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Case Studies -
HSL Investigations of Major Rail Accidents
At
the request of HSE, HSL has been involved in the investigation of
several major rail accidents. These tragic events have brought home
to the country the human cost of rail accidents and highlighted
the importance of rail safety.
HSL's wide range of expertise in fire science, engineering, photography
and human behaviour has been brought to bear on these investigations.
The findings of these investigations are having a major influence
on attitudes to safety in the railway industry.
On 5th October 1999 an accident occurred at Ladbroke Grove near
Paddington when a Great Western Express was struck almost head-on
by a Thames commuter train which had just passed a signal at danger.
The collision occurred at a closing speed of some 230km/hr and resulted
in thirty-one people losing their lives and over 400 people being
injured, some of them seriously. An unusual feature of the crash
was the major fire which ensued, causing the leading coach on the
Great Western train to be completely burnt out. From photographic,
video and eye witness evidence, the HSL investigation team was able
to establish that some six tonnes of diesel had been explosively
released from the fuel tanks of the two trains. Furthermore, the
fuel was sufficiently atomised that it could be ignited by discharges
from electric power lines and other ignition sources at the crash
site. The crashworthiness of the fuel tanks and the fuel ignition
behaviour were further examined in a series of tests carried out
using HSL's unique impact test facilities. The likely failure mode
of the tanks was demonstrated and related to information obtained
from the crash site at the initial impact point of the two locomotives.
As to the cause of the crash, sighting aspects of the signalling
system out of Paddington were studied, paying particular attention
to the window of opportunity to view the signal and the visibility
of the signal itself. Information was also obtained on the tasks
the Thames train driver was being asked to perform during the journey,
which might have caused a distraction, his familiarity with the
route and the effectiveness of the driver training provided by the
train company.
The investigation took nine months to complete, the pace being
dictated by the needs of Lord Cullen's public inquiry to which evidence
was presented by HSL staff on most aspects of the accident.
Another
major accident occurred on 17th October 2000 when an Intercity train
from Kings Cross to Leeds derailed near Hatfield resulting in four
deaths and many injuries. An HSL team arrived at the scene within
five hours of the accident to work alongside the British Transport
Police in gathering evidence to explain the cause of the crash.
There was evidence that the derailment had been caused by the fragmentation
of a large section of rail. Approximately 150 metres of rail were
transported to HSL for detailed metallurgical examination. Attention
subsequently focused on the inspection regime for the rails prior
to the accident and HSL was asked to review inspection reports and
the risk assessment methodology. The non-destructive test procedures
were assessed and samples of rail from other parts of the network
were examined. The eleven rail vehicles involved in the crash were
assessed for damage, both internal and external, to understand the
crash dynamics and discover whether any aspect of the vehicle design
or construction was suspect. It was also important to establish
whether vandalism, or the way in which the train was being driven,
was a factor in the derailment.
On the morning of 28th February 2001 at Great Heck an Intercity
train travelling from Newcastle to London struck a road vehicle
on the line and was subsequently in collision with a northbound
goods train. Ten people died in the accident and many people were
injured. HSL staff attended the scene shortly afterwards to record
events using video and still photography, some pictures being taken
from a helicopter, and to provide engineering support to HSE.
Given the circumstances of the crash, it was agreed by HSE that
the railway industry should carry out its own investigation with
HSL liaising with the industry and providing feedback on progress
to HSE's inspectorate. HSL reviewed the industry reports which included
consideration of vehicle dynamics, crashworthiness and the goods
train/passenger train interaction. Separately HSL was asked, as
a matter of urgency, to assess the probability of such accidents
occurring. This was done by HSL risk assessment specialists within
a few days, and involved a review of all road-rail vehicle collisions
in recent years.
Experience with these major rail accidents and others more recently
has demonstrated the breadth and depth of HSL's technical expertise
in handling complex investigations.
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