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1230 turvallisuussuositusta

  • Cockpit Procedures and Crew Resource Management

    Norra revises procedures for the assessment and development of cockpit procedures and crew resource management. [

    Under implementation

  • Interface between Airplane Operator and Ground Handling Service Provider

    Norra and Airpro cooperate to introduce specifying information in their manuals and improve oversight of compliance with manuals in areas related to operational interfaces.

    Under implementation

  • Finavia’s Communication Frequency Management

    Finavia, Finavia’s rescue service and Fintraffic Air Navigation Services cooperate to ensure that procedures prescribed in their manuals for direct radio communication between the aircraft and rescue units are applied whenever necessary, and that personnel and operators are informed of the procedure

    Under implementation

  • Apron Markings

    Finavia restores and harmonizes apron markings and the way information is presented in charts and on information boards. Particular attention shall be paid on the markings of overlapping equipment restraint areas and on their readability.

    Under implementation

  • Risk Assessment Procedure in Apron Work

    Finavia establishes a risk assessment method that is common to all operators at Finavia’s airports and assumes the coordinator’s role in matters related to overall apron safety.

    Under implementation

  • Dis­sem­i­na­tion of Fuel Sys­tem Re­lated In­for­ma­tion

    the United States Federal Aviation Administration (FAA) informs the owners and operators of the type of risks related to the wear and aging of the fuel selector valve and its operating mechanism and of relevant risk management practices.

    Under implementation

  • Spec­i­fy­ing safe im­ple­men­ta­tion of NORA

    The Ministry of Social Affairs and Health ensure that national minimum requirements and safe implementation methods are specified for NORA activities.

    Under implementation

  • De­vel­op­ing self-su­per­vi­sion

    The Ministry of Social Affairs and Health, in cooperation with the Finnish Supervisory Agency, ensure the development of self-supervision in a way that provides clear and uniform instructions for the practical implementation and evaluation of self-supervision.

    Under implementation

  • Strength­en­ing data col­lec­tion on pro­ce­dures be­ing per­formed in pri­vate so­cial and health care

    THL develop systematic data collection concerning private health care procedures in order to provide a comprehensive picture of them that meets the needs of different authorities

    Under implementation

  • Pro­mot­ing de­vice safety in so­cial wel­fare and health­care

    The Ministry of Social Affairs and Health promote device safety by developing regulation related to medical devices and by steering wellbeing services counties to define the risks and risk management methods related to medical devices.

    Under implementation

  • De­vel­op­ing the safe use of med­ical de­vices and in­struc­tions

    The Finnish Medicines Agency Fimea investigate the requirements for the safe use of medical devices and their instructions for use and develop them to better meet the needs of professional users and the implementation of safety management related to medical devices.

    Under implementation

  • Developing the processing of patient safety incident reports in the activities of the supervisory authority

    The Finnish Medicines Agency Fimea develop data collection concerning patient safety incidents involving medical devices and the processing of patient safety incident reports so that they provide the basis for forming an analysed and up-to-date overview of the situation and for proactive identification of safety risks

    Under implementation

  • Safety management of collaborative contract forms

    he Building Information Foundation draws up guidelines on good practices in the safety management of collaborative contract forms.

    Under implementation

  • Identifying and Managing Accident Risks on Construction Sites

    The Confederation of Finnish Construction Industries RT (CFCI) and the partnership network of rescue departments prepare guidelines for the systematic identification and management of accident risks at construction sites.

    Under implementation

  • Movement of explosives within construction sites and control of hazards caused by unexploded explosives

    The excavation division of Infra ry and the Centre for Occupational Safety ensure that good practices have been compiled into instructions and included in different templates, so that all work phases related to the use of explosives are planned considering the associated risk.

    Under implementation

  • Development of environmental authorities’ processes

    The Ministry of the Environment ensure that the permit authorities’ processes take account of the rapid changes related to the operating environment of waste management and the contingency needs arising from them.

    Under implementation

  • Waste processing plants as targets for inspections and rescue operations

    The Ministry of the Interior together with the Partnership Network of Finnish Rescue Services ensure that rescue departments take waste treatment facilities into account as fire risk sites deviating from normal.

    Under implementation

  • Residential growth centres and waste processing activities

    In cooperation with municipalities, the Association of Finnish Local and Regional Authorities coordinate an operating model in which effective practices are created with other authorities to reconcile the needs of waste treatment activities and housing in land use planning.

    Under implementation

  • Health requirements and health monitoring for tram drivers

    The Finnish Transport and Communications Agency define national health requirements and a health monitoring system for tram drivers with a risk-based approach.

    Under implementation

  • Developing tram traffic regulation at the national level

    The Ministry of Transport and Communications launch a regulatory project to define national safety requirements for and supervision of tram traffic

    Under implementation

  • Utilising technological development to improve safety in tram traffic

    Urban rail operators deploy more technologies that improve safety and support drivers in tram traffic.

    Under implementation

  • Ensuring the state of alertness of tram drivers

    In tram drivers shift arrangements, urban rail operators take the drivers alertness into consideration and define clear procedures for interrupting work if the driver feels tired.

    Under implementation

  • Harmonizing of Alerting Instructions

    The airplane operator (Norra) harmonizes flight crew and cabin crew procedures regarding alerting instructions when the airplane is parked

    Implemented

  • Updating of Joint Action Plan

    The Ministry of Transport and Communications updates its Joint Action Plan in the Event of Civil Aviation Accidents (publication series 30/2013), adds to the plan a description of provision of support to accident victims and their families and informs stakeholders accordingly.

    Under implementation

  • Improvement of Norra’s Safety and Risk Management System

    The airplane operator (Norra) pays increased attention on the implementation and follow-up of corrective actions in Safety and Risk Management

    Under implementation

  • Location and Visibility of Collapsible Handrail quick release pin

    The airplane manufacturer (ATR) improves the observability or location of the quick release pin with the aim of drawing full attention to the condition of the collapsible handrail.

    Under implementation

  • Endorsement of Door Opening Procedure

    The airplane operator (Norra) endorses a revised procedure requiring that the passenger door shall be opened using support from the other cabin crew member, and/or prepares a door opening checklist.

    Implemented

  • Prevention of Collapsible Handrail Jamming in Upright Position

    The airplane manufacturer (ATR) establishes requirements for the maintenance and verification of the correct function of the collapsible handrail.

    Under implementation

  • Ensuring conformity to construction project permits

    The Ministry of the Environment ensures that the building control authorities intervene in construction projects through supervisory measures if the building permit conditions set for the projects are not met.

    Under implementation

  • Ensuring the quality of supervision of housing company renovations

    The Finnish Real Estate Federation advise and instruct housing companies to verify that the developer’s supervisors and other experts used in renovation projects have sufficient technical competence and expertise in the planned renovations

    Under implementation

  • Ensuring the strength of thick insulating renders

    The Rakennustuoteteollisuus RTT raise awareness among construction sector operators of the criticality of the structural load-baring capability of thick insulating renders.

    Implemented

  • Ensuring the technical competence of housing company renovations

    The Finnish Real Estate Management Federation guide and support housing management companies in verifying that the technical property managers and consultants used by housing companies in renovations have sufficient technical expertise on the intended renovations.

    Implemented

  • Ergonomics and structural safety of sauna heaters

    The National Electrotechnical Standardisation Organisation SESKO promote the safety requirements for electric sauna heaters provided in technical standards in such a manner that unintentional use of operating controls is prevented and their operating logic and ergonomics are improved. In addition, the structural safety requirements of the heaters shall be developed to avoid overheating of the heater and ignition of the sur-rounding structures, regardless of the actions of the user.

    Under implementation

  • Rearranging and replacing stones in the sauna heater

    The Ministry of the Interior, together with various actors engaged in safety communications, highlight the importance of safe use of electric sauna heaters and regular maintenance for fire safety

    Under implementation

  • Planning of exercises

    The Finnish Defence Forces and the Border Guard as parties organising conscript training include other functions, such as transport and transitions, in the planning and risk assessments of exercises

    Under implementation

  • Traffic safety during military service

    The Finnish Defence Forces and the Border Guard develop active support provided by personnel and trainers to ensure traffic safety in conscript training.

    Under implementation

  • Cooperation procedures in accidents

    The Finnish Defence Forces and the Border Guard develop a continuous procedure with the parties providing emergency medical care and rescue services in each region to enable the various actors to have adequate and up-to-date knowledge of each other’s practices.

    Under implementation

  • Developing the detection of information security shortcomings in public administration

    The Ministry of Finance in cooperation with the Ministry of Transport and Communications investigate how the detection of information security deficiencies in public admin-istration can be improved nationally and ensure that public actors have sufficient capabilities for detecting and addressing shortcomings in information security.

    Under implementation

  • Identifying and remedying municipalities’ critical information security shortcomings

    The Ministry of Finance in cooperation with the Association of Finnish Local and Regional Authorities support municipalities in identifying and addressing critical information se-curity shortcomings and develop risk management relating to information management and information security.

    Under implementation

  • Coordination of information management legislation

    The Ministry of Finance in cooperation with the Ministry of Justice ensure that the legislation on information management in public administration is coordinated and that the structures for monitoring and steering it are clarified

    Under implementation

  • Developing communication guidelines for data breaches

    The Ministry of Finance in cooperation with the Finnish National Agency for Education ensure that municipalities and cities develop clear and accessible guidelines for communicating about data breaches, enabling victims to protect themselves from the con-sequences of data breaches and protect their personal data

    Under implementation

  • Two-way Communication

    Norwegian improves crew training on communication between pilots and cabin crew.

    Under implementation

  • Thunderstorm Avoidance

    Norwegian defines minimum clearances and procedures for thunderstorm avoidance.

    Under implementation

  • Use of Weather Radar

    Norwegian puts more emphasis on timely and continuous use of the weather radar during pilot training.

    Under implementation

  • Safety management in tourism activities

    the Finnish Safety and Chemicals Agency (Tukes) as the authority responsible for supervising tourism activities update the safety management guidelines for activity and experience services as a whole to also provide the prerequisites for ensuring the safety of lowrisk tourism activities. It should additionally be ensured that this information can also be accessed by foreign operators.

    Under implementation

  • Supervision of fire safety in accommodation facilities

    the Ministry of the Interior ensure that information on accommodation activities in a building reaches the local rescue authority in a timely manner, making it possible to target supervision work

    Under implementation

  • Safe practices for handling ashes

    Metsähallitus create uniform, effective and safe practices for handling ashes, especially in nature tourism.

    Under implementation

  • Safe cooperation at timber loading sites

    The Finnish Transport Infrastructure Agency should, in its capacity as the owner of the timber loading sites, assume responsibility for developing the overall safety of the sites, especially the coordination of operators’ work practices and definition of communication practices.

    Implemented

  • Planning of timber loading sites and the level crossing requirements for them

    The Finnish Transport Infrastructure Agency should update the planning guidelines for timber loading sites so that the sites can be planned without level crossings. If level crossings are needed at the sites, safety requirements that are independent of the site classification should be specified for them.

    Implemented

  • Cooperation in clearance activities

    Infrastructure managers, railway and clearing operators and rolling stock maintenance operators agree on cooperation practices in relation to clearing to ensure smooth clearing operations. In addition, the stakeholders proactively examine the tools and resources available and agree on their use and related communication in clearing situations.

    Under implementation

  • Inspection and maintenance procedures for the heel of the switch

    The Finnish Transport Infrastructure Agency must ensure the uniformity of the guidelines and improve their accessibility, unambiguously define the method of measuring the maintenance needs of the heel of the switch, and specify accurate wear profiles for the heels of the switch.

    Under implementation

  • Consideration of renewal and investment projects in track maintenance

    The Finnish Transport Infrastructure Agency will examine the track maintenance process so that the impacts of delays in renovation projects on maintenance are taken into account in more detail when planning maintenance.

    Implemented

  • Taking rolling stock features into account when defining the interoperability thresholds for track and rolling stock

    Infrastructure managers and railway operators using six-axle locomotives jointly define safety margins for the wear of the track and the wheelsets of rolling stock that ensure safe operation, taking into account the combined effect of different factors.

    Under implementation

  • Monitoring the wear of the wheel profiles on rolling stock

    Railway operators and rolling stock maintenance operators draw up instructions for inspecting the shape of the wheel flange and include a guided inspection as part of the maintenance of wheelsets. In addition, a procedure must be introduced for monitoring the wear of rolling stock wheelsets to identify and anticipate wear on the wheels between maintenance.

    Under implementation

  • Managing and improving of railway safety across the whole system

    The Finnish Transport and Communications Agency ensure not only compliance with the applicable rail transport operation guidelines but also the effectiveness of operators’ self-regulation procedures in practice. The Finnish Transport and Communications Agency should also take a more active role in managing and improving railway safety across the whole system.

    Implemented

  • Updating of the guidelines for reversing and the associated checklist

    The Finnish Transport Infrastructure Agency update the sections of the Rail Transport and Shunting Safety Guidelines that deal with reversing and standardised communications so that trains can only be reversed into locations that the train driver is able to see from the cab. The existing checklist for the safe coordination and execution of reversing manoeuvres should also be updated and incorporated into the Finnish Transport Infrastructure Agency’s rail transport operation guidelines.

    Implemented

  • Upgrading of technological safety systems

    The Finnish Transport Infrastructure Agency and Fintraffic Railway Ltd join forces to improve the safety of reversing and other degraded operations by putting into place an array of technological systems to safeguard against an accident in the event of human error.

    Implemented

  • Improving of the Finnish Transport Infrastructure Agency’s guidance drafting procedures

    The Finnish Transport Infrastructure Agency improve its guidance drafting procedures so as to better recognise the effect of guidelines on safety and to systematically analyse and document the risks involved in introducing new guidelines also in respect of rail transport operation.

    Implemented

  • Better coordination of prescriptions for young drug users

    The Ministry of Social Affairs and Health, the Finnish Medicines Agency and the Finnish Institute for Health and Welfare investigate what measures are needed to improve the safety of the pharmacotherapy of young drug users as well as coordination.

    Under implementation

  • Improvement and modernisation of the system of treatment guidance

    The Ministry of Social Affairs and Health and the National Police Board develop a nationally harmonised treatment guidance system for young drug users and reform existing practices.

    Under implementation

  • Comprehensive reform of services for young drug users

    The Ministry of Social Affairs and Health and the Finnish Institute for Health and Welfare review the services available for young problem drug users, build a nationally harmonised service bundle specifically targeted at problem drug users under 18 years of age and between 18 and 25 years of age and ensure that service pathways work as intended in practice.

    Under implementation

  • Educating the public about the dangers of poly-drug use

    The Ministry of Social Affairs and Health and the Ministry of Education and Culture engage other operators and public authorities in coordinated multi-channel awareness raising campaigns that resonate with drug users.

    Under implementation

  • Reform of child welfare services to better meet the needs of young drug users

    The Ministry of Social Affairs and Health reform child welfare services so that the complex service needs of young drug users are appropriately catered for in both non-residential and substitute care.

    Under implementation

  • Alerting of paramedics to accidental drug poisoning emergencies

    The Emergency Response Centre Agency and pre-hospital emergency care units of the collaborative areas for health care and social welfare ensure that incidents involving accidental drug poisonings are dealt with in a way that gives the emergency dispatcher enough information about the situation to determine the correct urgency classification and incident code.

    Under implementation

  • Use of technological solutions to identify accidental drug poisoning situations and the need for help

    The Ministry of Social Affairs and Health ensure that efforts to prevent drug-related deaths among young people incorporate appropriate technological solutions to detect life-threatening drug poisoning situations.

    Under implementation

  • Reform of the after-care of young people leaving care

    The Ministry of Social Affairs and Health investigate the role of after-care placements in the lives of care leavers who use drugs in reducing drug-related deaths and improve after-care on that basis.

    Under implementation

  • Licensing and Supervision Service

    the Ministry of Employment and Economy ensures that event organizers and authorities become aware of the licencing and supervision service.

    Implemented

  • Issuance of Public Display Authorization

    the Finnish Transport and Communication Agency Traficom reassesses the procedures for the issuance of a public display authorization to ensure that display pilots possess adequate theoretical knowledge, skills and safety awareness

    Implemented

  • Improving the occupational safety of entrepreneurs

    The Ministry of Social Affairs and Health develops procedures ensuring that entrepreneurs comply with the same kind of occupational safety practices in their own work that are required by the Work Safety Act for the occupational safety and health of employees.

    Under implementation

  • ‌Improving the occupational safety of the taxi sector

    The Finnish Transport and Communications Agency prepares methods for improving occupational safety in the taxi sector.

    Under implementation

  • Developing the safety of the surface rescue activities of the Finnish Defence Forces

    The Finnish Defence Forces review the instructions, procedures and equipment for surface rescue activities, including the rescue measures and equipment, and corrects any deficiencies discovered in them.

    Under implementation

  • Providing information on the hazards of gritting equipment

    The association Real Estate Employers and the Association of Finnish Local and Regional Authorities warn the users of gritting equipment of the hazards related to them and instruct the operators in the field to ensure that gritting equipment is used appropriately and safely.

    Implemented

  • Cross-checking the content of training orders

    The Finnish Defence Forces implements a process for cross-checking training orders, in which an external party reviews the risks related to them especially in connection with changes related to the exercises.

    Under implementation

  • Developing safety management

    Air Force Command Finland and Army Command Finland undertake a join effort to support Utti Jaeger Regiment in the development of safety management and safety procedures, ensure the availability of adequate resources and train operations personnel in the basics of safety management.

    Implemented

  • Developing the training for jumping from an NH90 helicopter

    Utti Jaeger Regiment improves jump training procedures for the NH90 helicopter.

    Implemented

  • Comprehensive and regular inspections

    Army Command Finland ensures that the contents and efficiency of the quality system for parachute operations is subjected to regular verification, for which a more comprehensive audit system will be needed.

    Implemented

  • Developing deviation reporting

    The Finnish Defence Forces develops deviation reporting so that it becomes simpler and can be done via more channels, and ensures that all reports receive a reaction and feedback.

    Under implementation

  • Action plan to develop the operating culture

    The Finnish Defence Forces draws up a scheduled action plan to promote an operating culture that encourages open dialogue and critical thinking without blame.

    Under implementation

  • Reform of the laws governing cable ferry transport

    The Ministry of Transport and Communications engage with the Finnish Transport and Communications Agency, the Southwest Finland Centre for Economic Development, Transport and the Environment and cable ferry transport operators in a dialogue aimed at reforming the laws governing cable ferry transport.

    Under implementation

  • Updating of the training programme for cable ferry captains

    Finferries update its training programme to better factor in each cable ferry crossing and the characteristics of the ferry or ferries operated on that route.

    Under implementation

  • Design and construction process of bridges in municipalities

    Together with the Ministry of Transport and Communications, the Ministry of the Environment should develop procedures to ensure that the design and implementation process of temporary and permanent bridges in municipalities is also compliant with the requirements. It is essential that the correct process and requirements are clear and the operators in the field are aware of them, and that all bridges are designed, implemented and monitored according to them.

    Under implementation

  • Design and implementation of challenging scaffolding structures

    The scaffolding division of the Confederation of Finnish Construction Industries RT (CFCI) provides instructions for procedures that ensure that the scaffolding sector can identify challenging structures and is able to allocate sufficient expertise to their design and implementation.

    Implemented

  • Identification of medication safety requirements for information systems that are used in dose dispensing

    The Ministry of Social Affairs and Health investigate weaknesses in the information systems that are currently used in dose dispensing and any legislation that may be needed for the competent authorities to be able to issue more detailed regulations regarding essential information system requirements.

    Under implementation

  • Sharing and learning from pharmacies’ medication safety incidents

    The Ministry of Social and Affairs ensure that patient safety incident reports concerning medication errors and lessons to be learned from such incidents are communicated effectively between pharmacies and wellbeing services counties and that clear, established procedures for sharing information are put in place.

    Under implementation

  • Revision of national dose-dispensing guidelines

    The Ministry of Social Affairs and Health ensure that the Guide on Good Practices in Patient-specific Dispensing of Medication is updated in collaboration with the relevant authorities and operators.

    Implemented

  • Improvements in the self-regulation of pharmacies

    The Finnish Medicines Agency ensure that pharmacies adopt better self-regulation procedures to promote medication safety.

    Implemented

  • Door Locking Mechanism and Door Warning System

    Diamond Aircraft Industries modifies the door locking mechanism to allow operators to achieve and verify the fully locked condition without undue difficulty. The warning system should also alert the crew members if the door is not fully locked.

    Under implementation

  • Verification of Fully Locked Condition

    as the type certificate holder, Diamond Aircraft Industries ensures that the warning labels, flight manual text and procedures of the DA40 and DA42 contain sufficient information that enables the operator to carry out proper actions and take particular care when opening and closing the passenger door.

    Under implementation

  • Operator Awareness of Safety Matters

    The European Aviation Safety Agency ensures that type certificate holders regularly notify operators of any recurrent or serious safety findings related to applicable aircraft types.

    Under implementation

  • Monitoring of Effectiveness of EASA Airworthiness Directives

    The European Union Aviation Safety Agency monitors and ensures that the actions prescribed in its airworthiness directives has the adequate and desired effect.

    Under implementation

  • Learning from incidents in the social and health care sector

    The Ministry of Social Affairs and Health shall ensure that a data collection and sharing system is developed in the social and health care sector. This will be used to collect relevant information on all incidents that have seriously compromised client and patient safety and to form and publish conclusions relevant to improving safety for the benefit of the whole sector.

    Under implementation

  • Development of a self-monitoring plan

    The National Supervisory Authority for Welfare and Health, in cooperation with Regional State Administrative Agencies, shall develop guidelines for self-monitoring plans for social and health care service providers to take more explicit account of risks in the living environment, such as the use of locks for the storage of consumer chemicals.

    Implemented

  • Coordinating tram traffic with other traffic

    When planning streets and pedestrian and cycle paths, cities with tramways take into account the special features of tram traffic and strive to plan traffic arrangements so that they guide other road users to act safely and in accordance with the rules.

    Implemented

  • Processing and analysis of fault and deviation reports

    The Finnish Transport and Communications Agency ensure that, in the procedures for reporting and processing deviations in urban rail traffic, operators clearly distinguish safety-related matters from fault notifications and that safety deviations are systematically processed and analysed.

    Implemented

  • Setting and monitoring safety targets for urban rail transport

    The Finnish Transport and Communications Agency define safety targets and their monitoring methods for metro and tram traffic.

    Implemented

  • Opening of passenger doors in metro and tram traffic

    Metropolitan Area Transport Ltd investigate the possibility of technically preventing the opening of doors on the wrong side of the metro and tramway fleet.

    Under implementation

  • Trespassing on metro tracks

    Metropolitan Area Transport Ltd investigate solutions that improve the efficiency of monitoring and prevent unauthorised access to the track area.

    Under implementation

  • Monitoring the occupancy of the metro tracks

    Metropolitan Area Transport Ltd develop safety devices for the metro network in terms of monitoring track occupancy so that the need for an exception signal is reduced.

    Under implementation

  • Operating models for exceptional situations

    The National Supervisory Authority for Welfare and Health (Valvira) guides the wellbeing services counties in cooperation with Regional State Administrative Agencies to ensure that home care services have comprehensive operating models for exceptional situations.

    Implemented

  • Developing the technological and remote monitoring of older people living at home

    The Ministry of Social Affairs and Health ensures that the wellbeing services counties promote the safety of older people living at home by taking advantage of remote technology and digitalisation.

    Under implementation

  • Comprehensive assessment, monitoring and forecasting of the health and wellbeing of older informal carers and the strain they experience

    The National Institute for Health and Welfare ensures that the wellbeing services counties start using indicators intended for assessing and monitoring the functional capacity of informal carers and their ability to cope, and that the information they generate is used to develop informal care.

    Under implementation

  • Airworthiness Review of Amateur-built Aircraft

    The Finnish Transport and Communications Agency Traficom establishes a practise in which the surveyor should be available for the initial airworthiness review of an amateur-built aircraft. If the inspection reveals serious deficiencies, the aircraft should always be reinspected.

    Partly implemented

  • Ensuring Availability of Information Contained in Aeronautical Information Publication OPS T1-18

    The Finnish Transport and Communications Agency Traficom ensures that information of carburetor icing (OPS T1-18 “Kaasuttimen jäätyminen” and EGAST GA5 Piston Engine Icing or equivalent information) is made available in Finnish.

    Implemented

  • Skills Development of Builders of Amateur-built Aircraft

    The Finnish Transport and Communications Agency Traficom and recreational pilot associations jointly ensure that up-to-date instructional material and training are available to the builders of amateur-built aircraft, and that cooperation between the builder and the surveyor during the building project is emphasized.

    Under implementation

  • Readiness for damage control

    The Navy is urged to review in more detail factors that are critical for smooth damage control operations when designing vessel structures. In addition, functionality of structures and equipment important for damage control must be ensured in exercises throughout each vessel's life cycle.

    Implemented

  • Instructions for floating target devices

    The Navy is urged to draw up instructions for floating target device operations.

    Under implementation

  • Risk management for electronic navigational systems

    The Navy is urged to draw up instructions for risk management related to electronic chart and information display systems.

    Partly implemented

  • Fitting of Slide Stoppers on Helicopter Landing Skids

    the European Aviation Safety Agency (EASA) informs helicopter operators of a need to fit slide stoppers on the landing skids for operations in winter and under slippery conditions.

    Under implementation

  • Location Information in Emergency Calls and Availability of 112 Suomi Application

    the Government of Åland takes action to ensure that location information is transmitted in emergency calls and the 112 Suomi application is enabled across Åland

    Under implementation

  • Use of Support Units in Emergency Medical Service Operations

    Åland Health Care District cooperates with Babcock Scandinavian AirAmbulance, public safety answering point and municipal rescue services to expand the instructions for the use of first response units to support non-urgent helicopter emergency medical service operations in the archipelago

    Implemented

  • Preparedness and Arrangements of Regional Rescue Services

    the Government of Åland takes action to ensure the implementation of statutory direction and oversight functions in order to ensure preparedness for major accidents at municipal level and to ensure the smooth conduct of rescue operations between the two rescue service areas considering the needs of persons residing in or visiting Åland in the event of accidents.

    Under implementation

  • Compliance with Ground Operations Manual

    The Finnish Transport and Communications Agency Traficom assesses management system performance and internal compliance monitoring during audits of ground handling companies.

    Partly implemented

  • Safety Assessment

    Air Charter Scotland documents and implements criteria for the need for a safety assessment, and any time these criteria are met, responsible persons shall carry out a safety assessment that encompasses all activities related to the change prompting the assessment.

    Implemented

  • Engine Electronic Control Operation

    Fokker Services as the type certificate holder and Pratt & Whitney as the engine manufacturer co-operate and look at the need for automatic engine shutdown upon uncommanded feathering.

    Implemented

  • Autofeathering Logic

    Fokker Services as the type certificate holder and Pratt & Whitney as the engine manufacturer co-operate and look at possibilities of building system redundancy to ensure that the failure of one torque sensor will not cause uncommanded feathering.

    Not to be implemented

  • Pilot Training

    Fokker Services as the type certificate holder adds uncommanded feathering procedures in the pilots' training syllabus.

    Implemented

  • Additions to Checklists

    Fokker Services as the type certification holder adds to the abnormal and emergency checklists a separate item that instructs pilots to verify landing gear retraction.

    Implemented

  • Making it easier to clear areas of unobstructed visibility at level crossings with deficient conditions

    The Ministry of Transport and Communications proposes that the Railway Act should be changed so that clearing the areas of unobstructed visibility to ensure their safety could also be done as smoothly as possible in level crossings, in which there are existing buildings or vegetation in the areas of unobstructed visibility.

    Not to be implemented

  • Taking safety into account in arranging school transports

    The Finnish National Agency for Education should instruct education providers to ensure that safety issues are taken into account regardless of how school transports are arranged, and notify transport operators and education providers about the goals and existence of the instructions.

    Implemented

  • Low-cost warning devices

    It is recommended that the Finnish Transport Safety Agency should enable the introduction of low-cost warning devices and ensure that the Finnish Transport Infrastructure Agency will continue the investigation into the suitability for use of low-cost warning devices and start to introduce them in practice.

    Implemented

  • Updates to Aviation Medicine Guidelines

    The International Civil Aviation Organization updates its Manual of Civil Aviation Medicine to better address age-related factors behind various diseases from an aeromedical point of view

    Under implementation

  • Training of Aeromedical Examiners in Assessment of Elderly Pilots

    The European Aviation Safety Agency improves aeromedical examiners’ knowledge and skills in the assessment of the state of health of elderly comorbid pilots.

    Implemented

  • Specific Approval of Amateur-built and Experimental Aircraft

    The Finnish Transport and Communications Agency Traficom improves the knowledge of general aviation pilots of the requirement for obtaining a specific approval for the training use of amateur-built and experimental aircraft.

    Implemented

  • Updating the risk assessment

    When auditing the safety management systems of railway operators, the Finnish Transport and Communications Agency should evaluate whether the assessments are updated as needed in addition to the risk assessment procedures.

    Implemented

  • Taking the risk caused by the train breaking up into account

    Railway operators should verify that brakes work in transfers of rolling stock implemented with special arrangements and take the risk of the train breaking up into account.

    Implemented

  • The use and maintenance of towing adapters and other auxiliary devices used for connecting trains

    Railway operators should ensure that the towing adapters and other auxiliary devices they use for connections have been identified and are included in the maintenance programme and that there are instructions for their use.

    Implemented

  • Contents and division of labor in water safety work

    The Ministry of Social Affairs and Health and the Finnish Institute for Health and Welfare will clarify the priorities, division of labour, funding and continuity of the work of the parties influencing the safety of water traffic and ensure that the big picture corresponds to the issues revealed by themed investigation Y2021-S1. These parties include but are not limited to the Ministry of Social Affairs and Health, the Ministry of Transport and Communications, the Finnish Institute for Health and Welfare, the Finnish Transport and Communications Agency Traficom, the Finnish Border Guard, the police, the Finnish Safety and Chemicals Agency (Tukes), the Finnish Swimming Teaching and Lifesaving Federation, Finnish Marine Industries Federation Finnboat and Finnish Maritime Rescue Federation Meripelastusseura.

    Under implementation

  • Contents and division of labor in water safety work

    Parties influencing the safety of water traffic (Ministry of Social Affairs and Health, Finnish Institute for Health and Welfare, Finnish Transport and Communications Agency Traficom, Finnish Border Guard, the police, Finnish Safety and Chemicals Agency, Finnish Swimming Teaching and Lifesaving Federation, Finnish Marine Industries Federation Finnboat and Finnish Maritime Rescue Federation Meripelastusseura) check the scope and content of their work to ensure that they correspond to the issues detected in themed investigation Y2021-S1.

    Implemented

  • Investigating suicide attempts and suicides that occur in social and health care settings

    The Ministry of Social Affairs and Health take it upon itself to ensure that a harmonised operating model for the investigation of patient and client suicides and suicide attempts is introduced across the whole of the social welfare and health care system and kept up to date. Any lessons learned from investigations that could help to improve safety must be shared across and between well-being services counties as part of the efforts to continu-ously improve the standard of safety management and the implementation of the national patient and client safety strategy.

    Under implementation

  • Ensuring access to the specialist expertise of psychiatrists

    The Ministry of Social Affairs and Health take it upon itself to ensure that each well-be-ing services county has enough specialist competence and services to offer its clients and patients according to their myriad psychiatric needs. More specialist training is needed on the detection of psychiatric multimorbidity and the prevention of suicides, which must be provided in collaboration with education providers and labour market operators. More psychiatrists are needed in the public health care system.

    Under implementation

  • Suicidal tendencies should be flagged as a risk factor in patient information systems

    The Finnish Institute for Health and Welfare take it upon itself to ensure that entries relating to suicide risk are flagged as risk factors in its coding service. The recording of information about suicide risk needs to be promoted as part of the information strategy of the new well-being services counties and efforts to improve the recording practices of social and health care services in general in order to ensure that information relating to risks is easy to find and can be used to improve patient safety.

    Implemented

  • Selection and use of the types of extinguishers

    The railway operators inspect the types of extinguishers available on the rolling stock and ensure that they have been selected correctly in relation to the most likely types of fire.

    Implemented

  • Ensuring the appropriate maintenance of rolling stock

    VR-Yhtymä Oy ensures that the rolling stock is maintained in the safe condition required by the authorisation for placing in service.

    Implemented

  • Expanding the supervision possibilities of the national safety authority

    The European Union Agency for Railways (ERA) investigates the potential of expanding the possibilities of the national safety authority to monitor the operators in the field in practice

    Implemented

  • Updating the risk assessment on the removal of train personnel from the Dm12 rail buses

    VR-Yhtymä Oy updates the risk assessment concerning the effects of removing train personnel from the Dm12 rolling stock and takes the risks of fire and the potential inability of the driver to function into account in it in particular

    Implemented

  • Self-monitoring and handling of deviations as a part of the supervision of safety management

    The Finnish Transport and Communications Agency develops its operating methods and the focus of its supervision to ensure the functioning of the operators' self-monitoring and handling of deviations in practice.

    Implemented

  • Preparations for railway work and final inspection on tracks with a weakened support layer

    The Finnish Transport Infrastructure Agency instructs that when preparing for railway work on the surface structure of sections of track where the support layer is weakened, the condition of the support layer and the rail joints should be examined and they should be taken into account in the planning, scheduling and implementation of the work. The ability of the rail to withstand lateral forces in particular must be verified in the final inspection.

    Implemented

  • Recording and monitoring rail temperatures in railway work

    The Finnish Transport Infrastructure Agency instructs that the rail temperatures should be recorded regularly and that the parties managing and monitoring railway work should monitor their development in real time and take measures, if necessary

    Implemented

  • Taking deviations from normal operation such as track buckles into account in safety management systems

    The Finnish Transport and Communications Agency emphasises safety management methods when auditing the monitoring of deviations in everyday activities and the assessment and management of risks identified through them in addition to situations involving change.

