Basis for Recommendation
In terms of competency of staff, it appears that CCE-SMS-001 is too broad, in that all management staff are responsible for all competencies; despite this, none of the staff present on the night of the accident, carrying out the rail replacement work, had the required competency as set out in CCE-TMS-422, even though an audit had been carried out compelling the CCE Department to actively train staff in the required competencies. It is noted that CCE-TMS-422 has been updated, however, at this stage that competency of staff has not been verified by the RAIU. As a result, the RAIU make the following safety recommendation: