-like comparison with SRMv5.5 results in an increase in the level of risk. These are now included in HET-04, precursor BVANOBJTHR. 0.0153 There has been slight increase in the estimated frequency which has lead to a slight increase in the risk. -0.2410 Since SRMv5.5 this hazardous event has been split into three precursors, one each for boarding, alighting and other/unknown. There has been an increase in the estimated frequency of this hazardous event, mainly due to an increase in boarding injuries. The severity of the injuries has also changed, with fewer major injuries and more minor injuries in recent years, leading to an overall reduction in injuries per event and a decrease in overall risk. 95 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) National average frequency (events/yr) SRMv6 National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 HEM-07 Passenger fall out of train onto track at station 5 0.6841 0.0093 0.7035 0.0302 0.0209 The estimated frequency has increased slightly due to the application of a new modelling approach based on normalised event counts. The consequences have increased due to including a fatality component, resulting in an increase in the level of risk. HEM-08 Passenger fall from platform and struck by train 5 5.667 2.357 5.980 2.189 -0.1688 There has been a minor increase in estimated frequency, but a reduction in the consequences, resulting in a decrease in the overall level of risk. HEM-09 Passenger injury while boarding/alighting train (platform side) 5.5 460.4 3.593 507.6 3.870 0.2772 There have been increases in estimated frequency in this hazardous event, due to changes in the number of events recorded in the updated data, leading to an increase in risk. HEM-10 Passenger struck by train while on platform 5.5 7.150 0.5126 9.504 1.316 0.8030 There has been an increase in the number of fatalities due to passengers standing too close to the platform edge, which has resulted in an increase in the average consequences associated with this hazardous event and hence an increase in risk. HEM-11 Passenger struck while crossing track at station on crossing 5 0.5114 0.4449 1.114 0.9101 0.4652 The increase in risk is due to an increase in estimated frequency. This is due to changes in the recorded number of events in the updated data and identification of 'passenger' related injuries previously considered in HEM-27 HEM-12 Adult/child trespasser struck while crossing track at station 5.5 5.580 3.503 5.129 3.497 -0.0061 There has been a minor decrease in the estimated frequency resulting in a slight decrease in the risk. HEM-13 Passenger crushing caused by crowding on train 5 10.33 0.0705 8.794 0.0623 -0.0082 There has been a minor decrease in the estimated frequency resulting in a slight decrease in the risk. 0.0763 There has been a decrease in the estimated frequency due to a reduction in the number of incidents that occur in possession. However there has also been an increase in average consequence associated with this hazardous event resulting in an increase in risk. 0.1746 The increase in risk comes from an increase in the estimated frequency of all precursors contributing to this hazardous event and an increase in the average consequences associated with this event. Both of these changes derive from changes to the number of recorded events in the updated data. HEM-14 Workforce (not track worker) struck/crushed by train HEM-15 Train crew/ track worker fall from train/OTP in running Version 6.1 – June 2009 5 5 0.7121 1.100 0.3564 0.0613 0.5507 2.086 0.4326 0.2358 96 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) National average frequency (events/yr) SRMv6 National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 HEM-16 Workforce injury while boarding/alighting train 5.5 229.3 0.9811 198.7 0.8090 -0.1721 The reduction in risk is due to the reduction in estimated frequency as a result of a reduction in the number of incidents recorded in the updated data. The most notable being the reduction in boarding and alighting events for train crew at platforms. HEM-17 Train crew struck while leaning out of train (train in running) 5.5 14.92 0.0315 2.143 0.0113 -0.0202 The risk has decreased significantly because this hazardous event has been refined and remodelled. Injuries caused by train defects are now considered in HEN-63. HEM-18 Train crew hit by object through train window 5.5 37.64 0.1754 Now part of HET-04 -0.2755 The model has been restructured to identify the proportion of risk that occurs both inside and outside possession. The reduction in both estimated frequency and risk is due to a combination of changes in the number of events recorded in the updated data and modelling changes. 0.1237 0.0123 Although there is a decrease in estimated frequency there has been an overall increase in risk because of changes to the number of events recorded in the updated data and expert judgement increasing the estimated average consequences of being struck by flying objects 107.6 0.5353 0.0316 The increase in risk is largely due to a slight increase in estimated frequency due to changes in the number of incidents recorded in the updated data. 0.0145 0.1000 0.0043 -0.0102 The average consequences have been updated for SRMv6 and based on data rather than expert judgement resulting in a reduced risk estimate. 75.30 0.2373 72.36 0.2114 -0.0259 There has been minor a reduction in estimated frequency and consequences since SRMv5.5, creating a slight decrease in overall risk. 0.2000 0.0031 HEM-19 Track worker struck/crushed by train HEM-20 Workforce struck by flying object (includes objects thrown by OTM movements outside a possession) 5.5 46.13 0.1114 34.51 HEM-21 Workforce fall between train and platform 5.5 103.6 0.5037 HEM-22 Workforce fall out of train onto track at station 5 0.1000 HEM-23 Train door closes on workforce 5.5 HEM-24 Track worker struck while leaning out of on-track machine/vehicle 5 Version 6.1 – June 2009 5.5 These are now included in HET-04, precursor BVANOBJTHR. 4.700 2.323 4.500 2.048 Now part of HEM-17 Now included in HEM-17 POS 97 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) HEM-25 Adult trespasser struck/crushed while on the mainline railway HEM-26 Child trespasser struck/crushed while on mainline railway HEM-27 MOP pedestrian struck/crushed by train on level crossing or footpath crossing HEM-29 MOP outside mainline railway struck/crushed as a result of mainline railway operations HEM-30 SRMv6 Change in risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 5.5 38.53 25.95 35.26 23.97 -1.976 There has been a reduction in the estimated frequency and estimated consequences due to observed reductions in the data resulting in a slight decrease in overall risk. 5.5 2.210 2.237 2.004 1.853 -0.3842 There has been a reduction in the estimated frequency and estimated consequences due to observed reductions in the data resulting in a slight decrease in overall risk. This hazardous event has undergone remodelling to account for a greater resolution of level crossing types. This combined with changes in the number of events recorded in the updated data has resulted in an increase in the level of risk. Reasons for changes from SRMv5.5 to SRMv6 5.5 9.005 7.159 8.954 7.319 0.1596 5 0.0200 0.0024 0.0200 0.0024 0 MOP fall while riding illegally on train 5.5 4.938 0.9393 4.241 0.8557 -0.0837 HEM-31 MOP suicide or attempted suicide (open verdict) 5.5 266.7 222.5 268.0 225.3 2.821 HEM-32 MOP struck by object from the mainline railway 5 2.667 0.0067 2.000 0.0052 -0.0014 The reduction in risk is due to a decrease in estimated frequency that results from changes in the number of events recorded in the updated data. HEM-38 Passenger injury due to sudden train movement 5.5 98.73 0.5597 91.37 0.5409 -0.0188 There has been a slight reduction in estimated frequency compared with SRMv5.5, creating a slight decrease in risk. HEM-39 Train crew injury due to sudden train movement 5.5 399.3 1.111 391.8 1.033 -0.0786 There has been a slight decrease in the estimated frequency since SRMv5.5, due to changes in the recorded number of events in the updated data, leading to a slight decrease in risk. HEM-40 MOP struck by train due to standing too close to platform edge 5.5 0.2371 0.1837 1.001 0.1903 0.0065 Due to changes in the number of recorded events in the updated data, the estimated frequency has increased considerably - however, the average consequences have reduced (previously they were over-estimated) and the overall risk has therefore only increased slightly. HEM-41 MOP fall between train and platform New 0 0 0.4286 0.1270 0 Version 6.1 – June 2009 The estimated frequency and risk have not changed since SRMv5.5. The reduction in risk is due to a decrease in estimated frequency that results from changes in the number of events recorded in the updated data. No significant change since SRMv5.5. New hazardous event. 98 Table A2 SRMv5.5 Last updated (version) SRMv6 Change in risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) New 0 0 3.166 0.0048 0 New hazardous event. Train door closes on MOP New 0 0 1.050 0.0031 0 New hazardous event. Passenger jump from train in running New 0 0 1.439 0.3861 0 This is a new hazardous event. The incidents were previously listed under HEM-02. Hazardous event no. Hazardous event description HEM-42 Passenger struck by flying object thrown up by passing train HEM-43 HEM-44 Reasons for changes from SRMv5.5 to SRMv6 Non-movement accidents HEN-01 Workforce exposure to fire 5 3.000 0.0373 2.571 0.0203 -0.0170 The risk has decreased for two main reasons: - The risk for this hazardous event is now based on data rather than expert judgement. - There have been no new incidents of train drivers being exposed to line-side fires since 2005. HEN-02 Line-side fire in station 5 0.4000 0.0027 0.5714 0.0067 0.0040 The increase in risk is due to an increase in estimated frequency and the average consequences of recorded incidents. HEN-03 Fire in station 5 0.6667 0.0081 0.6667 0.0169 0.0088 The increase in risk is due to an increase in the average consequences associated with this hazardous event. HEN-04 Workforce exposure to line-side explosion 5 0.2500 0.0106 0.5714 0.0241 0.0135 The increase in risk is due to the observed increase in the number of events recorded in the updated data resulting in an increase in the estimated frequency of this hazardous event. HEN-05 Explosion at station 5 0.0500 0.1500 0.0500 0.1500 0 No new data to justify any change, hence the estimated frequency and risk have not changed since SRMv5.5. HEN-07 Passenger exposure to hazardous substances 5 3.533 0.0217 5.441 0.0173 -0.0044 The average consequences for this hazardous event have reduced, mainly as a result of considering the consequences from animal/insect bites (less severe) separately from leaking substances (more severe). The net effect is a reduction in risk, though the estimated frequency has increased. HEN-08 Passenger exposed to electrical arcing at station 5 0.2000 0.0022 0.3299 0.0074 0.0052 The estimated frequency and risk have increased slightly due to an increase in the average consequences associated with this hazardous event. Version 6.1 – June 2009 99 Table A2 SRMv5.5 Last updated (version) SRMv6 Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 0.0134 -0.0533 The frequency, based upon expert judgement remains the same. The consequences are based upon data for workforce contact with OHL providing greater confidence in the likely outcomes. 0.8870 0.3842 -0.1520 The estimated frequency and risk have reduced slightly due to an update of the dataset 0.5421 0.0036 -5.25E-04 The change in estimated frequency is due to a reduction in the observed number of relevant events over recent years. The average consequences are now based on data for workforce electric shock (non-traction supply) events. National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 5 0.0667 0.0667 0.0667 Passenger electric shock at station (conductor rail) 5 1.667 0.5362 HEN-11 Passenger electric shock at station (non-traction supplies) 5 0.6667 0.0041 HEN-12 Passenger at station exposed to smoke or fumes 5 0.0500 3.74E-04 HEN-13 Passenger fall from platform onto track (no train present) 5.5 46.00 0.8095 42.59 0.7324 -0.0772 HEN-14 Passenger slip, trip or fall 5.5 2664.8 23.73 2914.7 25.28 1.553 HEN-15 Passenger fall from overbridge at station 5 1.667 0.2931 0.3520 0.0943 -0.1988 HEN-16 Passenger fall during evacuation at station 5 0.0500 0.0027 0.0500 0.0027 0 HEN-17 Passenger crushing caused by overcrowding at station 5 1.000 0.0270 1.407 0.0379 0.0110 The estimated frequency has increased due to the higher frequency of observed events in recent years. This has led to an increase in the level of risk. HEN-21 Workforce struck/crushed by structural collapse or large object 5.5 130.8 2.097 113.7 1.804 -0.2935 The estimated frequency has reduced since v5.5 due to a reduction in the observed number of events. Hazardous event no. Hazardous event description HEN-09 Passenger electric shock at station (OHL) HEN-10 Version 6.1 – June 2009 Now part of HEN-03 and HEN-07 Now included under HEN-03 and HEN-07 The reduction in risk is due to the observed decrease in frequency. The increase in the risk estimate is partly due to the update of the dataset, and partly due to the revised modelling approach applied, which takes account of the variation in passenger journeys that have occurred over a number of years. The estimated frequency has decreased significantly since v5.5 due to a reduction in the number of events observed in recent years. This results in a decrease in the level of risk. The estimated frequency and risk have not changed since v5.5. 