HSE PUBLISHES FINAL REPORT INTO CHANCERY LANE TUBE DERAILMENT
17 Mar 2006 11:45 AM
The Health and Safety Executive's (HSE) HM Railway Inspectorate
(HMRI) today published its web-based report into the Central Line
train derailment at Chancery Lane tube station on 25 January 2003. (
www.hse.gov.uk/railways/chancerylane/index.htm).
The report concludes that London Underground Limited (LUL) and
Infraco BCV Ltd (iBCV) (now Metronet Rail BCV Ltd) had done what was
reasonably practicable with regard to both maintenance procedures and
the operational response to the incident. The immediate cause of the
derailment was the detachment of the rearmost traction motor on the
fifth car, itself caused by gearbox failure.
HSE has decided that formal enforcement action is not appropriate in
this instance. The companies' responses to the incident and issues
leading up to it, although capable of improvement, fell within the
range of being reasonable in the light of available knowledge and
industry practice at the time. Staff from both companies co-operated
with HSE on this investigation.
The HSE investigation into the derailment also reviewed two earlier
incidents involving traction motors at Hainault and Loughton in 2001
and 2002 respectively. HSE concluded that the investigations carried
by LUL and iBCV into these incidents could have been completed more
quickly, been more wide-ranging and less bound by engineering
assumptions about their causes.
However, there is no suggestion that this directly led to the
Chancery Lane derailment taking place. In HSE's view, iBCV and LUL
made reasonable efforts to find out the cause of these earlier
failures. Both companies applied engineering judgment based on
industry knowledge of the risks at the time. They identified what
they thought was the cause of the failures, and devised and
implemented what they believed were appropriate safety measures.
HSE also found that communications during the incident could have
been more robust, as could information and technical advice given to
the line controllers. But despite this, the line controller erred on
the side of caution and decided to take the train out of service at
Holborn. Unfortunately the train derailed some 600 metres short of
this point.
LUL's own investigation report into the derailment made seven primary
and seventeen secondary recommendations. HMRI has monitored progress
with implementation of these recommendations and is satisfied that
LUL and Metronet Rail BCV Ltd have acted to learn the lessons from
the derailment to help prevent another similar incident.
Notes to editors
1. At around 13.50 on 25 January 2003 a London Underground Limited
(LUL) westbound Central Line train derailed as it came into Chancery
Lane station. The train had around 500 passengers on board, and the
last four cars of the eight-car train were derailed. Although there
was little structural damage, three of the cars were damaged due to
impact with the tunnel wall and station platform, with one of the
doors being ripped off and a number of windows broken. 32 passengers
received relatively minor injuries such as cuts, bruises and, in one
case, a broken ankle. LUL staff promptly evacuated passengers on the
train.
2. HSE's HMRI report into the Central Line's train derailment at
Chancery Lane is available from HSE's website at
www.hse.gov.uk/railways/chancerylane/index.htm
3. HMRI, together with specialists from other branches of HSE, began
an investigation into the train derailment at Chancery Lane station
on Saturday 25 January 2003. Initial findings and an interim report
are available on the Chancery Lane pages of the HSE website at
www.hse.gov.uk/railways/chancerylane/index.htm
4. Decisions on prosecution and enforcement action are made under the
auspices of the Code for Crown Prosecutors and the Health and Safety
Commission's (HSC) Enforcement Policy Statement. The Code is
available from the Crown Prosecution Service website at
www.cps.gov.uk/publications/docs/code2004english.pdf. The HSC's
Enforcement Policy Statement is available from HSE's website at
www.hse.gov.uk/pubns/hsc15.pdf.
5. Further information on the latest (2004) safety related statistics
in relation to London Underground is available as part of HSE's
annual report on railway safety on the website at
Public enquiries
HSE's InfoLine 0845 3450055
Caerphilly Business Park, Caerphilly CF83 3GG
HSE information and news releases can be accessed on the Internet
www.hse.gov.uk/