    Implemented

  • Specifying clear interruption criteria and procedures for railway work in exceptional environmental conditions

    The Finnish Transport Infrastructure Agency clearly defines the criteria for interrupting railway work, the party responsible for the decision and the allocation of the costs due to the interruption.

    Implemented

  • The monitoring of pilot training

    The Finnish Transport and Communications Agency Traficom draw up clear instructions for harmonising the training and monitoring its implementation systematically.

    Implemented

  • The shipping company’s regulations concerning piloting with a Pilotage Exemption Certificate

    The shipping company of M/V Timca, Spliethoff, specify its regulations related to pilotage so that they take account of the regulations, instructions and operating methods issued by the coastal state regarding pilotage and voyage planning for the channel to be piloted so that the safe navigation of the vessel through narrow passages can be ensured in all conditions.

    Implemented

  • The practical pilotage assessment required for a Pilotage Exemption Certificate

    The Finnish Transport and Communications Agency Traficom specify the instructions issued together with Finnpilot Pilotage Oy for the examiners of a practical pilotage assessment so that while preparing for piloting, during piloting and at the feedback event the topics related to the practical pilotage assessment are reviewed in sufficient detail and a written assessment is drawn up on their realisation.

    Partly implemented

  • Pilotage Exemption Certificate

    The Finnish Transport and Communications Agency develop the requirements related to the Pilotage Exemption Certificate training and examination so that after completing the examination, a Pilotage Exemption Certificate holder can plan the route to be piloted and the monitoring of piloting with a Pilotage Exemption Certificate, as well as pilot the vessel safely in all conditions.

    Implemented

  • Granting a Pilot Licence and a Pilotage Exemption Certificate

    The Ministry of Transport and Communications develop the legislation related to granting Pilotage Exemption Certificates so that, if necessary, criteria can be placed for them taking into account factors related to the prevailing ice and snow conditions as well as the experience of the applicant.

    Implemented

  • Building management in social welfare and health care services

    The Regional State Administrative Agencies and the National Supervisory Authority for Welfare and Health (Valvira) ensure that public and private social welfare and health care operating units have an operating model, resources and a plan for long-term building maintenance. Building maintenance must be competent, systematic and sufficient in relation to the operations and the characteristics of the building.

    Implemented

  • Elevator training for rescue personnel

    The Emergency Services Academy Finland and the partnership network of rescue departments ensure that the training material in the field of rescue includes instructions on how to identify a brake malfunction and prevent the movement of the elevator mechanically. The information must be provided to rescue departments.

    Implemented

  • Content of elevator maintenance programmes

    The Finnish Safety and Chemicals Agency develop procedures for preventing excessive cutbacks in elevator maintenance programmes and the delay of renovations. The inspection body must be able to inspect the maintenance programme, demand justification for any changes and address defects.

    Implemented

  • Monitoring significant organisational changes

    The Finnish Transport and Communications Agency establishes effective methods that will enable continued oversight of aviation stakeholders in the event of rapid and significant changes and bolster aviation organizations’ current self-monitoring procedures.

    Partly implemented

  • Securing the recordings of flight data recorders

    The Finnish Transport and Communications Agency ensures that securing of flight recorders is included in airlines’ operating procedures.

    Implemented

  • Decision-making criteria and procedures for managing exceptional situations

    Finavia establishes unambiguous criteria and procedures to support decision-making for the closure of the movement area or portions thereof, or for ensuring preconditions of their safe utilization.

    Implemented

  • Observing Effects of Winter Conditions in Flight Training

    The Finnish Transport and Communications Agency Traficom instructs approved training organizations operating from uncontrolled aerodromes to review and if necessary update their hazard logs for the effects of winter conditions. It is also recommended that the agency ensures that risk management actions mentioned in hazard logs are included in the manuals and operation of the training organizations.

    Under implementation

  • Scheduling of LAPL(A) Theoretical Knowledge Instruction and Training Syllabus Exercises

    The European Aviation Safety Agency (EASA) establishes the minimum requirements for theoretical knowledge instruction before the commencement of flight instruction. It is also recommended that the agency lays down a requirement that approved training organizations shall describe, in writing and in an unambiguous manner, acceptable reasons for deviations from the prescribed order of air exercises before the solo flight phase. These reasons shall be based on risk assessment.

    Not to be implemented

  • Emergency Response Plans of Approved Training Organizations

    The Finnish Transport and Communications Agency Traficom reviews the update status of the emergency response plans of approved training organizations, the arrangements of emergency training, the correctness of the prescribed reporting procedures, and instructions related to the preservation of evidence.

    Implemented

  • Accident Reporting and Actions at Accident Site

    The Finnish Transport and Communications Agency Traficom informs persons and organizations involved in aviation of the reporting procedure that is described in Advisory Circular GEN T1-4 and should be followed in the event of an accident or a serious incident. It is also recommended that these persons and organizations are reminded of an appropriate course of action in order to preserve evidence related to the accident site and the accident aircraft.

    Implemented

  • Developing the Maritime Rescue Sub-Centre’s operations in the event of a major accident

    The Finnish Border Guard develop the work processes of Maritime Rescue Centres and the use of assistive technologies in their work, so that the situation can be analysed quickly, maritime rescue units can be alerted and instructed efficiently, and cooperation partners can be given a clear picture and assessment of the situation.

    Implemented

  • Identification and preventive maintenance of critical components

    Viking Line Oyj specify its instructions for preventive maintenance so that components necessary for the continuous functioning of critical systems are identified and their condition is verified regularly with a reliable method. The replacement schedule of necessary components must be evaluated according to use and linked to the vessel's docking cycle if necessary.

    Implemented

  • Improving cooperation between the bridge and engine control room

    Viking Line Oyj develop cooperation between the bridge and engine control room in investigating the causes of faults and in the management of incidents.

    Implemented

  • Taking bridge arrangements into account in inspections

    The Finnish Transport and Communications Agency draw up application instructions for vessel inspectors and authorised classification societies for confirming compliance with requirements set by regulations on bridge arrangements — such as SOLAS Chapter V, regulation 15 — in the inspections of SOLAS and non-SOLAS vessels, and for rectifying shortcomings in these areas.

    Implemented

  • Assisting people in a complex crisis

    The Ministry of Social Affairs and Health will ensure that the social welfare and health care system is capable of identifying the assistance needs of large groups of people in various widespread crises and of responding to such needs in a coordinated fashion, regardless of the individual's place of residence or care.

    Implemented

  • Capability to implement quick development projects for digital solutions

    The Ministry of Finance will ensure that Finland possesses capabilities for the rapid launch of digital technology projects and for ensuring access to the application development, data protection and information security expertise required in times of crisis.

    Implemented

  • Improvement of information flow between levels of government

    The Prime Minister’s Office ensures that a model for the exchange of information between the government, regions and municipalities is developed, so that a situation picture can be maintained and shared securely in both directions, and that decisions and planned measures can be communicated. Such a model requires appropriate and uniform points of contact in all regions. .

    Under implementation

  • Plans for restricting cross-border traffic

    The Ministry of the Interior will ensure that a comprehensive plan that takes all perspectives into account is implemented across administrative branches for the functioning of border crossings and the controlled restriction of cross-border traffic, health examinations and border control in times of crisis.

    Under implementation

  • Networks for the broad-based utilization of expertise

    The Prime Minister’s Office will ensure that procedures are developed for networking between official actors and the dissemination and use of open data, so that this data and the expertise of universities and other expert organizations can be leveraged in the event of a crisis. This requires models for the secure, two-way flow of information, also to non-authorities. This aspect must be included in preparedness plans.

    Under implementation

  • Hierarchy of powers during a serious crisis

    The Ministry of Finance will ensure that Finland possesses capabilities for the rapid launch of digital technology projects and for ensuring access to the application development, data protection and information security expertise required in times of crisis.

    Under implementation

  • Development of preparedness

    The Prime Minister’s Office will ensure that a joint function is instituted for central government, the regions and municipalities, which regularly reviews the state of preparedness, for example through audits, and supports organizations in their preparedness work. At the same time, this will provide information on the sufficiency of preparedness obligations, performance management, resourcing and strategic goals.

    Under implementation

  • Developing the monitoring of infectious diseases

    The Finnish Institute for Health and Welfare will enhance its function that monitors the spread of dangerous diseases on a daily basis in the manner of a situation center, produces analyses and communicates actively and systematically at least with the Government situation center, administrative branches of the Ministry of Social Affairs and Health and Ministry of Agriculture and Forestry, international actors and the scientific community. A common taxonomy is also required to enable the decisive initiation of the necessary measures planned in advance.

    Under implementation

  • Rapid access to information on unknown diseases

    The Ministry of Social Affairs and Health will investigate possibilities for improving autopsy capabilities in the event of a rapidly escalating crisis, with the purpose of gathering information to mitigate the damage.

    Under implementation

  • Overhaul of the crisis leadership model

    The Prime Minister’s Office ensure that the crisis leadership model is updated and awareness of it increased so that it can be applied in future crises. The model must ensure that open, proactive and adequate cooperation, preparations and leadership are implemented in time. In addition, a body with overall responsibility for ensuring that preparations are made and measures implemented and monitored actively is required and must be specified in advance. Clear leadership of and responsibilities for communications are required, so that a clear distinction can be made between political decisions and expert opinions.

    Under implementation

  • Capacity for reorganizing duties within the administration

    The Ministry of Finance will ensure that practices for the planned and smooth transfer of personnel within central and municipal government are prepared for municipalities and the central government, even in smaller crises or disruptions that do not cause a state of emergency.

    Implemented

  • Development of centralized procurement

    The Ministry of Economic Affairs and Employment will develop procedures and cooperation with key commercial operators, so that large urgent procurements will be made by organizations with networks and expertise in foreign trade. Procurement capabilities are rehearsed by acquiring the material stored for security of supply through the same diverse channels, and domestically where possible.

    Partly implemented

  • Developing the operations of emergency medical services in changing conditions

    The Ministry of Social Affairs and Health instruct and monitor hospital districts so that they specify their instructions with regard to the management of emergency medical service assignments, the internal flow of information, and the training of emergency medical personnel for different modes of transport.

    Partly implemented

  • Developing the vessel operations of the rescue department

    The Ministry of the Interior draw up a regulation on the vessel operations of rescue departments and issue instructions for the transition period in order to ensure the safe use of the existing fleet of vessels.

    Under implementation

  • Ensuring that the bridge ergonomics of vessels are functional

    The Finnish Transport and Communications Agency provide instructions for the assessment of the functionality of the bridge ergonomics of vessels and the usability of the equipment during vessel surveys.

    Partly implemented

  • Instructions for saving people from inside a boat

    The Border Guard draw up instructions on rescuing people from inside a boat and ensure that the rescue units have the tools and equipment required for the purpose.

    Partly implemented

  • Increasing awareness of leaks in boats

    The Finnish Transport and Communications Agency Traficom increase awareness of how dangerous leaks are in its communication to boaters.

    Implemented

  • Developing the management of emergency medical tasks

    The Border Guard ensure that maritime rescue centres have clear and up-to-date operating models as well as instructions for leading emergency medical tasks and the related communications.

    Implemented

  • Training for driving and navigating a fast boat

    The Border Guard develop the user training of fast boats by emphasising the impact of navigation equipment and systems as well as the type-specific limitations of boats on safe navigation work in the cab.

    Implemented

  • Fast boats in water traffic

    The Ministry of Transport and Communications take the trend of increasing numbers of fast boats in slower traffic into account in the traffic safety strategy, the amendments to the Water Traffic Act as well as other future solutions. The issue requires active monitoring and potentially some measures to improve safety.

    Under implementation

  • Safety distances and protective structures

    Together with the other authorities supervising events, the Finnish Safety and Chemicals Agency (Tukes) ensure that in motorsport events and other similar events involving high kinetic energy, the event organiser is always required to provide reports and plans based on calculations or applicable rules of the sport concerning the safety distances and structures implemented to protect the public and the officials.

    Under implementation

  • Inspections at the construction site

    The Confederation of Finnish Construction Industries RT and its building construction sector-specific association Talonrakennusteollisuus ry develop the construction site inspection procedures and inspection document so that they are more suitable for large construction sites. When a certain issue is marked as inspected, it must be based on actual procedures, sufficient documentation and real preconditions for proper inspections.

    Implemented

  • Rescue Operations Command Guidelines

    The Emergency Services Academy Finland and the Ministry of the Interior ensure that the fundamentals of management design are drawn up and published for rescue departments. The instructions must include the principles of implementing the overall leadership and management of rescue formations simultaneously in large-scale rescues. The instructions must also help with ensuring the continuity of the authorities’ actions and cooperation at the end of the rescue activities.

    Under implementation

  • Official supervision and guidance of construction

    The building inspection association Rakennustarkastusyhdistys and the partnership network of rescue departments clarify together the practices on the division of labour between building control and rescue authorities in large-scale construction projects. In particular, the procedures of keeping the guidance and approval of structural solutions separate as well as the changes that can be permitted without additional planning must be reviewed.

    Under implementation

  • A guideline for implementing a large-scale evacuation

    The Ministry of the Interior should ensure that guidelines are prepared for the implementation of large-scale evacuations.

    Under implementation

  • Passenger safety on Dm12 rolling stock

    VR Group replaces the emergency opening instruction decals and ensure the functioning of safety lights on rail buses

    Implemented

  • Side collision protection for rolling stock

    The European Union Agency for Railways add requirements on protection against side collisions to regulations on diesel trains.

    Not to be implemented

  • Use of location signs in the emergency call

    The Finnish Transport Infrastructure Agency agrees with the Emergency Response Centre Administration on the use of location signs in railway emergency calls

    Implemented

  • Evacuation training for engine drivers

    VR Group includes evacuation training in its engine driver training program

    Implemented

  • Ensuring that one can exit new and renovated buildings on one’s own

    The Ministry of the Environment will amend the building regulations so that one can exit new and renovated buildings on one's own also via a fire escape. The primary fire escape arrangement must be a balcony hatch, ladder or other fixed arrangement.

    Not to be implemented

  • Analysis and risk assessment of occurrence reports

    Redefine the usability of occurrence reports in analysing similar events and further enable the use of this information in monitoring its safety management organisations.

    Implemented

  • Calling for help

    Standardise the instructions of the flight and cabin crew on calling for help in case of an accident occurring to the passengers or crew members of the aircraft while boarding or exiting the aircraft.

    Not to be implemented

  • Situational awareness of the cabin crew

    Ensure that the cabin crew is trained and instructed to maintain a uniform situational awareness.

    Implemented

  • Clarifying the areas of responsibility

    Harmonise and clarify the definition of duties and areas of responsibility of the cabin crew in the CCOM handbook and skyGuest application.

    Implemented

  • Standardising and implementing instructions

    Ensure that the instructions and terminology concerning different groups of employees and subcontractors are uniform and that new or changed instructions are implemented at the same time for all groups.

    Implemented

  • Processing reports

    Together with its subcontractors, ensure that in accidents or incidents involving the aircraft, its passengers or crew, all parties involved in the incident report it to the other parties and process the reports in a coordinated manner.

    Implemented

  • Safety cooperation concerning the use of shipping routes

    The Finnish Shipowner’s Association, together with the Finnish Transport and Communications Agency Traficom, Finnpilot Pilotage Ltd and VTS Finland, develop the safety cooperation between lane users, lane managers and traffic control operators, along with the open sharing of information, for example with regular route meetings as is the practice in Sweden.

    Implemented

  • Traffic reports concerning the departure of road ferries

    VTS Finland develop the traffic report practices for road and commuter ferries in cooperation with Traficom, so that the reports as a whole will provide the greatest possible safety benefit and will not be strictly coupled to poor visibility.

    Implemented

  • Development of the Vessel Traffic Service

    VTS Finland develop its operating models, vessel traffic risk assessments and information systems so that vessel traffic controllers will have a real chance to detect imminent congestion or risks and take preemptive action to warn all traffic under their responsibility.

    Under implementation

  • Finferries’ management system and customer service

    Finferries clarify its instructions on at least departure, telephone use and keeping a lookout, and develops its safety management and training system to better address both ship- and ferry-specific and human risks and their management

    Implemented

  • Improving the processing of deviation reports

    The Finnish Transport and Communications Agency develops its safety deviation infor-mation system so that it can be used to follow the processing of deviations. Furthermore, the Finnish Transport and Communications Agency ensures that all operators in the railway industry have functional deviation management processes.

    Implemented

  • Railway emergency calls should be used routinely

    The Finnish Transport Infrastructure Agency, Finrail Oy, railway industry training institu-tions, railway operators and infrastructure managers stress the importance of making railway emergency calls in their basic and refresher training.

    Implemented

  • Protecting train traffic from traffic entering from class 2 traffic control ar-eas

    The Finnish Transport Infrastructure Agency implement technical safeguards for protecting routes from traffic entering from class 2 traffic control areas.

    Implemented

  • Improving the lights of shunting locomotives

    Railway operators improve the lights of locomotives used for shunting with modern technology.

    Implemented

  • Development of railway information systems

    The Finnish Transport Infrastructure Agency and railway operators improve the interoperability and usability of their information systems.

    Implemented

  • Ensuring competence and the assimilation of information in online training

    Railway training institutions, infrastructure managers and railway operators develop their online training in order to ensure the assimilation of the required information and the professional competence of employees taking the courses.

    Implemented

  • Improving the lighting of railway yards

    Infrastructure managers improve the lighting of railway yards with modern technology.

    Implemented

  • Harmonization of shunting instructions

    The Finnish Transport Infrastructure Agency assumes overall responsibility for shunting work instructions in Finland by supplementing the Train Traffic and Shunting Safety Guidelines document in this regard. Operators can only be permitted to have supplemen-tary local guidelines drawn up in cooperation with other operators.

    Implemented

  • Improving the clarity of railway yard signs

    The Finnish Transport Infrastructure Agency reviews track signs and ensure their visibility and unambiguity.

    Implemented

  • Clarifying the instructions on GPS positioning in the trackwork permission process

    The Finnish Transport Infrastructure Agency orders the use of GPS positioning to be mandatory in locating trackwork

    Implemented

  • Competence assurance in the trackwork training of companies

    The Finnish Transport Infrastructure Agency emphasises competence assurance in auditing the training of trackwork companies

    Implemented

  • Use of location markers and track elements in the voice communications between centralised traffic control and the trackwork supervisor

    The Finnish Transport Infrastructure Agency harmonises the location instructions for the railway network so that location markers are used in addition to the track elements in the voice communications between centralised traffic control and the trackwork su-pervisor, if necessary.

    Implemented

  • Harmonising the maps

    The Finnish Transport Infrastructure Agency harmonises the maps used for locating trackwork.

    Implemented

  • Distribution of safety work and resources in sport aviation

    Together with recreational aviation operators takes steps to clarify task sharing in safety matters and ensures the availability of adequate financial and human resources and required knowledge.

    Partly implemented

  • Harmonization of the training requirements in sport aviation

    Harmonizes ultralight flight training requirements with EASA’s LAPL training requirements.

    Partly implemented

  • Ensuring the quality of training

    Together with FAA and other recreational aviation operators improves quality assurance and safety management in training with the aim of ensuring the compliance with the applicable training requirements in all nationally approved organizations.

    Implemented

  • Training of authorities related to rocket-powered rescue parachutes

    The Ministry of the Interior and the Finnish Transport and Communications Agency Traficom together ensure that current knowledge and training on BRPS disarming are available to the organizations that are in charge of aircraft accident rescue operations and to police departments.

    Implemented

  • Safety Alert

    The LAA ČR issues a mandatory service bulletin for the installation of a barrier between the pedal assemblies of Evektor-Aerotechnik EV-97 aircraft. The modification would prevent the pilot from operating the adjacent pedal assembly.

    Partly implemented

  • Sport aviation training

    Transport- och kommunikationsverket utreder och ger anvisningar om kraven som föregår ensamflygningar inom utbildningen för certifikat för ultralättflygare på ett sådant sätt att den inverkan som flygpauser under utbildningen har på säkerheten beaktas.

    Implemented

  • Limiting the maximum flight hours with respect to training days

    Amends aviation regulation TRG M1-7 in such a way that will preclude excessively long flight training days for a student undergoing instruction.

    Implemented

  • Transfer of a maritime SAR Mission from the ERC to the MRCC

    The Ministry of the Interior ensure that the transfer of a maritime search and rescue mission received by an Emergency Response Centre to a Maritime Rescue Coordination Centre takes place without delay or interruption.

    Implemented

  • Assessment of the risk of collision

    The Finnish Transport and Communications Agency, together with boating organizations, bring up the problem of a constant bearing and decreasing range and practical means for estimating the risk of collision as part of the training and guidance provided to boaters.

    Implemented

  • Arrangement of lookouts

    The Finnish Transport and Communications Agency pay attention to teaching and training methods concerning proper lookout and the related practical means when auditing the training programs for recreational boating.

    Implemented

  • Transfer of the malfunction, change and maintenance history information of vessels when ship manager changes

    The Government of the Province of Åland, as the instance responsible for the commuter ferry traffic in the province and the owner of the commuter ferries, create procedures for ensuring the transfer of fault, change and maintenance history information affecting the safe operation of vessels when their crew or ship manager changes.

    Implemented

  • Improving of the detectability of critical alarms

    Lloyd’s Register ensure that the monitoring system of a vessel is implemented in such a manner that the watch personnel receive immediate and clearly identified information on malfunctions in critical systems.

    Under implementation

  • Ensuring the disclosure of malfunction, change and maintenance history information of vessels

    The Finnish Transport and Communications Agency take action to develop regulations concerning the transfer of fault, change and maintenance history information affecting the safe use of vessels when the vessel’s ownership or ship manager changes.

    Implemented

  • Ensuring the competence of air traffic controllers

    The Finnish Transport and Communications Agency reassess the purposefulness and effectivity of the competence assessment process of Air Navigation Services Finland Ltd.

    Implemented

  • Inclusion of safety consideration of departures and returns in the Finnish Air Force flight operations manual also for individual exercises

    The Finnish Air Force take into account in the ORM risk analysis for its exercises the air navigation risks related to the departures and returns of wings, and update the flight operation instructions for its exercises to conform with this risk management

    Implemented

  • Standardisation of air traffic control workstations, equipment and workstation ergonomics

    Air Navigation Services Finland Ltd. prepare uniform instructions for the placement, hardware and workstation ergonomics for joint-operation airports.

    Implemented

  • Avoidance of similar radio calls between different aircraft

    The Finnish Air Force develop clearly distinguishable aircraft callsigns for its exercises.

    Implemented

  • Advance notification procedure and flight information service

    The Finnish Transport and Communications Agency ensure that ANS Finland Oy provides instructions on procedures for handling advance notifications related to RPAS operations and the provision of the related flight information service.

    Under implementation

  • Consistency of the Aviation Act and the aviation regulation

    The Ministry of Transport and Communications ensure that the regulations on RPAS operations are consistent

    Implemented

  • Flight operations in missions involving multiple authorities

    The Ministry of the Interior ensure that State aviation actors and the instance responsible for medical helicopter operations are informed of the flight operations of the different parties

    Under implementation

  • The Droneinfo application

    The Finnish Transport and Communications Agency correct the deficiencies in the Droneinfo application

    Partly implemented

  • Use of Voice in Immediate Action Instructions

    ANS Finland pays attention to the way controllers speak during communication and the tone and volume of speech in the delivery of critical messages. The principles shall be clearly documented and observed during site-specific and other training

    Not to be implemented

  • Risk Analysis on Landing Clearances Issued in Accordance with Principle of Reasonable Assurance and Resulting Actions

    Traficom and ANS Finland launch a joint long-term risk analysis of potential hazards associated with landing clearances that are based on reasonable assurance. The analysis would look at challenges to the controllers, the potential consequences of nonexecuted go-around instructions, and other contingencies. The results would be used to revamp the existing procedures by eliminating the possibilities of inconsistent interpretations resulting from the way the conditions are prescribed in the present documents

    Under implementation

  • Interpretation of Definition of Runway Vacation

    Traficom and ANS Finland jointly see that the controllers’ actions are in compliance with the existing guidelines and instructions and clarify the definition of runway vacation in the national documents if necessary.

    Not to be implemented

  • The goals of audits

    The European Union Aviation Safety Agency (EASA) ensure that the audits conducted by the EU Member States on operators also cover the practical functioning and performance of safety management systems

    Under implementation

  • Taking safety issues into account in tendering

    The Finnish Transport and Communications Agency explore and instruct how operators’ aviation safety and safety management performance, as criteria, can be used in tendering for air services, taking the EU’s regulations into account

    Not to be implemented

  • Ending the use of magnetic tape recorders

    The European Union Aviation Safety Agency (EASA) set a deadline for the use of flight data recorders recording on magnetic tape

    Not to be implemented

  • Safety assessment among airlines

    The European Commission see to it that a process is created by which it becomes possible to impartially assess operators’ safety management performance and safety levels in tendering for air services.

    Under implementation

  • Consideration of ferry boats as ferry vessels

    The Ministry of Transport and Communications prepare an amendment, defining ferry boats as vessels.

    Under implementation

  • Inclusion of navigation qualification requirements and vessel manning in the customer’s service description

    The service customer includes the navigation qualification requirements for ferry boat pilots and the manning requirements of the ferry boats in its service description.

    Implemented

  • Determination of ferry boat pilot qualifications and minimum manning of ferry boats

    The Finnish Transport and Communications Agency define the navigation qualification requirements for ferry boat pilots and the minimum manning of ferry boats.

    Under implementation

  • Safety of rental cabins and apartments

    The Ministry of Employment and the Economy take the safety issues in the accommodation business into consideration in the preparation of regulations for the sharing and platform economy and in international co-operation. Platforms offering accommodation must show how the basic safety of the apartment or holiday home have been taken care of. The customer must also be provided with the necessary safety instructions.

    Under implementation

  • Safety of rental cabins and apartments

    The Finnish National Rescue Associations SPEK draw up short instructions and a check list that a party letting out an apartment or a holiday home for a short period of time can use to ensure and show to the lessee how the basic safety has been taken care of. These instructions should be adopted by all the major letting agents and platforms. The practice should be expanded to full European level, for example through the Confederation of Fire Protection Associations Europe CFPA.

    Implemented

  • Safety of electrical installations

    The Finnish Safety and Chemicals Agency and the Ministry of the Environment jointly develop procedures that can be used during the supervision of a building project to ensure that the electrical installations and proper final inspections are performed by a qualified contractor.

    Implemented

  • Risk Assessment Related to Undetectability of Navy Vessels

    The Navy perform a risk assessment of the significance of the undetectability of its operations to the safety of its own and other vessels and to the possibilities of the VTS to monitor the general safety of the maritime traffic in its area and to prepare instructions for the measures necessary for the management of the identified risks.

    Implemented

  • Protocol for Reporting Incidents to Finnish Transport and Communications Agency

    The Navy and Finnpilot Pilotage Oy agree with the Finnish Transport and Communications Agency on procedures for reporting incidents for the overall development of maritime safety.

    Implemented

  • Ensuring the power supply of the data recorder

    An independent power supply is required for new rolling stock being type approved that guarantees the operation of the recorder for a minimum of 30 minutes after power has been cut off.

    Not to be implemented

  • Instructions and supervision of the assessment of level crossing risks

    The Finnish Transport and Communications Agency shall define an approval process for the risk assessment of level crossings and supervise that the corrective measures are taken.

    Implemented

  • Improvement of the safety management of the waste collection process

    The safety management related to the waste collection process shall take comprehensively into account the requirements of the work processes and the identification of occupational safety and traffic safety risks. Instructions shall be drawn up for the work processes and the orientation of the employees, and they shall be documented. Processes for handling feedback shall be defined in order to improve the operations.

    Under implementation

  • Speed limits at level crossings

    The Finnish Transport and Infrastructure Agency and other road keepers should review all speed limits, particularly at unprotected level crossings, and ensure that comply with the guidelines.

    Implemented

  • Improvement of the safety of the cabin windows of rolling stock

    Railway undertakings shall ensure that the cabin windows of the rolling stock are made of glass that does not cause additional injuries when breaking in an accident.

    Not to be implemented

  • Review of the execution of railway clearance operations

    The Finnish Transport and Infrastructure Agency shall initiate a new review of the regulations concerning clearance work and clarify the roles of the actors in clearance operations.

    Implemented

  • Emergency lighting of the Sr3 locomotive

    VR Group shall change the emergency lighting of the Sr3 locomotive to meet the TSI requirements.

    Not to be implemented

  • Management of the level crossing risks identified during track projects

    In its track projects, the Finnish Transport and Infrastructure Agency shall prepare a plan and a timetable for the correction of the risks identified at level crossings. It must not be possible to transfer the risks into the future as residual risks.

    Implemented

  • Pilot training

    Finnpilot Pilotage Oy develop the pilots' skills in mooring and unmooring steering of vessels, the utilisation of tugboats and fostering communications during bridge duties.

    Implemented

  • Wind restrictions at ports

    In cooperation with the ports, Finnpilot Pilotage Oy prepare port-specific restrictions applying to pilotage

    Under implementation

  • Real-time weather data from port areas

    Together with the ports, the Finnish Meteorological Institute develop a system for port specific weather data.

    Under implementation

  • Pilots’ knowledge should be involved in the development of port area safety

    The Ministry of the Environment instruct a hearing practice in all building and renovation projects concerning port areas.

    Under implementation

  • Pilots’ knowledge should be involved in the development of waterway safety

    The Finnish Transport and Infrastructure Agency develop a regular practice for involving the expertise of pilots in the development of the fairways.

    Implemented

  • Emergency instructions for crew for evacuation

    The European Aviation Safety Agency (EASA) ensure that Airbus S.A.S, in their emergency evacuation procedures, re-evaluate the situation where it becomes necessary to immediately shut down the engines.

    Implemented

  • Accident in the manoeuvring area

    The Finnish Transport and Communications Agency ensure that Helsinki-Vantaa Airport develops effective procedures that guarantee unhindered access for authorities in charge of, and participating in, rescue operations to an accident site on the manoeuvring area.

    Implemented

  • 5.1 Evacuation initiated by the cabin crew

    The European Aviation Safety Agency (EASA) ensure that operators, in their procedures and training, take into account the situation where evacuation is initiated without waiting for the captain’s command.

    Partly implemented

  • Driver health competence of doctors

    The university faculties providing medical training ensure that the basic, specialisation and complementary training of physicians include the basics of driver health. In particular, the objective must be that physicians are familiar with the special characteristics of the driver profession, the driver health requirements and the effects of driver health on safety.

    Implemented

  • Supplements to driver health examination instructions

    The Finnish Transport and Communications Agency amend the driver health instructions by adding the identification of hyperglycemia and the measures it requires, particularly with respect to professional drivers.

    Implemented

  • Locations making a major accident possible in the road network

    The Finnish Transport Infrastructure Agency identify the locations in the road network involving the possibility of a heavy vehicle falling off and plan corrective measures in co-operation with the municipalities and ELY Centres. Such measures include the removal of obstructions of visibility, guidance for a speed suitable for the situation, improvements in the geometry of the ramp and the intersection, and additional railings slowing down speed at various points.

    Implemented

  • Monitoring the health of bus drivers

    The Ministry of Transport and Communications check the requirements and practices relating to the monitoring and safeguarding of the state of health of bus drivers and ensure that the likelihood and consequences of losing the ability to function are managed in the same manner as with other modes of transport. Attention must also be paid to psychiatric health and fatigue management.

    Implemented

  • Utilization of vehicle safety technology

    In its international co-operation, the Transport and Communications Agency actively promote collision alarms, emergency braking systems, lane guards and equipment monitoring the driver's alertness – all equipment that has already become established in the market – becoming common in buses. Due to the possibility of a major accident, there are grounds to require more safety equipment in buses than in other vehicle categories.

    Implemented

  • Unification of qualifications upkeep for certified first responders

    The Ministry of Social Affairs and Health shall ensure that the health care districts harmonise the training and maintenance of the qualifications of emergency medical service personnel between the Coast Guard Districts and the Air Patrol Squadron.

    Under implementation

  • Training of certified first responder field managers

    Together with the health care districts, the Ministry of Social Affairs and Health shall prepare a nationally uniform training framework for the induction of field commanders of emergency medical services, containing at least the operating models required in different situations, as well as the responsibilities, obligations and authorisations related to regional knowledge and the role of a field commander.

    Partly implemented

  • 1.2      Development of Rescue Department vessel operations

    The Ministry of the Interior draw up a regulation on the vessel operations of the rescue departments and issue an instruction for the transition period in order to secure the safe use of the vessel fleet [2019-S21].

    Under implementation

  • 1.1      Improvement of student safety with regard to events included in the curriculum taking place outside schools

    The Finnish National Board of Education give instructions on taking student safety into consideration with regard to teaching, training and other events included in the curriculum taking place outside the school area or organised by outside parties

    Under implementation

  • Official regulations concerning commercial craft

    The Finnish Transport and Communications Agency draw up rules for commercial craft that take account of the special requirements related to the purposes of use and operating conditions of fireboats.

    Implemented

  • Event database

    The Finnish Safety and Chemicals Agency Tukes must show initiative and present the need for the simplification and streamlining of the requirements of the authorities to the relevant ministries and authorities. In connection to this, Tukes must plan what kind of co-operation is required for the creation of an event database. The purpose of the database is to guide event organisers in entering the basic and safety planning details of the event into the database, allowing the information to be distributed to the different authorities.

    Under implementation

  • Investigation of motorsport accidents

    The national motorsports governing body, AKK-Motorsport ry, must prepare a procedure for collecting and publishing accident data and numbers, and define objectives and measures for reducing the number of accidents.