100 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) HEN-22 Workforce trapped in machinery HEN-23 SRMv6 Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 0.1972 -0.0124 The reduction in risk is due to the observed decrease in frequency. 566.7 1.139 0.0675 The estimated frequency has increased due to the observed higher occurrence of events in recent years. This has led to an increase in the level of risk. 7.489 1051.3 6.743 -0.7462 The reduction in risk is due to a decrease in the frequency of observed events. 14.93 0.7507 18.18 0.5968 -0.1539 The frequency has increased due to an observed increase in the occurrence of events in recent years. However, the average consequences have reduced, resulting in an overall reduction in risk. 5.5 15.20 0.3376 13.93 0.3259 -0.0116 The reduction in risk is due to the observed decrease in frequency. 5.5 35.26 0.0945 35.32 0.0678 -0.0267 The average consequences and risk have both reduced due to an update of the dataset. 5 8.667 0.0814 7.095 0.0982 0.0168 The estimated frequency has reduced due to a reduction in the occurrence of events. However the risk has increased due to an increase in the average consequences associated with this hazardous event. 5.5 81.27 0.2442 76.52 0.1765 -0.0676 The estimated frequency and risk have reduced due to an update of the dataset Workforce electric shock (conductor rail) 5 8.007 0.7155 4.600 0.5676 -0.1479 The estimated frequency and risk have reduced due to an update of the dataset HEN-31 Workforce electric shock (OHL) 5 2.807 0.3835 1.718 0.1258 -0.2577 The estimated frequency and risk have reduced due to an update of the dataset HEN-32 Workforce electric shock (nontraction supply) 5 13.67 0.1341 10.15 0.0675 -0.0666 The estimated frequency and risk have reduced due to an update of the dataset HEN-33 Workforce asphyxiation / drowning 5 0.2702 0.1029 0.1855 0.0650 -0.0379 The estimated frequency and risk have reduced due to an update of the dataset National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 5.5 7.957 0.2096 7.480 Workforce struck by/contact with/trapped in object at station 5.5 522.3 1.072 HEN-24 Workforce slip, trip or fall <2m 5.5 1150.9 HEN-25 Workforce slip, trip or fall >2m 5.5 HEN-26 Workforce struck/crushed by nontrain vehicle HEN-27 Workforce burns due to welding etc HEN-28 Workforce exposure to arcing HEN-29 Workforce exposure to hazardous substances (including stings, bites and needle injuries) HEN-30 Version 6.1 – June 2009 101 Table A2 SRMv5.5 Last updated (version) SRMv6 Change in risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 5 1.470 0.1780 28.11 0.3647 0.1867 The increase in frequency is mainly due to increased reporting in 2007-08, but a reassessment of the average consequences based on a larger dataset results in only a doubling of the risk. Adult trespasser fall while on the mainline railway 5.5 20.67 1.246 19.00 0.9496 -0.2961 The reduction in risk is due to the decrease in the estimated frequency associated with this hazardous event. HEN-37 Adult trespasser electric shock (OHL) 5.5 1.786 0.7835 1.743 0.6037 -0.1798 The reduction in risk is due to the decrease in the estimated frequency associated with this hazardous event. HEN-38 Adult trespasser electric shock (conductor rail) 5.5 8.400 5.501 8.600 6.071 0.5702 There has been an increase in both the estimated frequency and risk due to the observed increase in the frequency of events. HEN-39 Adult trespasser electric shock (non-traction supply) 5.5 0.0741 4.59E-04 0.1379 0.0058 0.0054 There has been an increase in both the estimated frequency and risk due to the observed increase in the frequency of events. HEN-40 Child trespasser fall while on the mainline railway 5.5 1.670 0.0459 2.200 0.1100 0.0640 The increase in risk is due to increase in the estimated frequency and the average consequences associated with this hazardous event. HEN-41 Child trespasser electric shock (OHL) 5.5 2.714 0.3533 1.867 0.2434 -0.1099 The reduction in risk is due to the decrease in the estimated frequency associated with this hazardous event. HEN-42 Child trespasser electric shock (conductor rail) 5.5 1.350 0.6936 1.214 0.5119 -0.1817 The reduction in risk is due to the decrease in the estimated frequency associated with this hazardous event. HEN-43 Child trespasser electric shock (non-traction supply) 5.5 0.1111 6.88E-04 0.2000 0.0084 0.0078 The increase in risk is due to increase in the estimated frequency and the average consequences associated with this hazardous event. HEN-44 MOP struck / trapped by level crossing equipment 5.5 14.00 0.3175 14.47 0.3222 0.0046 The increase in risk is due to increase in the estimated frequency and the average consequences associated with this hazardous event. HEN-45 MOP (non-trespasser) fall from outside onto the mainline railway Hazardous event no. Hazardous event description HEN-35 Workforce involved in road traffic accident whilst on duty HEN-36 Version 6.1 – June 2009 5.5 16.53 3.336 14.26 3.202 -0.1333 Reasons for changes from SRMv5.5 to SRMv6 The reduction in risk is due to the decrease in the estimated frequency associated with this hazardous event. 102 Table A2 SRMv5.5 Last updated (version) National average frequency (events/yr) SRMv6 National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) Change in risk (FWI/yr) Hazardous event no. Hazardous event description HEN-46 MOP slip, trip or fall on level crossing or footpath crossing 5.5 15.14 0.4026 15.34 0.4267 0.0241 This hazardous event has undergone remodelling to account for a greater resolution of level crossing types. This combined with the changes in the number of events recorded in the updated data has resulted in a slight increase in the level of risk. HEN-48 MOP exposure to fire on the mainline railway 5 0.0500 0.0025 0.0500 0.0015 -0.0011 The average consequences associated with this event are now based on data from similar hazardous events rather than expert judgement. This has led to a reduction in them and hence the estimated risk has decreased. HEN-49 MOP exposure to explosion on the mainline railway 5 0.0500 0.3000 0.0500 0.3000 0 The estimated frequency and risk have not changed since SRMv5.5. HEN-50 MOP exposure to electrical arcing 5 0.0500 3.12E-04 0.2000 0.0045 0.0042 The increase in risk is due to an increase in the estimated frequency due to an increase in the observed number of events. HEN-51 MOP electric shock (OHL) 5 0.6667 0.1149 0.2000 0.0056 -0.1092 The reduction in risk is due to a decrease in the estimated frequency associated with this hazardous event. HEN-52 MOP electric shock (conductor rail) 5 0.0500 0.0161 0.0595 0.0257 0.0096 The slight increase in risk is due to an increase in the estimated frequency due to a modelling change in the method used to estimate the frequency. HEN-53 MOP electric shock (non-traction supplies) 5 0.3333 0.0021 0.2500 0.0017 -4.01E-04 The reduction in risk is due to a decrease in the estimated frequency associated with this hazardous event. HEN-54 MOP exposure to hazardous substances leakage on the mainline railway 5 0.0100 0.1000 0.0100 0.1000 0 The estimated frequency and risk have not changed since SRMv5.5. HEN-55 Passenger struck by/contact with/trapped in object at station 5 317.3 1.053 370.4 1.303 0.2501 The increase in risk is due to an increase in estimated frequency due to an increase in the observed number of events. HEN-56 Workforce struck by/contact with/ trapped in object not at station 5.5 688.8 2.926 565.7 2.411 -0.5151 The reduction in risk is due to a decrease in the estimated frequency associated with this hazardous event. HEN-57 Passenger burn (not on train) Version 6.1 – June 2009 5 6.333 0.0104 6.332 0.0109 4.36E-04 Reasons for changes from SRMv5.5 to SRMv6 The increase in risk is due to an increase in estimated frequency due to an increase in the observed number of events and the use of normalised event counts to determine the estimated frequency. 103 Table A2 SRMv5.5 Hazardous event no. Hazardous event description Last updated (version) HEN-58 MOP injury on bridges/steps/ subways (other than in stations) whilst on the mainline railway HEN-59 MOP trapped at station HEN-60 SRMv6 Change in risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) National average frequency (events/yr) National average risk (FWI/yr) 5 2.667 0.0228 2.200 0.0316 0.0089 The increase in risk is due to an increase in the average consequences associated with this hazardous event. 5 11.33 0.0554 10.33 0.0755 0.0200 The reduction in estimated frequency is due to a slight drop in the number of observed events. The average consequences have also decreased resulting in a net increase in risk. Workforce exposure to noise (not on train) 5.5 3.800 0.0053 3.086 0.0038 -0.0015 The reduction in risk is due to a decrease in the estimated frequency and the average consequences associated with this hazardous event. HEN-61 Passenger exposure to noise (not on train) 5 0.3333 4.49E-04 0.4394 4.39E-04 -9.91E-06 The increase in estimated frequency is due to using normalised event counts to derive this figure. The average consequences have reduced, resulting in a net decrease in the level of risk. HEN-62 Passenger on-train incident (excluding sudden train movement & assaults) 5.5 793.8 2.736 846.9 3.184 0.4476 The increase in risk is due to an increase in the estimated frequency and the average consequences associated with this hazardous event. HEN-63 Workforce on-train incident (excluding sudden train movement & assaults) 5.5 1282.6 2.778 1276.0 2.666 -0.1118 The reduction in risk is due to a decrease in the estimated frequency associated with this hazardous event. -0.1885 Due to improved data quality and a modelling change in the method used to assess assaults, the estimated frequency has decreased considerably, by 47% for physical passenger assaults. However, as the average consequences have also been reassessed, and have significantly increased, the net result is only a slight decrease in risk. Passenger physical assault 5.5 3201.5 7.982 1691.7 7.794 Reasons for changes from SRMv5.5 to SRMv6 HEN-64 HEN-65 Passenger non-physical assault 5.5 1959.5 0.5126 282.4 0.2824 -0.2303 Due to improved data quality and a modelling change in the method used to assess assaults, the estimated frequency has decreased considerably, by 86% for non-physical passenger assaults. However, as the consequences have also been reassessed, and have significantly increased, the net result is approximately a 50% decrease in the risk. Workforce assault 5.5 1862.0 3.560 1757.3 3.258 -0.3023 The reduction in risk is due to the decrease in the estimated frequency associated with this hazardous event. Version 6.1 – June 2009 104 Table A2 SRMv5.5 Hazardous event no. Hazardous event description MOP physical assault Last updated (version) 5.5 National average frequency (events/yr) 138.8 SRMv6 National average risk (FWI/yr) 0.3486 National average frequency (events/yr) 148.9 National average risk (FWI/yr) 0.8679 Change in risk (FWI/yr) Reasons for changes from SRMv5.5 to SRMv6 0.5193 Due to improved data quality and a modelling change in the method used to assess assaults, the estimated frequency has increased slightly, by 7% for physical public assaults. As the consequences have also been reassessed, and have significantly increased, the net result is an increase in the risk. HEN-66 MOP non-physical assault 5.5 73.37 0.0192 21.15 0.0212 0.0020 Due to improved data quality and a modelling change in the method used to assess assaults, the estimated frequency has decreased considerably, by 71% for non-physical public assaults. However, as the consequences have also been reassessed, and have significantly increased, the result is a slight increase in risk. HEN-67 MOP fall from platform onto track (no train present) 5.5 1.667 0.0301 2.857 0.0494 0.0193 The increase in risk is due to an increase in the estimated frequency. HEN-68 MOP non-trespasser fall in stations 5.5 98.00 1.416 85.33 0.7160 -0.6998 The reduction in risk is due to a decrease in the estimated frequency and the average consequences associated with this hazardous event. HEN-71 Adult trespass fall/jump from outside onto the mainline railway 5.5 8.733 1.252 9.943 1.413 0.1606 The increase in risk is due to an increase in the estimated frequency. HEN-72 Child trespasser fall/jump from outside onto the mainline railway 5.5 0.9429 0.1164 1.119 0.1665 0.0501 The increase in risk is due to an increase in the estimated frequency. HEN-73 Passenger manual handling 5 6.000 0.1112 5.323 0.0637 -0.0475 The reduction in risk is due to a decrease in the estimated frequency and the average consequences associated with this hazardous event. HEN-74 Workforce manual handling 5.5 469.3 1.105 471.0 1.085 -0.0207 The reduction in risk is due to a decrease in the average consequences associated with this hazardous event. HEN-75 MOP involved in RTA on level crossing. New 0 0 1.258 0.0385 0.0385 This hazardous event was previously considered as part of HEN-44 but has been separated into a new hazardous event for SRMv6. Version 6.1 – June 2009 105 Appendix A Appendix A2 Changes in the risk profile This section describes the main changes in the risk profile from version 5.5 to version 6. It looks particularly at assaults, passenger, workforce, and MOP risk. A.2.1 Passenger risk Chart A1 shows the top 10 changes in the profile of passenger risk in FWI/year and broken down into injury degrees. It can be seen that most of the risk from passengers has increased since version 5.5. This is partly connected with how the passenger hazardous events have been analysed in version 6 (see Section E.6 in Appendix E for details). Reasons for these changes in risk are presented in