Final Report Advisory Council on Rail Safety Working Group on Locomotive Voice and Video Recorders

Appendix B

Occurrences investigated by the TSB relating to Locomotive Voice Recorders

(as of October 16, 2012)

TSB Occurrence Number Description of Occurrence TSB report

R99T0017
Recommendation R03-02: “The Department of Transport, in conjunction with the railway industry, establish comprehensive national standards for locomotive data recorders that include a requirement for an on-board cab voice recording interfaced with on-board communications systems.”

Train Passed a Signal Indicating Stop, VIA Rail Canada Inc., Train No. 52, Mile 232.8, Kingston Subdivision, Trenton Junction in Trenton, Ontario on January 19, 1999.

The report states: “Had the controlling locomotive cabs been equipped with voice recording capability, it may have been possible to determine more definitively the effectiveness of the crew’s communications as they approached the occurrence location.”

http://www.tsb.gc.ca/eng/rapports-reports/rail/1999/r99t0017/r99t0017.asp

R09V0230

Main-Track Train Collision of Canadian Pacific Train No. 355-429 and Canadian Pacific Train No. 110-30, Mile 58.10 in the Mountain Subdivision in Redgrave, British Columbia on October 30, 2009.

The report states: “TC has implemented some performance specifications for data collection. However, the Board remains concerned that the notion of voice recordings as a valuable safety tool has not been implemented on the grounds of cross-border harmonization.

http://www.tsb.gc.ca/eng/rapports-reports/rail/2009/r09v0230/r09v0230.asp

R10Q0011

Main-Track Derailment, VIA Rail Canada Inc., Passenger Train No. 15, Mile 100.78, Canadian National Montmagny Subdivision, Saint-Charles-de-Bellechasse, Quebec on February 25, 2010.

The report states: “The absence of voice recordings made it impossible to confirm the nature of VIA 15’s communications. Where investigations are not able to understand all of the human factors involved, the Canadian railway industry is deprived of valuable information that can improve safety.”

http://www.tsb.gc.ca/eng/rapports-reports/rail/2010/r10q0011/r10q0011.asp

R11E0063

Main-Track Train Collision of Canadian National Freight Q-101-31-21 and Canadian National Freight A0417-51-23, Mile 262.30, Wainwright Subdivision in Edmonton, Alberta on June 23, 2011.

On-going investigation.

R11W0247

VIA Passenger Train 692 that exceeded its limits of authority at Mile 32.73 of the Togo Subdivision in Meharry, Manitoba on October 29, 2011.

The attached TSB Final Report released on October 15, 2012.

http://www.tsb.gc.ca/eng/rapports-reports/rail/2011/r11w0247/r11w0247.pdf

R12T0038

Main Track Train Derailment, VIA Passenger Train No. 92, Mile 33.3, Oakville Subdivision in Burlington, Ontario on February 26, 2012.

On-going investigation.