    Implemented

  • Issuing instructions to the audience during a rally

    The national governing body of motorsports, AKK-Motorsport ry, must issue instructions to the organisers of rallycross events in such a manner that the audience is directed to marked viewing areas and that there are a sufficient number of such viewing areas in locations interesting to the audience. Clear, multichannel communications must be used to express that viewing the race elsewhere is dangerous. The audience must be clearly advised of the dangers related to rallycross. The final lead car must check the audience locations.

    Partly implemented

  • Specifications of track monitoring points

    The national governing body of motorsports, AKK-Motorsport ry, must prepare a description for the folk racing rules of what is a safe marshal post and how it should be located and inspected. Requirements on the qualifications, orientation, equipment and minimum age of the officials are also required.

    Implemented

  • Guidelines for arranging a motorsport event

    The national governing body of motorsports, AKK-Motorsport ry, must update the rules and templates for the different motorsport events so that the motorsport events are planned in a manner that identifies and reduces the risks of that precise event, and in a manner that the planning and the documents meet the requirements of the relevant regulations. The planning must be carried out well in advance of the event.

    Implemented

  • Identification of critical information system components

    The Ministry of Social Affairs and Health should instruct the hospital districts in defining the criticality of the most vital information systems and their components from the perspective of patient safety. The reliability of systems classified as most critical should be ensured through, for example, redundancy, planned temporary solutions, spare parts, special components and active monitoring and maintenance measures. This matter must also be addressed in future health care reforms.

    Under implementation

  • Air traffic controller training for special situations

    The Safety Investigation Authority recommends that Air Navigation Services Finland ensure sufficient scope and content of local recurrent training at each aerodrome regarding special situations.

    Implemented

  • Technical systems

    The Safety Investigation Authority recommends that Air Navigation Services Finland and Finavia also update the communication and air traffic management systems of airports where there is little traffic to meet modern requirements.

    Under implementation

  • Compliance with instructions and regulations

    The Safety Investigation Authority recommends that the Swedish Transport Agency (Transportstyrelsen) ensure that crew resource management and radiocommunication at the operators they supervise as well as the operators’ training comply with the training programmes the Agency has approved.

    Implemented

  • Learning from dangerous situations in the health care sector

    The Ministry of Social Affairs and Health should oversee the development of a data collection and sharing system for the health care sector, with the purpose of collecting the relevant information on all incidents that cause serious risks to patient safety and formulating and publishing the relevant conclusions on improving safety for the benefit of the whole sector.

    Partly implemented

  • The maintenance of the systems

    The Ministry of Social Affairs and Health should ensure that health care operators have maintenance, update and replacement programmes in place for information systems and their components, and that the programmes are followed and supervised. A monitoring system for update needs must be put in place. The decision-making process on maintenance needs must be clarified to avoid delays.

    Partly implemented

  • Continuity planning and training in hospital wards

    The Ministry of Social Affairs and Health should ensure that wards with particular patient safety risks have continuity plans in place, information systems have been taken into account in the plans, the measures, instructions and purchases required by the plans have been carried out and the implementation of the plans is practised regularly. Sufficient supervision of preparedness must be ensured in future health care reforms.

    Partly implemented

  • Development of the identification and management of risks related to rail traffic in safety management systems

    Railway operators and the Finnish Transport Infrastructure Agency must develop the identification and management of risks related to normal rail traffic in their safety management systems.

    Implemented

  • Guidelines on ensuring that wagons remain in place

    The Finnish Transport Infrastructure Agency will draw up guidelines on keeping wagons stationary in the Finnish state rail network.

    Implemented

  • Clarification of the role of the infrastructure manager

    The Finnish Transport Infrastructure Agency will inform stakeholders of its role and responsibilities.

    Implemented

  • Safety checks during the temporary preservation of RID wagons

    Railway operators and infrastructure managers must perform a risk assessment of the temporary storage of RID wagons in locations other than designated RID railway yards, and the due care and attention required under RID legislation must be observed.

    Implemented

  • Guidance for and definition of remote management during rescue operations

    The rescue services define the principles underlying remote management and the communication of the situational picture at the scene of the accident, and draw up guidelines on remote management.

    Under implementation

  • Preventing congestion amongst RID transports

    Railway traffic operators, the Finnish Transport and Communications Agency and the competent authorities must develop means of preventing traffic congestion amongst transports with dangerous goods arriving from Russia. The acquisition and use of predictive information must be developed in particular.

    Implemented

  • Definition of Aircraft Accident and Full Emergency in Air Traffic Control’s Alerting Instructions

    Air Navigation Services Finland amends the alerting instructions issued to air navigation service units to clearly indicate that an emergency situation communicated on the radio or by setting the emergency code on the transponder are given an identical classification.

    Implemented

  • Cooperation in Aviation Incidents and Accidents

    The Ministry of Interior cooperates with the Ministry of Social Affairs and Health, Air Navigation Services Finland and the Emergency Rescue Center Agency to align their procedures governing actions in aircraft accidents and full emergency situations. In conjunction with this, a need to amend the contents of the procedures in matters related to, in particular, the contents of alert calls, response arrangements and inter-organization communications should be investigated

    Under implementation

  • Transportation in Movement Area during Accident

    The Finnish Transport Safety Agency ensures that airport operators include in their emergency plans contingency procedures for the transportation of evacuated passengers at the aerodrome

    Implemented

  • Opening the Protective Breathing Equipment Bag

    The US Federal Aviation Administration (FAA) issues an airworthiness directive requiring a modification to be incorporated in the protective bag part number 119003 manufactured by B/E Aerospace, Inc. to facilitate its opening.

    Implemented

  • Runway Maintenance

    Finavia reviews the current methods for runway condition assessment, runway maintenance, and response to changing conditions, and on the basis of the review implements the necessary changes.

    Implemented

  • CityJet Instructions on Performance Calculations

    The Irish Aviation Authority (IAA) oversees that the methods used by CityJet for performance calculations are adequate and ensure safe operation under different circumstances.

    Implemented

  • Hydroplaning and Tires

    Transport Canada (TC), as the CRJ series airplane type approval authority, oversees that Bombardier demonstrates that hydroplaning speed are determined in a sufficiently reliable manner for the tire types currently used in airplanes.

    Not to be implemented

  • Processing of Aircraft Accident Alarms in Emergency Response Centers

    The Ministry of Interior together with the Emergency Response Center Agency investigate ways of finding a modern technical solution that would facilitate quick forwarding of an alarm from an air traffic control facility to an ERC.

    Implemented

  • Knowledge of Thrust Reverser System Logic

    Transport Canada (TC) oversees that Bombardier provides operators with information on the logic of thrust reverser system operation in various situations.

    Implemented

  • Improving operators’ procedures on taxiing

    The Finnish Transport Safety Agency, when conducting inspections of operators, ensure that the operators’ taxiing procedures take into account that flight crews continuously maintain sufficient situational awareness.

    Implemented

  • Coordination of aerodrome maintenance

    Finavia and ANS Finland handle future violations of the Memorandum of Understanding signed between aerodrome maintenance and the ATC as defects. By doing so they will be properly analysed.

    Implemented

  • Improving ATC touch screen displays

    ANS Finland and Finavia improve the ATC system’s touch screen displays in such a manner that aircraft and land vehicles are clearly distinguishable from each other.

    Implemented

  • Closing the door to expedite heating

    The Civil Aviation Authority of Israel (CAAI) supervise that Israel Aviation Industries (IAI) updates the operating manuals of the Gulfstream G150 and other comparable aircraft types. Updates to the sections that address closing the door as a means of heating or cooling the aircraft should include a caution to check that the outflow valve is fully open before the door is closed.

    Implemented

  • Cabin pressurisation on the ground and the hazard it creates

    The European Aviation Safety Agency (EASA) inform air operators, ground handling organisations and aerodrome rescue and fire fighting organisations of a safety threat which may be caused by aircraft pressurisation on the ground and consequent explosive door openings. The bulletin must include the actions with which the safety threat can be controlled, as well as a reminder to provide the associated training to all persons involved with handling aircraft on the ground

    Implemented

  • Staff induction

    Finnpilot Pilotage Oy develop the induction processes and competencies of its pilot boat operators in such a manner, that the seaworthiness and safe handling of different types of boat can be guaranteed in the conditions in which pilot boats are used.

    Implemented

  • Enterprise resource planning and deviation reporting

    In its ERP system, Finnpilot Pilotage Oy describe the pilot transfer process and develop and implement its deviation reporting system a manner that provides a more comprehensive picture of the hazards and the observed safety deviations that occur during pilot transfer.

    Implemented

  • Official rules for commercial craft

    The Finnish Transport Safety Agency draw up rules for commercial craft that take account of the various purposes for which commercial craft are used and the special requirements related to the circumstances.

    Implemented

  • Development of sea rescue plans

    The Finnish Border Guard prepare for unusual, as well as more common, emergencies and develop practices for obtaining the background information needed for rescue operations.

    Implemented

  • Alerting of psychosocial support services during accidents at sea

    Together with the Ministry of Social Affairs and Health, the Finnish Border Guard clarify the practices to be followed for alerting psycho-social support services during maritime accidents and that the chain of assistance take account of national social emergency services, and the national role and tasks of the social and crisis emergency support services.

    Implemented

  • Supplementing international agreements

    The Finnish Transport Safety Agency, as the Finnish public authority in the IMO, should act in order to supplement international agreements, so that the requirement concern-ing critical cargo handling equipment, such as cargo surface measurement systems, would be extended to include all oil- and chemicaltankers.

    Not to be implemented

  • Cargo surface level measuring systems

    The International Association of Classification Societies, together with the classification societies, specifies the rules for the systems for cargo surface level measuring. Tankers must have appropriate systems for measuring the cargo surface level before they are granted temporary licences to start operating

    Not to be implemented

  • Schedule Pressures

    EASA investigates whether the current airline schedules are realistic or not, and also determine their possible negative effects on the procedures of commercial aviation and thence on flight safety.

    Partly implemented

  • Requirements for Crew Resource Management Training

    EASA investigates how CRM training for ground operations can be enhanced.

    Partly implemented

  • Determination of the identity of asylum seekers

    The Finnish Immigration Service shall improve its procedures in such a manner that it uses all reasonably available means of determining the identity and age of the asylum seekers. These means include at least the particular investigation of the matter during the asylum interview, the utilisation of age estimation measures, and the requesting of information from the applicant's home country, if the threat towards the applicant is not caused by the state.

    Implemented

  • Development of measures preventing radicalisation

    The Ministry of the Interior and the Ministry of Social Affairs and Health shall jointly analyse how to arrange funding and steering for the organisations necessary for preventing radicalisation in order to achieve long-term and nationwide operation. The authorities and other actors must be made fully aware of the services offered by these organisations so that those needing help can be directed to the right place.

    Under implementation

  • Development of the operations of the Government Situation Centre

    The Government Situation Centre shall agree with the administrative sectors on how situational information will be smoothly and immediately transmitted from the different administrative sectors and the agencies under them to the Government Situation Centre for distribution to the government and the different administrative sectors. The objective must be that the government and the necessary administrative sectors are able to take action without delay.

    Implemented

  • Identifying information of persons requiring psychosocial support

    The Ministry of the Interior and the Ministry of Social Affairs and Health shall prepare regulations under which, should an accident or a violent crime take place, the Police and the health care system must disclose information on the identity of the victims and their immediate family for the needs of psychosocial support services.

    Implemented

  • Processing times of asylum applications and appeals

    Through resource allocation and other steering measures, the Finnish Immigration Service and the Ministry of Justice shall ensure that the average overall processing time of asylum decisions and the related appeals lodged with the administrative courts decreases significantly from the current time, which is around one and a half years. The accelerated procedure must be used when allowed by the law. Furthermore, the processing must be accelerated if a security authority considers the applicant to be a security threat.

    Implemented

  • Warning the populace

    The Ministry of the Interior and the Emergency Response Centre Administration shall develop new procedures for rapidly warning people. Sending warnings to mobile phones on site as text messages and through applications (such as the 112 Suomi application) would be effective. The benefits of a mobile phone application would be the possibility to give a warning utilising loud sounds, lights and vibration, multiple languages and clear instructions.

    Implemented

  • Development of measures preventing radicalisation

    The National Police Board and the Finnish Security Intelligence Service must jointly agree upon clear operating models preventing radicalisation, including a sufficient amount of observation and building trust close to people and communities, and the ability to give timely help to people taking their first steps on the path of radicalisation, guiding them to the suitable services (such as health care, social services and various organisations).

    Implemented

  • Opportunities for those closest to asylum seekers to state their concerns

    The Ministry of the Interior shall ensure that an advisory service is established at the Finnish Immigration Service or some other third-sector actor where various questions and concerns regarding asylum seekers can be directed. The service must know the co-operating parties such as the Police, religious organisations and various parties offering assistance; it must give advice; and direct issues and persons to the right place. The service must be marketed in many ways, for example in reception centres, religious organisations, in the Web and during meetings with asylum seekers.

    Not to be implemented

  • Command relationships in situations involving multiple authorities

    The Ministry of the Interior and the Ministry of Social Affairs and Health shall harmonise the command and communications procedures for incidents involving several authorities so that the necessary authorities are able to and are allowed to be involved in all sudden, major incidents. The key actors are the Emergency Response Centre, the Police, the Rescue Services, the Emergency Medical Services and Social Services (incl. psychosocial support).

    Under implementation

  • The establishment of an operational area command by the authorities should be routine

    The Ministry of the Interior ensure that an operational area command (OAC) is set up by the public authorities in the case of long-term or exceptional multi-authority tasks.

    Implemented

  • Improved usability of seatbelts and monitoring usage

    The Finnish Defence Forces develop seatbelts in cargo space seating modules so that they are easier to use, and enhance their monitoring of the use of seatbelts.

    Implemented

  • Improving the safety of most dangerous level crossings

    The Finnish Transport Agency and the Finnish Transport Safety Agency ensure that resources are allocated to improving the safety of, or removing, the most dangerous level crossings.

    Implemented

  • Development of risk assessment

    The Defence Forces develop the risk assessment of exercises in order to identify the actual risks and name those which are identified. [2018-S20]

    Implemented

  • Instruction on track changes in railway yards

    The Finnish Transport Agency draw up written instructions for track changes in railway yards and ensure that the operators in the yards act according to the instructions.

    Implemented

  • Monitoring of the practical implementation of safety management systems

    The Finnish Transport Safety Agency begin monitoring the practical implementation of safety management systems.

    Implemented

  • Use of emergency service routes during emergency calls

    The Emergency Response Centre add numbered emergency service routes for railway yards to its system, and emergency duty officers be instructed to locate the accident site primarily through such routes.

    Not to be implemented

  • Development of work guidance monitoring

    When approving safety management systems and persons who are responsible for the verification of personnel skills, the Finnish Transport Safety Agency makes sure that their skills verification methods are sufficient and skills verification is reported accordingly.

    Implemented

  • Emergency braking by radio control

    The Finnish Transport Safety Agency (Trafi) require that the radio control units used for shunting work have a separate, non-delayed emergency stop button.

    Implemented

  • Development of teaching tools

    Training institutions in the railway sector include simulator training in the training programme for shunting foremen.

    Implemented

  • Clarifying the guides and manuals of the Aeronautical Rescue Co-ordination Centre (ARCC) and of the Police

    The National Police Board and the Finnish Transport Safety Agency, together with ANS Finland, review the contents of the Aeronautical Search and Rescue Manual of ANS Finland as well as the National Police Board’s guide “Aviation accident/search and investigation associated with a missing person” so that they are harmonised and clear with regard to command responsibilities and launching searches in the terrain without delay at the stage when SAR flights are being flown.

    Implemented

  • Finnish Transport Safety Agency’s landing strip charting

    The Finnish Transport Safety Agency require sport aviators to report the flight activities taking place at private land areas and other temporary airstrips located near controlled airspace to ANS Finland’s flight information services.

    Not to be implemented

  • ARCC standardised questions for full emergencies and aircraft accidents

    ANS Finland draw up a series of standardised questions to be used by the Aeronautical Rescue Co-ordination Centre (ARCC) during full emergencies and aircraft accidents.

    Implemented

  • Risk management of modifications

    In the future, during the design phase Suomen Lauttaliikenne Oy should use its quality management system to review any risks posed to alarm systems by modification work, and check the need for the official approval of modification work.

    Implemented

  • Approval of major modifications

    The Finnish Transport Safety Agency should develop the instructions and advice given to shipping companies on the approval process for modifications, and on the monitoring of modification work.

    Implemented

  • Information on the rocket parachute and the risks it poses to rescue personnel

    The Emergency Response Centre Administration should add an advanced warning – for communication to those issuing accident alerts and units participating in rescue operations – to the duty officer’s instructions (MORA) or the forthcoming ERICA operating system, about possible rocket parachute cartridges on aircraft, particularly in case of medium-sized and small air accidents.

    Implemented

  • Training of aviation personnel in the use and features of rocket parachutes

    The Finnish Transport Safety Agency (Trafi) will provide a safety information bulletin for aircraft users on the importance of training in the use of rocket parachutes.

    Implemented

  • Crowd control in an abnormal situation in the terminal

    Finavia Oyj, together with the representatives of airlines operating at the airport, drawup guidelines for a situation in which passengers must rapidly be evacuated from the aircraft into the terminal.

    Implemented

  • Development of the commissioning permit procedure for individual machines of the type in use

    The Finnish Transport Safety Agency should specify in more detail the checks required during a traffic worthiness inspection as well as the qualification and independence criteria for the party conducting the inspection.

    Implemented

  • Connection of turnouts installed on a track section used by traffic to the monitoring of the centralised traffic control

    The Finnish Transport Agency should update Part 6, Safety devices, of the Railway Engineering Guidelines (RATO) so that the section of a turnout that sees traffic installed on a track section used by traffic must always be connected to the track circuit of the railway safety system as its own element and connected to the centralised traffic control monitoring immediately when technically possible.

    Implemented

  • Instructions on the locations where rolling stock may be left standing and ensuring that it remains in place

    The Finnish Transport Agency should add instructions to the safety instructions of track maintenance (TURO) and the rail traffic and shunting work safety rules (Jt) on the locations where rolling stock may be left standing and the required procedures to secure it in place.

    Implemented

  • Contractor-specific safety management systems in trackwork

    Already at the competitive tendering phase for the project, the Finnish Transport Agency should require each main contractor participating in track projects to have its own safety management system that takes the special characteristics of the companies and work sites into consideration, and include monitoring of the realisation of these systems as part of its auditing process.

    Implemented

  • Collecting information on faults in the distribution of electricity in vessels

    The Finnish Transport Safety Agency together with the shipping companies, develop procedures to obtain detailed information about power failures for analysing purposes.

    Implemented

  • Evaluation and development of regulations

    The Finnish Transport Safety Agency together with the Finnish Environment Institute, assess the adequacy of and the need for the development of the legislation concerning the safe conduct of vessels in the archipelago and in inland waterway areas.

    Implemented

  • Development of rescue planning

    Together with the Rescue Department, the Ministry of the Interior should ensure that, in their rescue planning, industrial premises prepare for fires identified as longer-lasting or more extensive, or other long-lasting and extensive incidents.

    Implemented

  • Use of foam liquids as an extinguishing agent

    The Rescue Departments’ partner network should plan arrangements based on which the use of foam as an extinguishing agent is always fast and thorough, and ask the rescue departments to implement such arrangements.

    Implemented

  • Safety of plastic recycling

    The Finnish Plastics Industries Federation should perform or commission a report charting the fire risks associated with plastic recycling and provide the recycling sector with information and good practices on preventing ignition and large fires.

    Implemented

  • Fire safety of exterior pipelines

    The Ministry of the Environment should supplement the instructions included in the fire safety regulations for buildings, stating that the principles of fire compartmentalisation also apply to external pipelines and other installations.

    Implemented

  • Improving the structural safety of sauna stoves and saunas

    Harvia, Helo, Narvi and Iki-kiuas, the largest manufacturers of electric sauna stoves in Finland, develop the “user interface” of the sauna stoves in a way that makes the operation of the control knobs understandable, clearly indicates the switching on of the timer and sauna stove to the user, improves the operating ergonomics and provides sufficient safety features for children. These human error prevention features are also required in entry-level sauna stoves.

    Partly implemented

  • Ensuring the safety skills of immigrants

    The Ministry of Employment and the Economy, the Ministry of the Interior, the Ministry of Social Affairs and Health and the Ministry of Education and culture act together to sur-vey the problems faced by immigrants in terms of the safety of everyday life and housing and renew the reception, integration and training system for immigrants in a manner where the immigrants’ basic competences concerning safety can be ensured.

    Implemented

  • Maintenance of fire detectors

    The Ministry of the Interior, together with the actors in the property business, analyse and execute good practices regarding how the owners and maintainers of properties can be committed to ensuring, for their part, the existence and maintenance of fire detectors. If necessary, the duty of care for the fire detectors should also be focused on the tenement companies.

    Implemented

  • Safe distances, speed and communications equipment of a convoy

    The Defence Forces issue instructions on convoy operations and exercises to the effect that infantry protecting the convoy maintain a sufficient distance from the vehicles, movement is at walking speed when infantry are nearby, and the vehicles remain in continuous communication.

    Implemented

  • Supporting the drivers

    The Employers’ Federation of Road Transport and the Transport Workers’ Union will examine the problems related to the well-being of bus drivers, safety and other road users’ attitudes and lack of understanding, and also agree on the relevant communication and other corrective measures.

    Implemented

  • Monitoring the health of bus drivers

    The Finnish Transport Safety Agency checks the requirements and practices relating to the monitoring and safeguarding of the state of health of bus drivers and ensures that the likelihood and consequences of losing the ability to functions are managed in the same manner as with other modes of transport. Attention must also be paid to psychiatric health and fatigue management.

    Partly implemented

  • Safety management in the bus transport sector

    The Finnish Transport Agency issues guidelines for taking passenger safety into account when defining the service level of public transport. The transport service provider must be required to have in place an appropriate safety management system for assistance in, for example, the selection of tires, vehicles and routes, and for guiding training, competence, the planning of work schedules and vehicle maintenance.

    Under implementation

  • Improving the training for military craft operator-sub-officers

    The Navy increases the amount of navigation training for military craft operator-sub-officers, especially with regards to the use of electronic navigation equipment.

    Implemented

  • Developing the risk assessment of a maritime transport operation

    The Navy develops a procedure for the assessment and management of risks relating to a beginning marine transport operation.

    Implemented

  • Clarification of the roles of a helmsman and navigator

    During the training stage, the Navy creates an operating model for the crew of each boat class for ensuring that the crew members understand the division of responsibilities when roles are switched.

    Implemented

  • Developing work practices at brigde

    The Border Guard provide instructions for directing enough personnel for the sea watch duties on vessels in difficult fairway sections and demanding conditions and give instructions to divide the sea watch duties so that they are not too centralised on the officer of the watch.

    Implemented

  • Enhancing learning from anomalies

    The Border Guard draw up an operating model, in which the actors on the different organisational levels plan together how to learn from accidents and safety deviations more efficiently.

    Implemented

  • Drawing up directions for crisis situations

    The Border Guard draw up unit-specific crisis support instructions that include instructions for organising defusing and debriefing instructions for the personnel and prepare the required training for it.

    Implemented

  • Developing bridge communication

    The Border Guard give instructions to apply the instructions of the Finnish Navy to the bridge communication on its vessels.

    Implemented

  • Safety net systems for control tower

    Finavia and ANS Finland, together, ensure procurement of a technical warning system which is based on the systems presently in use at Helsinki-Vantaa control tower.

    Implemented

  • A risk assessment on crossing an active runway

    Finavia and ANS Finland, together, conduct a risk assessment on crossing an active runway during parallel runway operations at Helsinki-Vantaa Airport.

    Implemented

  • Launching of weather balloons

    ANS Finland, together with the company operating weather balloons, develop their action associated with launching the balloons so as to reduce the workload at the control tower in terms of telephone communications.

    Partly implemented

  • HF training

    ANS Finland safeguard sufficient and high-quality human factors (HF) training as well as the instructors’ HF competency in air traffic controllers’ refresher/recurrent training.

    Partly implemented

  • Safety of general aviation and sport aviation

    The Finnish Transport Safety Agency see to it that the practitioners of general and sport aviation receive clarifying information pertaining to the privileges associated with the pilot’s licence and the significance of the requirement to report medical issues.

    Implemented

  • Doctors’ national duty of notification

    The Finnish Ministry of Transport and Communications standardise the duty of notification between aviation and road transport, associated with a person’s state of health, as part of advancing the safety of flight.

    Implemented

  • Providing an international process for a risk assessment after heart attack

    The International Civil Aviation Organization (ICAO) review the existing guidance material contained in the Manual of Civil Aviation Medicine to include a risk assessmentmodel to facilitate aero-medical decision-making in the evaluation of pilots at risk from recurrent heart attacks.

    Under implementation

  • Aeromedical examiners’ competency based recurrent training

    The European Aviation Safety Agency (EASA) improve AME risk assessment competency through safety promotion, competency based recurrent training and specific training on the national procedures for referral and consultation as well as for the use of limitations.

    Implemented

  • Marking narrow passages in nautical charts

    The Finnish Transport Agency investigates how information on narrow passages, speed limits, zones where overtaking of meeting head-to-head is prohibited, and other special characteristics of bodies of water can be produced in a format that can be easily distributed to boaters.

    Partly implemented

  • Assessment of the collision risk of small shipping companies

    The Finnish Passenger Ship Association encourages its member shipping companies to add into their safety management systems collision risk assessments for heavily trafficked areas.

    Implemented

  • Education on good sailor practice and skills

    The Finnish Transport Agency and the Finnish Transport Safety Agency (Trafi) determine together, how information on good sailor practice and skills can be distributed more efficiently.

    Implemented

  • Renewing the instructions on traffic control

    The Finnish Transport Agency should harmonise and clarify the instructions on centralised traffic control.

    Implemented

  • Collecting and analysing safety information

    In order to identify risks, SSAB collects information about deviations related to binding, storage handling and transport, and deals with them.

    Implemented

  • The obligation of an engine driver to keep a lookout in train traffic

    The Finnish Transport Safety Agency (Trafi) should order that engine drivers keep a lookout when in train traffic.

    Implemented

  • Restricting running as a train on tracks that are not under technical centralised traffic control

    The Finnish Transport Agency should restrict trains running on tracks that are not under technical centralised traffic control.

    Not to be implemented

  • Review of maintenance instructions for other Cessna models

    The Federal Aviation Administration (FAA) of the United States require the aircraft type certificate holder to review and, where necessary, update the maintenance instructions for Cessna 404 and any other aircraft types with a trailing link landing gear, so that any deficiencies found in main landing gear installation instructions are rectified. The landing gear installation instructions may not cover all necessary phases of work, and the order of phases may be impractical in some places.

    Implemented

  • Review of maintenance instructions for Reims F406 Caravan II aircraft

    The European Aviation Safety Agency (EASA) require the aircraft type certificate holder to review and update the maintenance instructions for Reims F406 aircraft, so that any deficiencies in main landing gear installation instructions are rectified. The landing gear installation instructions do not cover all necessary phases of work, and the order of phases is impractical in some places. The instructions provide no warning of the possibility of incorrect pivot pin installation.

    Implemented

  • Ensuring requirements for the operational safety of the metro

    Helsinki City Transport and the safety device supplier should investigate and analyse the requirements relating to the operational safety of the metro railway system thoroughly in order to avoid potential faults being carried across to the next system in the course of the current safety device revision.

    Under implementation

  • Development of the planning and coordination of night-time traffic

    Helsinki City Transport should schedule night-time metro trains and other units and draw up a driving programme for them.

    Under implementation

  • Development of the safety management system

    The Finnish Transport Safety Agency should ensure that Helsinki City Transport’s safety management system is developed so that it meets the requirements set by the European Railway Agency (ERA) for safety management systems.

    Implemented

  • Development of the training system

    Helsinki City Transport should ensure that recommendations S265 and S266 given by the Safety Investigation Authority previously are extended to also apply to metro traffic.

    Implemented

  • Using bedroom windows as an exit in emergencies

    The Ministry of the Environment will supplement the fire safety provisions concerning new and renovated houses and terraced houses with a requirement according to which bedrooms must have a window with a fixed handle that can be opened from the inside and used as an exit in emergencies.

    Not to be implemented

  • Improving the safety of stoves

    The Finnish premises and construction association and the Confederation of Finnish Construction Industries ensure that their relevant member organisations are notified of the safety issues relating to stoves and seek the appropriate solutions for the problems. A good outcome would be ending the installation of unsafe, out-dated stoves to rental and other flats. At minimum, stoves must have switches that prevent accidental switching on, but preferably they should have induction technology and a stove safety device.

    Partly implemented

  • Ensuring the functioning of smoke detectors

    The Ministry of the Interior ensures trough legislation and guidelines, and safety communications with various stakeholders, that the number of smoke alarms installed in homes clearly exceeds the current minimum requirement. In general, smoke alarms must be installed in all rooms and exit routes in a residence.

    Partly implemented

  • Preventing the spread of fire to neighbouring apartments

    The Ministry of the Environment will supplement the fire safety provisions so that they will address the risk of fire spreading outside the building via eaves and shelters.

    Implemented

  • Use of the 112 application

    It is recommended that the members of the public always protect their mobile devices from getting wet and download the 112 application on them. It is further recommended that the Emergency Response Centre Administration agree on procedure by which the download link for the 112 phone application is added on the websites of rescue authorities and other rescue operators.

    Implemented

  • Use of life vests

    The Safety Investigation Authority recommends that the public always wear life vests when onboard a boat, and that, in addition to monitoring the wearing of life vests, the public authorities, boating societies and boaters pay attention to the condition and fit of the life vests.

    Implemented

  • Planning of the responses of rescue operations

    The Safety Investigation Authority recommends that the Ministry of the Interior instruct rescue authorities to review and, if necessary, create separate responses to accidents on land and water and to include voluntary lake rescue stations and the Saimaa Vessel Traffic Services in their resources within lake districts.

    Under implementation

  • Provision of information during the registration of a boat

    The Safety Investigation Authority recommends that the Finnish Transport Safety Agency draw up procedures by which a new owner is provided safety guidance when registering a new vessel. This could be, for example, an online link to the websites maintained by various rescue services or information provided by some other means.

    Implemented

  • Communications at STUK

    STUK establishes communication procedures that guarantee functional communications during situations that require full, basic and enhanced preparedness, which are of interest to the media and the public. The internal instructions for communications must be updated and harmonised. STUK must also ensure preparedness for carrying out communications in both official languages of Finland (Finnish and Swedish) and in English also outside of office hours.

    Implemented

  • The binding nature of authorities’ instructions concerning radiation sources

    The Radiation and Nuclear Safety Authority unambiguously specifies which parts of the radiation safety instructions are binding and which parts intended as guidelines, in addition to overseeing the implementation of the instructions through uniform regulatory practice and communicating about the matter to all operators in the sector.

    Implemented

  • Cooperation between the highest supervisory bodies for radiation and nuclear safety

    The Ministry of Social Affairs and Health and the Ministry of Economic Affairs and Employment jointly establish procedures for granting licences for and managing radioactive waste in order to ensure that all radioactive waste generated in Finland can be handled, stored and disposed of safely in our country in the event that returning it to the manufacturing country via the importers proves inappropriate or impossible.

    Implemented

  • Radiation source life cycle management

    All parties involved with treatment of minor radioactive waste are to follow the established measures for ensuring the integrity of radiation sources, as described in the radiation safety instructions, for the reception, transport, treatment and packaging for final disposal of radiation sources.

    Implemented

  • Supervision of shunting work

    The Finnish Transport Safety Agency (Trafi) and railway operators should improve the supervision of shunting work.

    Implemented

  • Replacement of buffer stops

    Infrastructure managers should modernise buffer stops on tracks where shunting work is done related to the transport of dangerous goods.

    Implemented

  • Compliance with the rescue plan

    Railway undertakings should comply with local emergency plans in ports and other areas where other companies are also operating.

    Implemented

  • The harmonisation of the usable lengths of railway yard tracks

    Infrastructure managers are responsible for ensuring that the usable track length in railway yards are consistent regardless of the system.

    Implemented

  • Specifying the binding of slit coil packs

    SSAB specifies the binding of slit coil packs and verifies it by calculations, taking the stresses due to handling at the factory into account in addition to the lateral accelerations on the coil pack during railway transport.

    Implemented

  • Loading slit coil packs on a wagon

    VR finds out the best placement for the coils in the wagons in order to improve the running characteristics of a loaded coil wagon and takes the results into account in the loading instructions.

    Implemented

  • Design principles for balcony railing plates

    The Ministry of the Environment draws up regulations and instructions according to which non-transparent balcony railing structures have similar strength and shock-proof requirements as glass structures. A balcony railing must withstand a person falling against it.

    Implemented

  • Useful life and need of maintenance of structural parts

    The Ministry of the Environment will ensure that the plans for any safety-critical structures include information on their planned useful life and the need for inspection and service. This information must be also be included in the building’s use and service manual.

    Partly implemented

  • Instructions on cable marking and the request form

    The Finnish Transport Agency shall renew the instructions on cable marking and adapt the cable marking request form so that the purchaser must comment on the protective measures to be used in the work.

    Implemented

  • Requesting a trackwork permission for cable marking

    The Finnish Transport Agency must also find out if the instructions could be changed so that a trackwork permission could also be requested for cable marking without an advance notification (Advance information on train traffic (JETI)), if necessary.

    Implemented

  • Shortening the end play check interval for the nose landing gear actuator screw assembly

    Federal Aviation Administration (FAA) of the United States require the aircraft manufacturer to review the maintenance requirement so that the end play check interval is significantly shortened and the thread wear rate is taken into account.

    Not to be implemented

  • Information collecting and statistics

    Together with the National Institute for Health and Welfare, Statistics Finland should develop procedures for collecting and publishing information necessary for the prevention of accidents.

    Partly implemented

  • Home visits to persons with impaired functional ability

    The Ministry of Social Affairs and Health should include home safety checks in the tasks of the social welfare and health services. Professionals making home visits, next-of-kin and residents should be provided with a simple, easily accessible checklist covering the most common types of accident.