Table A3 below. Table A3. Change in passenger risk Hazardous event Change in risk (FWI/yr) Reason for change in risk HEN-14: Passenger slip, trip or fall +1.55 An increase of 1.55 FWI/year despite a small decrease in the contribution of fatalities. Most of this change results from an increase in major injuries. HET-12: Derailment of passenger trains -0.95 Once again most of this change results from fatalities contributing 0.8 FWI/year to this decrease. Changes are from modelling changes and due to changes in the number of events recorded in the updated data. HEM-10: Passenger struck by train while on platform +0.80 0.72 FWI/yr of this increase results from fatalities and hence an increase in the consequences. HEM-11: Passenger struck by train while crossing track at station on crossing +0.46 The increase in risk is due to an increase in frequency. This has been derived from changes in the data set and identification of 'passenger' related injuries previously considered in HEM-27 HEN-64: Passenger assault -0.46 All of this decrease comes from minor non-reportable and shock/trauma injuries with other injuries actually increasing. This complete change of profile is due to more reliable data and also to modelling changes described in the section above. HEN-62: Passenger on-train incident (excluding sudden train movement & assaults) +0.45 The increase in risk is due to an increase in the estimated frequency and the average consequences, mainly due to an increase in the major injury contribution associated with this hazardous event. HET-10: Passenger train collision with road vehicle on level crossing -0.30 The decrease is due to changes in the number of events recorded in the updated data and considerable changes in the way collisions at level crossings are analysed. This is explained in detail in Section D.5 (in Appendix D). HEM-09: Passenger injury while boarding/alighting train (platform side) +0.28 There have been increases in frequency in this hazardous event, due to changes in the number of events recorded in the updated data, leading to an increase in risk. HEN-55: Passenger struck by/contact with/trapped in object at station +0.25 The increase in risk is due to an increase in estimated frequency due to an increase in the observed number of events. -0.24 There has been an increase in the frequency of this hazardous event, mainly due to an increase in boarding injuries. The severity of the injuries has also changed, with fewer major injuries and more minor injuries in recent years, leading to an overall reduction in injuries per event and a decrease in overall risk. HEM-06: Passenger fall between train and platform 106 Version 6.1 – June 2009 HEN-14 HET-12 HEM-10 HEM-11 HEN-64 HEN-62 HET-10 0.5 1 1.5 2 Change in fatalities Change in risk Passenger struck by/contact with/trapped in object at station Passenger fall between train and platform Passenger injury while boarding/alighting train (platform side) Passenger train collision with road vehicle on level crossing Change in shock/trauma Change in minor nonreportable Change in minor reportable 0 Passenger on-train incident (excluding sudden train movement & assaults) -0.5 Change in majors -1 Passenger assault Passenger struck by train while crossing track at station on crossing Passenger struck by train while on platform Derailment of passenger trains HEN-55 HEM-06 Version 6.1 – June 2009 HEM-09 Passenger slip, trip or fall -1.5 Appendix A Chart A1. Top 10 risk changes in passenger risk between SRMv5.5 and SRMv6 – FWI/year 107 Appendix A A.2.2 Workforce risk Chart A2 shows the top 10 changes in the profile of workforce risk in FWI/year since version 5.5, broken down into injury degrees. Most of the risk from the hazardous events is decreasing, the main reasons for these changes in risk are shown in Table A4 below. Table A4. Change in workforce risk Hazardous event Change Reason for change in risk HEN-24: Workforce slip, trip or fall <2m -0.75 The reduction in risk is due to a decrease in the frequency of observed events and a decrease in major injuries being observed. HEN-56: Workforce struck by/contact with/ trapped in object not at station -0.52 The reduction in risk is due to a decrease in the frequency of observed events and a decrease in major injuries being observed. HEN-21: Workforce struck/crushed by structural collapse or large object -0.29 The reduction in risk is due to a decrease in the frequency of observed events and a decrease in major injuries being observed. HEN-65: Workforce assault -0.28 There has been a reduction in risk of 0.28 FWI/yr despite an increase in the fatality and shock/trauma components of the consequences. HEM-19: Track worker struck/crushed by train -0.28 There is a reduction in both estimated frequency and risk which is due to a combination of changes in the number of events recorded in the updated data and modelling changes. As would be expected from HEM19 nearly all of the reduction is risk is due to a reduction in fatality risk. HEN-31: Workforce electric shock (OHL) -0.26 The reduction in risk is due to a decrease in the frequency of observed events and a decrease in fatalities and major injuries being observed. HEN-35: Workforce involved in road traffic accident whilst on duty +0.19 There has been a significant increase in the frequency of HEN-35, from 1.47 events per year to 28.1 events per year. This combined with a reduced average consequence has resulted in the risk more than doubling. Most of this risk increase comes from fatality injuries. HEM-15: Workforce fall from train in running +0.17 There has been an increase in frequency and consequence resulting in an increase in risk. Most of this increase in risk is from an increase in fatality risk. HEM-16: Workforce injury while boarding/alighting train -0.17 There has been a reduction in frequency of this type of event. Most of the reduction comes from a reduction in major injury contribution. HEN-25: Workforce slip, trip or fall >2m -0.15 There has been an increase in the frequency of events. A combination of a reduction in fatality and major injury contributions to the average consequences means that there is an overall reduction in risk. 108 Version 6.1 – June 2009 HEN-24 HEN-56 HEN-21 HEN-65 HEM-19 HEN-31 HEN-35 0 0.2 Change in majors Change in fatalities Change in workforce risk Workforce fall from train in running Workforce injury while boarding/alighting train Train crew hit by object through train window Change in shock/trauma Change in nonreportables -0.2 Workforce involved in road traffic accident whilst on duty -0.4 Change in minor reportables -0.6 Workforce electric shock (OHL) Track worker struck/crushed by train Workforce assault Workforce struck/crushed by structural collapse or large object Workforce struck by/contact with/ trapped in object not at station HEM-15 HEM-16 Version 6.1 – June 2009 HEM-18 Workforce slip, trip or fall <2m -0.8 Appendix A Chart A2. Top 10 risk changes in workforce risk between SRMv5.5 and SRMv6 – FWI/year 109 Appendix A A.2.3 Public risk Chart A3 shows the top 10 changes in the profile of public risk including trespass in FWI/year since version 5.5, broken down into injury degrees. The bulk of the risk from the hazardous events is decreasing and as you would expect most of the change in risk comes from fatality risk. The main reasons for these changes in risk are shown in Table A5 below. Table A5. Change in public risk Hazardous event Change in risk (FWI/yr) Reason for change in risk HEM-25: Adult trespasser struck/crushed while on the mainline railway -1.97 There has been a small reduction in the frequency and a large reduction in fatality risk. This accounts for most of the reduction in risk of 1.97 FWI/yr. The reduction in risk associated with HEM-25 is mainly due to a change in the way that the risk from this hazardous event is calculated. The nature of the incidents covered by this model means that confident coding of events contained within them requires an earlier data cut-off th date than the default SRMv6 date of 30 September 2008. This is different from the method used in SRMv5.5 and effectively means that the two values have been computed using similar data. The drop is due to the version 6 figure being based on five years of data while the version 5.5 figure was based on three years of data. HEN-68: MOP non-trespasser fall in stations -0.70 There has been a decrease in the frequency and consequences. Almost all of this change in risk comes from a reduction in fatality risk. HEN-38: Adult trespasser electric shock (conductor rail) +0.57 The change in risk is due to an increase in the risk of fatalities and a small increase in the frequency. HEN-66: MOP assault +0.52 There is an increase in fatalities, majors and minor reportable injuries. This complete change of profile is due to more reliable data and also due to modelling changes described in the assaults section above. HEM-26: Child trespasser struck/crushed while on mainline railway -0.38 The reduction in risk comes from a reduction in the fatality risk. There is a small increase in major injury risk. HET-10: Passenger train collision with road vehicle on level crossing -0.30 The decrease is due to changes in the number of events recorded in the updated data and considerable changes in the way collisions at level crossings are analysed. This is explained in detail in Section D.5 (in Appendix D). HEN-36: Adult trespasser fall while on the mainline railway -0.30 The reduction in risk is due to a reduction in fatality and major injury risk. There has also been a small reduction in the frequency from version 5.5. HET-04: Collision of train with object (not resulting in derailment) -0.28 The main change in risk is due to there being fewer collisions with road vehicles, hence explaining why the reduction in risk is all from fatality risk with a small increase in major injury risk. HEN-42: Child trespasser electric shock (conductor rail) -0.18 The reduction in risk is due to a reduction in fatality risk. There has been a small reduction in the frequency from version 5.5. HEN-37: Adult trespasser electric shock (OHL) -0.18 The reduction in risk is due to a reduction in fatality risk. There has been a slight increase in major injury risk. 110 Version 6.1 – June 2009 HEM-25 HEN-68 HEN-38 HEN-66 HEM-26 HET-10 HEN-36 Child trespasser electric shock (conductor rail) Adult trespasser electric shock (OHL) Collision of train with object (not resulting in derailment) Adult trespasser fall while on the mainline railway Passenger train collision with road vehicle on level crossing Child trespasser struck/crushed while on mainline railway MOP assault Adult trespasser electric shock (conductor rail) MOP non-trespasser fall in stations HEN-42 HEN-37 Version 6.1 – June 2009 HET-04 Adult trespasser struck/crushed while on the mainline railway -2 -1.5 -1 -0.5 0 0.5 1 Change in shock/trauma Change in minor non-reportables Change in minor reportables Change in majors Change in fatalities Change in public risk Appendix A Chart A3. Top 10 risk changes in public risk between SRMv5.5 and SRMv6 – FWI/year 111 Appendix A A.2.4 Assaults risk Due to a data quality research project undertaken by RSSB and BTP culminating in better data quality, there have been significant modelling changes in the analysis of assaults for version 6. Chart A4 presents the change in the assaults profile for version 6. It shows frequency versus consequence for assaults from versions 5.5 and 6, with the size of the bubble representing the total risk value. It can be seen that although risk due to assault has remained similar, the profile has changed considerably. The frequency from passenger assaults has reduced significantly from over 5,000 in version 5.5 to less than 2,000 in version 6. This is mainly due to a more detailed dataset from BTP’s CRIME database, meaning that non-passenger incidents and events not resulting in any injury were easily excluded where previously this was not possible. Despite this, the risk has only reduced by less than 0.5 FWI/year as the consequence has more than tripled to over 0.004 FWI/event. Public assaults have seen an increase in risk – even though the frequency has slightly decreased, the consequences have increased considerably resulting in an increase in risk of over 0.5 FWI/year (from 0.37 to 0.89 FWI/year). On the other hand, workforce assaults have remained similar since 5.5, and are shown as overlapping on the chart. Chart A4. Change in assaults risk profile – from SRMv5.5 toSRMv6 0.007 0.006 MOP assault v6 - 0.889 FWI/yr Consequence (FWI/event) 0.005 Passenger assault v6 8.076 FWI/yr 0.004 Change in Public risk profile Change in Passenger risk profile 0.003 Change in Workforce Workforce assault v5.5 3.560 FWI/yr risk profile 0.002 MOP assault v5.5 - 0.368 FWI/yr 0.001 Passenger assault v5.5 8.495 FWI/yr Workforce assault v6 3.258 FWI/yr 0.000 0 1000 2000 3000 4000 5000 6000 7000 Frequency (Events per year) 112 Version 6.1 – June 2009 Appendix B Appendix B: Table B1 Table B1 is now published in a separate document named Risk Profile Bulletin version 6: Appendix B. This can be downloaded via the RSSB website. Table B1 presents the risk contribution of each cause precursor to its associated hazardous event and provides the risk contribution for precursors in FWI per year. The MS Excel version of Table B1 has been extended and contains the risk contribution for precursors in FWI/year, fatalities/year, major injuries/year and minor injuries/year. The risk contributions in Table B1 represent how much the total risk for the hazardous event would reduce by if the failure frequency or probability for the precursor were reduced to zero, as