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Common Occurrence Reporting –the benefits of working together
Marcus Dacre
Head of Risk
RSSB
What is RSSB and what does it do?
A not-for-profit company owned by major stakeholders in the GB rail industry.
Supports its members to achieve their objectives of improving safety and performance and delivering value for money across the industry
Understanding risk Collaborating to improve
Guiding standards Managing research,
development and innovation
A vision of the near future…
Technology as an enabler
Real-time data Real-time intelligence
People make the railway safe
Evolution of reporting in GB
History: major accidents, major concern
1988 Clapham Junction1989 Purley1991 Newton1994 Cowden
1997 Southall
1999 Ladbroke Grove
2000 Hatfield2001 Great Heck2002 Potters Bar2004 Ufton Nervet2005 Elsenham2007 Grayrigg
2011 James Street
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
1994 PrivatisationSafety Management Information System (SMIS)
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
1994 PrivatisationSafety Management Information System (SMIS)
1999 Ladbroke Grove
2000 Hatfield Safety Risk Model (SRM)
Safety Risk Model – Risk Profiling Tool
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
1994 PrivatisationSafety Management Information System (SMIS)
1999 Ladbroke Grove
2000 Hatfield Safety Risk Model (SRM)
Safety Risk Model – Risk Profiling ToolIndustry agrees to open sharing of safety dataPrecursor Indicator Model (PIM)
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
1994 PrivatisationSafety Management Information System (SMIS)
1999 Ladbroke Grove
2000 Hatfield Safety Risk Model (SRM)
Safety Risk Model – Risk Profiling Tool2004 EU Railway Safety Directive Industry agrees to open sharing of safety data
Precursor Indicator Model (PIM)Taking Safe Decisions
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
1994 PrivatisationSafety Management Information System (SMIS)
1999 Ladbroke Grove
2000 Hatfield Safety Risk Model (SRM)
Safety Risk Model – Risk Profiling Tool2004 EU Railway Safety Directive Industry agrees to open sharing of safety data
Precursor Indicator Model (PIM)Taking Safe Decisions
2010 Review of RIDDOR reportingClose Call reporting system
Fatalities
Major injuries
Minor injuries
Near misses
Close calls
History: major changes in capability
1988 Clapham JunctionBritish Rail Incident Management System
1994 PrivatisationSafety Management Information System (SMIS)
1999 Ladbroke Grove
2000 Hatfield Safety Risk Model (SRM)
Safety Risk Model – Risk Profiling Tool2004 EU Railway Safety Directive Industry agrees to open sharing of safety data
Precursor Indicator Model (PIM)Taking Safe Decisions
2010 Review of RIDDOR reportingClose Call reporting system
2016 SMIS+: Enterprise SMS Software
People, processes, tools and information
People
Tools & Information
Processes
Safety culture
Culture is the way you think, act and interact
A culture of “real and perceived pressure and fear”
Review of RIDDOR reporting 2005-2010
Initiatives to improve safety• Performance targets • League tables• Accident-free periods rewarded• Senior management scrutiny
Many accidents not reported
Continuous improvement?
Evidence-based decision making
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Effort ≈ Safety Benefit
Effort ≈ 2 x Safety Benefit
Effort ≈ 5 x Safety Benefit
Effort ≈ 10 x Safety Benefit
0.0
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0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0
Safe
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enef
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core
Effort
SAFETY BENEFIT / EFFORT: TOP 10
Continue
Cab out of service at end of journey
Train out of service mid journey
GSM-R hand portables always best optionThese charts represent the next best option if hand portables not available
20 10 6 4
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Headway (minutes)
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Headway (minutes)
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Journey length = 100 miles Journey length = 150 miles Journey length = 200 miles
Journey length = 300 miles Journey length = 400 miles
Train accidents with passenger or workforce fatalities
Source: ORR for historical data; SMIS for recent statistics
Train accident precursors
Empowering local decision makers
Local
Regional
National
From compliance to continuous improvement
Railway Safety Directive 2004/49/EC
Common Safety Methods
Monitoring
Risk evaluation and assessment
Supervision
Assessing … Safety Authorisations
Assessing … Safety Certifications
Assessment of achievement of safety targets
Monitoring and supervision
Activities & their results
Accident precursors
Accidents
Company
Department
Individual / team
Regulator
Current developments
Data and Risk Strategy
The risk intelligence that a world class railway needs, efficiently provided to the right people in the right format and at the right time.
SMIS+: Enterprise SMS software
SMIS+: Industry working together
SMIS+ programme implementation
Phase 1 – December 2016
– User-friendly web based system
– Risk-based data model
– Investigation tracking
– Business process workflow
– Business intelligence
Phase 2 – spring 2017
– Access via mobile devices
– Close call
– Links to asset systems
– Improved data quality processes
Network Rail’s Common Consequence Tool
Final thoughts
Common occurrence reporting
The cultural journey
Culture is the way you think, act and interact
A shared vision
Working together, building bottom-up
Another step change in safety performance
Thank you
Source of images on slides 30 & 39: Wikipediahttps://en.wikipedia.org/wiki/Flag_of_Japanhttps://en.wikipedia.org/wiki/Kaizenhttps://en.wikipedia.org/wiki/Flag_of_Europehttps://en.wikipedia.org/wiki/High-speed_rail_in_Europe