    Implemented

  • Preventing suffocation accidents and preparing for them

    The Ministry of Social Affairs and Health should ensure that the personnel of home service, home care and care institutions are trained and instructed in how to identify patients at risk of suffocation and take preventive measures in the areas of food quality and sufficient monitoring. In particular, the personnel of care institutions should be trained to remove foreign bodies from food.

    Implemented

  • Activation of associations to participate in work on safety

    The Finnish Center for Integrity in Sports (FINCIS) should assume responsibility for developing the safety of sports and physical exercise and prepare operating models suitable for all categories of sports, for disseminating sports-specific safety information and developing safety.

    Partly implemented

  • Up-to-dateness of the information on the use of buildings

    The Ministry of the Environment develop building inspection procedures to ensure that information on the use of buildings is kept up to date. In particular, situations should be identified in which the number of persons residing or staying in a building will increase substantially.

    Not to be implemented

  • Safety of temporary housing for temporary workers

    The Ministry of Employment and the Economy and the Confederation of Finnish Construction Industries are jointly developing the quality and safety of temporary housing for construction industry workers. Accommodation for the employees of both domestic and foreign companies must achieve the level indicated in the collective agreement. Another aim is to have more sections that seek to ensure the safety of accommodation added to the next collective agreement.

    Implemented

  • Determining the number of persons in a burning building and smoke diving

    Together with the Emergency Services College and the rescue services, the Ministry of the Interior should determine the principles and guidelines on how the number of people in a burning building can be determined with reasonable certainty, and in what circumstances rescue personnel will engage in smoke diving.

    Partly implemented

  • Developing the risk analysis of firing practices

    The Finnish Defence Forces develop a risk firing practice analysis method, support material and orientation for those in command of firing practice in such a manner that risk analysis takes account of the special features, conditions and the skills of the unit involved in the firing practice in question.

    Implemented

  • Co-operation between authorities in accidents taking place in the Finnish Defence Forces

    The Finnish Defence Forces should develop a continuous process whereby emergency planning at training grounds and military bases includes a review of the emergency instructions of various actors and their ability to operate during accidents, and in which cooperation procedures are agreed. The key stakeholders are the Emergency Response Centre, the regional rescue service, first aid, other health care services and, with regard to crisis support, the local social services.

    Implemented

  • Dissemination of information on good practices

    The Finnish Defence Forces should define those actions which pose the greatest danger and develop a procedure for the exchange of information on the best and worst possible practices. In this way, practices will develop and the acquired skills will improve safety in all units and branches of the Finnish Defence Forces.

    Implemented

  • The use of automation functions

    The Finnish Transport Agency should, in collaboration with Finrail Oy, ensure that, as a general rule, routes are created by the automated system.

    Implemented

  • System changes and their deployment management

    The Finnish Transport Agency must ensure that new systems or modifications to existing systems are not introduced incomplete, or without sufficient orientation of the staff.

    Implemented

  • Management of the adoption of regulations and instructions

    The Finnish Transport Agency (Trafi) must ensure that the instructions directly affecting the work of traffic controllers are kept up to date and that they are not put into use without sufficient orientation of personnel.

    Implemented

  • Uniform reporting and classification of deviations

    The Finnish Transport Safety Agency (Trafi) is obliged to create a uniform system for the reporting and classifying of deviations; one covering all actors.

    Implemented

  • Development of traffic control systems

    When procuring traffic control systems, the Finnish Transport Agency must take steps to ensure that any development needs emerging in a system can be implemented smoothly during the system’s lifespan.

    Implemented

  • Reinforcement of the front structure of heavy vehicles

    The Finnish Transport Safety Agency should propose an amendment to the E regulations to the United Nations Economic Commission for Europe's (UNECE) World Forum for Harmonization of Vehicle Regulations (WP.29) regarding the reinforcement of the front structure of heavy vehicles and the protection of their steering equipment in the event of a collision.

    Partly implemented

  • Equipping the seats of new buses with seat belt reminder indicators

    The Finnish Transport Safety Agency should propose an amendment to the E regulations to the United Nations Economic Commission for Europe's (UNECE) World Forum for Harmonization of Vehicle Regulations (WP.29) regarding equipping bus seats with seat-specific seat belt reminder indicators.

    Not to be implemented

  • Development of the safety of the of the bus transport sector by means of safety management

    The Ministry of Transport and Communications should prepare regulations for implementing a safety management system for the entire bus transport sector.

    Under implementation

  • Change in the structure of the back part of seats in buses

    The Finnish Transport Safety Agency should propose an amendment to the E regulations to the United Nations Economic Commission for Europe's (UNECE) World Forum for Harmonization of Vehicle Regulations (WP.29) regarding a change in the structure of the back part of seats for the purpose of making them safer, by adding padding and removing hard protrusions located right in the front of passengers.

    Implemented

  • Equipping the seats of new buses with three-point seat belts

    The Finnish Transport Safety Agency should propose an amendment to the E regulations to the United Nations Economic Commission for Europe's (UNECE) World Forum for Harmonization of Vehicle Regulations (WP.29) regarding equipping the seats of category M2 and M3 vehicles with lap and shoulder belt type seat belts, i.e. three-point seat belts.

    Implemented

  • National suicide prevention programme

    The Ministry of Social Affairs and Health should launch a new special suicide prevention programme and make it a national health objective to significantly reduce the number of suicides, similar to other Nordic countries.

    Implemented

  • Skills of the organisers of mass gatherings

    The Ministry of the Interior (police and rescue services) and the Ministry of Employment and the Economy ensure that event organisers have access to a set of safety training materials that are not limited to any specific administrative branch, and, for example, an (online) course whose successful completion would qualify course takers to act as safety managers of mass events. Event organisers must be familiar with the applicable legislation and the principles of safety planning and management.

    Partly implemented

  • Developing the safety planning of mass gatherings

    The Ministry of the Interior (police and rescue services) and the Ministry of Employment and the Economy clarify the safety requirements for mass gatherings and make them available at a “single service point” and in a single, comprehensive safety plan. The requirements must be understandable and simple for event organisers.

    Under implementation

  • Operation Manuals should correspond to the companies´ operations, including special features

    Finnish Transport Safety Agency set a condition for approval regarding the operators’ Operation Manuals so that they correspond to the companies’ operations, special features included, and that they advance the safety of flight.

    Implemented

  • Improving the planning of demolition work

    The Ministry of Transport and Communications is to ensure that instructions and minimum requirements be drawn up for demolition plans of state-owned and municipal bridges. The demolition plan must be sufficiently detailed as to cover all the essential stages for successful implementation of the work and to allow supervisors to ensure that the plan is applicable. The same level of quality should be required in planning demolition work as in new construction.

    Implemented

  • Safety of fishing vessels

    The Finnish Transport Safety Agency (Trafi) starts a collaboration with the Association of Finnish Professional Fishermen, educational institutions offering education on fishing and maritime operations, occupational health and safety authorities and other necessary stakeholders to launch a development project to improve the safety of fishing vessels and their personnel.

    Partly implemented

  • Inspecting stability documents

    Finnish Transport Safety Agency (Trafi) specifies its regulations further to include the inspection of class I fishing vessels the verification of the original stability documents, procedures for determining the sufficient stability of the vessel, the maximum amount of cargo, and the effect of modifications done to the vessel.

    Partly implemented

  • Repairs of safety device malfunctions in the rolling stock

    The maintainer of the rolling stock must ensure and instruct the repairs of safety device mal-functions in the rolling stock better than at present.

    Implemented

  • Organizing of technical support for commuter trains

    The technical support for the Sm commuter trains is moved to the VR Operations Centre.

    Implemented

  • Training of faultsituations for engine drivers

    The engine driver training must pay more attention to resolving problems than before.

    Implemented

  • Use of seatbelts in tractors

    The Road Traffic Act must stipulate that those operating tractors and work machines must wear seatbelts when driving in traffic.

    Implemented

  • Instructions for engine drivers in the event of an imminent collision

    Written guidelines for how to react to an imminent collision must be introduced in the training of engine drivers for specific types of train units and locomotives.

    Implemented

  • Guidelines on the use of level crossings in exceptional circumstances

    The Finnish Transport Agency must draft readily available guidelines for time-intensive, non-trackwork-related use of level crossings or other similar work that poses a risk of a collision.

    Implemented

  • Monitoring of malfunctions of flap rudders

    The Finnish Transport Safety Agency (Trafi) collects information about malfunctions of flap rudders and, if needed, takes appropriate measures to specify international instructions to improve the reliability of the rudder mechanism.

    Implemented

  • Operating principles of steering systems during pilotage

    Shipping companies give more detailed instructions on how to use the steering systems in pilotage situations and enter these into their Safety Management Systems (SMS) and that the authorities approving the Safety Management Systems for their part pay attention to the existence of these entries in the Safety Management Systems.

    Partly implemented

  • Radio traffic in emergencies

    Shipping companies issue instructions on the operating principles of emergency radio traffic in their Safety Management Systems (SMS) and supervise training related to radio traffic on board vessels; and that the authority approving Safety Management Systems for their part pay attention to the practical functionality of the instructions on emergency radio traffic.

    Not to be implemented

  • Speed limit for a train on which the ATP engine device is not operating

    If a train's ATP engine device is not switched on, the train's speed should be restricted to a maximum of 80 km/h.

    Implemented

  • Clear instructions on when and how the operation of a turnout should be checked

    The Finnish Transport Agency should include in the turnout inspection instructions the situations where a train has or is suspected to have been driven onto a switch guided to the diverging track at a speed that is clearly higher than allowed for the switch type in question.

    Implemented

  • Alarm in the cabin that warns when the ATP engine device is not operating

    Cabin equipment should give the engine driver a clear warning if the train's ATP engine device is not operating.

    Implemented

  • VR Group’s safety management system and engine driver training should include more content relating to the mastery of human factors

    The Finnish Transport Safety Agency (Trafi) should demand that the subject matter of human factors will be emphasised more in both the safety management systems of railway operators and training in the field.

    Implemented

  • Clear instructions on the use of private phones and other mobile devices during work

    Clear instructions on the use of mobile devices by engine drivers while driving the train must be provided.

    Implemented

  • Automatic activation of the ATP engine device

    The ATP engine device must always be switched on.

    Implemented

  • Implementation of the cooperation provided for in section 42 of the Rescue Act, and creating notifications on fire risks

    The Association of Finnish Local and Regional Authorities should, by making use of the good services of the partnership network of the rescue services and departments, further develop the cooperation between the authorities and other organisations so as to ensure the effective implementation of the cooperation provided for in section 42 of the Rescue Act, and to ensure that the relevant parties are both capable of notifying and willing to notify any identified potential fire risks and hazards.

    Implemented

  • Modernisation of the standards governing the safety requirements of electric stoves

    SESKO (Finnish Electrotechnical Standardisation Association) should take the initiative in promoting the modernisation of the standards governing the electrotechnical safety requirements of electric stoves so as to reduce the incidence of fires caused by electric stoves available for sale within the EU. In the safety requirements, due consideration should be given to the fact that households can comprise e.g. children and elderly people, and that the stoves are also used under influence of alcohol.

    Implemented

  • Making old buildings with several apartments safe

    The Ministry of the Environment should, together with the Association of Finnish Local and Regional Authorities and the Ministry of the Interior, establish a policy and methodology for how to identify old multiple-occupancy buildings with poor fire safety and how to bring their fire safety up to an acceptable level. Such a fire safety assessment could be targeted at, for example, wooden buildings constructed before 1960 comprising more than three flats smaller than 50 square metres in floor area.

    Not to be implemented

  • Ensuring the fire safety of social welfare clients with reduced functional capability

    The Ministry of Social Affairs and Health should, together with the Association of Finnish Local and Regional Authorities, develop common practices for different sectors of municipalities for the purpose of ensuring the fire safety of social welfare clients with reduced functional capability. At least, fire detection devices, emergency exit routes and fire compartmentation between flats must be organised appropriately. The public support decisions should promote the safety of residence and living environment.

    Implemented

  • Ensure that the plans, resources, responsibilities, and competent leadership for the provision of psychosocial support in major crises are available

    The Ministry of Social Affairs and Health should take steps to ensure that the plans, resources, responsibilities, and competent leadership for the provision of psychosocial support in major crises are available regardless of where the accident takes place or where the people involved come from. The aim is to provide the necessary individual, communal, and practical support to those involved, when they need it.

    Partly implemented

  • Experience and training of persons that supervise and inspect experimental aircraft

    The Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency ensure that the experience and training of persons that supervise and inspect experimental aircraft meet the requirements of construction and modification control.

    Partly implemented

  • Prepare specified theoretical knowledge and flight training requirements for PICs in skydiving operations

    The Safety Investigation Authority, Finland recommends that the European Aviation Safety Agency prepare specified theoretical knowledge and flight training requirements for pilots-in-command in skydiving operations. A pilot must have to complete a separate type-specific skill test in order to obtain a jump pilot rating. The training and the skill test required for a jump pilot rating must take into account aircraft-specific characteristics and their impact on safe skydiving operations.

    Under implementation

  • Prepare generic guidelines for skydiving operations

    The Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency, in conjunction with the recreational aviation safety project, ensure that the Finnish Aeronautical Association prepares generic guidelines for skydiving operations, around which associations build training programmes for jump pilots, tailored for aircraft types and individual airplanes as well as proficiency examinations that certify their theoretical knowledge and practical skills.

    Implemented

  • When required, limit the number of occupants in experimental aircraft and their use in skydiving operations based on risk considerations.

    The Safety Investigation Authority, Finland recommends that, when required, the Finnish Transport Safety Agency limit the number of occupants in experimental aircraft and their use in skydiving operations based on risk considerations.

    Implemented

  • Definition of the minimum requirements (216/2008, Annex II aircraft) for the safe installation and use of pyrotechnical systems

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency define the minimum requirements pursuant to Regulation (EC) No 216/2008 for the safe installation and use of pyrotechnical systems.

    Partly implemented

  • Standardisation of the warning markings for pyrotechnical systems

    Safety Investigation Authority, Finland recommends that the European Aviation Safety Agency (EASA) standardise the warning markings for pyrotechnical systems.

    Implemented

  • Add relevant information describing an aircraft’s pyrotechnical systems into the aircraft register

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency add relevant information describing an aircraft’s pyrotechnical systems into the aircraft register in order to enable the Aeronautical Rescue Co-ordination Centre Finland or the Safety Investigation Authority, Finland to relay relevant information to guarantee the safety of a rescue operation.

    Not to be implemented

  • Thermal exposure indicators compulsory (EC 216/2008, Annex II) for pyrotechnical systems.

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency make thermal exposure indicators pursuant to Regulation (EC) No 216/2008, Annex II, compulsory for pyrotechnical systems.

    Not to be implemented

  • Inclusion of a segment in LAPL(A) and PPL(A) training curricula that addresses pyrotechnical systems

    Aviation Safety Agency (EASA) include a segment in LAPL(A) and PPL(A) training curricula that addresses pyrotechnical systems.

    Not to be implemented

  • Standardise the colours of pyrotechnical system parts

    Safety Investigation Authority, Finland recommends that the International Civil Aviation Organization (ICAO) standardise the colours of pyrotechnical system parts so that they are clearly distinguishable and easily identifiable.

    Not to be implemented

  • Update Unconrolled aerodrome rescue plans with the local rescue authority

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency recommend that operators of uncontrolled aerodromes update any rescue plans of their own, together with the local rescue authority.

    Not to be implemented

  • Attention to pyrotechnical systems installed in aircraft in Aerodrome maintenance regulations

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency give attention to pyrotechnical systems installed in aircraft, including any potential hazards to rescue operations, in aerodrome maintenance regulations.

    Not to be implemented

  • Situational awareness of maritime SAR operations

    A recommendation is issued to the Finnish Border Guard to develop an arrangement where regional collaboration groups can be provided with a comprehensive situational picture to coordinate the local SAR resources more efficiently.

    Implemented

  • Information exchange between maritime search and rescue authorities

    A recommendation is issued to the Finnish Border Guard to collaborate with other maritime SAR authorities to improve the exchange of information and co-operation so that it is suitable for smaller hazardous situations and accidents. The information exchange and collaboration should take into account the resources, needs and collaboration opportunities of shipping companies.

    Implemented

  • Changes to maintenance systems

    A recommendation is issued to the Finnish Transport Safety Agency (Trafi) to monitor the implementation of changes shipping companies make to the maintenance system of vessels. The instructions for the maintenance systems must include restrictions on high-risk maintenance operations based on conditions and route, corresponding to the requirements of item 10 of the ISM Code.

    Implemented

  • System for medical examinations of sailors

    The Finish Transport Safety Agency (Trafi) will initiate collaboration with the Ministry of Social Affairs and Health to improve the medical examinations of sailors so that the examinations pay special attention to the alertness of the watchkeeping personnel and the prevention and identification of factors that cause fatigue to the watchkeeping personnel.

    Implemented

  • Monitoring working hours on vessels

    The Finnish Transport Safety Agency (Trafi) will collaborate with the authority supervising the maritime work hours to develop a shared model for monitoring and supervising working hours that takes into account the requirements of both vessel safety and occupational safety.

    Implemented

  • Risk of fatigue

    The Finnish Transport Safety Agency (Trafi) instructs shipping companies to include fatigue management procedures in their safety management systems. The risk management procedures must take into account, among other things, the headcount of staff in the vessel and the accumulation of fatigue.

    Implemented

  • Developing the processing of rail traffic safety deviations

    The Finnish Transport Agency will allocate sufficient resources for developing the careful, systematic and rapid processing of safety deviations.

    Implemented

  • Developing trackwork safety training

    The Finnish Transport Agency will determine stricter minimum requirements for track-work safety training.

    Implemented

  • Trackwork field monitoring

    The Finnish Transport Agency will increase the field monitoring of trackwork safety regulations by allocating appropriate resources for such work.

    Implemented

  • Preparations for trackwork and clarification of responsibilities

    The Finnish Transport Agency will ensure that contracts include a separate and suffi-cient timeframe for planning trackwork and clarifying responsibilities before trackwork is begun.

    Implemented

  • Focus of trackwork supervisors on traffic safety and technical tools

    The Finnish Transport Agency will ensure that trackwork supervisors focus on their traffic safety function, and develop better tools for trackwork supervisors for ensuring safety.

    Implemented

  • Safety incentives and sanctions in contract agreements

    The Finnish Transport Agency will include in all trackwork contracts the detailed financial consequences for the contractor arising from compliance or non-compliance with safety regulations.

    Implemented

  • Automatic fire alarm systems in new school buildings

    The Ministry of the Environment shall ensure that automatic fire alarm systems and PA systems are installed in new school buildings with certain justified exceptions.

    Partly implemented

  • Assessment of the need for and the functionality of a fire alarm system and PA system for educational institutes

    The Ministry of Education and Culture and the National Board of Education shall prepare guidelines in order to ensure that the municipalities and other administrators of educational institutes shall carry out a proper assessment of the need for and the functionality of a fire alarm system and PA system.

    Implemented

  • Information on the operation of the automatic smoke extraction hatches in the stairwells of residential blocks of flats and the deterioration of fire door properties over time

    Together with the Confederation of Finnish Construction Industries, the Ministry of the Environment and the Ministry of the Interior will ensure that research information is obtained on the operation of the automatic smoke extraction hatches in the stairwells of residential blocks of flats and the deterioration of fire door properties over time.

    Partly implemented

  • Plan on whether automatic fire extinguishing systems should be installed in new and refurbished apartment buildings

    The Ministry of the Environment will prepare a long term justifiable plan of the possibility that an automatic fire extinguishing system will be installed in new and renovated blocks of flats and possibly other residential buildings

    Not to be implemented

  • Regular verification of the air tightness and condition of the fire doors in residential blocks of flats, and the expedition of the installation of door closing mechanisms.

    Together with the rescue departments, the Finnish Real Estate Management Federation and the Finnish Real Estate Federation will ensure that the air tightness and condition of the fire doors in residential blocks of flats are checked regularly and that the installations of door-closing mechanisms are expedited.

    Partly implemented

  • Installation of a door closing mechanism on the fire doors of new and renovated residential blocks of flats

    The Ministry of the Environment will amend the building regulations so that a door-closing mechanism is required on the fire doors of new and renovated residential blocks of flats.

    Not to be implemented

  • Risk management of work performed by sailors in a port

    The Finnish Transport Safety Agency (Trafi) starts to collaborate with the Finnish Shipowners’ Association to take actions that improve, both at the national and international level, the risk management of work performed by the staff of the vessels in a port, and preparation for accidents in a port, since their nature is different from the work performed on deck or at sea.

    Partly implemented

  • Condition of port structures

    The Ministry of Social Affairs and Health starts to collaborate with the local Centres for Economic Development, Transport and the Environment, the Finnish Port Association and Finnish Port Operators Association to take actions that cause the port owners and operators to pay attention to the monitoring of the condition of port structures, and guide the port owners and operators towards self-monitoring of the safety of port structures, accessways, corridors, and movement and work in a port.

    Partly implemented

  • Clarifying the requirement on route planning

    To remove ambiguities, the Finnish Transport Safety Agency (Trafi) clarifies the principles of route planning of vessels in domestic traffic.

    Implemented

  • Safety management system of passenger vessels in domestic traffic

    The Finnish Transport Safety Agency (Trafi) specifies the minimum requirements for granting an approval to the safety management system of passenger vessels in domestic traffic, including the monitoring of the implementation of the safety management system. Particular attention must be paid to the risk associated with navigating in narrow passages and the safety of passengers in an emergency.

    Implemented

  • Information exchange between pilots and cutter drivers

    Finnpilot Pilotage Oy adds to the pilotage instructions the necessary procedures for ensuring information exchange and improving shared situational awareness between the driver of the pilot cutter and the pilot.

    Implemented

  • Route plan of a piloted journey

    The Finnish Transport Safety Agency (Trafi) makes the regulation on the route plan of a piloted journey more specific to improve the level of safety and to ensure that the controlling actions that take place at the piloting location are planned in advance.

    Implemented

  • Official pilotage locations

    The Finnish Transport Safety Agency (Trafi) inspects and, if necessary re-defines official pilotage locations in collaboration with the operators in the field. The definition would pay special attention to the utilisation of the CATZOC zone around the piloting location in various conditions and traffic situations. To the extent possible, pilotage locations could be divided and specified for incoming and outgoing traffic and seasonal locations. The special characteristics could be described in nautical charts and route charts.

    Implemented

  • Criteria for difficult lifting operations

    The Accident Investigation Board recommends that Infra ry ensure that uniform criteria for difficult lifting operations be specified for the industry. Lifting operations exceeding the criteria should not be initiated without a written lifting plan and risk assessment. The criteria for a difficult lifting operation should take account of the environment in which the operation is performed, including any associated hazards.

    Implemented

  • Demonstrating the identification of major accident hazards

    The Accident Investigation Board recommends that the Finnish Safety and Chemicals Agency develop its supervisory activities in such a manner that any operator subject to scheduled supervision by the safety inspection institutes be obliged to provide a reliable demonstration of the methods it uses to identify the risk of major accidents, as well as the frequency of application of such methods, in accordance with the Chemical Safety Act.

    Implemented

  • Advising on the dangers associated with riding a moped

    In cooperation with the Finnish Parents’ League, the Finnish Road Safety Council should engage in campaigns, informing young people and their families of the dangers associated with riding a moped, about the need for safe conduct in traffic, observance of traffic regulations and the importance of the proper maintenance and overhaul of mopeds.

    Implemented

  • Processing of accidental death of children

    The Ministry of Social Affairs and Health should develop, in collaboration with the Ministry of the Interior, practices for the continuous collection, analysis and publication of information on fatalities among children which result from accidents and other non-natural causes, for use in preventive work.

    Partly implemented

  • Ensuring that school and student health services have specifications associated with mental health care, and that these specifications are followed

    The Ministry of Social Affairs and Health should ensure that requirements regarding the resources, content, planning and mutual cooperation of the mental health services and the flow of information within them — all related to the work of antenatal and child health clinics and school health services — be clearly defined and strictly adhered to.

    Implemented

  • Providing opportunities for pupils in comprehensive schools and the secondary education system to express their concerns about themselves, about their friends and their community at large

    The Ministry of Education and Culture should ensure that pupils in comprehensive school and the secondary education system are provided with opportunities, within their own schools, to express their concerns about themselves, about their friends and their community at large, to their teachers and to representatives of the school health services. This system should include procedures for the identification and processing of problem situations.

    Not to be implemented

  • Education about swimming in maternity clinics, early childhood education programmes and in school health care

    In cooperation with the Ministry of Education, the Ministry of Social Affairs and Health should ensure that guidance centres and early childhood education programmes emphasise the dangers of water, communicating to parents the importance of children gaining familiarity with water, the significance of teaching children how to swim and the need for supervision.

    Implemented

  • Providing services for families with children within the context of family centres

    The Ministry of Social Affairs and Health and the Association of Finnish Local and Regional Authorities should take measures to ensure that services offered by municipalities for families with children are provided within the context of family centres or otherwise, in such a fashion that comprehensive collaboration with families, involving professionals from various fields, can be carried out across sectoral boundaries. The aim must be the early recognition of problems, where the flow of information is ensured and families are provided with sufficient and comprehensive support.

    Under implementation

  • Presenting methods for exception management

    The Finnish Safety and Chemicals Agency should require that the sites it monitors under the Chemical Safety Act provide functional and documented procedures for the detection, assessment and correction of deviations, and that all defects detected by authorities are handled in line with such procedures.

    Implemented

  • Clear criteria for monitoring procedures

    In the monitoring procedures, the Finnish Safety and Chemicals Agency should include clear, recommended time spans, during which it will adopt coercive measures instead of providing advice, conducting negotiations or issuing orders.

    Implemented

  • Monitoring processes and online monitoring registers that enable real-time interaction and monitoring

    The Finnish Safety and Chemicals Agency should develop monitoring processes and online monitoring registers, in order to enable real-time interaction and monitoring. If necessary, the regulations should be renewed to reflect these development efforts.

    Implemented

  • The use of error logs as a preventive tool

    The Finnish Transport Agency should establish a system and methodology for the analysis of the error logs of safety systems to ensure that repeated flaws endangering safety are detected.

    Implemented

  • Competence related to turnout maintenance

    As the infrastructure manager, the Finnish Transport Agency should draw up a clearly defined turnout maintenance training programme and establish a system for continuous monitoring of the competencies of personnel carrying out turnout maintenance and adjustment work.

    Implemented

  • Reporting safety equipment malfunctions requiring a critical command

    The Finnish Transport Agency should establish a system to ensure that the reason and justification for using a critical command are recorded. This justification will be used to show that no actual flaw remains in the system after the command has been used.

    Implemented

  • Preventing the inadvertent opening of switch locks at turnouts on main tracks

    The Finnish Transport Agency should convert the electric point machines of the trailable YV60-300-1:9 turnouts used on the main tracks, in order to prevent vibration caused by rolling stock from unlocking the switch lock.

    Implemented

  • National Aviation regulation requiring check of GA aircraft seat belts Installations

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency publish a national Aviation Regulation requiring the owners or operators of general aviation-class aircraft to check that all seat belts are installed as per requirements.

    Implemented

  • More about the limits of human observation and decision-making curricula of pilot trainings

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency, together with the Finnish Aeronautical Association, improve the curricula of basic flight training, recurrent training and flight instructor training by expanding the portion that deals with the limits of human observation and decision-making.

    Implemented

  • Identifying the risks of large environmental accidents, and the prevention and advance preparation for them in the environmental monitoring of industry

    The Ministry of the Environment should, in co-operation with the other actors, ensure through statutory means, if necessary, that the identification and prevention of and preparation for major industrial environmental accident risks is taken into consideration to a sufficient degree and in a uniform manner in the planning and implementation of the activities of the authorities and companies.

    Implemented

  • Developing new forms of collaboration for the monitoring of mining projects

    The Ministry of Employment and the Economy should co-operate with the Ministry of the Environment and the Ministry of the Interior in developing new forms of co-operation for the oversight of mining projects. This would enable the authorities to jointly handle the project, both when granting the environmental permit and during later stages of oversight, ensuring that no parts of the process have been left beyond the scope of oversight by the authorities. At the same time, the procedure whereby the granter of the environmental permit would also act as the overseer of the permit should be examined.

    Implemented

  • Legislation on the overall leadership of serious incidents and accidents

    The Ministry of the Interior should, through legislative means if necessary, ensure that even in non-urgent situations, overall leadership of serious incidents and accidents must belong to an authority that is responsible for leading the response to an incident or accident, maintaining situational awareness, and implementing communications.

    Implemented

  • Framework for requsting more medical tests and the minimum requirements for the content of comments

    Finnish Transport Safety Agency: prepare the framework for requesting additional tests during the medical examination process, and the minimum requirements for the content of comments for such tests.

    Implemented

  • UPL and UL FI training syllabi include sufficient familiarisation with slow flying, stall characteristics, emergency training

    Finnish Aeronautical Association: ensure that the training syllabi for ultralight pilots and flight instructors include sufficient familiarisation with slow flying and stall characteristics as well as emergency training so that pilots are able to recognise an oncoming stall and take the correct action.

    Implemented

  • Additional training of specialist doctors, reporting the Illnesses and Medication

    Finnish Transport Safety Agency: during the additional training of, especially, psychiatrists, neurologists and cardiologist, make certain that the option of consulting the pilot’s medical examiner, or the Finnish Transport Safety Agency, is pointed out, along with the currently available practice of reporting illnesses and medication which may impact their patients’ flying performance.

    Implemented

  • More detail on flight flight characteristics in POHs

    Finnish Transport Safety Agency: ensure that ultralight aircraft pilot’s handbooks describe the slow flying and stall characteristics or any other essential, flight safety-related peculiarities in sufficient detail. These characteristics must be given for wheel and float configurations as well as for all permissible weights and power settings.

    Not to be implemented

  • Drill system

    Review and amend emergency response procedures to ensure ship’s staff are adequately supported during emergencies, and to require regular flooding drills to be conducted on board to enhance crew familiarisation.

    Implemented

  • Familiarisation of the crew when changing flag

    Ensure robust project management procedures are used when changing flag and/or routes to capture the need for providing crews with: – Adequate vessel familiarisation. – Sufficient rest periods in accordance with the requirements of the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers 1978 (STCW).

    Implemented

  • Visual inspection of stabilisers

    As part of the process of developing robust arrival procedures, ensure the status of the fin stabilisers has sufficient procedural and visual checks to prevent them being left deployed when the vessel enters port.

    Implemented

  • Improve Finnish translation and give practical examples of JAR-FCL 1 PPL syllabus “Spin avoidance” Excercise

    Safety Investigation Authority Finland recommends that the European Aviation Safety Agency (EASA) consider the translation, provide more detailed comments on the purpose of this exercise, and clarify it with practical examples.

    Partly implemented

  • Oversight that flight academies carry out and monitor flight training in accordance with regulations.

    Safety Investigation Authority Finland recommends that the Finnish Transport Safety Agency establish the means to better ensure that flight academies carry out and monitor flight training in accordance with regulations.

    Implemented

  • Regulate and require flight instructors to enter comments into a student pilot’s training records after each flight

    Safety Investigation Authority Finland recommends that the Finnish Transport Safety Agency regulate and require flight instructors to enter comments into a student pilot’s training records after each flight so as to make it possible for the student, other instructors and the rest of the training organisation to monitor progress in learning and instruction.

    Implemented

  • Improve the planning of student pilots’ flight schedules

    Safety Investigation Authority Finland recommends that the Finnish Aviation Academy improve the planning of student pilots’ flight schedules by principally eliminating successive flights with the very same student, with the exception of separately assigned longer cross-country flights.

    Implemented

  • The suitability of using call-outs in elementary flight training

    Safety Investigation Authority Finland recommends that the Finnish Transport Safety Agency establish the suitability of using call-outs in elementary flight training, at least when it comes to stall recovery or more demanding manoeuvres

    Not to be implemented

  • Detailed and standardised training instructions for flight academies

    Safety Investigation Authority Finland recommends that the Finnish Transport Safety Agency regulate and require flight training organisations to prepare detailed and standardised training instructions on exercises that involve stalls, stalls with wing drop, spin avoidance, incipient spins, spirals and unusual flight attitudes. The guidelines should comment on, among other things, the manner in which each manoeuvre should be initiated, proper recovery techniques and subsequent actions should the recovery fail as well as on initial and minimum recovery altitudes.

    Implemented

  • Include stall and spin avoidance manoeuvres in the PPL training syllabus

    Safety Investigation Authority Finland recommends that the European Aviation Safety Agency (EASA) include a minimum number for both stall and spin avoidance manoeuvres in the PPL(A) flight training syllabus. As regards spin avoidance in particular, i.e. incipient spins, this is regarded as important.

    Implemented

  • Augmentation of the Helsinki-Vantaa ATC Ops Manual with an operational instruction in case of an STCA alert

    Safety Investigation Authority, Finland recommends that Finavia Corporation augment the Helsinki-Vantaa ATC Ops Manual with an operational instruction in case of an STCA alert.

    Implemented

  • Specify and Augment instructions in the Helsinki ATC Ops Manual concerning missed approaches and non-standard go-around clearances

    Safety Investigation Authority, Finland recommends that Finavia Corporation specify and augment the instructions in the Helsinki ATC Ops Manual as regards missed approaches and non-standard go-around clearances.

    Implemented

  • Use of the SMR at Helsinki-Vantaa ATC to ascertain that the RWY is free

    Safety Investigation Authority, Finland recommends that Finavia Corporation take measures which make it possible to use the SMR at Helsinki-Vantaa ATC to ascertain that the runway is free when clearing an aircraft onto the runway after another one which has landed/departed.