well as the precursor percentage risk contribution. Version 6.1 – June 2009 113 Appendix B Page left blank intentionally 114 Version 6.1 – June 2009 Appendix C Appendix C: Key Risk Areas and Selected Risk Groupings Table C3 below contains an expanded form of Table 6, described in Section 8. Table C1 contains the full breakdown of the SRM into the Key Risk Areas. Table C2 contains the full breakdown of the SRM precursors that contribute to this Table. Tables C1 and C2 have not been included in this report, and are available through the RSSB website. Table C3. Selected risk groupings – summary of Table C2 Group description Track faults - grouped for both passenger (PT) and nonpassenger trains (NPT) Track faults Train rolling stock faults Cat A SPADs resulting in collision (continued overleaf) Description Abnormal dynamic forces - only considered for PT Subsidence/landslip Defective S&C Track maintenance staff errors Misc track faults - only considered for FT Buckled rail Broken rail Track twist Broken fishplate Broken rail in tunnel Gauge spread Movement of points under train Miscellaneous/unknown causes on S&C Cyclic top - only applicable to FT Track faults Rolling stock door incidents (includes door faults) Rolling stock faults - other Driver fails to react to cautionary aspect Driver fails to check signal aspect Driver fails to locate signal Other environmental Driver misreads by viewing wrong signal Driver misjudges train behaviour Driver anticipates signal clearance Signaller communication errors Driver misjudges environmental conditions Correct information given but misunderstood by driver/signaller Driver views correct signal but misreads aspect Ambiguous or incomplete information given by driver/signaller Driver violation of rules/instructions Driver misreads previous signal Wrong information given by driver/signaller Rolling stock faults Version 6.1 – June 2009 PT (FWI/yr) NPT (FWI/yr) 2.314 0.204 1.349 0.271 0.239 0.135 0.093 0.088 0.069 0.063 0.047 0.043 0.036 0.032 0.017 0.007 2.518 2.088 Total risk (FWI/yr) 0.529 4.505 1.889 0.0971 0.0875 0.0328 0.0326 0.0277 0.0263 0.0159 0.0155 0.0270 0.0598 0.0346 0.0053 0.0368 0.0180 0.0051 0.0106 0.1241 0.1474 0.0675 0.0379 0.0646 0.0444 0.0210 0.0261 0.0150 0.0028 0.0178 0.0138 0.0109 0.0247 0.0127 0.0094 0.0221 0.0097 0.0137 0.0234 0.0096 0.0055 0.0258 0.0041 0.0354 0.0096 0.0050 0.0123 0.0173 0.0047 0.0081 0.0127 2.491 2.518 4.505 0.730 115 Appendix C Group description Cat A SPADs resulting in collision (continued) Cat A SPADs resulting in derailment or level crossing collision Cat D SPADs/ runaways Level crossings - High level cause Level crossings (vehicle only) - by type Footpath crossings - by cause Level crossings - by cause 116 PT (FWI/yr) 0.0046 0.0044 0.0021 0.0020 0.0014 NPT (FWI/yr) 0.0067 0.0058 0.0026 0.0034 0.0010 Cat A SPAD resulting in derailment or level crossing collision 0.0180 0.0190 0.0370 0.0370 Cat D SPADs/ runaways 0.0136 0.2716 0.2852 0.2852 Misuse Error Violation Proper Use Automatic Half Barrier Crossing User Worked Crossing Protected with Telephone User Worked Crossing Automatic Open Crossings Locally Monitored User Worked Crossing Protected by Miniature Warning Lights Manual Controlled Barrier Manual Controlled Barrier with CCTV Manual Controlled Gate Automatic Barrier Crossings Locally Monitored Footpath Crossing Open Crossing MOP pedestrian struck/crushed by train on footpath crossing MOP slip, trip or fall on footpath crossing MOP pedestrian struck/crushed by train on level crossing Passenger train collision with road vehicle on level crossing Passenger struck/crushed by train on station crossing Non-passenger train collision with road vehicle on level crossing MOP slip, trip or fall on level crossing MOP struck/trapped by level crossing equipment 0.717 0.112 7.3511 3.2045 1.2553 0.829 0.618 0.095 0.712 0.386 0.063 0.448 0.255 0.046 0.301 0.200 0.032 0.232 0.093 0.046 0.032 0.015 0.008 0.005 0.107 0.054 0.037 0.029 0.005 0.034 0.017 0.005 0.003 0.001 0.020 0.006 - - 3.785 - - 0.050 - - 3.533 - - 2.397 - - 0.910 - - 0.384 - - 0.377 - - 0.361 Description Driver ignorance of rules/instructions Information not given by driver/signaller Signaller operating errors Uncategorised driver error Unknown driver misjudgement Total risk (FWI/yr) 0.0113 0.0102 0.0047 0.0054 0.0024 11.811 2.781 3.835 7.962 Version 6.1 – June 2009 Appendix D Appendix D: Individual Risk This Appendix describes the details of individual risk assessment (which is summarised in Section 9 of the RPB), demonstrating: Which hazardous events have been included within each assessment. Where the staff fatality risk is made up of contributions from more than one of the workforce groups, how the overall level of fatality risk has been proportioned between the groups. The separate analyses for passengers, workforce, and public are all presented in Table D1, which is included below. Workforce Assumptions The following assumptions were made during the assessment of workforce individual risk: For train collisions and derailments, the ratio of driver to other train crew fatalities is 70:30. This is based on historical accidents of this type in the past 30 years. For collisions between two trains, the driver of each train has an equal probability of fatality. Similarly, the crew of each train have an equal probability of fatality. For non-passenger trains (NPT), the ratio of the number of FT to the number of empty coaching stock (ECS) is 70:30. This is based on an analysis of train mileage in GB over the year ending September 2008. For trains travelling on passenger lines, the ratio of the number of ECS to the number of parcel trains is 99:1. This is based on an analysis of train mileage in GB over the year ending September 2008. The ratio of the number of PT to the number of FT is 90:10. This is based on an analysis of train mileage in GB over the year ending September 2008. PT mileage also includes that of ECS. For on-track incidents, the ratio of the number of PT drivers to the number of FT drivers is 80:20. This has been altered from the ratio of PT to FT mileage (90:10) to reflect the increased likelihood of FT drivers being involved in accidents of this type. Within possessions, the ratio of the number of FT drivers to OTP drivers is 5:95. This is based on an analysis of train accidents within possessions recorded in SMIS. For fires and explosions in stations, only station staff are exposed to fatality risk. This excludes fires on-train in-station, where only train crew are exposed to fatality risk. Version 6.1 – June 2009 117 Appendix D Page left blank intentionally 118 Version 6.1 – June 2009 Appendix D Table D1. Individual risk data for SRMv6 HE no. Hazardous event description Passenger Individual risk (fatalities per year) Passenger train Freight train driver driver 3.67E-06 HET-01 Collision between two passenger trains 8.89E-08 HET-02 Collision between a passenger train and non-passenger train 1.07E-07 2.49E-06 4.78E-06 HET-03 Collision between two non-passenger trains 3.01E-10 2.14E-07 2.40E-06 HET-06 Collision between two passenger trains in station (permissive working): potential for high speed 1.95E-09 1.47E-07 HET-09 Collision with buffer stops: potential for high speed 6.61E-09 5.05E-07 HET-10 Passenger train collision with road vehicle on level crossing 6.95E-08 3.90E-06 HET-11 Non-passenger train collision with road vehicle on level crossing 3.30E-10 2.01E-07 HET-12 Derailment of passenger trains 4.26E-07 1.26E-05 HET-13 Derailment of non-passenger train 7.33E-08 3.46E-07 HET-17 Fire on passenger train (in station) 2.09E-08 3.82E-07 HET-20 Fire on non-passenger train HET-21 Train crushed by structural collapse or large object (not at station) 1.95E-09 HET-22 Structural collapse at station 9.22E-09 HET-23 Explosion on passenger train 5.48E-10 HET-24 Explosion on freight train 3.43E-11 HET-25 Train divisions (not leading to collision) 1.79E-09 1.35E-07 6.42E-08 HET-26 Collision between a failed train and an assisting train 1.44E-10 1.79E-08 3.59E-08 HEM-01 Passenger injury during evacuation following stopped train (uncontrolled evacuation) 1.13E-09 HEM-03 Passenger struck while leaning out of train (train in running) 2.99E-08 HEM-06 Passenger fall between train and platform 1.94E-07 HEM-07 Passenger fall out of train onto track at station 5.60E-09 HEM-08 Passenger fall from platform and struck by train 6.72E-07 Version 6.1 – June 2009 Track worker 2.01E-06 1.59E-05 2.37E-07 1.27E-08 6.04E-09 2.57E-06 119 Appendix D HE no. Hazardous event description Passenger Individual risk (fatalities per year) Passenger train Freight train driver driver Track worker HEM-09 Passenger injury while boarding/alighting train (platform side) 1.82E-07 HEM-10 Passenger struck by train while on platform 3.28E-07 HEM-11 Passenger struck by train while crossing track at station on crossing 3.18E-07 HEM-14 Workforce (not track worker) struck/crushed by train 1.72E-05 1.93E-05 HEM-15 Workforce fall from train in running 6.11E-07 4.32E-06 HEM-19 Track worker struck/crushed by train HEM-20 Workforce struck by flying object (includes objects thrown by OTM movements outside a possession) HEM-22 Workforce fall out of train onto track at station HEM-44 Passenger jump from slam door train in running 1.14E-07 HEN-03 Fire in station 1.19E-09 HEN-04 Workforce exposure to line-side explosion HEN-05 Explosion at station 3.58E-08 HEN-09 Passenger electric shock at station (OHL) 3.41E-09 HEN-10 Passenger electric shock at station (conductor rail) 1.27E-07 HEN-13 Passenger fall from platform onto track (no train present) 2.43E-08 HEN-14 Passenger slip, trip or fall 6.40E-07 HEN-15 Passenger fall from overbridge at station 2.80E-08 HEN-21 Workforce struck/crushed by structural collapse or large object HEN-22 Workforce trapped in machinery HEN-24 Workforce slip, trip or fall <2m 6.31E-07 3.00E-07 1.41E-06 HEN-25 Workforce slip, trip or fall >2m 4.97E-07 2.37E-07 4.61E-06 HEN-26 Workforce struck/crushed by non-train vehicle HEN-30 Workforce electric shock (conductor rail) Version 6.1 – June 2009 2.16E-06 6.09E-05 1.11E-07 5.71E-08 3.89E-07 2.72E-08 3.75E-07 1.96E-08 9.33E-09 3.97E-06 1.95E-06 2.06E-06 7.01E-06 3.34E-06 1.25E-05 120 Appendix D HE no. Hazardous event description HEN-31 Workforce (other than OTP workforce) electric shock (OHL) (direct contact) HEN-33 Workforce asphyxiation / drowning HEN-35 Workforce (other than OTP workforce) involved in road traffic accident while on duty HEN-64 Passenger assault HEN-65 Workforce assault Version 6.1 – June 2009 Passenger Individual risk (fatalities per year) Passenger train Freight train driver driver 5.50E-07 2.62E-07 Track worker 1.87E-06 1.91E-06 8.78E-07 4.18E-07 5.98E-06 2.01E-07 9.56E-08 1.24E-08 5.29E-07 121 Page left blank intentionally 122 Version 6.1 – June 2009 Appendix E Appendix E: Modelling Approach E.1 Risk at level crossings E.1.1 Overview The key level crossing hazardous events models have been restructured to align better with the All Level Crossing Risk Model [ALCRM, Ref. 16] and therefore make it easier to calibrate. This has led to the creation of 17 common sub-hazardous events: one for each crossing type considered plus one for events in possession. This resulted in the restructuring of the precursors of the following hazardous events: HET-10, HET-11, HEM-11, and HEM-27 were restructured to ensure that a consistent set of precursors was considered when categorising incidents across the crossing types. HEN-44 and HEN-46 were restructured to consider each crossing type and splitting out the proper use precursors into more detail where sufficient data was recorded. HEN-75 was restructured to consider each crossing type and combine some precursors due to limited data. The most severe accidents at level crossings result from road vehicle collisions that lead to derailments. To ensure compatibility with the derailment models outlined in Section E.2, each of the HET-10 and HET-11 level crossing event tree models were updated to include the relevant escalation factors and consequences. The following sections describe in more detail the changes that have taken place. E.1.2 Background The ALCRM was developed in 2003 as a joint RSSB and Network Rail (NR) project. In 2007, the model was implemented and NR started to populate it with level crossing risk assessments. Now, the details of nearly all the crossings have been entered and the model is ready to be calibrated. The ALCRM presently comprises of 14 core types of crossing and uses base events similar to the precursors within the SRM as part of its calculations. To improve the efficiency of updating the model, changes have been made to restructure the level crossing precursors so that they consider at least the same level of detail as the ALCRM. In some areas, it has been possible to add a greater level of detail than that contained in the ALCRM. E.1.3 Level crossing hazardous events and sub-hazardous events The level crossing related hazardous events within the SRM are: HET-10 Passenger train collision with road vehicle on level crossing HET-11 Non-passenger train collision with road vehicle on level crossing HEM-11 Passenger struck while crossing track at station on crossing Version 6.1 – June 2009 123 Appendix E HEM-27 MOP pedestrian struck/crushed by train on level crossing or footpath crossing HEN-44 MOP struck/trapped by level crossing equipment HEN-46 MOP slip, trip or fall on level crossing or footpath crossing HEN-75 MOP involved in road traffic accident on level crossing A common set of sub-hazardous events have been applied to the above hazardous events as shown in Table E1. One sub-hazardous event has been created for: Each crossing type considered in the ALCRM Station barrow crossings (SBC) with and without indicator lights Incidents that occur in possession Changes to the precursors contributing to sub-hazardous events are considered in the following sections E.1.4 Road vehicle collisions (HET-10 and HET-11) The HET-10 and HET-11 fault and event tree models were revised to ensure a consistent set of precursors have been considered across all crossing types and that they can be mapped to causes in the ALCRM. For the SRMv6, HET-10 and HET-11 model precursors were reviewed with some new precursors added and some deleted. For each identified cause of a level crossing collision a precursor will exist for every level crossing type where a collision due to that cause is a possibility. Where the cause of collision is not possible at a particular crossing type the precursor has been removed. For example, a collision can occur at a level crossing caused by ‘road user turns onto the railway’. This is considered possible at most types of crossing except Manual Crossings with Gates (MCG) where in general the gates will block the railway off to the road user. All the precursors in the revised HET-10 and HET-11 models are considered to be a possible cause of a level crossing collision and therefore none of the precursors should have a frequency of zero. Precursors were grouped by common causal action for different level crossing types. Where no incidents were recorded against some precursors in a group the frequency estimates were made using Empirical Bayes or data sharing (based on crossing exposure measured by traffic-train moment and in conjunction with expert judgement). The theory of Empirical Bayes is based on grouping together precursors which are expected to have a similar rate of occurrence and sharing the data between the group in relation to the number of events seen and the traffic-train moment. If all the precursors within a group had no data then chi-squared ( 2) analysis was used to give an estimate of the frequency for an event based on the probability that no events have been seen in the data period. 124 Version 6.1 – June 2009 Appendix E Table E1. The Crossing types considered for each hazardous event SubHE Crossing type HET-10 A Manual crossing with CCTV  B Manual crossing with barriers C HET-11 HEM-11 HEM-27 HEN-44 HEN-46 HEN-75    ïƒ¼ï€ ïƒ¼ï€ ïƒ¼ï€ ïƒ¼    ïƒ¼ï€ ïƒ¼ï€ ïƒ¼ï€ Manual crossing with gates     ïƒ¼ï€ ïƒ¼ï€ ïƒ¼ï€ D Automatic half barrier crossing, locally monitored     ïƒ¼ï€ ïƒ¼  E Automatic half barrier crossing        5   F Automatic open crossing      G User worked crossing with miniature warning lights    1     H User worked crossing with telephones        I User worked crossing           1   5   Included in L Included in L      2 7      2 J Open crossing K Footpath crossing with miniature warning lights L Footpath crossing  M Station pedestrian crossing with miniature warning lights N 7   2  2   4  5  6  2 Station pedestrian crossing  2  2   4  5  6  2 O Station barrow crossing with white light indicators  2  2   4  5  6  2 P Station barrow crossing  2  2   4  5  6  2 POS In possession ïƒ»ï€ 3 ïƒ¼ï€ ïƒ¼ï€ ïƒ¼ï€ 3 ïƒ»ï€ 3 ïƒ»ï€ 1 No crossings of this type known to be located at station/used passengers 2 Not intended for road vehicle use 3 Not considered to be effected by possession 4 Assumed only used by passengers (therefore included in HEM-11) 5 Assumed no equipment present to strike users 6 Considered in HEN-14 7 Included because of historical incidents of footpath crossing misuse by motorcyclists ïƒ»ï€ 3 The risk for HET-10 and HET-11 is assumed to be proportional to the number of level crossings, so the precursor frequencies have been modelled to take into account the changing number of level crossings over the data period. With the development of a separate fault and event tree model for each crossing type, it has been possible to add in an additional level of detail to account for the road and rail traffic that use different types of crossing. In particular the following changes have been made: Version 6.1 – June 2009 125 Appendix E The distribution of road vehicle types using crossings is significantly different for user worked crossings compared to other crossing types. Therefore the models have been updated to account for the different distribution of road vehicle types. The potential derailment speed following a collision is dependant on the likely speed that a particular crossing is operated at. Therefore, the operational speeds at each crossing have been used to estimate the likelihood that a collision is at a slow, medium or high-speed (see Section E.4 covering derailment) which correspond to derailment consequences. The probability of a derailment following a collision depends upon the type of road vehicle struck; this has now been expanded in the event trees. E.1.5 Passenger and MOP collisions (HEM-11 and HEM-27) Both HEM-11 and HEM-27 represent level crossing users on foot being struck by a train. The key difference between the two is the type of person using the crossing: HEM-11 considers passengers, HEM-27 considers members of public. HEM-11 includes station pedestrian and barrow crossings, both with and without warning lights; the users of these are assumed to be only passengers and therefore only feature in HEM-11. The precursors for both HEM-11 and HEM-27 have been restructured to feature the key crossing types and to consider a consistent set of incident causes. Where a particular precursor was not considered credible it was removed. Evaluation of precursor frequencies was largely based on the data recorded in SMIS supplemented by Formal Inquiry reports and HMRI Annual Safety Reports where available. As the number of precursors is now considerably greater than the number of incidents recorded in the SMIS data (the last 15 years for HEM-27 and seven years for HEM-11), the full data sets have been used to ascertain the likely ratios between precursors at different crossings types. Where no incidents have been recorded against a precursor but it is still considered credible, estimates have been made using Empirical Bayes, data sharing (based on crossing exposure measured by pedestrian-train moment and in conjunction with expert judgement), or chi-squared ( 2) analyses.7 The consequences for HEM-11 and HEM-27 have been estimated using the severities observed in the last seven years for both hazardous events combined, to maximise the breadth of incident exposure. This suggests that around 8 out of 10 pedestrians struck on level crossings result in a fatality. E.1.6 Non-movement hazardous events (HEN-44, HEN-46 and HEN-75) HEN-44 has been reviewed and subsequently incidents involving road traffic accidents (RTA) have been moved to a new hazardous event: HEN-75. This leaves HEN-44, only to represent MOP being struck by level crossing equipment. The precursors have been split out according to the crossing types given in Table E1 and the structure for user error, user violation and proper use remains largely as in SRMv5.5. The majority of incidents involving users being struck by level crossings involve barriers/gates at manual crossings (MCB + CCTV, MCB, MG). Now that a reasonable number of incidents have been recorded it was 7 Chi-squared analysis performed at the 50% confidence level, grouping all the zero precursors together. 126 Version 6.1 – June 2009 Appendix E possible to carry out further analysis to determine (when used properly) whether the injury was the result of signaller/crossing keeper error, equipment failure or other causes. HEN-46 precursors have been revised according to the crossing types given in Table E1. Precursors are still assigned to MOP pedestrian, cyclists and motorcyclists coupled with user error, user violation or proper use as per SRMv5. However, similarly to HEN-44 a reasonable number of events have now been recorded against proper use and therefore it was possible to carry out further analysis to determine whether or not the injuries were the result of crossing surface in need of maintenance. HEN-75 was created out of precursors previously included in HEN-44A and split into the crossing types given in Table E1. Few incidents in this group have been recorded therefore a decision was made to simplify some of the precursors by joining MOP injury due to road vehicle striking level crossing equipment following RTA and MOP injury due to road vehicle striking level crossing equipment into a single precursor as the consequences are unlikely to differ significantly. The number of incidents across HEN-44, HEN-46 and HEN-75 is sparse when broken down into the 12 key crossing types (these exclude station crossings). For those precursors that had no data but are considered credible, techniques such as Empirical Bayes, data sharing across crossing types, or chi-squared ( 2) analysis were used to estimate the frequencies. Precursors not considered credible such as MOP injury due to road vehicle striking level crossing equipment – on AHB – proper use have been removed from the model. Consequences for HEN-44 and HEN-46 were updated in line with the incidents recorded. With few incidents occurring for HEN-75 it was decided to use road statistics to gain an understanding of the full complement of injuries. As such, the consequence profile is comparatively similar to that for HEN-35: Workforce involved in road traffic accident whilst on duty. E.2 Derailment risk The modelling of passenger train derailments has been enhanced for this issue of the RPB. This has involved specific modelling of high-speed derailments; previously, only derailments at slow-speed (less than 15 mph) and high-speed (above 15 mph) were modelled. For version 6, a detailed analysis of derailment speeds was undertaken to determine suitable speed ranges and modelling speeds for slow, medium, and high-speed passenger train derailments. Slow-speed derailments remain at less than 15 mph and are modelled at 15 mph. Medium speed derailments are those occurring between 15 and 75 mph and are modelled at 40 mph. High-speed derailments are those occurring above 75 mph and are modelled at 100 mph. Non-passenger trains have been modelled at slow and medium speeds only (the fastest non-passenger train derailment in the data set is 75 mph). This analysis also enabled a review of the escalation factors that are most likely to vary with derailment speed, namely; train maintaining clearances, train falling on its side and hitting line-side structures. In addition to the enhanced modelling, allowance has been made for greater use of laminated glass in modern rolling stock providing better containment in the event of vehicles rolling over. This allowance has been made because of the finding of the RSSB research project T424 Requirements for train windows in passenger train vehicles. This has resulted in Version 6.1 – June 2009 127 Appendix E a change to the number of predicted fatalities in the event of a train turning on its side following a derailment. Following on from the additional modelling work a routine review of all the precursor frequencies was undertaken, considering all derailments that have occurred in the period 1990 and 2008. Some new expert judgement values have also been introduced as a result of an expert judgement workshop that considered relevant structural failures. An update of the passenger loading data and the next train on the line probabilities have been updated which have both added to the predicted consequences of derailments. E.2.1 Details of Passenger train derailments Each derailment incident is recorded in SMIS and is then transferred to RSSB’s Train Accident database. In the database the derailments are given a precursor code according to cause, this often involves waiting for the formal investigation or RIAB report to be published. Sometimes there may be multiple causes, in which case either the most dominant cause will be recorded or a miscellaneous / unknown cause category may be selected. In addition, the speed of the derailment, where recorded, is entered into the database. Where the speed is not recorded this has been classified as slow, medium or fast by making reference to the consequences of the incident. Chart E1. Distribution of derailment speeds Derailment incidents 140 Derailment speed (mph) 120 100 Medium Speed Derailments 15 - 75mph 80 Fast Speed Derailments >75mph 60 Slow Speed Derailments <15mph 40 20 0 0 10 20 30 40 50 60 70 80 Cumulative derailment incidents These derailments are shown in Chart E1. This compares the speed for each of the 75 derailments (sorted from slow to fast) used in the analysis, and indicates the separations applied between slow, medium, and fast. 128 Version 6.1 – June 2009 Appendix E Passenger Train Derailments are modelled using fault tree and event tree analysis. They are broken down into several trees as follows: SLOWOPEN – covers slow (<15mph) passenger train derailments on open track MEDIUMOPEN – covers medium (15 – 75mph average speed 40 mph) passenger train derailments on open track FASTOPEN – covers fast (>75mph average 100mph) passenger train derailments on open track SLOWSTN – covers slow passenger train derailments in stations MEDIUMSTN – covers medium passenger train derailments in stations FASTSTN – covers fast passenger train derailments in stations TWIN TRACK – covers passenger train derailments in twin track tunnels SINGLE TRACK – covers passenger train derailments in single track tunnels BRIDGE-PT – covers passenger train derailment due to bridge collapse VEHICLE OCC – covers passenger train derailment due to collision with vehicle (not on a level crossing) The base events of the fault trees