Annex II Survey template for participants’ contributions (deadline 22nd of January) Interested participants are invited to contribute to the preparation of discussions to be held at the 3rd workshop in providing their information with the format proposed hereinafter. The format is based on the assumption that each event can be described with information on: 1. the description of the central event itself, including its context of occurrence, 2. the causes having led to this event, and, 3. the consequences of the central event. Describing the transport events in this way facilitates the use of collected data for risk management purpose as it follows the well known ‘Bow-Tie’ approach to risk evaluation. Causes level 4 Consequtive event Level 1 Causes level 3 Impacts/Consequences Consequtive events Level 2 … Level 3 Level 4… Indirect causes (Level 2) Direct cause (level 1) cause(s) Central event (e.g. collision, spontaneous release…) Please use the templates below to describe the taxonomy of your database (part A) and the reporting process (part B): Note 1: Please, list all types of information / attributes collected for each event, adding rows or columns as needed. Note 2: If certain type of information is collected only for certain types of events, please specify it accordingly. Part A: Template for types of information collected on events Main category E.1: e.g. Type of event E: Description of event Sub-Category E.1.1 Rail event E.1.2 Road event Page 1 of 4 Sub-sub-category E.1.1.1: Trains collision E.1.1.2: Train derailment … E.1.2.1 Frontal collision E.1.2.2 Rear collision … E.2: e.g. Date of event E.3: e.g. Time of event E.4: e.g. Location E.5: e.g. Weather E.6: e.g. Vehicle type E.4.1: Open line E.4.2: Station … E.5.1: Rain E.5.1.1: Light E.6.1: Freight train E.6.2: … E.7: e.g. Text field for the description of a specific parameter or of the event context C: Description of the causes Name of the causes Name of the causes Name of the causes (Level 1 – direct (immediate) (Level 2 – indirect (underlying) (Level 3 – root causes) causes) causes) C1: e.g. Failure to observe C1.1: e.g. Driver fatigue signal C1.1.1: e.g. Disease C1.1.2: e.g. Over working time C1.2: e.g. Usage of mobile C1.2.1: e.g. Received call phone (employer) C1.2.2: e.g. Placed call (private) C2: e.g. Failure to stop on time C2.1.: e.g. Overspeeding C2.2.: Later recognition preceding vehicle C3: e.g. Mechanical failure C3.1: Failure on vehicle C3.2: Failure on infrastructure … C2.1.1: e.g. Inattention C2.1.2: … of C2.2.1: e.g. Low visibility (weather) C2.2.2: e.g. Default of preceding vehicle rear lights … C3.1.1:… C3.1.2: … Cn… I: Description of the consequences (consequences from the central event leading to following events and different type of impacts) Name of the Impact (Level 1 – direct impact) Name of the Impact (Level 2 – indirect impact) Page 2 of 4 Name of the Impact (Level 3 – follow-up impact) I1: e.g. Rear collision I1.1: e.g. Only rear/front vehicle I1.1.1: e.g. Injuries (number) part I1.1.2: e.g. Material damages I1.1.3: e.g. Fatalities (number) I1.1.4: e.g. Impact on traffic I1.2: e.g. Chain collision (e.g for I1.2.2: e.g. Number road) concerned vehicles … I2: e.g. Front collision … I2.1: … of I2.1.1: … I2.1.2: … Part B: Template for the description of the reporting process For each database/reporting system the interested participants are invited to describe the data collection process. The description shall contain information on the administration of the database, the users, the confidentiality and timing aspects. On these aspects it is proposed to answer the questions below and if necessary to complement these information with free text information and/or a workflow diagram. Basic information about the database (if any) Country: (e.g. Iceland) Owner: (e.g. Ministry of Transport) Scope: (e.g. national, since 2000) Name of the database: (e.g. Database of events in DG transport) B.1.0: B.1.1: Requesting entity(ies) B.1: Administration of the database Legal base, or ‘voluntary’ if applicable Pls specify Pls specify … entity 1 entity 2, if applicable B.1.2: Reporting entity(ies) Pls specify Pls specify … entity 1 entity 2, if applicable … B.1.3: Reported entity(ies) Pls specify Pls specify … entity 1 entity 2, if applicable … B.1.4: Administration Pls specify Pls entity 1 entity … specify … 2, if Page 3 of 4 … entity B.1.5: Entity responsible of the content of the database B.1.6: User(s), including public access if applicable B.2.0: The notification of occurrence of an event is reported to B.2.1: The detailed causes are reported/made available on request to B.2.2: The detailed impacts are reported/made available on request to applicable Pls specify Pls specify … entity 1 entity 2, if applicable … Pls specify Pls specify … entity 1 entity 2, if applicable … B.2: Confidentiality, Thresholds & Timing Pls, specify the Pls, specify the Pls, specify the entity(ies) as reporting maximum time declared in criteria allowed section B.1 (quantitative or qualitative) if applicable Pls, specify the Pls, specify the Pls, specify the entity(ies) as reporting maximum time declared in criteria (e.g. allowed section B.1 level 1 causes…) if applicable Pls, specify the Pls, specify the Pls, specify the entity(ies) as reporting maximum time declared in criteria (e.g. allowed section B.1 main impacts, sub-category…) as applicable Page 4 of 4 Pls, specify the minimum time, if applicable Pls, specify the minimum time, if applicable Pls, specify the minimum time, if applicable