    Implemented

  • Specify the instructions on EFHK segregated parallel operations

    Safety Investigation Authority, Finland recommends that Finavia Corporation specify the instructions on segregated parallel operations with regard to when the criteria of segregated parallel operations are no longer met.

    Implemented

  • Cooperation arrangement between the ARCC Finland and airports’ ATS units

    SIAF recommends that Finavia Corporation amend the cooperation arrangement between the Aeronautical Rescue Co-ordination Centre Finland (ARCC Finland) and airports’ ATS units by clarifying the definition of their respective areas of responsibility.

    Implemented

  • A standard for recording capability for GPS devices

    SIAF recommends that the EASA study the possibility of drawing up a proposal for a standard which would suggest that all GPS devices intended for use in aviation have a function that records the parameters of the route flown. Moreover, the memory of such devices should not require a power source to retain the stored data. A similar safety recommendation was already issued in 2009, in conjunction with Investigation Report B3/2008L.

    Partly implemented

  • A note to weather information card section “GAFOR” which states that weather class “O” does not necessarily permit night-VFR flying

    Safety Investigation Authority, Finland (SIAF) recommends that the Finnish Meteorological Institute augment its Finnish Meteorological Services publication weather card (the so-called “weather accordion”) by adding a note to section “GAFOR” which states that weather class “O” does not necessarily permit night-VFR flying outside aerodrome control zones or beyond the landing pattern of an uncontrolled airstrip.

    Implemented

  • Definition of difficult thaw time

    The Centre for Economic Development, Transport and the Environment of Southwest Finland will collaborate with shipping companies to develop the agreement procedures for “difficult thaw time”, including the associated risk factors in traffic during this period, and taking these risk factors into account in ways that better meets the needs of both parties. If necessary, the customer and supplier must agree on temporary cutbacks on schedules. The contractual terms and conditions of schedules must not restrict the obligations of the captain of the vessel to ensure the safety of the vessel in all circumstances.

    Implemented

  • Inspection requirements for hovercraft

    The Finnish Transport Safety Agency (Trafi) takes action to create and enforce inspection requirements for hovercraft as soon as possible. Even before the requirements are complete, the Finnish Transport Safety Agency (Trafi) must add a statement in the inspection certificate of the hovercraft that the manufacturer's instructions must be followed.

    Implemented

  • AIS transceiver

    From this point on, the Centre for Economic Development, Transport and the Environment will require ferries to have an AIS transceiver and that the shipping companies prepare vessel-specific rescue plans with the rescue authorities. These are recommended already for the current contractual period in progress.

    Implemented

  • Camera monitoring of an unmanned engine room

    Shipping companies engaged in ferry traffic install a camera monitoring system in an unmanned engine room. The Centre for Economic Development, Transport and the Environment of Southwest Finland will add a corresponding safety requirement into the request for tender documents.

    Implemented

  • The focus of safety is in the competitive tendering process of ferry traffic

    Responsibility for the overall safety of the ferry traffic is on the Centre for Economic Development, Transport and the Environment of Southwest Finland, which will, after hearing the Finnish Transport Safety Agency (Trafi), specify the procedures for the procurement of the service in such a way that the relative importance of safety in the comparison of offers is increased from the present.

    Implemented

  • Clarifying the agreement procedure

    The Centre for Economic Development, Transport and the Environment clarifies the agreement procedure to prevent a situation where the actions that improve safety remain unimplemented, because the responsibility for the costs of the changes is not clearly agreed upon. The main agreement must contain provisions on agreeing on the compensation for the changes required by law, regulations or decisions of the ministry.

    Implemented

  • Safety documents

    Service agreements must contain a separate safety document that carries a lot of weight and contains the safety-related parts from various documents, and also a more detailed risk analysis required by the ISM regulations, containing all means of transport of the ferry traffic. A corresponding procedure must be enforced also for existing agreements.

    Implemented

  • Inclusion in the ATR FCOM further information on the TLU system

    Safety recommendation 4 (documentation/literature): Safety Investigation Authority, Finland recommends that the manufacturer of the ATR aircraft include in the FCOM further information on the TLU system including the limitations on the controllability of the aircraft caused by its malfunctioning.

    Implemented

  • Inclusion of instructions for the manual selection of the TLU’s standby system in the ATR FCOM and in other relevant instructions

    Safety recommendation 1 (checklists): Safety Investigation Authority, Finland recommends that the manufacturer of the ATR aircraft include instructions for the manual selection of the TLU’s standby system in the FCOM and in other relevant instructions.

    Implemented

  • Include in the ATR FCOM change of TLU STBY from HI SPD mode to the LO SPD mode

    Safety Investigation Authority, Finland recommends that the manufacturer of the ATR aircraft include in the FCOM the length of time it takes for the TLU’s standby system to change from the HI SPD mode to the LO SPD mode.

    Implemented

  • Training requirements for pilots who fly Heli-sawing flights

    The Safety Investigation Authority Finland recommends that the Finnish Transport Safety Agency to clarify the helicopter sawing training and excerise requirements for quantitative and qualitative terms in such a way that they take into account the specific circumstances of the flight, and they would give the supervisor preparedness action in emergencies. The trainer should be a flight instructor. The training should take into account the specific characteristics of the type of helicopter. The check is dependent on the load and the estimated sufficient experience of flying with a load should be flown before the start of the sawing flights.

    Not to be implemented

  • Determination and verification of take-off mass or power reserve for helicopters used for Heli-sawing flights.

    The Accident Investigation Board recommends to the Finnish Transport Safety Agency (Trafi) that when issuing permits for aerial work, they estimate a takeoff weight suitable for the helicopter type in sawing flight operations (for example 90% of MTOW / GW OGE hover standard conditions) or an otherwise determined power reserve that is sufficient and appropriate for the control of the helicopter. To verify the power reserve and any excursions above it, a helicopter used in sawing operations should be equipped with a device that records the necessary meter parameters or their displays.

    Implemented

  • Inclusion of a TLU FAULT warning [CAUTION] and its effect to ATR

    Safety recommendation 3 (checklists): Safety Investigation Authority, Finland recommends that the manufacturer of the ATR aircraft include in the FCOM and other relevant instructions a TLU FAULT warning [CAUTION] of limited rudder travel and of the considerably reduced directional controllability during the approach and landing when the TLU system is in the HI SPD mode.

    Implemented

  • Training on collaboration on the bridge

    The Finnish Transport Safety Agency (Trafi) must ensure that the training on collaboration on the bridge provided for the bridge staff of vessels becomes permanent practice on the shipping companies’ ships, adhering to the watch routines specified in the shipping companies’ safety systems and that these practices are used especially in separately defined risk zones.

    Implemented

  • Reassess the training, implementation and updating of the present Critical Incident Stress Management system

    Safety Investigation Authority, Finland recommend that Finavia Corporation reassess the training, implementation and updating of its present Critical Incident Stress Management system.

    Implemented

  • Validation of the flight simulator´s oxygen masks’ condition during the annual inspections

    Safety Investigation Authority, Finland recommend that the Finnish Transport Safety Agency ensure that the validation of the oxygen masks’ condition during the annual flight simulator inspections be carried out via subjective testing. The condition of oxygen masks used in flight simulators must be equivalent to that of oxygen masks in aircraft.

    Implemented

  • Make certain that the maintenance organisations’ regulations require dual release processes following critical maintenance work

    Safety Investigation Authority, Finland recommends that Transportstyrelsen and the Finnish Transport Safety Agency make certain that the maintenance organisations’ regulations require dual release processes following critical maintenance work (EC 2042/2003, Part M, subparts C & D). At the same time it must be checked that Airworthiness Directive EASA AD 2004–0009 R2 is fully implemented at the practical level as well.

    Implemented

  • More attention during the inspections to the possible EASA approvals of the changes by Heli-sawing apparatus installations

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency would pay more attention during the inspections to the possible EASA approvals of the changes by sawing apparatus installations (for example equipment’s installed to the controls). Potential implications of the sawing apparatus on the maintenance program, operational restrictions, weight and balance calculations and the influences to emergency procedures should be checked. Every used sawing apparatus version should be recorded separately to the manuals.

    Implemented

  • Review the compressor delivery air pressure sensing line section in the MD 369D daily inspection manual

    Safety Investigation Authority, Finland recommends that MD Helicopters Inc review the MD 369D helicopter’s compressor delivery air pressure sensing line section in the daily inspection manual in such a manner that it complies with the engine manufacturer’s manual by including the paint markings on the B-nuts.

    Implemented

  • Assess the practical procedures of operators that carry out heli-sawing flights

    Safety Investigation Authority, Finland recommends that the Finnish Transport Safety Agency exhaustively assess the practical procedures of operators that carry out heli-sawing flights. In addition, their regulations and the content and extent of training as well as their safety margins must also be established.

    Implemented

  • Ending of pilotage and further instructions

    Finnpilot Pilotage Oy specifies its piloting instructions further with guidance on how a pilot, when the piloting ends before the piloting location, should clearly show the location of the vessel and the route past the piloting location to the captain and ensures that the captain has understood this. The pilot must report his/her exit to VTS.

    Implemented

  • Collaboration with pilots and VTS

    Finnpilot Pilotage Oy and the Finnish Transport Agency as the VTS authority ensure that the procedures recorded for improving the collaboration between pilots and VTS have been adopted in the Bothnian Sea area, and that the same procedures will be adopted in all piloting areas of Finland.

    Implemented

  • Instructions for moving from an anchored location

    The Finnish Transport Agency is investigating the possibilities of making the VTS instructions given to ships more detailed, so that any ships on anchor must request permission from the VTS centre before starting to move.

    Implemented

  • Automatic alarm limits

    The Finnish Transport Agency specifies and adopts automatic alarm limits on seaways in places where they are considered to improve safety.

    Implemented

  • Additional CRM training for RAF-AVIA pilots

    Safety Investigation Authority, Finland recommend that the Latvian Civil Aviation Agency ensure that RAF-AVIA pilots receive additional Crew Resource Management training.

    Implemented

  • Update of Finavia regulation IAM RAC 89 (15 Nov 2006) “The use of radar monitors at ATS units”

    Safety Investigation Authority, Finland recommend that Finavia Oyj update its regulation IAM RAC 89 (15 Nov 2006) “The use of radar monitors at ATS units” in such a manner that the air traffic controller also has the option of notifying the pilot when the information on the ATS monitor and the pilot’s position report diverge.

    Implemented

  • Additional training as regards the operating procedures of the GPWS for RAF-AVIA pilots

    Safety Investigation Authority, Finland recommend that the Latvian Civil Aviation Agency ensure that RAF-AVIA pilots receive additional training as regards the operating procedures of the Ground Proximity Warning System.

    Implemented

  • Collecting basic data on the water towers of Finland

    The Finnish Water Utilities Association and the Association of Finnish Local and Regional Authorities should compile basic data on all water towers in Finland. This data should be used in targeted communications to water supply on the appropriate maintenance, safety, good practices, technical problems and solutions associated with water towers.

    Implemented

  • Charting of structures susceptible to hydrogen cracking, and ensuring that the parties in charge of the structures’ safety perform the necessary inspections and repairs

    Together with municipalities, the Safety Investigation Authority recommends that the Ministry of the Environment and the Finnish Transport Agency chart all structures which are susceptible to hydrogen cracking and ensure that the parties in charge of the structures’ safety perform the necessary inspections and repairs.

    Implemented

  • Use of command based track blocking

    The Finnish Transport Agency should ensure that the command based track blocking is used effectively in centralised traffic control.

    Implemented

  • Use of traffic restriction notification

    The Finnish Transport Agency should ensure that traffic restriction notifications are also used when stock is stored on tracks in traffic usage.

    Implemented

  • Practical implementation of risk management practices

    The Finnish Transport Safety Agency should ensure that concrete instructions are created for planned risk management procedures, that those executing the procedures are familiarised with them, and that the implementation of risk management procedures is monitored.

    Implemented

  • Procedures for resetting axle counting system

    The Finnish Transport Agency should identify the best practices for resetting axle counting after trackwork and should include these practices in the railway traffic control manual.

    Implemented

  • Revise Aviation Regulations AGA M1-1 and OPS M1-6 to eliminate any inconsistencies in their respective aerodrome classifications

    Safety Investigation Authority, Finland issued a safety recommendation to the Finnish Transport Safety Agency, proposing Aviation Regulations AGA M1-1 and OPS M1-6 to be revised so as to eliminate any inconsistencies in their respective aerodrome classifications.

    Implemented

  • Update to the ‘Winch Launching; Flying, Training and Operating Instructions Guidebook’

    Safety Investigation Authority, Finland issued a safety recommendation to the Finnish Aeronautical Association, proposing an update to the ‘Winch Launching; Flying, Training and Operating Instructions Guidebook’ as regards the section that deals with emergencies during the ground run phase of glider winch launching. In addition, it is recommended that the guidebook be distributed to student glider pilots as part of their training material.

    Implemented

  • Loading instructions for turnout transport wagons

    Drafting of the turnout transport wagon's loading instructions should be completed so as to ensure that these instructions are unambiguous and precise and that compliance with them guarantees that loading is performed in accordance with the wheel weight ratio and rolling stock gauge determined in the general loading instructions.

    Implemented

  • Changes to the turnout transport wagon

    The turnout transport wagon should be modified in such a manner that it can transport turnout elements, while ensuring that the wheel weight ratio complies with general loading instructions (1.25:1 at a maximum).

    Implemented

  • Instructions for turnout maintenance

    Unambiguous operational instructions regarding maintenance and traffic limitations should exist for cases in which the measurement values and acute limits determined for turnouts are exceeded.

    Implemented

  • Turnout maintenance

    In the turnout condition monitoring system, turnouts that have been found to be in poor condition should be repaired or replaced to ensure that they fulfil the measurement values and other requirements set for turnouts.

    Implemented

  • Safety management system risk assessment

    The risk assessment element of the safety management system should also extend assessment to existing standardised activities.

    Implemented

  • Ensuring the immediate commencement of SAR operations by strengthening the ARCC’s human resources

    Finavia Oyj should ensure the immediate commencement of SAR operations by strengthening the ARCC’s human resources.

    Implemented

  • Inform any potential aerial work customers about regulations

    The Finnish Transport Safety Agency should inform any potential aerial work customers of legislation and Aviation Regulations that are relevant from the customer’s standpoint.

    Not to be implemented

  • Make Aviation Regulation AIR M5-10 correspond to practice

    The Finnish Transport Safety Agency should take the action needed to make Aviation Regulation AIR M5-10 correspond to practice. If the Aviation Regulation in its present form is unviable, it must be reviewed and made more straightforward. Alternatively, the Finnish Transport Safety Agency should intervene in practices so as to make them compliant with the requirements of the Aviation Regulation.

    Not to be implemented

  • Inform UL pilots and especially flight instructors of the risks associated with flying aircraft carrying excess weight.

    The Finnish Aeronautical Association should inform ultralight pilots and, especially, flight instructors of the risks associated with flying aircraft carrying excess weight.

    Implemented

  • Instruct how aerodromes are to provide requested services for the purpose of supporting authorities

    Finavia Oyj should clearly instruct how aerodromes are to provide various requested airport services for the purpose of supporting search and rescue operations, ARCC officials or the police, such as extending the aerodrome’s business hours or opening an aerodrome.

    Implemented

  • Intensify and harmonise the supervision of UL training and introduce regular refresher training flights or check flights.

    The Finnish Transport Safety Agency should intensify and harmonise the supervision of ultralight (UL) training. Furthermore, UL pilot licence regulations should be amended by introducing regular refresher training flights or check flights.

    Implemented

  • Ikarus C42 UL manufacturer compliance of the engine manufacturer’s instructions concerning the fuel systems.

    The Safety Investigation Authority, Finland recommends that Deutscher Aero Club e.V. (ultralight aircraft type certificate approval organization in Germany) advises the aircraft manufacturer to comply with the engine manufacturer’s instructions and recommendations as regards the construction of fuel systems.

    Implemented

  • Collaboration of parties in child welfare

    The ministry of Social Affairs and Health should collaborate with other parties to develop operating models that ensure good collaboration, information flow, documentation and the formation of an overall picture between the players in child welfare, such as child welfare authorities, school health care, early education and the police.

    Implemented

  • Current Care Guidelines on identifying physical abuse

    The Finnish Medical Society Duodecim should create a Current Care Guideline on identifying and handling physical abuse (non-accidental injury) of children for maternity clinic employees, school health care staff and other health care staff and to promote awareness of the Guideline's contents among teachers, kindergarten teachers and other people working with children.

    Implemented

  • Continuous development of child welfare programmes

    The Ministry of Social Affairs and Health should create procedures for the child welfare sector that a person could follow to report even minor deviations or errors, which would then be systematically reviewed for example in a collaboration group referred to in the Child Welfare Act. The procedure should be aimed at providing widespread information for the further development of child welfare.

    Implemented

  • Standardising the procedures for investigating domestic conditions

    The Ministry of Social Affairs and Health should standardise the procedures for investigating domestic conditions so that certain investigations would always be carried out when deciding on the home of a child. At a minimum, such investigations should include background checks on the people living in the home and the compilation of information available to various parties such as the police, the school and health care officials. Any defects or changes should be monitored.

    Implemented

  • Learning from severe cases of domestic violence

    The Ministry of Social Affairs and Health should permanently task the National Institute for Health and Welfare to collect information on all cases of domestic violence that have led to the death of a child, to report them regularly and to present conclusions that would enable the prevention of similar cases in the future.

    Not to be implemented

  • Improving education

    The Finnish Transport Agency ensures that the training and guidance of vessel traffic controllers enables them, when the traffic situation in the GOFREP area so requires, to communicate actively to influence the course of events in time.

    Implemented

  • Adherence to rules

    The Tide Line Inc shipping companies ensures that the yet unimplemented corrective actions are implemented and that the Bahamas Maritime Administration supervises that the actions are implemented.

    Not to be implemented

  • Ensure that SOP as well as pre-takeoff checklists support flight crew action during take-off

    Safety Investigation Authority, Finland recommends that the operator ensure that Standard Operating Procedures as well as pre-takeoff checklists support flight crew action when it comes to confirming the critical takeoff-related issues immediately before takeoff.

    Implemented

  • Content of the Bombardier CL300 -type training classroom instruction and simulator training of artificial feel system operating principles

    Safety Investigation Authority, Finland recommends that the European Aviation Safety Agency (EASA) call attention to the content of the type training classroom instruction and simulator training of artificial feel system operating principles, especially with regard to aircraft types in which the system does not directly adjust in relation to airspeed.

    Implemented

  • Review the content of Bombardier CL300-type aircraft QRH checklists as regards horizontal stabilizer trim system faul

    Safety Investigation Authority, Finland recommends that Transport Canada review the content of Bombardier CL300-type aircraft QRH checklists as regards horizontal stabilizer trim system faults.

    Implemented

  • Checklist for inspection

    The Finnish Transport Safety Agency (Trafi) should create detailed checklists for vessel inspections

    Implemented

  • Usability of a vessel’s equipment

    The vessel inspections carried out by the Finnish Transport Safety Agency (Trafi) must pay attention to the usability of equipment that is essential to safety. Any defects must be recorded in the inspection protocols.

    Implemented

  • The police to have the right to suspend a charger’s certificate of proficiency

    Together with the Ministry of Social Affairs and Health, the Ministry of the Interior should develop the supervision of blasting work in such a way as to confer the police with the right to suspend a charger's certificate of proficiency.

    Not to be implemented

  • Development of the processing of blasting work notifications, and the supervision of blasting work,

    The National Police Board should develop the processing of blasting work notifications, and the supervision of blasting work, in order to create consistent and effective practices.

    Partly implemented

  • Helping actors in the construction and excavation sector to create self-supervision practices

    Together with the Ministry of Social Affairs and Health, the Ministry of the Environment should assemble the key actors in the construction and excavation sector and help them to develop and implement effective self-supervision practices in the spirit of the regulations.

    Implemented

  • Simplification the registries of blasting work

    Together with the Ministry of Social Affairs and Health, the Ministry of Employment and the Economy should simplify registers related to blasting work by combining the national ADR certificate with the certificate of proficiency for chargers.

    Not to be implemented

  • More detailed requirements for the charger’s proficiency entered into regulations

    The Ministry of Social Affairs and Health should ensure that more detailed requirements for the charger's proficiency are entered into the regulations in force. The Ministry should also ensure that the authority in charge of certificates of proficiency has a systematic procedure for obtaining information from the police and the occupational health and safety administration handling supervisory matters.

    Implemented

  • Emphasise the importance of disciplined radiotelephony communications in aTC operations and correct read-backs

    Safety Investigation Authority, Finland recommend that Finavia Corporation emphasise the importance of disciplined radiotelephony communications in air traffic control operations and that Finavia focus particular attention on correct read-backs.

    Implemented

  • Ensure that RAF-AVIA pilots possess sufficient multi-crew cooperation skills

    Safety Investigation Authority, Finland recommend that the Latvian Civil Aviation Agency make certain that RAF-AVIA pilots possess sufficient multi-crew cooperation skills

    Implemented

  • The pertinent ATC clearance when complementing the standard radiotelephony phraseology with traffic information.

    Safety Investigation Authority, Finland recommend that Finavia Corporation make certain that air traffic controllers include the pertinent air traffic control clearance, as applicable, when they complement the standard radiotelephony phraseology with traffic information.

    Implemented

  • Study the possibilities of introducing a system that alerts air traffic controllers of RWY incursions.

    Safety Investigation Authority, Finland recommend that Finavia Corporation study the possibilities of introducing a system that alerts air traffic controllers of runway incursions.

    Implemented

  • Ensure that the pilots of RAF-AVIA Airlines are familiar with the procedures related to stop bars

    Safety Investigation Authority, Finland recommend that the Latvian Civil Aviation Agency ensure that the pilots of RAF-AVIA Airlines are familiar with the procedures related to stop bars.

    Implemented

  • include regular refresher training flights or check flights in UPL requirements

    Finnish Transport Safety Agency Trafi should include regular refresher training flights or check flights in ultralight pilot licence requirements.

    Implemented

  • Information of uL pilots of the risks related to flying with aircraft carrying excess weight

    The Finnish Aeronautical Association should inform ultralight pilots of the risks related to flying with aircraft carrying excess weight.

    Implemented

  • Check and review the ERC instructions related to launching a SAR operation for a missing aircraft

    The Emergency Response Centre Administration should check and review the instructions related to launching a SAR operation for a missing aircraft, and retrain their personnel on them.

    Partly implemented

  • Reporting practices for accidents on water at Lake Saimaa

    The Finnish Transport Agency and the Emergency Response Centre Administration will create and adopt a standard operating procedure for reporting accidents on water in the Lake Saimaa area between the Vessel Traffic Service (VTS) and an emergency response centre.

    Implemented

  • Instruction on the initial inspection of a safety management system

    The Finnish Transport Safety Agency will create detailed written instructions on the initial inspection needed to grant temporary certificates for a safety management system. Moreover, a light intermediate inspection during the transitional period is needed to ensure that the vessels adhere to good safety management practices during the transitional period.

    Partly implemented

  • Amendation of the Airbus OEB

    The Safety Investigation Authority, Finland recommends that the EASA oblige Airbus S.A.S. to amend the OEB in a manner that clearly segregates the procedures for prior to the flight and during the flight. Additionally Airbus S.A.S. needs to assure that all the appropriate actions included in the OEB are in line with QRH.

    Partly implemented

  • Bleed air systems emergency instructions on the A320 ECAM

    The Safety Investigation Authority, Finland recommends that the EASA oblige Airbus S.A.S. to compile all engine bleed air failure-related emergency procedures that pilots use, and display the complete set of instructions on the ECAM.

    Implemented

  • Determine and eliminate the root cause for the flameout tendency of PW305A engine

    Safety Investigation Authority Finland recommends that Pratt & Whitney Canada continue the analysis of PW305A engine control units so as to determine and eliminate the root cause of the detected flameout tendency. It would be desirable if Transport Canada, as the issuer of the engine’s type certificate, would contribute to this process. Safety Investigation Authority Finland further recommends that Transport Canada require the engine manufacturer to determine the root cause for the flameout tendency, and to propose the corrective action in eliminating the flameout tendency.

    Not to be implemented

  • Determination of the root cause for the PW305A engine flameout tendency and proposal for the corrective action

    Safety Investigation Authority Finland recommends that Transport Canada require the engine manufacturer to determine the root cause for the flameout tendency, and to propose the corrective action in eliminating the flameout tendency.

    Not to be implemented

  • A procedure for informing pilots and/or operators of FOD

    The Safety Investigation Authority, Finland recommends that Avinor establish a procedure for informing pilots and/or operators of foreign object debris found in the movement area used by their aircraft.

    Implemented

  • Draft an instruction for documenting and retrieving FOD

    The Safety Investigation Authority, Finland recommends that Avinor and/or CAA Norway draft an instruction for documenting and retrieving foreign object debris found in the movement area.

    Implemented

  • Include the verification of the correct RWY and take-off position as a separate item to Operator´s check-lists

    The Safety Investigation Authority Finland recommends that Finnair include the verification of the correct runway as a separate item with minimum dissimilarity between different aircraft types' checklists. Guidelines for the verification of the correct take-off position are also needed.

    Implemented

  • Establish a procedure which prevents the flight crew from lining up before they are completely ready for take-off

    The Safety Investigation Authority, Finland recommends that Finnair establish a procedure which prevents the flight crew from lining up before they are completely ready for take-off.

    Not to be implemented

  • Equalize the texts in ENGM HS2 and HS3 concerning the reduced visibility caused by angled taxiways

    The Safety Investigation Authority, Finland recommends that Avinor equalizes the texts in HS2 and HS3 concerning the reduced visibility caused by angled taxiways.

    Implemented

  • Instruct air traffic controllers to use the rate of speech specified by the ICAO as well as complete radio callsign

    The Safety Investigation Authority, Finland recommends that Avinor instruct air traffic controllers to use the rate of speech specified by the ICAO as well as complete radio callsigns.

    Implemented

  • Weather information at a pilotage location

    The Finnish Transport Agency will collaborate with the Finnish Meteorological Institute to equip safety devices with features that enable seafarers to see the sea conditions at the pilotage location or its immediate vicinity in real time.

    Partly implemented

  • Ending of pilotage and further instructions

    FINNPILOT specifies its piloting instructions further with guidance on how a pilot, when the piloting ends before the piloting location, should clearly show the location of the vessel and the route past the piloting location to the captain and ensures that the captain has understood this. The pilot must report his/her exit to VTS.

    Implemented

  • Review of RJ85 Feed Tank low level warning emergency checklist

    It is recommended that the EASA oblige BAE Systems Limited, the aircraft manufacturer, to make the Feed Tank Low Level checklist easier to use.

    Implemented

  • Use of authority of the vessel traffic controllers

    The training and instructions of vessel traffic controllers encourages the controllers to use their full authority when a situation so requires, and to communicate actively to influence the course of events.

    Implemented

  • Obligation to take a pilot on board

    All parties involved are informed that bypassing a pilot location and continuing without a pilot to a route that requires a pilot constitutes a breach of pilot regulations.

    Implemented

  • Notifications on the start and end of pilotage

    Pilots are given clear and uniform instructions on standard phrases to be used to signal the start and end of pilotage to the parties involved.

    Implemented

  • Visibility of the stop block

    Stop blocks should be painted well to ensure their visibility, and the block’s visibility improved by other means.

    Implemented

  • Improving the safety of crossing under bridges

    On this basis, the Danish Maritime Accident Investigation Board recommends that the Danish Maritime Authority initiates a dialogue with the relevant parties, including the Danish Traffic Authority, Rail Net Denmark, the Danish Road Directorate and pilots, to review relevant aspects of safety of navigation related to bridges in Danish waters.

    Not to be implemented

  • Railway yard work instructions

    The railway yard work instructions should be developed in order to take account of all situations arising from normal work. Safety-critical instructions should be presented as a checklist.

    Implemented

  • Competence of the operator of a floating excavator

    The company owning the device uses only competent persons as the operators of a floating excavator Particular attention must be paid to situations where the equipment is transported or when operations take place in deep water. A company must have its equipment inspected by the Finnish Transport Safety Agency (Trafi) and obtains the necessary documents for the equipment and its crew.

    Not to be implemented

  • Inspections of floating equipment

    The Finnish Transport Safety Agency (Trafi) improves the inspection operations of floating equipment.

    Implemented

  • Amending any shortcomings found in electrical inspections without delay

    The Finnish Safety and Chemicals Agency (Tukes) should develop its supervisory activities in such a way that shortcomings discovered in electrical inspections are repaired without delay and in the appropriate manner. Tukes should also apply the supervisory methods set out in the regulations, in such a manner that the target of supervision implements the procedures within the given deadline.

    Implemented

  • A system for nursing homes and other nursing institutions for alerting the management and personnel and for internal communication.

    The Ministry of Social Affairs and Health should ensure that a functioning system for alerting management and personnel, and for internal communication, is available to nursing homes and other institutions run by hospital districts, municipalities and the private sector.

    Implemented

  • Ensuring that nursing homes and other nursing institutions have a maintenance programme

    The Ministry of Social Affairs and Health should ensure that nursing homes and other institutions run by hospital districts, municipalities and the private sector have a proactive maintenance and repair programme that takes account of the sub-areas of structural safety, and which is regularly implemented and monitored. When compiling the programme, it should, for instance, be ensured that there are proper fire seals, electric and gas systems and automatic air pressurisation in emergency exits and lift shafts.

    Implemented

  • Control of a ship

    In addition to the captain, the crew of a ship should contain at least one person who can control the ship so that it can be steered, stopped and possibly anchored in exceptional circumstances.

    Implemented

  • A need to develop the FIS in the surroundings of Helsinki and other busy TMAs and during MIL exercises

    Finnish Transport Safety Agency together with Finavia Corporation and the Military Aviation Authority, should also evaluate the need to develop the flight information service in the surroundings of Helsinki and other busy Terminal Control Areas, and during military aviation exercises

    Implemented

  • Check the content of pilot training curricula concerning ATS, airspace structure, flight procedures and radiotelephony skills

    The investigation commission recommends that, insofar as knowledge of air traffic services, airspace structure, flight procedures and radiotelephony skills are concerned, the Finnish Transport Safety Agency checks the content of training curricula. The Finnish Transport Safety Agency should ensure that the Finnish Aeronautical Association review the content of sport aviation training syllabi in powered flying.

    Implemented

  • Solutions for preventing airspace infringements and minimise their consequent risks in the Helsinki TMA

    The investigation commission recommends that, as airspace structures are being reviewed, the Finnish Transport Safety Agency, together with Finavia Corporation, proactively aim to achieve such solutions that would prevent airspace infringements and minimise their consequent risks in the Helsinki Terminal Control Area and in its immediate surroundings.

    Implemented

  • Include FIS training in the curricula of air traffic controllers’ refresher training

    Finavia Corporation should also include FIS training in the curricula of air traffic controllers' refresher training.

    Not to be implemented

  • Improvement of Airbus operational bulletins distribution via communications channels intended for operational divisions

    It is recommended that Airbus S.A.S. improve the procedures of promulgating its operational bulletins by distributing them via communications channels intended for operational divisions.

    Not to be implemented

  • Sufficiently lengthen the time recording requirement of CVRs so as to cover the entire routing of the flight

    It is recommended that EASA and ICAO sufficiently lengthen the time recording requirement of CVRs so as to cover the entire routing of the flight.

    Partly implemented

  • Replace A330 fleet pressure transducers ZRA380-00 by pressure transducers (p/n ZRA691-00 or equivalent) of A330 aircraft equipped with GE CF6-80E1

    It is recommended that EASA require Airbus S.A.S. to replace the pressure transducers ZRA380-00 by pressure transducers (p/n ZRA691-00 or equivalent) of A330 aircraft equipped with GE CF6-80E1 engines with such that function in conditions approved for the A330 fleet.

    Implemented

  • Include Dual Bleed Loss abnormal procedures in the A330 ECAM action

    It is recommended that EASA require Airbus S.A.S. to also include Dual Bleed Loss abnormal procedures in the A330 ECAM action.

    Implemented

  • Organisation of a safety information session before every gliding contest and address of safety issues in the briefing session

    To increase and maintain safety awareness, the Safety Investigation Authority, Finland recommends the Finnish Aeronautical Association to organise a safety information session before every gliding contest and to address safety issues in the briefing session for each day of competition.

    Implemented

  • Surveying the exit routes of old buildings

    The Finnish Real Estate Federation and Finnish Real Estate Management Federation should instruct real estates and real estate managers to survey the emergency exits of old buildings as part of their security planning and, if necessary, modify them to allow safe exit.

    Not to be implemented

  • Surveying the smoke extraction arrangements of the stairwells of blocks of flats, including the issuing of instructions

    Together with the Ministry of the Interior, the Ministry of the Environment should ensure that the smoke extraction arrangements of all apartment building stairwells are surveyed and order that they be made functional. Rescue departments will serve as experts in this regard.

    Not to be implemented

  • Stairwells to have smoke vents or windows, either self-opening or opened from below

    The Ministry of the Environment should further specify fire safety regulations, so that, as previously, such regulations require stairwells to have smoke vents or windows, either self-opening or opened from below.

    Not to be implemented

  • Issuing instructions on the rescue planning of a residential building

    Together with the Finnish National Rescue Association, the Ministry of the Interior should issue instructions on apartment building emergency planning, to ensure that planning is conducted for each individual building through genuine collaboration, and that arrangements are made for the communication of essential safety information to residents.

    Implemented

  • Instructions for workers in case of accidents

    The Ministry of Social Affairs and Health should ensure that people working on different premises are briefed on possible accident situations in these buildings and given clear instructions on how to act during an accident. Special attention should be paid to small enterprises and those enterprises where a high percentage of staff is of foreign background.