are populated using the coded precursors – where a credible precursor has no supporting data this is estimated using expert judgement. The open track and station fault trees mostly share the same structure except at the top level, where different probabilities are fed in for derailment speed and derailment at station/not at station. For each fault tree there is an equivalent event tree, with the top event frequency of the fault tree feeding the relevant event tree. The event trees consider a number of possible outcomes, listed below: What is the train loading (time of day)? Does train maintain clearances? Derailment towards cess or adjacent line? Do one or more carriages fall on its side? Does the train hit a significant line-side structure? Does the structure collapse onto the train? Is the next train a freight train or passenger train? Is there a secondary collision? If a freight train, is it carrying toxic or flammable goods? Is there a fire? This results in a large number of possible outcomes which are listed below; including train loading, (which is split into night, off-peak, peak and crush loaded) there are 96 outcomes for each of the main slow, medium and fast trees. Version 6.1 – June 2009 129 Appendix E Table E2. Typical event tree end descriptions inside train clearances outside train clearances, towards cess side, carriage not on its side outside train clearances, towards cess side, carriage not on its side, hits line-side structure, no fire outside train clearances, towards cess side, carriage not on its side, hits line-side structure, with fire outside train clearances, towards cess side, carriage not on its side, hits line-side structure, structure collapses onto train, no fire outside train clearances, towards cess side, carriage not on its side, hits line-side structure, structure collapses onto train, with fire outside train clearances, towards cess side, carriage on its side, no fire outside train clearances, towards cess side, carriage on its side, with fire outside train clearances, towards cess side, carriage on its side, hits line-side structure, no fire outside train clearances, towards cess side, carriage on its side, hits line-side structure, with fire outside train clearances, towards cess side, carriage on its side, hits line-side structure, structure collapses onto train, no fire outside train clearances, towards cess side, carriage on its side, hits line-side structure, structure collapses onto train, with fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with PT, no fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with PT, with fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with FT carrying non-hazardous goods, no fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with FT carrying non-hazardous goods, with fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with FT carrying toxic haz goods, no fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with FT carrying toxic haz goods, with fire outside train clearances, towards adjacent line, carriage on side, secondary collision with FT carrying flammable haz goods, no fire outside train clearances, towards adjacent line, carriage not on its side, secondary collision with FT carrying flammable haz goods, with fire outside train clearances, towards adjacent line, carriage on its side, secondary collision with PT, no fire outside train clearances, towards adjacent line, carriage on its side, secondary collision with PT, with fire outside train clearances, towards adjacent line, carriage on its side, secondary collision with FT carrying non-hazardous goods, no fire outside train clearances, towards adjacent line, carriage on its side, secondary collision with FT carrying non-hazardous goods, with fire Each of these end events has an associated ‘Rule Set’, which describes the anticipated consequences to passengers, workforce and the public in terms of fatalities, major and reportable minor injuries (all minor injuries resulting from train accidents are classified as reportable). In addition to the separate modelling of high-speed derailments, allowance has been made for improvements made to train windows resulting in greater containment of passengers in the event of carriages falling over during a derailment. The changes have been made based upon the findings of RSSB research project T424 Requirements for train windows in passenger train vehicles. E.3 Use of loading and timetable data in the SRM This section describes the SRM assumptions concerning the distribution of trains throughout the day and the number of passengers on these trains (train loading). These assumptions affect the probabilities used in the event trees for the train accident models in the SRM. In particular: They define the probability that the train(s) involved in the incident are either lightly loaded or heavily loaded (the SRM uses four loading bands – see Sections E.3.1 and E.3.2 for details). For incidents where a secondary collision is possible, i.e. another train striking the wreckage following a collision or a derailment, they define: 130 • the probability that a secondary collision occurs based on the frequency of trains; • the probability that the next train is passenger or non-passenger. Version 6.1 – June 2009 Appendix E In SRMv5 (and SRMv5.5) the probabilities of each of the SRM loading bands, as well as the distribution of trains, were based on expert judgement, and were constrained such that the passenger km calculation based on them was correct8. For SRMv6 it was decided to use new databases and models that have become available to estimate more accurate aggregated national averages for these probabilities. Two sources of information were chosen: NMF demand and allocation data – the DfT have developed the Network Modelling Framework (NMF), which was then used to help prepare the High Level Output Specification (HLOS) published by the Department on 24 July 2007. The NMF contains a demand and allocation module based on Rail Industry Forecasting Framework (RIFF) and MOIRA [for more details see Ref. 2]. TSDB database – the train services database (TSDB) contains details of planned train services in the timetable (data analysed 14/12/2008 to 16/05/2009). E.3.1 SRM train loadings The NMF demand and allocation data indicates that the average train formation is 4.96 vehicles per train. This is in agreement with the SRMv6 assumption of five vehicles per train on average. Table E3 below shows the loading bands for trains used by the SRMv6. These loadings have remained fixed between SRMv5 and SRMv6. However, the probability that a train has each of these loadings has changed. Note that these loadings are not directly dependent on the time of day, so that it is possible for a train to be night loaded at any time of day (e.g. contra-peak flows). Table E3. Train loading bands E.3.2 SRM loading band Number of passengers per vehicle Number of passengers per train Night 2 10 Off-peak 10 50 Peak 50 250 Crush 90 450 Changes for SRMv6 The NMF groups services into seven loading bands, as shown on Chart E2. Off peak AM shoulder; AM peak PM shoulder; PM peak Peak not calculated All day 8 Since passenger km can be derived from passenger train kilometres and train loadings. Version 6.1 – June 2009 131 Appendix E Chart E2. Distribution of train km by time of day and train loading. 100,000 Train km (per hour of one day) 90,000 80,000 70,000 60,000 Passenger (crush loaded) 50,000 Passenger (peak loaded) 40,000 Passenger (off-peak loaded) 30,000 Passenger (night loaded) 20,000 ECS train km 10,000 Freight train km 03:00-04:00 04:00-05:00 05:00-06:00 06:00-07:00 07:00-08:00 08:00-09:00 09:00-10:00 10:00-11:00 11:00-12:00 12:00-13:00 13:00-14:00 14:00-15:00 15:00-16:00 16:00-17:00 17:00-18:00 18:00-19:00 19:00-20:00 20:00-21:00 21:00-22:00 22:00-23:00 23:00-00:00 00:00-01:00 01:00-02:00 02:00-03:00 - Time of Day For each of these NMF loading bands, the proportion of trains with each SRM loading has been calculated in such a way that the total number of passenger km is preserved. The train services database (TSDB) has then been used to calculate the distribution of trains throughout an average day. By combining these two datasets the following distribution of trains by loading band can be derived (see Chart E2). Using the data contained in the Chart E2 all the probabilities based on the loading or distribution of trains have been calculated. The revised methodology for the derivation of these probabilities in SRMv6 has had significant effects on train accident risk, as described below. The overall loadings have increased as shown in Table E4. Table E4. Final train loadings for SRMv6 SRM Loading Band 132 Percentage of Passenger Trains in each vehicle SRMv5.5 SRMv6 Night 10% 10% Off-peak 72% 62% Peak 13% 25% Crush 4% 3% Average passengers per train 90 107 Version 6.1 – June 2009 Appendix E The figures in Table E4 show an increase of 19% in average loading between SRMv5 and SRMv6. This is a result of significant increase in the number of passenger journeys and passenger kilometres compared to train kilometres over recent years that have now been accounted for. The average number of passengers per train is now 107, which is in line with the passenger kilometres figure quoted in Table E9. For collisions between trains (HET-01, HET-02 & HET-03), the frequency of passenger train collisions with non-passenger trains has increased. This is because the assumption in SRMv5 was that non-passenger trains travelled mainly at night, whereas it is assumed in SRMv6 that non-passenger trains are distributed more evenly throughout the day. The probability of a non-passenger train colliding with a peak loaded passenger train has increased significantly due to the more even distribution of non-passenger trains throughout the day. This has increased the risk per event both for HET-02, but also other train accident models (HET-11 & HET-13) where a derailed non-passenger train is involved with a secondary collision with a passenger train. The use of the SRM to monitor performance against the HLOS safety metrics means that it is now important that changes in passenger loading are reflected in the train accident risk figures. For future updates, the loading bands will remain fixed but the probability of a train being in each loading band will be varied to ensure that the correct loading is used. E.4 Risk inside possessions Previously, in SRMv5 and SRMv5.5, there were sub hazardous events which described the risk from the movement and operation of on-track plant (OTP) inside possessions. Following feedback from the SRM practitioners working group the scope of these hazardous events has been widened and in SRMv6 there are now specific sub-hazardous events for risk inside possessions. The risk inside possessions is a small percentage of the overall risk on the railway. Where possible, the number of precursors that describes the inside possession risk have been minimised so that the level of detail for these events is commensurate with the amount of risk. Definitions: Possession: Includes both possession and protection as defined by the Rule Book (GE/RT 8000). Train inside possession: A train inside a possession is any self-powered machine that runs on rails. Inside possession risk: The risk that ‘originates’ within a possession and therefore includes events where an action inside the possession affects an adjacent line that is open to normal traffic. E.4.1 Train accident risk inside possessions The original ‘on-track plant’ train accident sub-hazardous events inside possessions have remained the same in SRMv6, although the referencing has changed from ‘OTP’ to ‘POS’. However, some additional modelling refinements have been undertaken to three of the models. The number of precursors in HET-11 POS: Collision with a road vehicle on a level Version 6.1 – June 2009 133 Appendix E crossing inside possession has been reduced by grouping all events with the same cause but at different types of level crossings to a single cause precursor applicable to all level crossings. In order to separate out these precursors into the individual crossing types the SRM user is required to apply a proportioning factor based on the traffic moment for each different level crossing. The following significant changes have been made to the HET-03 POS: Collision inside possession and HET-13 POS: Derailment inside possession: The number of precursors has been reduced by grouping similar precursors together. The range of consequences has been increased to consider a range of escalating events such as: • the train moving out of possession and obstructing the adjacent line • a secondary collision with either a passenger or a freight train • consideration of a freight train carrying hazardous goods • a subsequent fire In addition to the changes mentioned above, some further modelling refinements have been undertaken to three of the models, namely HET-03 POS, HET-11 POS, and HET-13 POS. Details of the modelling changes for these three models are given in the following sections. HET-03 POS, Collision between trains inside possession (including OTP) In previous versions of the SRM, collisions between trains inside possessions were analysed under the hazardous event HET-03 OTP Collision between OTP and non-passenger train inside possession. The precursor definitions, precursor frequencies and consequences for HET-03 OTP were based on expert judgement from the original movement and operation of on-track plant analysis, reported in the OTP RPB [Ref. 15]. For SRMv6, HET-03 OTP has been renamed HET-03 POS Collision between trains inside possession (including OTP) and there has been a major restructuring of the analysis: The precursors from SRMv5 have been reviewed and rationalised to reduce the number of precursors. For example, the SRMv5 precursors covering, collisions between OTP and engineering trains have been combined with collisions between OTP and another vehicle into just collisions for SRMv6. The precursor frequencies are now based on train accident data inside possession recorded in SMIS over a five year period. For precursors where no data was available, the frequency was assigned using chi-squared ( 2) analysis estimates.9 The analysis utilises a fault and event tree model structure, which includes the assessment of the potential for a secondary collision with a train on the adjacent track (not under possession). The model separately assesses the collision potential between different types of vehicles inside possession, namely on-track machines, road-rail vehicles, and small plant. The consequences have been reviewed and updated taking into consideration both the OTP RPB analysis and collision data recorded in SMIS. 9 Chi-squared analysis performed at the 50% confidence level, grouping all the zero precursors together. 