Recommendation: 2026001-03

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Ref # 2026001-03
Status Open / In progress
Occurrence Operational Irregularity between Ballybrophy and Lisduff, Co. Laois, 28th March 2024
Occurrence Date 28 March 2024

Basis for Recommendation

The system design of the Mainline CTC Workstation which required two operators was identified as a factor in the incident. This resulted in the task of implementing signal protection being carried out jointly by the two signalmen, requiring a high level of co-operation and co-ordination and introducing the potential for error.

Recommendation

IÉ-IM should conduct a risk assessment of double manned signalling workstations to determine if any additional risks from having two persons operating the one workstation, with a view to identifying additional control measures to mitigate any identified risks.