    Implemented

  • Identification of locations of multiple-vehicle collisions and improvements to the location

    The Finnish Transport Agency should make efforts to identify those locations along the road network where the risk of multiple-vehicle collisions is particularly high, and take the necessary countermeasures, such as building wind fences and installing electronic warning signs that can be adjusted to match changing road conditions. Typical high-risk locations are stretches of wide-open landscape, embankments with a contour that generates wind turbulence, highway sections with more than one lane going in one direction, and high average vehicle speeds and high traffic volumes.

    Implemented

  • Making the communications material on traffic collisions more specific

    In cooperation with other traffic safety policy makers, the Finnish Transport Safety Agency should refine the existing data on road accidents, identifying those factors that heighten the risk of multiple-vehicle collisions, and create applicable guidelines.

    Implemented

  • Smart traffic service for drivers on the worsening of local driving conditions and overall conditions

    Along with the Finnish Transport Safety Agency (Trafi), the Finnish Transport Agency should develop and make widely available a service, based on intelligent transport systems, that would allow drivers to automatically and instantly obtain information on local weather conditions that might be deteriorating, as well as on multiple-vehicle collisions underway. The Finnish Meteorological Institute could provide the meteorological data required by the system. Vehicles themselves could be utilised as a data source.

    Partly implemented

  • Investigating the potential weakening of glue laminated wood

    Together with players engaged in the glued laminater timber industry, the Ministry of the Environment should study the potential weakening of glued laminated timber over time. On the basis of the study results, instructions for the inspection and maintenance of glued laminated timber beams should be updated.

    Not to be implemented

  • Speed during assistance

    The speed of the assisting unit should be limited to 35 km/h, when it is driving to assist a train on the line.

    Implemented

  • Use of the RAILI telephone

    The use of group calls should be made into a standard procedure in exceptional situations.

    Implemented

  • Reflectors on the ends of the wagons

    Reflectors should be installed on the ends of wagons.

    Implemented

  • Checklist for pinpointing locomotive problems while on the line

    Locomotives and train units should be equipped with checklist-type problem solving diagrams, which would help the engine driver when a fault occurs in a locomotive on the line.

    Implemented

  • Use of satellite location to assist in locating trains

    A satellite location system should be implemented as quickly as possible to assist in location.

    Implemented

  • Instructions to road maintainers

    Instructions on level crossings should be drawn up for road maintainers.

    Implemented

  • Level crossing safety evaluation

    The safety of each level crossing should be evaluated using new statistical analyses, in order to better specify the order in which level crossings should be secured or removed.

    Implemented

  • Level crossing strategy

    A new strategy should be drawn up to improve level crossing safety, and a concrete plan with funding arrangements should be drafted based on this strategy.

    Implemented

  • Improving the level crossing’s perceptivity

    Ways of improving the perceptivity of level crossings and their conditions of use and technical properties should be specified.

    Implemented

  • Traffic safety plans of the municipalities

    Level crossing safety should also be included in the provincial and municipal traffic safety plans.

    Implemented

  • Database of accidents and incidents

    A single and common accident and deviation database for all those operating the railway system in Finland should be created.

    Not to be implemented

  • The Rescue Services risk evaluation instructions

    Emergency Response Centre risk assessment instructions should be continuously updated and a national operator responsible for the instructions should be assigned.

    Implemented

  • The road speed limit and use of the STOP sign in level crossings

    Clear instructions should be drawn up regarding road traffic speed limits and use of the STOP sign at level crossings.

    Implemented

  • Improving the visibility of train’s front

    The visibility of fronts of locomotives and train units should be improved.

    Implemented

  • School transport route planning

    When planning school transportation, the municipalities should improve safety by avoiding level crossings without warning devices along the routes.

    Implemented

  • Planning Itella’s delivery routes

    When planning delivery routes, Itella should improve safety by avoiding level crossings without warning devices.

    Implemented

  • Level crossing databases

    Databases on level crossing and their conditions should be merged into one and the database should be kept up to date.

    Implemented

  • Clarification of traffic controller instructions

    Traffic controllers should be issued with clear instructions on how to obtain immediate advice in exceptional situations, in order to solve the problem safely.

    Implemented

  • SA3 automatic coupler draft clips without screw holders should be replaced by ones with such holders

    SA3 automatic coupler draft clips without screw holders should be replaced by ones with such holders.

    Implemented

  • Training and procedures in error situations

    Traffic control personnel should undergo regular training and drills on identifying hazards related to error situations and on applying predefined, safe procedures.

    Implemented

  • Emergency release of axle counting sections

    It should be a prerequisite for the emergency release of all axle counting sections, that the last axles counted at an axle counting point must be axles exiting the section.

    Not to be implemented

  • S305 Locatin trains

    Safety management should have a particular focus on punctuality and consistency of communication and on accurate location of trains.

    Implemented

  • Publish procedures in the Evektor EV-97 POH for the event that the canopy opens during flight

    The Investigation Commission recommends that the aircraft manufacturer Evektor-Aerotechnik a.s. publish procedures in the EV-97 Eurostar aircraft pilot’s operating handbook for the event that the canopy opens during flight.

    Implemented

  • Publish the Mandatory Bulletin on the alteration work on the Eurostar EV-97 aircraft canopy locking mechanism

    The Investigation Commission recommends that Evektor-Aerotechnik a.s. publish the above mentioned bulletin corrected to comply with the actions needed in the alteration work.

    Implemented

  • Tightening the blood alcohol limits on water traffic

    The Ministry of Justice should introduce a bill which sends the message to boaters that it is unacceptable to venture onto the water while under the influence of alcohol. Blood alcohol limits should be tightened and should also apply to rowing boats.

    Under implementation

  • Objectives to reduce deaths by drowning

    Together with the Ministry of Social Affairs and Health and the Ministry of Transport and Communications, the Ministry of the Interior should present concrete goals to reduce the number of accidental drownings and a model of an organisation enabling effective and comprehensive work to prevent deaths by drowning. These could be included in the Internal Security Strategy, for example.

    Implemented

  • Increasing the use of flotation garments

    Together with the Finnish Transport Safety Agency (Trafi) (currently the Finnish Transport and Communications Agency Traficom), the Ministry of Transport and Communications should develop means of significantly increasing the use of flotation garments, especially in small boats. The Investigation Commission believes that regulatory guidelines should be introduced as an effective means of pursuing this aim.

    Under implementation

  • Focusing the monitoring of water traffic and especially alcohol use on inland waters

    The Ministry of the Interior should target water traffic supervision and, in particular, alcohol use supervision on inland waters and small lakes on a broader scale, in order to bring a greater number of Finnish waters under at least periodic supervision. Even small spot checks in previously unsupervised areas would send out the message that there is a risk of being caught and that taking unnecessary risks on water will not be tolerated.

    Not to be implemented

  • Disseminating information on safety and active production of various reviews

    The Finnish Broadcasting Company (YLE) should be tasked with the distribution of safety information and the production of various reviews, as a permanent part of their public service remit. Related themes, such as safety on water, should be chosen on the basis of the magnitude of the problem in question, its estimated effects and topicality.

    Implemented

  • Collecting information to prevent deaths by drowning

    The Ministry of Social Affairs and Health should develop a procedure for gathering data needed to prevent deaths by drowning and for publishing such data in real time. This data could be collected by an organisation such as the National Institute for Health and Welfare, which should co-operate with the Police.

    Partly implemented

  • Ensuring that children learn to swim while still at primary school

    The National Board of Education should set the goal that all school children who are capable of learning to swim should do so while still at primary school. In areas with no swimming halls, transportation, camp-based instruction or visits to natural waters should be arranged. Such co-operation should include the Defence Forces, whose task would be to ensure that all who pass through military service know how to swim.

    Implemented

  • Revise flight operations manual LO 7 pilot training requirement so that it includes the needed theory and flight training for low flying

    The investigation commission recommends that Konekorhonen Oy revises its flight operations manual LO 7 pilot training requirement so that it includes the needed theory and flight training for low flying.

    Not to be implemented

  • Creating procedures for producing a comprehensive situational picture for the local, regional and central government

    In collaboration with various ministries, the Prime Minister's Office should develop procedures for situational awareness measures and the related distribution systems, covering local, regional and central administration, in order to improve the basis for managing situations which have an extensive impact.

    Implemented

  • Including severe incidents affecting the water supply and communications related to the incident in the contingency plans of municipalities and water utilities

    In collaboration with the ELY Centres, the Finnish Water Utilities Association and the Association of Finnish Local and Regional Authorities, the Ministry of Agriculture and Forestry should ensure that serious disruptions in the water supply, as well as communications during disruptions, are covered in the contingency plans of municipalities and water supply and sewerage plants.

    Implemented

  • Public system for network disruptions

    In collaboration with distribution companies, Fingrid Oy should develop a public system for network disruptions, as part of national situation awareness activities.

    Implemented

  • Developing the visibility and distribution of warnings for severe weather issued via the VAARA notices

    The Finnish Meteorological Institute should make severe weather warnings included in VAARA weather information bulletins more distinct and improve their distribution.

    Implemented

  • Developing the Electricity Market Act

    The Ministry of Employment and the Economy should amend the Electricity Market Act in such a way as to oblige electricity network players to prepare for disturbances under normal conditions.

    Implemented

  • Developing the capability of municipalities to manage and communicate in incidents and major accidents

    In collaboration with the rescue services, regional state administrative agencies and the Emergency Response Centre Administration, the Association of Finnish Local and Regional Authorities should develop the management of disturbances in municipalities (including procedures for alerting key people in municipalities) and communications procedures in case of accidents.

    Implemented

  • Improving the monitoring of telecommunications companies

    The Finnish Communications Regulatory Authority should enhance monitoring of telecommunications companies as outlined in the Communications Market Act, in order to ensure fulfilment of the requirements laid down in statutes on the preparedness of telecommunications companies. In addition, enhanced monitoring should ensure that requirements are met on the functioning of the telecommunications networks, with minimal disruption during disturbances in normal conditions.

    Implemented

  • Determining the operational responsibility of the rescue services

    The Ministry of the Interior should inform practical actors of how far the rescue services' operational responsibility extends beyond urgent rescue operations, and who is responsible for non-rescue operations.

    Implemented

  • Developing the model for monitoring electricity network activities

    The Energy Market Authority should develop the monitoring model for electricity network activities to take better account of the network's reliability and preparedness for long, extensive electricity disruptions.

    Implemented

  • Utilisation of associations and citizens during severe incidents

    In collaboration with the Ministry of the Interior, rescue departments should develop the utilisation of organisations and involvement of private citizens in support of competent authorities during serious disturbances.

    Not to be implemented

  • Creating practical management capabilities for the rescue departments for major accidents

    The Ministry of the Interior should ensure that Finland prepares practical management capabilities for rescue operations (incl. regular drills) in the event of extensive, major accidents. In addition, the civil defence management system and guidance should be developed as part of the nation's preparedness, including for deployment during serious disturbances under normal conditions.

    Implemented

  • Developing the planning, direction and execution of clearance work following storm damage

    In collaboration with the Finnish Energy Industries and the Ministry of the Interior, the Finnish Transport Agency should develop the planning, management and practical implementation of clearance work following widespread storm damage.

    Implemented

  • Nationally uniform procedures for widespread incidents

    In collaboration with the Emergency Response Centre Administration and rescue departments, the Ministry of the Interior should prepare national, uniform procedures in case of extensive disruptions, engaging all available rescue service resources.

    Implemented

  • Collecting information from the business sector to create a situational picture

    In collaboration with its pool organisation, the National Emergency Supply Agency should develop procedures for collecting information from the business sector, for the compilation of a situation picture during serious disturbances. Following the occurrence, information on its financial and other impacts should be gathered to improve the preparedness of companies' business operations.

    Implemented

  • Use of technical logbooks for ultralight aircraft

    The investigators recommend that the Finnish Transport Safety Agency (Trafi) require the use of technical logbooks for ultralight aircraft as well.

    Implemented

  • Specify requirements for the transport of DGR and revalidate the relevant permits and modernise the regulations

    The investigation commission recommends that the Finnish Border Guard specify their requirements for the transport of dangerous goods by air as regards their operational duties. Following this, the Border Guard should revalidate the relevant permits and modernise the regulations.

    Implemented

  • Improve Helicopter pilots’ awareness of the risks of the vortex ring state as well as associated corrective actions

    The investigation commission recommends that the Air Patrol Squadron improve their pilots’ awareness of the .

    Implemented

  • Review flight procedures and training syllabi as regards the observed shortcomings, especially MCC

    The investigation commission recommends that the Air Patrol Squadron review their flight procedures and training syllabi as regards the observed shortcomings. Special attention should be given to Multi Crew Co-operation-related monitoring techniques.

    Implemented

  • Analyse and consider the applicability of the ICAO’s SMS in Air Patrol Squadron operations

    The investigation commission recommends that the Air Patrol Squadron, so as to improve flight safety, analyse and consider the applicability of the ICAO’s Safety Management System (SMS) in their operations.

    Implemented

  • The Tattaritie level crossing should be removed.

    The Tattaritie level crossing should be removed.

    Implemented

  • Update the OM of Piper PA-28R-200 with a warning about the potential for ice formation in the fuel injector unit along with instructions on icing prevention

    The investigation commission recommends that the Federal Aviation Administration (FAA) take measures to update the Operation Manual of the PA-28R-200 with a warning about the potential for ice formation in the fuel injector unit along with instructions on icing prevention, akin to later versions of the Operation Manuals for the same aircraft type.

    Implemented

  • Make the instructions for RWY inspections more specific

    As the current instructions concerning runway inspections and co-operation between units at Helsinki-Vantaa Airport does not specify what information should be given to other units with an inspection request, the investigation commission recommends the Finnish airport operator Finavia Corporation to make the instructions for runway inspections more specific, so that the inspecting staff would have all available necessary information about the situation at their disposal during the inspection

    Implemented

  • Find out whether FOD detection technology suitable for the local conditions is available and, based on studies, decide on the necessity of obtaining such equipment

    As Foreign Object Damage (FOD) to aircraft is a significant flight safety threat and new technology exists to manage the risks associated with it, the investigation commission recommends Finavia Corporation to find out whether foreign object detection technology suitable for the local conditions is available and, based on studies, decide on the necessity of obtaining such equipment.

    Not to be implemented

  • Examine the current status of instructions concerning aircraft parts remaining on the RWY

    As the investigation revealed that the technical staff of air carriers operating in Finland usually have no instructions for situations where aircraft parts may remain on the runway and the ATC should be informed about that without delay, the investigation commission recommends the Aviation Sector of the Finnish Transport Safety Agency (Trafi) to examine the current status of instructions and oversee that any deficiencies are rectified.

    Not to be implemented

  • Introduce a system for distributing UL manufacturer service bulletins

    Based on the investigation, it is recommended that Airmax Construções Aeronáuticas Ltda introduce a system for distributing service bulletins about the aircraft it manufactures.

    Not to be implemented

  • The Leskinen/Leppämäki level crossing should be replaced by an interchange.

    The Leskinen/Leppämäki level crossing should be replaced by an interchange.

    Implemented

  • Emphasising the importance of inspections

    The Finnish Transport Agency should ensure that signal box adjustment and repair work inspections, and documentation relating to them, are supervised and the importance of inspection is emphasised in signal box maintenance training.

    Implemented

  • Marking card versions

    The Finnish Transport Agency should ensure that component versions are marked clearly and that personnel are made aware of different versions during maintenance actions.

    Implemented

  • Training of restaurant personnel for exceptional circumstances

    Training in the use of device, which are important for safety reason, should be organised for restaurant car personnel also.

    Implemented

  • Preparedness plan for traffic control in exceptional circumstances

    A preparedness plan for exceptional circumstances should be drawn up for traffic control.

    Implemented

  • Instructions for tightening the screw coupling

    Unambiguous instructions concerning the tightening of the screw coupling in various car types should be drawn up.

    Implemented

  • Use of the handbrake

    To ensure that the cars remain stationary while the brakes are released by ‘milking’, instructions on the use of the handbrake should be drawn up.

    Implemented

  • Documentation of switch maintenance

    The installation, inspections and maintenance of switches and their components should be seamlessly documented.

    Implemented

  • Locking device adjustments and other adjustments in the point switc

    Adjustments of the locking devices and switch contactors located next to them should be inspected regularly and adjusted according to reference values.

    Implemented

  • Traffic management under exceptional circumstances, Preparedness Plan

    To deal effectively with exceptional situations, the forms of cooperation and the distribution of duties and responsibilities should be clearly defined both at national and local level.

    Implemented

  • Command relationships under exceptional circumstances

    To maintain control of the overall situation, a plan of action for accidents should be drawn up by the infrastructure manager.

    Implemented

  • Further inspection of switch structure

    How the mechanical switch lock become unlocked should be investigated under normal circumstances, as well as control disturbances in the point switches.

    Implemented

  • Return VDF to service as soon as possible at EFPO aerodrome

    Pori aerodrome’s VHF Direction Finding Station (VDF) has been out of service since the spring of 2008. The investigation commission recommends that Finavia Corporation return the device to service as soon as possible. Even though a VDF is not ATS-required equipment, it still improves flight safety and alleviates the air traffic controller’s workload.

    Not to be implemented

  • Make the instrument approach charts analogous with air traffic control procedures or introduce radar information in control towers at procedural control aerodromes

    The investigation commission recommends that Finavia Corporation either make the instrument approach charts analogous with air traffic control procedures, or introduce radar information in control towers at procedural control aerodromes corresponding to Pori.

    Implemented

  • Pay particular attention to correct clearance read-back as well as to listening to clearance acknowledgements in air traffic controller and pilot training.

    Clearance read-back is an essential part of aviation safety culture. The investigation commission recommends that Finavia Corporation and the Finnish Aviation Academy pay particular attention to correct clearance read-back as well as to listening to clearance acknowledgements in air traffic controller and pilot training.

    Not to be implemented

  • Ergonomically modernise the EFPO TWR workspace

    The computer displays in Pori tower notably impair visibility to the movement area. The investigation commission recommends that Finavia Corporation ergonomically modernise the Pori tower workspace, making it easier for air traffic controllers to visually monitor the movement area.

    Implemented

  • The orientation training

    The orientation training given to shunting foremen should be carried out so that the person participating in the training accompanies the shunting unit as an extra crew member.

    Implemented

  • Orientation plan and orientation training card

    An orientation plan and an orientation training card be drawn up, with the latter signed by both the orientation trainer and the trainee after the training is complete.

    Implemented

  • Transporting wagons into the Neste Oil Oyj unloading terminal in Kilpilahti

    Heavy and long rows of wagons should be transported into the Neste Oil Oyj unloading terminal in Kilpilahti by pulling them with a locomotive.

    Implemented

  • Improving track availability monitoring technology

    The party responsible for the upkeep of the track should systematically monitor and, when required, improve track maintenance and techniques for determining track availability so that security is not unnecessarily compromised.

    Implemented

  • Personnel and competence management

    Traffic control job rotation should ensure that demanding posts are familiar to traffic controllers by means of training and sufficient job rotation. With regard to training in the identification and handling of disturbances, and response procedures relating to them, special attention should be given to practices that do not compromise safety.

    Implemented

  • National regulation TRG M1-1, additional Written test before first solo

    The investigators also recommend that Trafi change the Aviation Regulation TRG M1-1 in such a way that a student must have passed the “General knowledge of the aircraft” examination before his/her first solo flight.

    Partly implemented

  • Dissemination of information about the safety deviations of buildings

    In cooperation with the construction industry, the Ministry of the Environment should develop a procedure which facilitates the comprehensive dissemination of information on potential safety anomalies, while allowing the compilation of information on the measures implemented.

    Not to be implemented

  • External inspection of the structural plans of buildings intended for large amounts of people

    The Ministry of the Environment should take action to establish a procedure requiring that the structural design of buildings intended to accommodate persons in large numbers be reviewed at all times by a third party.

    Implemented

  • Investigating the piling of snow and updating the design instructions accordingly

    The Ministry of the Environment should ensure that further studies are conducted on the accumulation of show deposits under various weather conditions and on diverse terrains, and that the design guidelines are updated accordingly.

    Implemented

  • The Lemettilä unprotected level crossing should be removed.

    The Lemettilä unprotected level crossing should be removed.

    Implemented

  • Condition verification and limit settin for station sidetracks

    The Finnish Transport Agency should define the station sidetracks to which trains comprising heavy Russian wagons can be directed. Clear restrictions should be imposed with regard to tracks that are unsuitable for heavy Russian wagons.

    Implemented

  • A change to company OM-A, all approaches should be stabilized at 1000 ft

    The investigators recommend that the operator should make a following change to OM-A: ” All approaches, including approaches performed during daylight, should be stabilized at 1000 ft.”

    Implemented

  • The Ingvallsby unprotected level crossing should be removed.

    The Ingvallsby unprotected level crossing should be removed.

    Implemented

  • Equipping the level crossing with a half-barrier

    The Kotkaniemi 1 level crossing should also be equipped with warning istallation with half-barriers.

    Implemented

  • Development and introduction of an electronic positioning system for ground vehicles

    The commission recommends that Finavia Oyj resolutely push the development and introduction of an electronic positioning system for ground vehicles, including an ancillary warning system in the control tower.

    Implemented

  • Review the air traffic controllers’ rating requirements

    Considering the air traffic controller’s limited work experience, the commission recommends that Finavia Oyj review the air traffic controllers’ rating requirements.

    Not to be implemented

  • Supplement its ground RTF guidelines so as to draw up emergency instructions for air traffic control and aerodrome maintenance

    The commission recommends that Finavia Oyj supplement its ground radiocommunications guidelines so as to draw up emergency instructions for air traffic control and aerodrome maintenance.

    Implemented

  • Emphasise to the maintenance personnel the significance of certain key English RTF

    The commission recommends that Finavia Oyj, in its own training and in the aerodromes’ internal training activities, emphasise to the maintenance personnel the significance of certain key English languagephrases used in aviation radiocommunications.

    Implemented

  • Determining the location of people in a building from the emergency call

    The Ministry of the Interior Department for Rescue Services should ensure that Emergency Response Centres and Rescue Departments develop procedures based on which the location of persons inside the building is identified as precisely as possible from the emergency calls, so that rescue and fire extinguishing measures focus on those parts of the building as rapidly as possible.

    Implemented

  • Developing collaboration among authorities for supporting responsible parenting

    The Ministry of Social Affairs and Health should ensure that the importance of responsible parenting is also raised in public discussions. The goal is that parents, together with adolescents, draw up clear rules concerning the consumption of alcohol, curfews, informing their parents on the location of evening gatherings, the safety of these eventual locations and observing the rules drawn up.

    Implemented

  • A second exterior door or a window equipped with fixed opening handles as an emergency exist in single-family houses

    The Ministry of the Environment and the Ministry of the Interior should take steps to ensure that single-family houses that are new or under renovation are required to have an emergency exit; either another exterior door or a window equipped with fixed opening handles. For old buildings, the construction of functioning emergency exits should be promoted through targeted communications.

    Not to be implemented

  • Developing the room arrangements of emergency response centres

    The Emergency Response Centre Administration should develop emergency response centre (ERC) room arrangements, so as to ensure rapid and efficient communication between ERC operators. For the rapid identification of situations, ERC rooms should have a straightforward system available to everyone, using which ERC operators can monitor ongoing tasks, particular those which are large or medium in size.

    Implemented

  • Developing and clarifying the performance indicators of emergency response centres

    The Ministry of the Interior and the Emergency Response Centre Administration should develop ERC performance indicators to provide better support for the work of ERC employees and their professional performance in various situations.

    Implemented

  • Instructions on how to act in case of a fire

    In parallel with general safety information campaigns, the Ministry of the Interior, the Finnish Emergency Services College and the Finnish National Rescue Association should develop simple and straightforward instructions to be observed in case of fire, which can be used in all teaching and education, from elementary school to civic education. Such targeted messages must be planned so as to ensure that they will not be lost amidst other safety information, and that they can be applied on a broad basis.

    Implemented

  • Duty to clear the sightlines

    The Ministry of Transport and Communications should ensure that such consistent guidelines on the duty to clear the sight lines are issued as are acceptable to all parties.

    Not to be implemented

  • Safety management at the transitional stage

    A risk assessment of technical safety systems as well as the planning, implementation, provision of instructions, and monitoring of safety-enhancing measures based on this assessment should be carried out in conjunction with all construction projects involving work on safety devices.

    Implemented

  • Evaluate the need and possibilities of shielding A340 hydraulic and electric systems in wheel wells

    The investigation commission recommends that Airbus Industries evaluate the need and possibilities of shielding hydraulic and electric systems in wheel wells.

    Not to be implemented

  • Removal of the Köykäntie level crossing

    The Köykäntie unprotected level crossing should be removed.

    Implemented

  • Removal of the unprotected level crossing on the Pikakyläntie

    The unprotected level crossing of Teurastamo on the Pikakyläntie road should be removed.

    Implemented

  • The level crossing should also be equipped with a warning installation with half-barriers

    The Hyvämäki level crossing wait platforms should be reconditioned and road junctures should be relocated sufficiently far from the crossing. The level crossing should also be equipped with a warning installation with half-barriers.

    Implemented

  • Facilitating location of an accident site

    A variety of operators should develop systems and implement equipment to facilitate location of an accident site.

    Implemented

  • Moving signal E681 to a more visible location

    Signal E681 should be moved to a more visible location.

    Implemented

  • Developing the advance notification

    Advance notification (ET) provided to the engine driver should provide more specific information about ATC construction area conditions.

    Implemented

  • Limiting the area of set ATC construction areas

    Overly extensive ATC construction areas should be limited.

    Implemented

  • Development of automatic train running control equipment (ATC)

    The running control monitors of locomotives and the information provided via these monitors should be developed in such a way that they provide better information during non-standard situations.

    Implemented

  • Specification of the turnout cleaning instructions

    Work instructions for turnout cleaning related to winter maintenance should be specified, with special attention paid to ice removal.

    Implemented

  • Investigation by a psychiatrist before psychiatric medication is administered to a person less than 23 years of age

    The Ministry of Social Affairs and Health should take steps to ensure that the prescription of psychotropic medication for young people aged 22 or younger is always preceded by a medical examination performed by a psychiatry or psychotropic medication specialist.

    Not to be implemented

  • Increasing the mental health resources in student health care

    Working with the Ministry of Education, the Ministry of Social Affairs and Health should take steps to provide additional resources for student health care, particularly for the mental health sector. This would imply the introduction of regular, compulsory health examinations, for example.

    Partly implemented

  • Promoting the collection of firearms

    The Ministry of the Interior should take steps to ensure that all handguns allowing their user to fire a large number of shots within a short period of time are collected – against payment, for example – and that no new acquisition permits are granted for such firearms. Handing in illegally owned guns should be made more attractive for the owners.

    Partly implemented

  • A single document about the planning and instructions related to the safety of educational institutes

    The Ministry of the Interior, the Ministry of Education, and the Ministry of Social Affairs and Health should take steps to compile all security-related planning and instructions in educational institutions into a single document that is updated regularly. The essential elements here are the identification of potential risks; the systematic prevention thereof; and instructions for various security-related eventualities, distributed to students in pocket-sized booklets, for example.

    Partly implemented

  • An opportunity for pupils and students to report problems online

    The Ministry of Education should take steps to provide students with school-specific opportunities to express their concerns and opinions also on the Web and to discuss them with student welfare personnel. The system should include procedures for the identification and processing of problem situations.

    Not to be implemented

  • Psychosocial support in major crises

    The Ministry of Social Affairs and Health should take steps to ensure that the plans, resources, responsibilities, and competent leadership for the provision of psychosocial support in major crises are available regardless of where the accident takes place or where the people involved come from. The aim is to provide the necessary individual, communal, and practical support to those involved, when they need it.

    Partly implemented

  • Raising the age limit for the possession of firearms to 20 years

    The Ministry of the Interior should take steps to raise the age limit for the possession of firearms to 20 years, to make all permits fixed-term, and to set two years of recreational shooting on a regular basis as a necessary condition for the granting of a permit.

    Partly implemented

  • Jointly approved collaboration plans for the police, rescue services and emergency care

    The Ministry of the Interior and the Ministry of Social Affairs and Health should take steps to provide the police, Rescue Services, and Emergency Medical Services with jointly approved co-operation plans that are adaptable to a variety of situations and sudden changes in operation circumstances. Sufficient training and drilling must be provided to ensure that the plans work in practice.

    Partly implemented

  • The development of co-operation involving multiple authorities

    In co-operation with the Ministry of Social Affairs and Health and the Ministry of Education, the Ministry of the Interior should take steps to develop co-operation involving multiple authorities such that it takes a more systematic and regular direction. This co-operation is necessary in preparation for various eventualities, as well as to train for and co-ordinate preventive security work also.

    Partly implemented

  • Ensure that flight training organisation audits also cover the standardisation training of flight instructors and a quality assessment of standardised training

    The investigation commission recommends that EASA, when drafting regulations for flight training, ensure that flight training organisation audits also cover the standardisation training of flight instructors and a quality assessment of standardised training.

    Implemented

  • Fastening of floor hatches

    It should be ensured that tram floor hatches remain fastened in all conditions

    Implemented

  • First-aid kits for trams

    All trams should be equipped with a first-aid kit.

    Implemented

  • Monitoring of learning progress

    The training programme for driving performance should be documented.

    Implemented

  • Making it clear how brakes should be used

    Tram drivers should be taught to brake in the proper way.

    Implemented

  • Training programme development

    Tram drivers should be provided with a personalised and logically progressing training programme.

    Implemented

  • The Huikuri unprotected level crossing should be removed.

    The Huikuri unprotected level crossing should be removed.

    Implemented

  • System management

    The experts using traffic control systems on a daily basis should participate in the specifications, inspections, and start-up activities of these systems and also take part in the system administration during the life-cycle of the system.

    Implemented

  • Deviation management

    The organisations responsible for the ownership, use , and maintenance of traffic control and safety equipment systems should improve and clarify the procedures by which deviations are identified and managed

    Implemented

  • Specifying the limits of the work area in rail work notifications

    Rail work notifications should precisely define the outermost limits of work areas.

    Implemented

  • Creating routes with the VHP command in areas reserved for railway work

    Before executing the VHP command, the traffic controller should ensure that there are no other units at or within the vinicity of the turnout for which the command is given.

    Implemented

  • Inspecting the shelter homes for people suffering from substance abuse

    Together with the Ministry of the Interior, the Ministry of Social Affairs and Health should ensure that all shelter homes for people suffering from substance abuse be inspected by means of a joint effort between the relevant health and rescue authorities and that the situation also be monitored in the future. Homes with poor fire safety should be replaced with safe ones or repair work should be completed accordingly.

    Implemented

  • Improving information exchange between authorities

    The Ministry of the Interior together with the Ministry of Social Affairs and Health should make the appropriate arrangements to enable the communication of information and observations collected in the systems of different authorities to the authority in charge in such a way that the information is recorded and obligates the authority in question to act in the appropriate manner.

    Implemented

  • A single authority to assume responsible for the system that relays urgent tasks from emergency response centres

    The Ministry of the Interior should ensure that the responsibility for systems used for relaying tasks requiring quick response as relayed by the emergency response centre be placed with a single authority and that a systematic process be established for the assessment of the reliability of these systems.

    Implemented

  • Regular updates of location data in the ELS information systems of emergency response centres

    Emergency response centres regularly update the level crossing location data of their ELS systems to match the tasoristeys.fi database.

    Implemented

  • Reconditioning of the level crossing to make it safe for road traffic

    The sightlines of the level crossing should be improved and the wait platforms should be reconditioned to meet regulations and warning sign 171 should be installed.

    Implemented

  • Removal of the Vehkatie level crossing

    The Vehkatie level crossing should be removed.

    Implemented

  • Informing the parties in charge of road maintenance

    The Finnish Rail Administration should inform parties in charge of road maintenance about their obligation to build and maintain road segments leading to level crossings as set out in the relevant regulations. The Finnish Rail Administration should also appropriately inform of any track changes to be made and any shortcomings discovered during inspection rounds.

    Not to be implemented

  • Review test pilot requirements for experimental aircraft

    The investigators recommend that CAA Finland set out the flight experience requirements for experimental aircraft test pilots.

    Implemented

  • Improving the visibility of barriers

    At the Suurisuo level crossing and similar level crossings, where it has been noted that sunlight hinders visibility, the visibility of barriers and warning signs should be improved by replacing red blinking filament lamps with blinking or flashing LED lights.

    Implemented

  • An investigation on the treatment of wastewater and defects therein

    Alongside the Ministry of Agriculture and Forestry and the Ministry of the Environment, the Finnish Environment Institute should draw up a report that provides current information on the state of, and existing problems in, wastewater treatment.

    Implemented

  • Organising the operation of water utilities

    Alongside the Finnish Water Utilities Association and other operators and authorities in the industry, the Association of Finnish Local and Regional Authorities should develop, publish, and implement an operating model or good practices, based on which the water utilities’ operations can be organised so as to be well-planned, with a continuous risk evaluation capability.

    Implemented

  • Amending the regulation on notifications from the authorities

    Alongside with the Ministry of the Interior, the Ministry of Transport and Communications should amend the Act on the Openness of Government Activities in such a way that the municipalities are also provided with the opportunity to request official information from emergency response centres.

    Implemented

  • Bringing regulations and rules on municipal preparedness up to date

    Alongside other operators, the Ministry of the Interior should ensure that the relevant legislation and instructions are updated in such a way that the preparedness of municipalities seamlessly covers all situations, from standard disruptions to emergency situations.

    Implemented

  • Adequacy of the environmental healthcare preparedness and emergency plans

    The Ministry of Social Affairs and Health should ensure that environmental healthcare preparedness and emergency plans are drawn up appropriately and that management and communication responsibilities related to water epidemics are clearly presented.

    Implemented

  • Overall safety of schools

    It is recommended that the Ministry of the Interior and the Ministry of Education provide schools with comprehensive instructions for drawing up, co-ordinating, and implementing plans to improve overall safety. The plans should include assessment and prevention of potential risks. This may require the installation of PA systems, lock systems, etc. and the drawing up of protocols for response to various threats.