134 Version 6.1 – June 2009 Appendix E HET-11 POS, On-track plant collision with road vehicle on level crossing inside possession There has been a major restructuring of the analysis of OTP collision with road vehicle on level crossing inside possession for SRMv6. The main changes are: The precursors from SRMv5 have been reviewed and rationalised to reduce the number of precursors. Instead of separating the precursors into 11 different types of level crossings as developed in the other HET-11 risk models, the precursors in SRMv6 would be representative of any type of level crossings on the rail network. Changes have also been made to the fault and event tree model to align with the changes made to the precursors; The consequence rulesets have been reviewed and updated taking into consideration both the assumptions made in the previous version and the collision consequences from the main HET-11 SRMv6 models; The hazardous event has been relabelled from HET-11 OTP to HET-11 POS (Ontrack plant collision with road vehicle on level crossing inside possession). HET-13 POS, Derailment of on-track plant inside possession Derailment of OTP inside possessions was previously analysed in the hazardous events HET-13 FTP OTP Derailment of OTP on passenger lines inside possession and HET-13 FTF OTP Derailment of OTP on freight only lines inside possession. These two hazardous events covered both OTP derailments and OTP rollover incidents. The precursor definitions, precursor frequencies and consequences for HET-13 FTP OTP and HET-13 FTF OTP were based on expert judgement from the original movement and operation analysis of on-track plant reported in the OTP RPB [Ref. 15]. For SRMv6, these two hazardous events have been combined into a single hazardous event HET-13 POS Train derailment inside possession (including OTP). The main changes are: The precursors from SRMv5 have been reviewed and rationalised to reduce the number of precursors by combining the passenger lines and freight-only lines precursors. The precursor frequencies are now based on train accident data inside possession recorded in SMIS over a five-year period. For precursors where no data was available, the frequency assigned was estimated using chi-squared ( 2) analysis. Two fault and event tree models have been developed to separately assess derailments inside possessions and rollover incidents inside possessions for different types of vehicles, namely: on-track machines; road-rail vehicles; and small plant. The structure of the event trees includes the assessment for the potential of a secondary collision with a train on an adjacent track which is not under possession. The consequences have been reviewed and updated taking into consideration both the OTPRPB and derailment consequence data recorded in SMIS. E.4.2 Movement accident risk inside possessions A thorough review has been undertaken of all the movement hazardous events to identify those events that could occur within a possession and, where relevant, sub-hazardous events have been added to the main movement hazardous event to identify the ‘inside Version 6.1 – June 2009 135 Appendix E possession’ risk. Where the risk is to members of the workforce working within the possession the precursors identify which member of the workforce is affected: Train crew (driver) – the person driving the vehicle. Train crew (other) – any other person who has a task on board the train, e.g. the train guard. Track worker – any member of the workforce whose role is primarily based outside on the track rather than the vehicle e.g. track maintenance personnel. E.4.3 Non-movement accident risk inside possessions There are no specific sub-hazardous events which describe the non-movement accident risk inside possessions. Instead, all non-movement precursors have been tagged in Appendix B to identify what proportion of the risk occurs inside possessions. The rationale for this change is that the consequences of non-movement accidents are not dependent on whether or not they occur within a possession, and therefore do not need to be modelled separately. The method for determining the HEN possession splits was based on an assessment of what proportion of the incident data in each hazardous event precursor, and each workforce type, is in a possession. The default figure for track workers is 80%, based on several previous assessments of the proportion of time a track worker spends inside a possession during their normal working day. For train drivers and train crew, none were considered to be in possession, unless the data indicated otherwise. For other workforce types, assessments were undertaken for each precursor separately. E.4.4 Possession risk figures Table E5 presents the SRMv6 HEN possession figures. In SRMv5.5 the analysis was concerned only with OTP, whereas for SRMv6 the definition has been widened to encompass risk inside possession in general – hence the scope for analysis has increased, but a comparison cannot be made directly between version 6 and previous versions. The full detailed list of possession risk separated for each relevant hazardous event in SRMv6 is shown in Tables E6, E7, and E8 below. Table E5. SRMv6 possession figures National average POS frequency (events/year) National average POS risk (FWI/year) Train accidents (HETs) 64 0.25 Movement accidents (HEMs) 13 1.24 Non-movement accidents (HENs) 1299 8.41 Total 1376 9.9 Hazardous event group 136 Version 6.1 – June 2009 Appendix E Table E6. Possession risk for all train hazardous events (HETs) for SRMv6 Subhazardous event name HET-02NP POS HET-03 POS HET-04 POS Sub-hazardous event description Collision between OTP and passenger train resulting from OTP incorrectly outside possession Collision between OTP and non-passenger train inside possession Collision of OTP with object on line inside possession (not resulting in derailment) V6 national frequency (events/yr) V6 risk contribution (FWI/yr) 0.050 0.046 6.738 0.0336 14.824 0.0114 HET-09 POS HET-11 POS HET-13 POS Collision with buffer stops: OTP inside possession OTP collision with road vehicle on level crossing inside possession Derailment of trains inside possession (including OTP) 0.133 0.136 40.94 0.00055 0.022 0.130 HET-20 POS Fire on OTP inside possession OTP crushed by structural collapse or large object inside possession (not at station) 1.60 0.0050 0.000005 0.000003 64.42 0.2486 HET-21 POS HET Subtotal Table E7. Possession risk for movement hazardous events (HEMs) for SRMv6 Subhazardous event name HEM-10 POS HEM-11 POS HEM-12 POS HEM-14 POS Sub-hazardous event description Passenger on platform struck by train inside possession Passenger struck/crushed while crossing track at station on crossing by a train inside possession Adult/child trespasser struck while crossing track at station in possession Workforce (not track worker) struck/crushed by train inside possession V6 national frequency (events/yr) V6 risk contribution (FWI/yr) 0.0062 0.00048 0.00076 0.00062 0.0035 0.0024 0.173 0.134 HEM-15 POS HEM-16 POS Workforce fall from train in running inside possession Workforce injury while boarding/alighting inside possession 1.80 5.10 0.212 0.025 HEM-17 POS HEM-19 POS HEM-20 POS Workforce struck while leaning out of train inside possession Track worker struck/crushed by train inside possession Workforce struck by flying object inside possession 0.143 1.88 1.44 0.00075 0.815 0.0107 HEM-21 POS HEM-23 POS Workforce fall between train and platform inside possession Train door closes on workforce inside possession 0.165 1.70 0.0008 0.0050 HEM-25 POS HEM-26 POS Adult trespasser struck/crushed by train inside possession Child trespasser struck/crushed by train inside possession MOP pedestrian struck/crushed by train on level crossing inside possession MOP outside mainline railway struck/crushed due to mainline railway operations inside possession 0.064 0.0037 0.0250 0.0019 0.0061 0.0050 0.000014 0.0000016 MOP fall while riding illegally on train inside possession MOP struck by object from the mainline railway thrown from inside possession 0.0029 0.00054 0.400 0.0010 Workforce injury due to braking or lurching inside possession MOP struck by train due to standing too close to platform edge inside possession 0.143 0.00038 0.00069 0.00013 13.0 1.24 HEM-27 POS HEM-29 POS HEM-30 POS HEM-32 POS HEM-39 POS HEM-40 POS HEM Subtotal Version 6.1 – June 2009 137 Appendix E Table E8. Possession risk for non-movement hazardous events (HENs) for SRMv6 Subhazardous event name HEN-01 POS HEN-04 POS Sub-hazardous event description Workforce exposure to fire Workforce exposure to line-side explosion inside possession Workforce struck/crushed by structural collapse or large object inside possession V6 risk/ frequency percentage V6 national frequency (events/yr) V6 risk cont. (FWI/yr) 75% 80% 1.93 0.46 0.015 0.019 79% 90.0 1.43 Workforce trapped in machinery inside possession Workforce struck by/contact with/trapped in object at station inside possession 90% 6.70 0.177 7% 38.2 0.077 Workforce slip, trip or fall <2m inside possession Workforce slip, trip or fall >2m inside possession Workforce struck/crushed by non-train vehicle inside possession 46% 65% 482.6 11.74 3.1 0.385 56% 7.85 0.184 Workforce burns due to welding etc inside possession Workforce exposure to arcing inside possession Workforce exposure to hazardous substances (including stings, bites, needle injuries, etc) inside possession 56% 71% 19.67 5.05 0.038 0.07 41% 31.74 0.073 HEN-30 POS Workforce electric shock (conductor rail) inside possession 71% 3.28 0.405 HEN-31 POS Workforce electric shock (OHL) inside possession Workforce electric shock (non-traction supply) inside possession 93% 1.59 0.116 28% 2.84 0.019 Workforce asphyxiation / drowning inside possession Workforce involved in road traffic accident whilst on duty, inside possession 86% 0.16 0.056 13% 3.65 0.047 76% 428.9 1.828 28% 0.87 0.001 0.8% 9.89 0.021 0.4% 31% 7.64 144.5 0.014 0.333 1299 8.41 HEN-21 POS HEN-22 POS HEN-23 POS HEN-24 POS HEN-25 POS HEN-26 POS HEN-27 POS HEN-28 POS HEN-29 POS HEN-32 POS HEN-33 POS HEN-35 POS HEN-56 POS HEN-60 POS HEN-63 POS HEN-65 POS HEN-74 POS HEN Subtotal Workforce struck by/contact with/trapped in object not at stn inside possession Workforce exposure to noise (not on train) inside possession Workforce on-train incident (excl sudden movement & assaults) inside possession Workforce assault inside possession Workforce manual handling inside possession The percentage splits determined for the HENs are shown together with the actual POS risk values in Table E8. The split percentage is the proportion of the overall risk for that HEN that has been ascribed to POS risk. The subsequent frequency and risk values are the proportioned values. 138 Version 6.1 – June 2009 Appendix E E.5 Normaliser data The following normaliser data shown in Table E9 has been used for SRMv6: Table E9. Normaliser data for SRMv6 Description V5.5 value V6 value Total number of train kilometres per year 536,538,768 533,908,519 Source: Paladin database v5.5 represents the figure for 2006 v5.5 represents the figure for 2007 Number of passenger train kilometres per year 452,354,048 452,901,284 As train kilometres above Number of non-passenger train 10 kilometres per year 84,184,720 81,007,235 As train kilometres above. It includes freight, empty coaching stock (ECS) and parcels. Number of freight train kilometres per year 59,429,714 55,873,431 As train kilometres above Number of ECS stock kilometres per year 24,430,723 24,809,522 As train kilometres above 324,283 324,283 As train kilometres above Number of freight train kilometres on freight-only lines per year 3,849,237 3,618,898 Number of freight train kilometres on passenger lines per year 55,580,477 52,254,533 Number of DLOCO passenger stock kilometres per year 1,051,271 1,052,543 Number of DMU passenger stock kilometres per year 203,055,702 198,739,348 Number of ELOCO passenger stock kilometres per year 17,862,493 17,791,123 Number of EMU passenger stock kilometres per year 205,370,970 209,296,893 Number of HST passenger stock kilometres per year 25,013,612 26,021,377 Number of hours per year of ontrack plant operation 2,017,080 2,261,376 Number of parcels train kilometres per year 10 Comments Source: ACTRAFF 6.48% of freight train kilometres travel on freight-only lines This value is the difference between total freight train kilometres and the number of freight train kilometres travelled on freight- only lines. Source: Paladin – SRMv6 represents the figure for the 2007 calendar year. SRMv5.5 represents the figure for P13 05/06 to P12 06/07 (i.e. the year from Feb/March 2005 to Feb/March 2006. The analysis is based upon a comparison of Paladin train kilometres for the various operators with unit km data from ATOC. DLOCO is based upon an assessment of the journeys that now use Diesel Locomotives. These are non-HST Diesel loco hauled train kilometres. The SRMv5.5 figure has been derived from the book On-track Plant, 2007. Hours/wk per machine is estimated as 18 hours for 52 weeks/year for RRVs and RMMMs. For SRMv6 consideration was also given to OTMs operating inside possessions as well. These were assumed to operate 9 hrs/wk, 52 weeks of the year, inside possession. Although the machine counts were still taken from the book On-track Plant, 2007 (the most recent version) some small changes to the counts were made: > No. RRVs: 1788 > No. RMMMs: 371 > No. OTMs: 514 Figures may not sum to total exactly due to rounding Version 6.1 – June 2009 139 Appendix E Description V5.5 value V6 value Number of full time equivalent track workers 30,500 30,500 Source: Network Rail's timesheet database. There is an ongoing initiative between RSSB and NR to derive an improved estimate of track worker hours and hence the full time equivalent track worker hours. Number of full time equivalent track worker hours per year 54,900,000 54,900,000 Based upon 30,500 full-time equivalent workers above. Hours worked are based on a 40 hour week for 45 weeks per year. Number of passenger journeys per year 1.125 x10 Number of passenger kilometres per year 45.2 x10 9 9 1.228x10 48.4 x10 9 9 2518 2541 31,049,202 31,151,000 Number of manual gated level crossings 213 191 Number of manually controlled barrier level crossings 238 234 Number of closed circuit television level crossings 377 380 Number of automatic half barrier level crossings 451 452 Number of automatic barrier crossings locally monitored 50 48 Number of automatic open crossings locally monitored 128 Total number of NRMI stations Number of track metres on NRMI 120 Comments Data is from the ORR publication, National Rail Trends Yearbook 2007/8. The SRMv6 number represents the number for the 2007 calendar year. Source: RSSB SIDB, supplemented with ORR station usage data and stations listed in TSDB. Increase is mainly due to including stations on the Tyne & Wear extension to South Hylton and the re-opening of the line to Ebbw Vale to passenger traffic. Source: GB Common Safety Indicators 2007. SRMv6 uses the 2007 version of Network Rail’s level crossing census. For SRMv6, the level crossings have been broken down further: Number of footpath/bridleway crossings 2,255 Number of footpath/bridleway crossings + miniature warning lights 35 Manual crossings have been split into manual gated, manually controlled barriers and CCTV crossings. Number of station pedestrian crossings 77 Footpath crossings have been split into footpath/bridleway, station pedestrian, and station barrow crossings. Number of station pedestrian crossings + miniature warning lights 2,586 19 Number of station barrow crossings 63 Number of station barrow crossings + white warning lights 34 63 51 Number of user-worked crossings with telephone 1,661 1,624 Number of user-worked crossings 1,060 980 93 88 Number of open crossings Number of user-worked crossings + miniature warning lights 140 This is to produce results that are further aligned with the All Level Crossing Risk Model (ALCRM). Version 6.1 – June 2009 Appendix E E.6 Revised approach to trending using normalisers Previous versions of the SRM, up to and including SRMv5.5, have generally estimated the frequency of precursors by calculating the average number of events that occurred during a certain time period, where sufficient data is available. With regard to this practice, the SRM Independent Review [Ref. 3] made the following recommendation: Precursor frequencies should be calculated by taking account of the change in the normaliser with time. As part of moving to this approach, proper consideration is needed of the uncertainties in the normalisers and their effect on the precursor frequency estimates. RSSB responded to this recommendation, as follows: We acknowledge the potential significance of this issue for certain hazardous events. We have prioritised immediate work to focus on areas of risk that most strongly impact on HLOS metrics - this involved consideration of: • The extent of risk impacted upon by the change in the normaliser • Our confidence in the accuracy of the normaliser • Our view of the strength of correlation between the normaliser and risk • Our view as to whether significant changes in the normaliser are likely over Control Period 4 On this basis, it was agreed that it was sensible to address the recommendation for passenger movement and non-movement hazardous events that are normalised by either passenger journeys or passenger kilometres. The rationale for this decision was that these are the only hazardous events where it is believed that the frequency is strongly correlated to the normaliser, and that we have confidence in the change in the value of the normaliser over recent years. In general, the train accident hazardous events were analysed as before. This is because they typically involve averaging over longer time periods where there are other more significant factors such as changes to infrastructure or operations that affect risk. Also train accidents tend to be normalised by the number of train kilometres which has not increased as dramatically as passenger kilometres in recent years. The only exception is the analysis of the data for HET-10 and HET-11 where changes to the population of level crossings over time were taken intro consideration (see Section E.1.4 for details). This recommendation was implemented by updating the HEM/HEN analysis to consider normalised event counts and trend lines which take account of the variability in the normaliser. This means that about 97% of the HLOS passenger safety metric (see Section 2) is calculated taking account of the change in normaliser with time. Only 3% of the HLOS workforce safety metric will be calculated using this technique. Version 6.1 – June 2009 141 Appendix E When reliable time series data for workforce hours becomes available, the frequencies of workforce hazardous events could also be calculated using this technique. Similarly, the intention is to consider application of this technique to the hazardous events correlated to other normalisers when better normalisation time series data becomes available. E.6.1 Example of the normalised event count technique in HEM/HEN analysis An example of the application of the normalised event count technique in the HEM/HEN analysis, as described above, can be shown using the data from HEN-14 passenger slip, trip, or fall. In this example one of the HEN-14 precursors, PSTRUNSPEE: Passenger slip, trip or fall on stairs – other cause has been analysed. The data is displayed on Chart E3 below. The actual observed incident data is shown as green bars and the normalised data is shown as orange bars. The orange line represents the changing normaliser figure, in this case passenger journeys. The normalised figures are determined by increasing (or reducing) the observed data counts by the ratio of the normaliser for the respective year with that of the current year. For example, if the observed figure for 2003-04 is normalised, the data count would be divided by the 2003-04 normaliser and then multiplied by the current normaliser. If the normaliser has increased then the event count will increase by the same ratio to give the normalised event count. Chart E3. Use of normalised event counts for analysis of HEN-14: PSTRUNSPEE. Normalised Events/yr Passenger Journeys 700.000 1.400 600.000 1.200 500.000 1.000 400.000 0.800 300.000 0.600 200.000 0.400 100.000 0.200 0.000 Billion pass. jour. Events per year Events/yr 0.000 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 Annual periods (from 01/10 to 30/09) Using the observed data, the average number of events per year, based on the last three years, is 533.33. If the normalising approach outlined above is applied, the average number of events per year increases to 562.81. 142 Version 6.1 – June 2009 Appendix E Alternatively, if a seven-year period is used for the analysis, the observed data gives an average number of events per year of 483.00. Applying the normalising approach outlined above gives an average number of events per year of 557.70. Table E10. Normalisers used for SRMv6 HEM/HEN analysis HE name Hazardous Event Description Normaliser HEM-01 Passenger injury following stopped train Passenger journeys HEM-02 Passenger fall from train door in running (including jumped from train) Passenger journeys HEM-03 Passenger struck while leaning out of train (train in running) Passenger journeys HEM-05 Train door closes on passenger Passenger journeys HEM-06 Passenger fall between train and platform Passenger journeys HEM-07 Passenger fall out of train onto track at station Passenger journeys HEM-08 Passenger fall from platform and struck by train Passenger journeys HEM-09 Passenger injury while boarding/alighting train (platform side) Passenger journeys HEM-10 Passenger struck by train while on platform Passenger journeys HEM-11 Passenger struck while crossing track at station on crossing Passenger journeys HEM-13 Passenger injury following stopped train Passenger journeys HEM-38 Passenger injury due to sudden train movement Passenger kilometres HEM-42 Passenger struck by flying object thrown up by passing train Passenger journeys HEM-43 Train door closes on MOP Passenger journeys HEN-07 Passenger exposure to hazardous substances Passenger journeys HEN-08 Passenger exposed to electrical arcing at station Passenger journeys HEN-09 Passenger electric shock at station (OHL) Passenger journeys HEN-10 Passenger electric shock at station (conductor rail) Passenger journeys HEN-11 Passenger electric shock at station (non-traction supplies) Passenger journeys HEN-12 Passenger at station exposed to smoke or fumes Passenger journeys HEN-13 Passenger fall from platform onto track (no train present) Passenger journeys HEN-14 Passenger slip, trip or fall Passenger journeys HEN-15 Passenger fall from overbridge at station Passenger journeys HEN-16 Passenger fall during evacuation at station Passenger journeys HEN-17 Passenger crushing caused by crowding at station Passenger journeys HEN-55 Passenger struck by, contact with, or trapped in object at station Passenger journeys HEN-57 Passenger burn (not on train) Passenger journeys HEN-61 Passenger exposure to noise (not on train) Passenger journeys HEN-62 Passenger on-train incident (excluding sudden train movement & assaults) Passenger kilometres HEN-64 Passenger assault Passenger journeys This method has been applied to a number of HENs and HEMs in the version 6 analysis, as listed in Table E10 above. Version 6.1 – June 2009 143 Page left blank intentionally 144 Version 6.1 – June 2009 Appendix F Appendix F: Key Assumptions and Hazardous Event Definitions Appendix F describes the details of the assumptions and definitions used in the analysis for SRMv6. A more detailed breakdown of the definitions used in the update of the various hazardous events is contained in Table F2. This table is not included in this report, and is available through the RSSB website. Table F1 below lists the key assumptions and exclusions that are applicable to SRMv6. Table F1. Assumptions relating to the SRM modelling processes No. Assumption details 1 Train accident event frequencies include all incidents irrespective of injury whereas movement and non-movement event frequencies only record incidents that resulted in an injury to a person. 2 The distribution of passenger train loadings is shown in Section E.3 and in particular Table E3. 3 Normalisation data can be found in Section E.5 4 Train crew deployed on trains is assumed to be: - Passenger trains – a driver and a guard - Freight, ECS and parcels trains – a driver - On Track Machines / Road Rail Vehicle – Two Operators - Small Plant Vehicles – Four Operators 5 Class 14X Pacers are assumed to have equal crash-worthiness to Mark 1 rolling stock. 6 The frequency of train accidents at stations and in tunnels is based upon their respective proportions of overall length compared with total track kilometres. The length of each platform is assumed to be 200m. 7 OTM km travelled inside possession is assumed to be 10% that of OTM kilometres travelled outside possession 8 The average possession workforce is made up of 10% train drivers, 20% machine operators and 70% track workers. 9 Track worker hours are assumed to be split 20% inside possessions and 80% outside. 10 Any injuries from a fall that subsequently results in electrocution on the 3 rail are included in the electrocution related hazardous events. 11 Passengers who are trespassing in places they are never authorised to be are classed as members of the public. (i.e. passengers legitimately on the track at a station level crossing count as passengers – whereas passengers taking a shortcut across the tracks at stations count as members of the public). 12 The risk from ‘High Speed 1’ train operations is modelled in the same way as all other lines, i.e. as an average railway, rather than explicit modelling of High Speed 1 characteristics. The contribution of Eurostar services to HEM/HEN risk is included. 13 Any elements of the ERTMS trials that are planned for the Cambrian Coast are excluded from the model. rd Version 6.1 – June 2009 145 Page left blank intentionally 146 Version 6.1 – June 2009