    Implemented

  • Mental health work among the young

    The Ministry of Social Affairs and Health should take the necessary steps to have the treatment recommendations concerning adolescent anxiety and mood disorders clarified such that the co-operation among basic health care, specialised health care, and social services personnel is as seamless as possible, to ensure that every adolescent receives the best possible treatment. Moreover, the instructions concerning anti-depressant medication for adolescents should be more specific.

    Implemented

  • Granting firearms permits and licences and the number of guns

    It is recommended that the Ministry of the Interior propose that current firearm legislation be amended to become more stringent, particularly as regards handguns. The ministry should also take steps to reduce the number of firearms in Finland significantly.

    Implemented

  • Reporting to the police online

    Working with the Ministry of Transport and Communications, the Ministry of the Interior should ensure that Finnish Internet service providers employ a system that makes it considerably easier for users to report criminal activity or other suspicious material to the police.

    Implemented

  • Criminal activity in the internet

    The Ministry of Transport and Communications should, in co-operation with other key operators, ensure that the major Finnish Internet service providers create and implement a set of rules to allow administrators to intervene in inappropriate communication and moderate the systems as comprehensively and systematically as possible. It is also necessary to develop new systems for the moderators’ use to report their observations of potentially serious criminal activity to the authorities.

    Partly implemented

  • Ability of the police to operate online

    The Ministry of the Interior should take the necessary legislative steps to ensure that the police are provided with the appropriate means to gather information connected with plans for criminal activity on the Internet.

    Partly implemented

  • Regulations governing pupil and student welfare

    The Ministry of Social Affairs and Health and the Ministry of Education should clarify the legislation concerning confidentiality and the flow of information related to pupils’ and students’ welfare.

    Implemented

  • Prevention of bullying in schools

    The Ministry of Education and the authorities responsible for organisation of education should ensure that schools actively and systematically implement the necessary measures to prevent bullying or, if necessary, to intervene early and monitor the situation closely.

    Partly implemented

  • Development of pupil and student welfare

    The Ministry of Social Affairs and Health and the Ministry of Education should, through constant supervision and guidance, ensure that social welfare workers and health-care authorities as well as the authorities in charge of organising education constantly develop pupil and student welfare. The resources allocated for pupil and student welfare work should be in accordance with official recommendations. The work should be systematic, and an effort should be made to identify pupils’ and students’ problems as early as possible. The authorities should also ensure that the necessary support measures are always carried out. If necessary, legislative or any other action should be taken as needed.

    Partly implemented

  • Criminalisation of preparation to commit an offence against life

    The Ministry of Justice should consider the criminalisation of preparation for the commission of an offence against life.

    Implemented

  • Journalistic operations in crises

    The affiliates of the Council for Mass Media should bring all media operators in Finland to the negotiating table to discuss the protocol to be adhered to in a crisis and how to report the events appropriately. The ‘Guidelines for Journalists’ material should be revised on the basis of these negotiations, and the media should ensure that appropriate protocol is followed in all circumstances.

    Implemented

  • The development of co-operation involving multiple authorities

    In co-operation with the Ministry of Social Affairs and Health, the Ministry of the Interior should develop systematic and regular co-operation among various authorities. The purpose of this co-operation is preparedness for various eventualities and co-ordination of preventive security work.

    Partly implemented

  • Communications in a situation involving multiple authorities

    The Ministry of the Interior should develop the media liaison and communications policy for major operations further. It is of particular importance to create appropriate procedures and protocols for situations like the Jokela incident, involving various authorities, and to make them known to all who are involved.

    Implemented

  • The Kauramaa level crossing should be removed.

    The Kauramaa level crossing should be removed.

    Implemented

  • Location of local turnout control buttons

    Local turnout control buttons should be located as close to turnouts as possible.

    Not to be implemented

  • Transfer of storage containers

    The storage containers next to the track should be placed further away from the track so that they do not impair visibility.

    Implemented

  • Re-design of the lower structure of Pendolino train’s nose

    The front structure of the Sm3 electric train should be redesigned to prevent cars from being wedged under the structure.

    Not to be implemented

  • Removal of the level crossing or its replacement by an interchange

    The Perälä unprotected level crossing should be removed or replaced by an interchange

    Implemented

  • Providing relevant information during shunting operations

    The engine driver should be informed about any derailers or other blocks on the track during shunting work.

    Not to be implemented

  • Rail geometry measurements during track construction

    Demanding surface construction projects should include rail geometry measurements before the track is taken into use. The measurements could be compared with set limit values.

    Implemented

  • Design guidelines for curved turnouts

    Design guidelines should be prepared for curved turnouts.

    Not to be implemented

  • Function of the derailer

    A derailer should always have interdependence to the turnout which leads to the track in question. Especially railway yards where dangerous substances are handled should always be built according to regulations.

    Not to be implemented

  • Speed limit for wagons carrying dangerous goods on nail-fastened secondary tracks

    A 20 km/h speed limit should be set for cars carrying dangerous goods on spike-fastened secondary tracks.

    Implemented

  • Condition monitoring of tracks used for the transport of dangerous goods

    Track and railway yard condition monitoring and rail fastening work should place special emphasis on routes and tracks used for the transport of dangerous goods.

    Implemented

  • Improving safety along the track before scheduled renovation invest-ments

    Actions to improve level crossing safety along the Lahti–Heinola track should be carried out before the initiation of scheduled renovation investments.

    Implemented

  • Review of track speed limits

    The speed limit along the Lahti–Heinola track should be reduced in the proximity of level crossings with poor sightline to the extent that this is reasonably possible.

    Implemented

  • Speed limit in rail curves in poor condition

    Track curves that are in poor condition should be identified and these curves should have a speed limit of 20 km/h for trains with an axis weight of 16–20 tons, until the necessary repairs have been completed.

    Implemented

  • The Korpi level crossing should be equipped with half-barriers.

    The Korpi level crossing should be equipped with half-barriers

    Implemented

  • A regulation on an operator’s obligation to take liability insurance for blasting and quarrying work

    Alongside the Ministry of Employment and the Economy, the Ministry of Social Affairs and Health should impose an obligation on operators in the industry to take out sufficient liability insurance for blasting and quarrying work, in keeping with the nature and extent of the operations in question.

    Not to be implemented

  • Determining the functionality of the address system and the need for any additional regulations

    Alongside the Association of Finnish Local and Regional Authorities and other administrators of the address system, the Ministry of the Interior should investigate how well the creation and updating of the address system functions. Furthermore, the need should be investigated for more detailed legislation in addition to the existing instructions.

    Implemented

  • Revision of the legislation on explosives

    The Ministry of Employment and the Economy, the Ministry of Social Affairs and Health, and the Ministry of Transport and Communications should renew, update and align legislation related to explosives. Details should be removed, and regulations should move toward independent risk management in the industry.

    Implemented

  • Ensuring sufficient supervision by the authorities at blasting work sites

    Alongside the Ministry of Social Affairs and Health, the Ministry of Employment and the Economy should ensure that effective official monitoring of blasting work sites is possible and that such monitoring is implemented adequately via, for instance, annual checks.

    Implemented

  • Protecting nursing homes and other nursing institutions with an automatic fire extinguishing system

    Together with the Ministry of Social Affairs and Health, the Ministry of the Environment should take action to provide nursing homes and other institutions with protection, based on automatic fire extinguishing systems.

    Implemented

  • Developing patient legislation in such a manner that the rights of a patient causing disturbance could be interfered with

    The Ministry of Social Affairs and Health should develop patient legislation in such a manner that an intervention can be made with respect to the rights of a patient causing a disturbance, by temporarily seizing items in his or her possession that pose a danger to the patient or others.

    Partly implemented

  • Creating guidelines for managing and monitoring accident risks in nursing homes and other nursing institutions

    Alongside the Ministry of the Interior and the Ministry of the Environment, the Ministry of Social Affairs and Health should have instructions drafted for an accident risk management and monitoring system in nursing homes and other institutions.

    Partly implemented

  • Coordination of response planning

    The Ministry of the Interior should coordinate response design so that, under the direction of rescue officials, officials and communities participating in emergency rescue services plan site-specific overall response times for the special sites within the rescue services’ area.

    Implemented

  • Fire safety of clothing storage at construction sites

    To improve the fire-safety of clothing storage, the Ministry of the Environment should add requirements to regulations relating to construction intended for the storage of outdoor clothing.

    Not to be implemented

  • Derailer safety lock

    It should not be possible to remove the key from a derailer’s safety lock without also removing the derailer from the rail.

    Not to be implemented

  • Snow ploughing

    Greater attention should be paid to shunting work safety during the ploughing of snow in rail yards.

    Implemented

  • Observance of freight train inspection instructions

    Greater care should be exercised during statutory freight train inspections, and any flaws observed should be acted upon more quickly than is currently the case.

    Implemented

  • Lever crossings which can be closed with low costs

    The Finnish Rail Administration should systematically locate crossings that have a bridge nearby or whose traffic can otherwise be directed through a safer route, removing them even though their volume and risk level might be low.

    Not to be implemented

  • Closing of the Pohja level crossing

    The Pohja level crossing should be closed and a replacement overpass be created at the Hilapparannantie bridge.

    Implemented

  • Traffic controllers should make an emergency alarm call to the right Emergency Centre

    Traffic controllers should have the capacity to place an emergency alarm call to the Emergency Response Centre in the ERC area in which the accident site is located.

    Implemented

  • The Sinkonen level crossing located in the Särkisalmi residential area should be removed.

    The Sinkonen level crossing located in the Särkisalmi residential area should be removed.

    Not to be implemented

  • The grip of footwear used in rail yard work

    The grip of footwear used in rail yard work should be better than average under all weather and working conditions.

    Implemented

  • Using of emergency response that corresponds to the type of accident

    The Emergency centre should use an emergency response that corresponds to the type of accident

    Implemented

  • Safety of shunting work

    The instructions for rail yard work should be supplemented to forbid going between moving cars in all situations.

    Implemented

  • The obstruction cleaning device of Dm12 rail bus

    The structure of the obstruction cleaning device of Dm12 rail bus should be such that it is either formed of one piece or possible additional parts are attached sufficiently well.

    Implemented

  • A warning sign between sorted mail stack

    A warning sign notifying of a dangerous location on the route, placed between sorted mail stacks being delivered, might act as a prompt to the mail carrier when he/she arrives at the dangerous location on the route.

    Implemented

  • Avoiding unguarded level crossings when planning delivery routes

    Itella and other businesses performing deliveries can improve safety by avoiding unguarded level crossings when planning their delivery routes.

    Not to be implemented

  • The crossing should be equipped with a half barrier equipment

    The Pahaoja unguarded level crossing should be equipped with a half barrier equipment

    Not to be implemented

  • A navigator/GPS device warning of dangerous locations

    A navigator/GPS device in the vehicle, should be installed warning of dangerous locations such as level crossings

    Not to be implemented

  • Use of safety belts in delivery vehicles

    Compulsory use of safety belts should be expanded to include delivery vehicle drivers and passengers, irrespective of the driving distance.

    Not to be implemented

  • Level crossing environment should be made safe for road traffic

    Level crossing environment should be made safe for road traffic.

    Not to be implemented

  • Disturbances in the radio communication

    The operation of escort radios at Helsinki Central Railway Station must be inspected in order to identify any black spots in radio audibility and any external interference.

    Implemented

  • Developing the quality control and auditing of concrete factories

    The Ministry of the Environment and operators in the concrete industry should ensure that quality control and auditing of concrete production plants are developed and the available instructions regarding e.g. management of quality deviations in prefabricated concrete components are comprehensively observed.

    Implemented

  • Design instructions for HI beams

    The Ministry of the Environment should ensure that clear design instructions, including instructions for repairing damaged beams, are drawn up for the HI beams.

    Implemented

  • Inspections for HI beams that are over ten years old

    Alongside building authorities and operators in the concrete industry, the Ministry of the Environment should ensure that property owners have any HI beams that are over ten years old inspected.

    Implemented

  • Update national fire survey flight regulations

    The Finnish Civil Aviation Authority is advised to update fire survey flight regulations.

    Implemented

  • Establish and maintain operational and safety customs among Finnish Air Rescue Society member associations that fulfil the requirements of aerial fire survey operations

    The investigation commission recommends the Finnish Air Rescue Society, being the umbrella organization of air rescue and fire survey flight associations, establish and maintain operational and safety customs among its member associations that fulfil the requirements of aerial fire survey operations.

    Implemented

  • Research program on train horns

    A study should be conducted on the use of whistles at level crossings.

    Not to be implemented

  • Wait platform

    Such wait platforms of level crossings that feature a poor condition should be upgraded to meet the relevant RAMO specifications.

    Not to be implemented

  • Perceptibility of train and level crossing

    The perceptibility of a train and a level crossing should be improved.

    Not to be implemented

  • Importance of level crossings in route planning

    In their route plans, transport operators should consider possible crossings of railways. Railway crossings should be minimized and more safe crossings prioritized.

    Implemented

  • Stopping as model of behaviour at unprotected level crossings

    Stopping at unguarded level crossings with the sightline along the railway only attained at a distance of 8 metres from the railway, be adopted as the regular model of behaviour.

    Not to be implemented

  • Consideration of level crossings in planning

    In land use planning, special attention should be paid to safe railway crossing, and the building of new level crossings should be avoided.

    Implemented

  • Road speed limits before level crossings

    At a level crossing the maximum speed allowed on the road should be 50 km/h or lower as depending on the locality and the characteristics of the level crossing.

    Not to be implemented

  • Level crossing maintenance instructions

    Maintenance instructions should be drawn up for level crossings.

    Implemented

  • Modification of sightline requirements

    The sightline requirements for level crossings should be modified so as to also consider the crossing of a level crossing without stopping in case a sufficient sightline along the railway is attained substantially before 8 metres from the railway.

    Not to be implemented

  • Restricting traffic at level crossings

    The railway keeper and the safety authority should be allowed to restict road vehicle traffic on level crossings

    Implemented

  • Ensuring the overall safety of buildings

    The Ministry for the Environment, the Ministry for Social Affairs and Health and the Ministry of the Interior should agree upon cooperation between building inspection, occupational safety and health authorities and rescue authorities in ensuring the overall safety of buildings both during the construction work and the usage of the building.

    Not to be implemented

  • Inspection procedure for buildings

    The Ministry for the Environment should, together with those involved in the building branch, develop a building inspection procedure, in which the main focus would be on structural safety.

    Implemented

  • Pooling municipality-specific building inspections

    The Ministry for the Environment should take action to pool the building inspection of separate municipalities into larger units in such a way that each regional building inspection would have enough expertise to supervise and monitor various kinds of buildings and structures.

    Under implementation

  • Changing a category in the National Building Code to increase the strictness of the education and professional skill requirements of a designer

    Buildings in which trussed rafters with the span of more than 15 metres are used should be classified as class AA instead of class A in the National Building Code of Finland, in which case the requirements on the training and qualifications of the designers would be stricter than at present.

    Implemented

  • Controlling the amount of transit traffic

    The Ministry of Transport and Communications should employ its decisions to control the amount of road-based transit traffic in such a way that the safety risks caused by the heavy traffic in question would stay at an acceptable level.

    Not to be implemented

  • Changing the main road 7 leading to the eastern border of Finland into a motorway

    The Ministry of Transport and Communications should use its influence in such a way that the main road 7, as soon as possible, is changed into a motorway.

    Implemented

  • Preventing accidents caused by the driver of a heavy vehicle falling asleep in traffic to and from the eastern border

    The Ministry of Transport and Communications should take the prevention of accidents caused by the driver falling asleep at the wheel as a special theme in the improving of the safety of the heavy traffic between Finland and Russia.

    Implemented

  • Developing rescue plans for major accidents in firing practice areas

    The Finnish Defence Forces should develop the contingency plans drawn for shooting areas in such a way that they better than now would cover the preparing for catastrophe situations.

    Implemented

  • Establishing a department and safety organisation that is responsible for overall safety

    The Finnish Defence Forces should form a strong department responsible for the overall safety and a security organization linked with it. The security organisation should have possibilities to ensure that security issues are sufficiently taken into consideration in all the activities of the Finnish Defence forces and in the whole line organization.

    Implemented

  • Developing the investigation system of severe accidents

    The Finnish Defence Forces should further develop the system in which serious accidents are thoroughly investigated, minor accidents are examined in a suitable manner, and statistics on dangerous situations and mishaps are compiled. The data should be analysed and published, and brought to the knowledge of those who do development work and of other persons involved.

    Implemented

  • Creating a set of norms specifying the safety principles and minimum requirements of work

    Because occupational safety legislation is not applied in military training and exercises, the Finnish Defence Forces should compile a standard for activities which fall outside the occupational safety legislation. The standard would then define the safety principles to be followed and the minimum requirements to be met.

    Implemented

  • Risk analysis on the activities at a heavy mortar

    Activities which include heavy mortars should be evaluated by using detailed risk analysis to ensure that the activities are safe enough to attain zero tolerance.

    Implemented

  • Checking of the fastening of the clamp disc of the traction device wedge of Dr16 locomotive

    The Dr16 locomotive maintenance instructions should be supplemented by a checking of the fastening of the clamp disc of the traction device wedge.

    Implemented

  • The compliance of the localization data used by the railway with the data system of the Emergen

    The compliance of the localization data used by the railway with the data system of the Emergency Response Centre Agencies shall be ensured, e.g. by installing the track-kilometre data in the data system of the Emergency Response Centre Agencies.

    Implemented

  • The instructions for the drawing up of an emergency notice should be developed to en-sure that

    The instructions for the drawing up of an emergency notice should be developed to ensure that whenever urgent aid is needed from the rescue service, also the general emergency number is called from the incident scene, in addition to the notifying of the traffic control unit.

    Implemented

  • Adding a speed limit due to track defects in the Train Safety Regulation

    The instruction on limiting the speed to 50km/h when the engine driver perceives a swing movement or hears a bang noise, contained in the Traffic Control Operator's Manual, should also be added as a regulation in the Train Safety Regulations.

    Implemented

  • A warning sign for the aircraft equipped with a ballistic recovery parachute system

    It is recommended that CAA Finland together with Finnish Aeronautical Association would design a warning sign for aircraft equipped with ballistic recovery parachute system. The sign warns about the explosion danger and points out the location of the rocket. An information campain concerning the hazards of the system should be initiated.

    Implemented

  • A system be designed for the safety control of manually operated turnouts

    Also for the control of manually operated turnouts, a system should be designed to control route safety. Whenever requisite, the system should emit a warning signal if the position of a turnout is erroneous and it should even prevent an entry to a turnout in an erroneous position.

    Not to be implemented

  • Radiophone connection

    Communications on movements, to Rautaruukki works, as well, should be carried out by a recorded radiophone connection used by VR in shunting work.

    Implemented

  • Shunting work for wagons carrying dangerous goods

    Shunting operations for wagons designed for the transportation of dangerous goods should not be carried out on railway yards which have no system for the monitoring of the turnout position.

    Not to be implemented

  • Putting a single party in charge of the maintenance of safety equipment

    The responsibility for the maintenance of signalling equipment should entirely be bestowed on one single party

    Implemented

  • Inspection of privately-owned tracks

    Privately-owned tracks operating dangerous goods carryings should be submitted to an annual inspection of the condition of the tracks and turnouts by a competent expert

    Implemented

  • Rail fastening by means of a j-form flat bar iron

    The Railway Technical Rules and Regulations (RAMO) should also include instructions on rail fastening by means of a j-form flat bar iron

    Not to be implemented

  • Increasing the condition monitoring of brakes with a dynamometer

    Mobile police and vehicle inspectors should increase dynamometric condition brake monitoring.

    Not to be implemented

  • Improving the training of Grade A brake repair shops and increasing their supervision

    The Central Motor-Vehicle Register should increase training and supervision of repair workshops with Grade A brake repair licence. In addition to current repair workshop permit requirements, repairs to the brakes of heavy vehicles should be made subject to personal licence

    Not to be implemented

  • Eliminating ambiguity of drawings on the use of pre-tensioned concrete beams

    The fact that drawings can be open to interpretation should be eliminated, and the prefabrication factories which manufacture pre-tensioned concrete beams should get precise information concerning the required position of the binding hooks for beam upper flange reinforcement bars.

    Implemented

  • Ensuring the load-bearing capacity of beams in construction

    Beam heights in accordance with span-width curves should not be reduced without absolute due reason. If shorter beams are used, their dimensioning and steel reinforcement design should be verified by a specialist in ridge beam engineering.

    Implemented

  • Communication system for the weather conditions of bus and coach routes

    The Ministry of Transport and Communications should together with the Finnish Meteorological Institute and the Finnish Road Administration, which belong to the same administrative branch, create a communication system, which would provide bus and coach companies and also drivers with detailed and up-to-date information about the weather conditions specifically on their own routes.

    Implemented

  • A set of safety policy norms for the bus and coach sector

    The Ministry of Transport and Communications should ensure that guidelines including the safety procedures used in bus traffic are issued for the bus industry. This work could be led by e.g. the Finnish Bus and Coach Association. This would create the prerequisites for continuous safety improvement. (The recommendation is repeated in investigation report B1/2006Y)

    Implemented

  • Report on the winter characteristics of tyres of heavy vehicles

    The Ministry of Transport and Communications should have a report compiled on the winter motoring characteristics of heavy vehicles and pass the results to the bus and coach operators in order to promote the choosing of safe tyres. Moreover, on the basis of what the report suggests it should be considered to make the use of the tires which are best suited for winter conditions compulsory on the front axle of buses and coaches.

    Partly implemented

  • A campaign to increase seat belt use and prompting the passengers to use the safety belt

    The Investigation Commission recommends that the Finnish Bus and Coach Association launch a public awareness campaign to increase the use of seat belts and that bus transport companies instruct their drivers to inform passengers of the existence of and use of seat belts. All seats fitted with seat belts should have signs exhorting the passenger to wear the seat belt.

    Implemented

  • Participation of the Ministry of Transport and Communications in the EU workgroup on improving cargo securing

    The Investigation Commission recommends that the Ministry of Transport and Communications actively participate in the work of the EU’s expert group developing the best practice guidelines for transnational transport cargo securing. Moreover, the Ministry of Transport and Communications should support the production of national instructional material as well as mandate specific load placing, buttressing and anchoring training for drivers and loading personnel, certifying the trainees for loading operations.

    Implemented

  • Increasing road lighting

    The Investigation Commission recommends that the Ministry of Transport and Communications take action to increase road lighting on such road sections where traffic volumes and intersection densities are high or where heavy traffic volumes are high or where a reduction in accident expenses warrants increased lighting.

    Not to be implemented

  • A motion for anticipatory driving for heavy vehicle traffic drivers.

    The Investigation Commission recommends that the Ministry of Transport and Communications make a motion in which a successfully completed course in anticipatory driving for heavy traffic would be a prerequisite for being allowed to take a driving test for a coach or a vehicle combination license.

    Implemented

  • Developing the investigation system of accidents in heavy vehicle road traffic

    The Investigation Commission recommends that the Ministry of Transport and Communications develop an investigation system in Finland responsible for investigating all heavy traffic accidents, including driving-off-the-road incidents. The investigation could be temporary, yet long-term enough to expose driver errors and transport-related flaws as well as any possible vehicle characteristics that decrease traffic safety.

    Implemented

  • Setting the Emergency Response Centres’ information system clocks to the official time

    The Investigation Commission recommends that the Emergency Response Centre Administration implement measures to synchronize all Emergency Response Centres' information system clocks to the official time.

    Implemented

  • Promoting electronic stability control in heavy vehicles

    The Investigation Commission recommends that the Ministry of Transport and Communications as soon as possible contribute to making road stability systems standard equipment in heavy vehicles.

    Implemented

  • Initiative to acquire lorry simulators and versatile software applications in Finland.

    The Investigation Commission recommends that the Ministry of Trade and Industry launch a project included e.g. in the research and development programmes of the Finnish Funding Agency for Technology and Innovation Tekes to acquire lorry simulators and versatile software applications in Finland. These simulators could be used to train drivers to control different vehicle combinations in difficult road weather conditions in basic and advanced training.

    Implemented

  • Creating instructions for contingency planning and maintaining the instructions up to date

    The Investigation Commission recommends that state provincial offices ascertain for themselves the existence and updating of contingency planning for major accidents and of appropriate activities, in accordance with the guidelines of the Ministry of Social Affairs and Health. Notwithstanding health care district or regional rescue service boundaries, all key actors must agree on uniform modes of operation and common contingency plans for a major accident.

    Implemented

  • Accelerating the rate of constructing road sections with centre guard rails

    The Investigation Commission recommends that the Ministry of Transport and Communications take action to accelerate the rate of constructing road sections with centre guard rails.

    Implemented

  • Increasing the penalties for driving hour and rest period violations, working time legislation violations and for exceeding vehicle-specific axle and bogie loads and gross vehicle weights

    The Investigation Commission recommends that the Ministry of Transport and Communications take action to make the penalties and other consequences that are imposed for driving hour and rest period violations, working time legislation violations and for exceeding vehicle-specific axle and bogie loads and gross vehicle weights more severe. Penalties and consequences should bear real significance to the driver and to the haulier as well as to those in the transport chain who with their own actions, by giving inadequate or incorrect information, by using their right to direct work or by applying other such direct control, have contributed to the arising of an unlawful situation.

    Implemented

  • Act on adjusting the speed limiters on lorries to a vehicle-specific maximum speed of 80 km/h.

    The Investigation Commission recommends that the Ministry of Transport and Communications take action to change the legislation in such a way that speed limiters on lorries are adjusted to a vehicle-specific maximum speed of 80 km/h.

    Not to be implemented

  • Funding for the police in traffic control

    The Investigation Commission recommends that the Ministry of the Interior channel police funding towards more traffic surveillance so that the police could satisfy the heavy traffic surveillance requirements established by the Government and the EU.

    Implemented

  • Emergency medical services physician in a regional emergency services system

    The Investigation Commission recommends that health care districts and health centres develop their operations to include an emergency medical services physician in their regional emergency services system, capable of supporting the ambulance units and capable of being immediately dispatched to an accident site.

    Implemented

  • Rest stops for roads that experience high volumes of heavy traffic

    The Investigation Commission recommends that the Finnish Road Administration build and appropriately maintain, throughout the year, a sufficient number of all-season rest stops along the main roads that experience high volumes of heavy traffic.

    Implemented

  • Penalty for having exceeded the vehicle-specific speed limit

    The Investigation Commission recommends that the Ministry of Transport and Communications take action to change the legislation in such a way that the driver, based on the information from the recorded tachograph data obtained in connection with traffic control or accident investigation, can be penalized for having exceeded the vehicle-specific speed limit.

    Not to be implemented

  • A motion in which the supervisor or supervisory entity of the driver is made legally liable for his role in a violation.

    The Investigation Commission recommends that the Ministry of Transport and Communications make a motion in which the supervisor or supervisory entity of the driver is made legally liable for his role in a possible violation or consequence.

    Implemented

  • General safety instructions for a railway yard

    The General Railway Yard Safety Regulations ought to specify that in case a shunting unit worker deviates from the agreed working plan, he should advise the other shunting-unit crew members thereof.

    Implemented

  • Walkway of track 037 in Hamina

    The ballast adjacent to track 037 on Hamina railway yard ought to be replaced by such ballast that meets the specifications for a pedestrian passage.

    Implemented

  • Valve manufacturers’ instructions on the suitability of the valves for different gases should be included in the EU regulations on pressure equipment

    The Ministry of Trade and Industry should see to that EU regulations on pressure equipment require valve manufacturers to compile instructions on the usability of valves with different gases. The instructions must take e.g. the circumstances and purpose of use into consideration.

    Implemented

  • Valves associated with hazardous operations to be included in the preventive maintenance system of companies

    The Safety Technology Association should see to that the companies include any valves connected with dangerous operations to their preventive maintenance systems.

    Implemented

  • Defining hazardous incidents, faults and exceptional circumstances and creating instructions on how to act if they occur.

    The Safety Technology Authority should require that the establishments it supervises define various potentially dangerous malfunctions, faults, and abnormality situations, and draw detailed instructions as to how to deal with them.

    Implemented

  • Creating a cleaning plan and instructions for verifying the cleanliness for construction of oxygen lines and when performing modifications

    The Safety Technology Authority should see to that when building oxygen lines and when making alterations, the companies draw a plan and instructions on checking the cleanliness.

    Implemented

  • Identifying hazardous tasks and supervising the provision of instructions

    Occupational safety and health authorities and the Safety Technology Authority should supervise that enterprises identify dangerous tasks and compile detailed and definite instructions on how to act when performing them.

    Implemented

  • Instructions for hazardous incidents, faults and exceptional circumstances.

    Outokumpu Stainless Ltd. should define various potentially dangerous malfunctions, faults, and abnormality situations and detailed instructions should be drawn as to how to deal with them. When such abnormal situations occur, they should be registered.

    Implemented

  • Improving the operative capacity of the Government Situation Centre

    The Government situation centre should be activated as a command instrument capable of operating continuously and it should see to it that inter-authority networking, facilitating the relaying of situational awareness information to the Government situation centre is implemented. Along with this, a plan for establishing an operational command and coordination unit should be prepared.

    Implemented

  • Utilisation of the health care and evacuation capacity to its full extent

    4) in order to fully utilize the nation's health care and evacuation capacities, relevant principles are clarified and the necessary arrangements are implemented,

    Implemented

  • Taking a similar catastrophe into account in crisis plans

    The Ministry for Foreign Affairs should see to it that: 1) the ministry's crisis planning takes into account the requirements of operational capabilities and skills posed by a catastrophe comparable to the one experienced,

    Implemented

  • Clarification of the operating role of Finnrescueforce (FRF) and improving the capability for rapid deployment

    4) the operational role of the FinnRescueForce (FRF) is clarified and its rapid deployment capability is improved.

    Implemented

  • Developing Radio Finland

    The Ministry of Transport and Communications should see to it that: 1) the Finnish Broadcasting Company initiates measures to develop Radio Finland in such way that it can also satisfy the information requirements of those Finns temporarily abroad especially in crisis situations,

    Not to be implemented

  • The training of rescue branch crisis leaders and personnel also takes into account the requirements of international logistics and coordination tasks

    2) the training of rescue branch crisis leaders and personnel also takes into account the activities abroad in various logistics and coordination tasks, required for the Finnish assistance personnel's effective operation,

    Implemented

  • Training missions abroad to act in exceptional situations

    2) missions abroad are trained to act in exceptional situations and a sufficient personnel reserve for them consisting of experienced civil servants is established,

    Implemented

  • Creating a warning systems that monitors the occurrence and effects of natural disasters

    3) a continuously operating natural disaster warning system, which monitors their genesis and effects, be established in Finland.

    Implemented

  • Sending high-readiness medical teams to disaster areas

    2) medical teams that are in high readiness and capable of rapid action even in normal conditions are sent to the disaster area during the initial phase,

    Implemented

  • Decree on the authority and tasks of crisis response chiefs

    If the team of the governmental crisis response chiefs is intended to be used in operational command tasks, the Government should issue provisions for the powers and tasks of the crisis response chiefs, including the requirement of operational command and its observance in personnel selection, in standby and readiness as well as in cooperation, training and exercises.

    Implemented

  • Maintaining readiness of ministries

    In order to maintain readiness, ministries should see to it that the crisis response chief has an assigned deputy, standby requirements are in effect, and that the ministry's response team has been established and has relevant instructions as well as a check list for the first 24 hours in an exceptional situation.

    Implemented

  • Improving the Nordic and EU collaboration for exceptional situations

    3) Nordic cooperation and EU cooperation is intensified with exceptional situations in mind,

    Implemented

  • Elimination of gaps in communications between departments in exceptional situations

    The Ministry of Interior should see to it that: 1) in exceptional situations there are no gaps in communication between the ministry's key departments,

    Implemented

  • National instructions on the psychosocial support of victims and their family members

    6) the preconditions for psychosocial support needed by the victims and their families as well as the essential means of livelihood and services are guaranteed at a qualitatively and quantitatively sufficient level. For this purpose national directives need to be renewed and regularly updated and compliance to them has to be seen to. As regulations are reviewed, it must especially be seen to that a) structures and methods for providing services ranging from immediate emotional and material support to care of demanding crisis situations and traumas are developed in order to guarantee proper support and care and essential economic support, b) long term service and care guidelines are established to support children and the young, c) issues related to protection of privacy and information transfer are clarified so as to safeguard the continuation of services, income and medical care, d) current legislation is revised taking into account the responsibilities and tasks of ministries, provinces, medical districts and municipalities as well as other actors in order to guarantee psychosocial support and services to the population in a major accident or disaster, e) the tasks and roles of crisis groups in the organizations of municipalities are reviewed and the preconditions of their activities and their professional skills are safeguarded.

    Implemented

  • Revision of emergency preparedness legislation, instructions and regulations issued under it, and the internal instructions of ministries in the development of Government crisis management system

    The Government's crisis management system should take into account the various situations in which Finnish citizens could become victims of disasters abroad. This should be taken into account in the updating of emergency preparedness legislation, in the orders and regulations based on the legislation as well as in the ministries' internal directives.

    Implemented

  • Possible development of legislation on the collection of personal data

    The Government should examine the need and methods for developing personal data legislations in such a way that in exceptional situations the victims' relevant personal data is available for processing in rescue, evacuation and aid activities while observing the principles and obligations for protection of privacy.

    Implemented

  • Updating the crisis plans of ministries

    The basic principle, according to which the government's normal organizations are in operational command for as long as possible even in exceptional situations, should not be changed. Therefore, ministries in mutual cooperation should update their crisis preparedness plans, check the required resources and personnel, train and exercise the relevant personnel and should also take the required steps to eliminate shortcomings.

    Implemented

  • Efficient use of mobile phone networks in a crisis situations

    2) mobile phone networks could effectively be used for official public information in crisis situations,

    Implemented

  • Creating a basic readiness plan for the Government

    A basic readiness plan should be prepared for the Government enabling the rapid start of rescue and assistance for Finnish citizens in a disaster occurring abroad. The ministries and their subordinate branches of administration participating in this activity, as determined in the basic plan, should draw up readiness plans which are required in order to start their own activities and which enable the authorities' activities without delay in such situations.

    Implemented

  • Permanent funding for the Disaster Victim Identification (DVI) unit

    3) the activity of the Disaster Victim Identification (DVI) unit is intensified by establishing permanent funding for it,

    Implemented

  • Crisis communications for travellers

    2) obligate the tourist industry to communicate to their customers on risks, including natural disaster risks. This communication must clearly point out the individual's own responsibility for security, the need for insurance and the very principle of international law that while travelling abroad, the primary responsibility for people's safety lies on the authorities of the country in question.

    Implemented

  • Determining the need for airborne evacuations and evacuation equipment

    5) the need for airborne evacuation as such as well as evacuation equipment in domestic and foreign accidents is determined in cooperation with the Ministry of Transport and Communications,

    Implemented

  • Developing the work on safety and risk analyses in the tourist industry

    The Ministry of Trade and Industry should, in cooperation with the Ministry for Foreign Affairs, take steps to: 1) develop the tourist industry's security and risk analysis together with travel agencies,

    Implemented

  • Using public health care for care after major accidents abroad and in Finland

    The Ministry of Social Affairs should see to it that: 1) together with other actors, public health care is integrated in the aftercare of major accidents and disasters occurring abroad or in Finland. As the key expert in medical treatment, the Hospital District of Helsinki and Uusimaa (HUS) must be included in the planning of treatment and must be given adequate resources for this activity,

    Implemented

  • Preparing for exceptional circumstances by using threat scenarios

    3) by going through various threat scenarios exceptional situations are prepared for and that activity is jointly exercised with the Prime Minister's Office, the Ministry for Foreign Affairs, the rescue branch, public health care and welfare, the FRC, other organizations and pharmaceutical companies, airlines, insurance companies as well as with travel agencies,

    Implemented

  • Increasing the operative readiness of the ministry’s crisis centre, communications and provision of information.

    4) the operational capabilities of the ministry's crisis response centre as well as public information and communication are raised to a level enabling good service to citizens,

    Implemented

  • Taking natural disasters better into account in risk analysis work

    5) risk analysis is also developed to take into account natural disaster risks more extensively than at present.

    Implemented

  • Inclusion of fire safety inspections for the periodic maintenance programmes of buses

    The Investigation Commission recommends that coach and bus companies add (fire-safety) inspections in their own scheduled maintenance service programs. The fire safety guide is available from the Federation of Finnish Insurance Companies, insurance companies and the Internet address www.vakes.fi/lvk/vat.

    Not to be implemented

  • Division of responsibilities in the monitoring of track condition as part of train safety

    For every worksite an unambiguous written specification should be drawn up on the detailed responsibilities and obligations of the workers in terms of the operation condition of the track and on their rights to engage auxiliary personnel and set restrictions to traffic operation.

    Implemented

  • Reacting to emergencies in an emergency centre

    Response measures to different situations be underscored and integrated in the training provided by the Emergency Center.

    Implemented

  • Planning of work phases

    In underpass and bridge worksites, for every work phase that impacts the stability of the railway bed and the track, an approved plan should necessarily be required before the commencement of the work in question.

    Implemented

  • Inspection after derailment in a railway yard

    Following each derailment incident on a railway yard, the turnouts and points and switches area should be inspected and the gauge and the height deviation checked by measuring.

    Implemented

  • Condition limitations for unfinished track work sites

    In work site plans, condition limits ought to be specified for unfinished track work sites which are temporarily opened for traffic

    Implemented

  • Preparing a maintenance plan

    ABB Ltd. Service ought to draw up a maintenance plan for the railway lay-out, the maintenance of which it is responsible for

    Implemented

  • Track numbering

    Railway yard tracks should be equipped with number plates

    Implemented

  • Familiarisation training

    Shunting staffs should be ensured relevant training whenever changes or modifications have been realized in the railway yard

    Implemented

  • Determining the condition of the structures of a building

    For exiting buildings of this type, the Investigation Board proposes that municipalities, local building inspection officials and building owners establish whether such buildings, whose structural safety should be treated with uncertainty, are known to exist within their areas.

    Implemented

  • Ensuring safe construction of large buildings (public buildings and other large buildings) that are built by voluntary workers

    The Investigation Commission proposes that building inspection authorities and on the other hand those within municipalities granting subsidies (e.g. local governments or municipal boards) should actively ensure the employment of safe building methods in buildings built by voluntary workers and intended for public use or to be used by a large number of persons.

    Implemented

  • Improving the Hammaslahti-Tikkala track section

    The condition of the Hammaslahti – Tikkala section should be improved by its reconstruction or by the realization of a new track lay-out

    Implemented

  • Terminology in reports on track faults

    The terminology used in the notices of railway technical defects should be as exact as possible, and the relevant personnel should be familiar with the terms to be used in the regulations

    Implemented

  • Getting the developers to commit to the duty of solicitude

    The building inspection authorities should, at the early stages of the construction project, explain to the developer what the duty of solicitude requires of him. This should be registered in the records of the initial meeting or in the building permit. The developer must require that the other parties of contract present how they in practice see to that all building parts included in the contract meet the requirements and are safe. It is the building inspection official’s duty to ensure that the qualifications really are investigated.

    Implemented

  • Developing methods for determining and demonstrating the compliance of welded steel structures

    The organizations in the steel construction branch should together develop procedures for determining and proving the compliance of welded steel structures in order to aid in the supervision of construction and assist the construction organizations and the manufacturers.

    Implemented

  • Identifying critical details for the safety of a construction project

    Methods should be developed to the building trade under the direction of the Ministry for the Environment to help the developers, planners, contractors and building inspection and parties active in a particular project to identify the details which are critical as to the safety of the site.

    Implemented

  • Creating a system for the creation and maintenance of Euronorms

    The Ministry for the Environment and the Finnish Standards Associations SFS should strive to create a system for the drawing up and maintaining of Euronorms, which would contribute to clearing up and, if necessary, quick informing when there is justifiable reason to believe that there is an error or a shortcoming which has an effect on safety in a norm.

    Implemented

  • All planning instructions on building materials should include harmonized instructions to prevent a progressive collapse

    The Ministry for the Environment should in all planning instructions on building materials include harmonized instructions to prevent a progressive collapse.

    Implemented

  • Agreeing on collaboration between occupational health and safety authorities and building inspection authorities

    The Ministry for the Environment and the Ministry for Social Affairs and Health should agree on the cooperation of labour protection authorities and building inspection authorities, and on utilizing their respective knowledge and skills in supervising the safety of a building project.

    Not to be implemented

  • Ensuring collaboration and information flow between the parties in construction projects

    Developers, planners and organizations active in the building industry develop methods to ensure an adequate cooperation among the different parties engaged in a building project.

    Implemented

  • A database on construction accidents and incidents

    A database should be developed to the building trade under the direction of the Ministry for the Environment. In this database information should be compiled on as many incidents and hazardous situations in the building trade as possible. Everybody should have access to the database in question and the information should be summarized at appropriate intervals.

    Not to be implemented

  • A principle on the fire safety of housing

    Fires with fatal outcomes should not be accepted but the society should adopt, in parallel with corresponding traffic safety targets, the following guiding principle: The housing conditions of people should be such that nobody needs to die or get seriously injured in a fire.

    Not to be implemented

  • Assessment of fire hazards when housing people

    When making decisions on people’s housing e.g. the municipalities, organizations supplying housing services, associations and foundations should take fire risks into consideration and assess which fire safety standard is to be considered acceptable.

    Not to be implemented

  • Repair assistance for improving fire safety

    The Housing Fund of Finland should grant reparation subsidies for improving fire safety and especially for acquiring automatic fire extinguishing equipment. The same should be the objective in e.g. the assistance activities organized by associations and foundations.

    Not to be implemented

  • Campaign on smoking methods that pose a lesser fire hazard

    The Ministry for the Interior should in cooperation with other relevant parties start a campaign to promote safe smoking habits, the most important of which is avoiding smoking inside dwellings.

    Implemented

  • Investigation fatal fires

    Rescue authorities should investigate thoroughly all fires with a fatal outcome.

    Implemented

  • Updating the instructions on the suspended ceiling structures of swimming pools and spas

    The instructions concerning dropped ceiling structures of indoor-swimming pools and spa resorts should be updated when it comes to materials and safe loads so as to consider dropped ceilings as support constructions.

    Implemented

  • Instructions on safe materials in load bearing structures for swimming pool and spa conditions

    The regulations and instructions pertaining to planning and design should, in terms of safety, include detailed specifications for such important load support materials that are appropriate for indoor-swimming pool and spa conditions.

    Implemented

  • Preventing chlorine from reaching the ventilation system of the overlying premises

    The air-conditioning/ventilation of the space above the dropped ceiling should be realized in such a way that chlorine does not accumulate on the surfaces of the non-corrosion-resistant structures.

    Implemented

  • Inspecting the binding of loads before the departure of the train

    The person responsible for the checking of travel condition of the train, should pay more attention to an appropriate loading of the train and whenever necessary, tie the load before giving the train departure permission

    Implemented

  • Driving limits for level crossings

    Such level crossings, without safety installations, featuring a poor visual clearence that cannot ensure vehicle combinations a safe crossing, should be equipped with a driving prohibition sign applicable to regular vehicle combination traffic.

    Implemented

  • Equipping the level crossing at Sementtitie, Lappeenranta with safety devices

    The level crossing in Sementtitie, Lappeenranta, should be equipped with warning devices

    Implemented

  • A fixed manual or automatic fire extinguishing system in the engine compartment

    The Investigation Commission recommends that the manufacturers of coach and bus bodies more emphatically than now offer their customers portable or semi-automatic fixed fire extinguishing systems. To increase the attractiveness of the systems the insurance companies should take the extinguishing system into account in the form of discounted insurance premiums or lower excess in the case of a fire.

    Implemented

  • Prohibiting channel rail structures on unloading sites that require steaming.

    Channel rail structures should not be adopted in tracks on unloading sites where steaming is implemented in the unloading operations

    Not to be implemented

  • Securing the mounting of a sign on a signal

    The fixing of the signal plates of the type referred to, in the point-lever, should be ensured that the signal plate in fact displays the real position of the point-lever.

    Implemented

  • Prohibiting highly flammable gas mixture in similar tanks

    The Safety Technology Authority should ensure that the presence of inflammable gas mixtures in similar tanks would not be permissible.

    Not to be implemented

  • Drawing together the regulations on the design, construction and use of containers for hazardous materials.

    The Safety Technology Authority should compile the rules and regulations and instructions applicable to the planning and design, building and use of tanks for hazardous substances in one overall manual, which would be easy to obtain and from which the required details would be easy to read.

    Implemented

  • Stopping the use of the shunting work sign

    The shunting-work sign should be discarded and the system modified in a way that all signals would concern all kind of traffic. In case the signal does not concern certain movement, it should be informed separately.

    Implemented

  • Stopping the use of conditional permits

    Shunting work practices should be developed by regulations, instructions and education in a way that “conditional permissions” to shunting movements or to any other traffic would not be given. The permission to a movement should be given once and only in case the movement is really possible.

    Implemented

  • Fire alarm system in new buses

    The Investigation Commission recommends that a fire detection system is made obligatory in all new coaches and buses to guarantee an adequate evacuation time.

    Implemented

  • Repair of a track section

    The track should immediately be repaired and the defective old sleepers be replaced by new ones. Replacement of spike fastening by screw fastening, replacement of the rails by heavier ones, and replacement of the gravel in the railway bed by ballast should be discussed and considered.

    Implemented

  • Use of air brakes in shunting work

    Also the locomotives used for moving of cars on private tracks be equipped so as to enable the use of the air brakes of the cars, if so required by the topographical circumstances.

    Not to be implemented

  • The initiation training programmes for train operators

    The initiation training programmes for train operators should be extended to include all stations and railway yards within the area of responsibility of the train operators in question.

    Implemented

  • Discussions on train traffic in the line radio

    The communications concerning train traffic should be operated via the line radio.

    Implemented

  • Clear and uniform requirements on the monitoring of the condition of pipelines

    The chemical authorities should present clear, uniform requirements on the follow-up of pipe system conditions.

    Implemented

  • Cargo handling training for terminal personnel should include familiarisation to tasks performed onboard a vessel

    Enterprises operating in chemical ports should ensure that the terminal personnel is trained in cargo handling in such a way that the training also includes familiarization to the tasks performed onboard the vessel.

    Not to be implemented

  • Emergency exercises to practice personal protection in unusual conditions

    When having emergency exercises, special attention must be paid to the necessity of personal protection in unusual conditions.

    Implemented

  • Rapid availability of clearance equipment in accidents

    The availability of clearance equipment should be settled in advance in such a way that there would be equipment promptly available in case of an accident. Enterprises operating in chemical ports should cooperate in making sure that the equipment needed for clearance is promptly available when needed.

    Implemented

  • Ensuring a safe route for a vessel

    The port authorities and operators must for their part ensure that there is always a safe passage available for access to the vessel. A risk assessment should be performed at regular intervals to ensure the safety of the quays and the rescue preparedness.

    Implemented

  • Developing the monitoring speed of the automatic train protection system

    The Automatic Train Control system should be developed so as to ensure that an emergency braking at the control speed is capable of stopping a train before a rail barrier.

    Implemented

  • Installing automatic fire extinguishing systems in the vicinity of deep-fry cookers

    Entrepreneurs and operators in the hotel and restaurant industry should promote the installation of automatic object extinguishing systems in connection with deep-fry cookers.

    Not to be implemented

  • Regulations on fire safety devices

    National regulations should be given on the planning, installation, inspections, maintenance and overhaul of automatic fire-doors and other corresponding safety equipment.

    Implemented

  • Reserve fire extinguishers

    Entrepreneurs should ensure that buildings have reserve fire extinguishers to immediately replace a used extinguisher. Used extinguishers should be serviced as soon as possible.

    Implemented

  • Proper order and cleanliness of kitchen spaces

    There is an increased danger of something catching fire in kitchen premises. Entrepreneurs should ensure that the kitchen premises are in good condition and clean. Also the backgrounds of kitchen appliances and e.g. refrigeration machines should be cleaned from dust regularly.

    Implemented

  • Promoting the use of fireproof interior decoration materials

    Entrepreneurs and operators in the hotel and restaurant industry should promote the usage of fireproof interior and decorating materials. At the same time it should be ensured that they stay fireproof when washed.

    Implemented

  • Ensuring the tightness of structural parts that form fire compartments

    The building owner must see to that the fire-sectioning parts of a building are tight, especially in connection with installations which are done afterwards.

    Implemented

  • Closing of elevator doors that form a fire compartment

    Entrepreneurs should ensure that the fire-sectioning lift doors are always shut when not in use. Lifts must not be programmed in such a way that they wait doors open for those entering the lift.

    Implemented

  • Making the regulations on evacuation alarms more specific

    Regulations concerning the exit alarm should be specified so that all those in danger receive the fire alarm. The alarm sound of a fire alarm should be immediately recognizable to everybody. Further information about the alarm and instructions can be given with a certified PA-system, which works from more than one announcement point.

    Implemented

  • Sufficient amount of automatic fire detectors

    The building owner and the entrepreneur should make sure that the protection of a building equipped with an automatic fire detector is extensive. The adequate number and the correct type of the detectors should be checked especially as regards to those buildings which have been taken into use before the current regulations came into force.

    Implemented

  • Cleaning of ventilation ducts

    The entrepreneurs should ensure that the ventilator duct of the hood is cleaned often enough, if necessary more often than the regulatory minimum requirement entails. There should be instructions in the instructions of deep-fry cookers on the need to clean the ventilation ducts connected to the cooker.

    Implemented

  • Distance of the hood above the deep-fry cooker from the flames

    The entrepreneurs should ensure that the hood above the deep-fry cooker is at least at a double distance with respect to the height of the flames. The height of the flames can be defined numerically. The instructions on the safety distances for deep-fry cookers should be clearly on view in the installation and operating instructions.

    Not to be implemented

  • Smoke detectors for the control devices of automatic fire doors in accommodation establishments

    Entrepreneurs should ensure that smoke-detectors, not heat-detectors, are used in the steering of the automatic fire doors of lodging-houses.

    Implemented

  • Training on first response fire-fighting for bus drivers

    Coach and bus company owners should give every driver training in the initial extinguishing and at regular intervals arrange exercises in the use of initial extinguishers and in passenger evacuation.

    Not to be implemented

  • Collecting statistics of bus fires

    Importers should compile statistics on fires in coach and bus models that they present. They should draw conclusions from them and prepare for their customers a work update guide for the prevention of similar fires.

    Not to be implemented

  • Placing a smoke detector sensor on the engine near the cylinder head

    One of the fire alarm sensors should be placed close to the cylinder head of the engine on the so-called “hot side”.

    Implemented

  • Making holes in the engine compartment covers for first response fire extinguishers

    Coach and bus manufacturers should equip the engine compartment covers with holes for fire extinguisher nozzles, with a spring-loaded lid that opens inwards. The location of the holes should be determined according to chassis and body so that the extinguishing agent may be freely directed to higher risk objects. The lid should be equipped with a picture of a portable fire extinguisher.

    Implemented

  • Inspection of additional heaters

    Extra heating appliances and their fuel pipes should be checked before the period when heating is needed starts. The inspection should be added to the vehicle’s maintenance system.

    Implemented

  • Fire safety guide to periodic maintenance plans

    The coach and bus company owners should add to their own scheduled maintenance service programs the fire safety guide “Buses and Lorries, Fire Safety Guide 1999” drawn up by the Federation of Finnish Insurance Companies (Vakuutusyhtiöiden keskusliitto) and Motor Insurance Companies Loss Prevention Ltd. (Vakuutusyhtiöiden autokorjaustoimikunta), and implement its vehicle fire safety inspection from Appendix 3.

    Implemented

  • Type training for bus drivers

    The coach and bus company owners should give their drivers training in the type of equipment to be used. In the training the drivers should be familiarized with, among other things, the functioning of the vehicle’s fire warning system and the detectors related to it. The drivers should always read the vehicle manual carefully when the vehicle type is not already familiar to the driver.

    Not to be implemented

  • Automatic or semi-automatic fixed fire extinguishing system for buses

    All new buses should be equipped with an automatic or semi-automatic fixed fire extinguishing system.

    Implemented

  • Fireproof insulation in the engine compartment of a bus

    Soundproofing and heat insulations components in the engine compartment, or their surface materials, should be fire-resistant.

    Not to be implemented

  • Restricting the use of a jet hose repaired with a pearl joint

    The use of a jet hose repaired with a pearl joint should be limited to its original purpose, i.e. to moving the vehicle to the garage, where the hose is changed into a properly manufactured hose.

    Implemented

  • Ensuring the fire safety of the engine

    The vehicle user should take care of: a) maintaining adequate cleanliness in the engine and engine compartment, b) inspecting the condition of the fuel pipes and, if necessary, replacing them with new types of pipes, c) undertaking fitting work, according to the instructions in the manual, by taking into account the correct torque in tightening and the support of pipes, d) checking the fitting and condition of the battery and the generator cables according to the scheduled maintenance service program.

    Not to be implemented

  • Including the monitoring of the driving characteristics of the vehicle as part of the training for bus drivers

    In driver training the importance of monitoring the driving properties of the vehicle should be emphasised. If, for example, the steering is drag, the reason for it has to be determined before continuing to drive. There can be several serious reasons for a steering drag, one of which is the jamming of the brake and its overheating.

    Not to be implemented

  • Steepness of the entry ladder of a service rail car

    The Tka7 track machines with only vertical steep flat-step ladders should be equipped with stair-ladders.

    Implemented

  • Fire safety of interior decoration materials in housing for the elderly

    Attention should be paid to the fire safety of interior design materials in all forms of housing for the elderly. The choice of furnishing can to some extent limit the spreading of the fire. The choice of furnishing can be influenced by information, and at least in the housing subsidized by the society acquisition aid should also be considered so that the furnishing could be changed to be fireproof.

    Partly implemented

  • Safe fire sectioning of the attic or the hollow in the loft ceiling beam of residential buildings for the elderly or other special groups

    In residential buildings, which are used by elderly people and other special groups and in which the fire sectioning of the attic or the hollow in the loft ceiling beams is inadequate or there is none, these premises will be sectioned to correspond with the requirement level set in the current building instructions.

    Implemented

  • Investigating the level of fire safety in premises where persons with impaired ability to function have a poor chance of making an exit

    In premises which are in use and in which the persons' possibilities to make an exit are restricted due to a reduced ability to function, the fire safety level is outlined by drawing up a safety analysis in accordance with recommendation 1 on each premise. The owner or the entrepreneur is obliged to take necessary action on the basis of the analysis. The analysis shall be attached as a part in the safety planning which the rescue services legislation requires, in the section dealing with risk the mapping and assessment of the effects of dangerous situations.

    Implemented

  • Developing safety planning

    The creating and developing of the safety culture of the target, the organizing of safety-related activities, the analysing of the target-specific risks, the assessing of the consequences of dangerous situations and especially the assessing of the personnel’s skill requirements and the obtaining and maintaining of the required safety knowledge and skills must, in a more explicit way than now, be included in safety planning. Minimum requirements must be set on the safety knowledge and skills training of the personnel. A special certificate should be issued on the completion of the training (safety card).

    Implemented

  • Creating collaboration plans and respective alarm instructions among the municipal rescue departments based on risk analysis

    Cooperation plans and alarm instructions in connection with them must be drawn, on the basis of risk analysis, among municipal rescue services with an emphasis on the early stages and they must be kept up-to-date.

    Implemented

  • Clarifying the fire safety regulations and instructions on ventilation

    Fire safety regulations and instructions pertaining to ventilation are made clearer in such a way that the spreading of combustion gases from one room to another is adequately prevented in buildings used as institutions during the initial phase of the fire.

    Implemented

  • Clarifying the regulations on emergency exits

    Regulations on emergency exits are specified in such a way that the current detailed table dimensioning is only used for premises where people, in case of a fire, can make an exit to safety quickly enough by themselves. If the residents’ or patients’ ability to independently exit the premises has decreased, an individual evacuation and rescue time calculation will be compiled. The personal safety analysis mentioned in recommendation 1 will be drawn up on the basis of the calculation. The compilation of individual evacuation and rescue time calculations would be easier if the social and health care authorities and rescue services together drew up uniform principles for the calculations. The basis of these calculations should be the classification of the residents' or patients' ability to act and their need for help, as well as the time it takes for the personnel and the fire brigade to perform the rescuing in different circumstances.

    Implemented

  • Planning of rescue services for sites with residents or patients with impaired functional ability

    The planning of rescue services must be realized in all targets in which the safety of the residents or patients is compromised, due to their reduced abilities, in case of a fire, and when rescue actions by the personnel and the fire brigade is required. The assessment of the fire brigade’s actual readiness to operate (the total operational preparedness time from the ignition of the fire to the rescuing of the last person to be rescued using the available resources) and the rescue service requirement analysis based on the assessment as well as often enough performed common exercises with the target (e.g. at least every three years) are included in the planning.

    Implemented

  • Classification of all residential buildings for the elderly and other special groups as special targets with regards to their fire safety

    All residential buildings for the elderly and other special groups shall be classified as to their fire safety as special targets regardless of their names, the number of persons and the activity forms. The fire inspections on such special targets must be carried out at least in accordance with what is prescribed in the rescue services legislation.

    Implemented

  • Developing the collaboration between social and health authorities and rescue authorities

    The cooperation of social and health care authorities and rescue service authorities will be developed nationally and locally. Fire safety must be included as one factor already in the first assessments when analysing how the elderly cope and what kind of assistance needs they have. After that, the fire safety requirements must be taken into consideration in all forms of housing for the elderly, when assessing their need for assistance and their possibilities to manage at home and in various forms of service apartments.

    Implemented

  • Regulation on regular internal fire safety inspections

    The independent fire safety of targets, which are important as to personal safety, will be made more effective by making regular internal fire safety monitoring (internal fire safety inspections) obligatory.

    Implemented

  • Making building regulations more specific

    Building regulations are specified in such a way that: A personal safety (evacuation and rescue safety) analysis will be drawn on premises, where the persons’ possibilities to make an exit are restricted due to their reduced ability to function. In this analysis the possibilities of the residents/patients to save themselves in case of a fire will be studied, as well as the possibilities of other helpers, e.g. the staff and the fire brigade, to save them quickly enough from a room or ward which has caught fire. In an apartment fire the person to be rescued must get into safety 2 – 3 minutes after the ignition, and the ward must be evacuated max. 15 minutes after the fire has begun. The safety arrangements of the premises, e.g. the protection level, are defined on the basis of a safety analysis according to picture 2.

    Implemented

  • Investigating exit and rescue aids

    To speed up the rescuing of the residents or patients, who need assistance in making an exit and getting rescued, the usability and usefulness of the facilities developed for this purpose must be studied from case to case as a part of the risk assessment.

    Implemented

  • Developing the accident and alarm analyses

    The Ministry of the Interior should ensure the correctness of the information in the alarm and accident reports by the rescue services and that the reports contain a satisfactory and reliable description of the process of the incident.

    Implemented

  • Recording the voice communications of area controllers

    The telephones of the Area Controllers should be connected to a recorder.

    Not to be implemented

  • Determining the cause of bus and lorry fires and creating reason statistics

    The Investigation Commission recommends the Finnish Motor Insurers’ Centre (LVK) or Motor Insurance Companies Loss Prevention Ltd. (VAT) organize the investigation of the cause of fire of coaches, buses and lorries in such a say that an attempt is made to find out the cause of all fires in the previously mentioned vehicles and statistics on the reasons is compiled. The investigation could be carried out in the whole country by the same persons in order to increase their professional skills and experience.

    Implemented

  • Transhipment devices

    Transshipment equipment should be procured for the transshipment of toxic gases and specifically ammonia

    Implemented

  • Avoiding work in too short time periods

    Working in too short time periods should be avoided

    Implemented

  • Prohibiting passenger travel in machinery

    No passengers should be admitted in excavators and other corresponding work machines. The workers should be ensured safe transportation to the work site whenever it is located beyond walking distance.

    Implemented

  • Installing shunting signals to tracks 210–217 on the Viinikka railway yard at Tampere

    The hump end of the centre tracks 210-217 on Viinikka yard at Tampere should be equipped with shunting signals operated as depending on the position of the rail brakes.

    Implemented

  • Fire extinguishing water network and escape routes on the Tampere railway yard

    The fire water network and fire escape routes should be extended to cover the west side of Tampere railway yard, as well.

    Implemented

  • Monitoring system for bearings

    The monitoring of freight and passenger car bearings should be developed so as to number each bearing with its data included in the database comprising the wheelset data.

    Not to be implemented

  • Improving the visibility of start blocks

    To improve the detectability of a starting mark, the start point should be indicated by, e.g. a sizable banner at a height of about 1.5 m, with different colours referring to different machines.

    Implemented

  • Specifying worksite specific speed limits and distance intervals for machines travelling on rails

    A maximum admissible speed should be specified for rail-going work machines, as per work site. If there are running several work machines in the same section of line, their mutual distance should be specified. The arrival and departure speeds to and from the work sites and the distances referred to should be subject to a more efficient monitoring.

    Not to be implemented

  • Determining the loads on the ceiling

    The persons responsible for the maintenance of shop and other buildings should find out to what extent loads stress the ceiling. After that it must be made certain that the suspensions bear the loads in question with adequate certainty.

    Implemented

  • Improving the preparedness of municipal health care services to send their response teams to the field

    The preparedness of municipal health care services to send their response teams to the field should be made more effective. Cooperation to raise continuous response should be developed in close advance planning with municipal rescue services.

    Implemented

  • Improved certainty of communications from the scene of accident to the hospitals which receive patients

    In future, the communications from the scene of accident to the hospitals which receive patients must be arranged in such a way that the information about the number of patients and their injuries and other relevant factors travel with adequate certainty.

    Implemented

  • Training on matters related to brake fitting

    In the training of garages, professional drivers and authorities supervising vehicle conditions more attention should be paid to matters related to brake fitting.

    Implemented

  • Sufficient personnel capacity in emergency response centres

    In connection with the reform of emergency response centres, which came into force in 2001, the personnel capacity of the emergency response centres should be dimensioned in such a way that tasks could be dealt with on a routine level even when it comes to major incidents.

    Implemented

  • Revision on the instructions on hose clamps in the brake systems of heavy vehicles

    The Finnish Vehicle Administration should study their instructions on hose clamps in the brake systems of heavy vehicles and, if necessary, make relevant changes in them.

    Not to be implemented

  • Improving the safety of the southern Heinola intersection on main road 4.

    The Finnish Road Administration should promptly take action to increase the safety of the southern Heinola intersection on main road 4.

    Implemented

  • Preparedness of the police staff to give first aid

    When developing further education for the police, it should be ensured that the police personnel gets better preparedness to give acute first aid than what they have now.

    Implemented

  • Verifying the skill and experience of a bus or coach driver

    When chartering coaches and buses, the rental company’s own drivers, who are familiar with the fleet, will be used more than before. If the driving is entrusted to an outside driver, the rental company has to make sure that the driver has enough skills and experience for the task.

    Implemented

  • Immediate notification to the county forensic medical officer of accidents involving several fatalities

    The county forensic medical officer, whose post or residence is located close to the scene of accident, should be immediately informed about an accident, in which several people have been killed.

    Implemented

  • Training for the use of a radio handset

    Training in the operation of an ICOM F-30 mobile phone should be arranged for the users. The training should particularly focus on safe communication within the work site.

    Implemented

  • Special monitoring of abnormal wear and tear in a wagon series

    Should irregular wear be discovered in the equipment of a particular car type, the car should be submitted to special monitoring and extra maintenance operations.

    Implemented

  • Special monitoring of abnormal wear and tear in an individual wagon

    Should irregular wear be discovered in the equipment of an individual car, the car should be submitted to special monitoring to investigate and remedy the cause of the wear.

    Implemented

  • Safety instructions for work when shunting the wagons of a rail replacement unit

    Should cars of a rail replacer unit be changed during a workshift, the safety of the operation should be ensured

    Implemented

  • Determining the properties of wagons before approving them for traffic

    Should substantial changes be made in the car superstucture in connection with car renewal work, the car specific frequencies should be calculated and also checked in operation, if possible. The excitations generated by the track and car running should be ensured not to cause vibration resulting in structure fatigue or excessive wear.

    Implemented

  • Ordering a safety guard for work performed inside the structure gauge at the Helsinki railway yard

    For work performance within the structure gauge on Helsinki railway yard in cases safety is not secured by track reservation, a safety guard should regularly be assigned

    Implemented

  • Ensuring the functioning of the ICOM F-30 radio handset

    Whenever an ICOM F-30 mobile phone is taken in use, its functioning within the area in question should be checked and ensured

    Implemented

  • Part A2 of the National Building Code to be supplemented with provisions on the training required from the chief designer under the Land Use and Building Act.

    The training required by the principal designer for different projects, the designer's responsibilities and the defining of the designer's tasks as prescribed in the land use and building legislation shall be added to the National Building Code of Finland to Section A2 Building designers and plans.

    Implemented

  • Addition to the section on nail joints in the National Building Code

    Instructions on how to assess, in the planning and design phase, glue-tipped and various nails with surface patterning shot by a pneumatic nail machine should be added in the National Building Code of Finland in the section dealing with nail joints to help designers and planners in their work.

    Implemented

  • Specification for the use of nail plate structures

    The Ministry for the Environment promptly specifies the possibilities and condition for using nail plate structures as the bearing parts of the loft ceiling beams in P2-class buildings.

    Not to be implemented

  • Increasing research on nails shot by a pneumatic nail machine

    Further studies should be made on nails shot by a pneumatic nail machine. In these studies it should be found out what kind of effects e.g. glue and various surface patterning have on the nails’ capacity to resist changing and long-term stress.

    Implemented

  • Supplements to the operating and maintenance instructions of buildings

    The Ministry for the Environment should, in the regulation and instruction on building operating and maintenance directions, include a section which would obligate to present effective loads and suspension loads at least for the type of buildings in which changes in activities and loads are possible during the period of use of the building. (The recommendation is repeated in Investigation Report B1/2001Y)

    Implemented

  • Harmonisation of the building permit practices across municipalities

    Building inspection should be developed in such a way that the permit practices become more uniform and expertise would be available for all municipalities.

    Implemented

  • Help for inspecting buildings

    Municipal building inspection authorities should find it easy to obtain assistance either from other municipalities, from a national organization or from private experts when inspecting important building objects.

    Not to be implemented

  • Making the walls and hatches of the engine compartment of a bus from steel plate

    The Investigation Commission recommends that the wall and hatch materials of the engine compartment of coaches and buses should be steel plate. The fire proofness of the service hatches opening to the cabin should be such that their fire-resistance corresponds at least with the other surrounding structures. Furthermore, only completely non-flammable materials should be used as the sound or heat insulations materials or their surface materials in the engine compartment.

    Not to be implemented

  • Adhering to the driving and rest periods of car drivers

    The driving times and rest periods of trailer lorry drivers should be monitored more effectively. Hence the running data should be recorded and submitted to the relevant monitoring authority by means of a technically more advanced method than the tachograph system.

    Implemented

  • Alerting of rescue service resources

    In conformity with Instructions 21/701/92 of 14.9.1992 (Series A:42, Instructions on Emergency Readiness of Municipal Fire Brigades) by the Ministry of the Interior, forward-balanced tactics should be adopted in the resource utilization.

    Implemented

  • Extending the sightline requirements to all unguarded level crossings

    The visual clearance specifications should be applicable to all unguarded level crossings.

    Not to be implemented

  • Responsibility for the implementation of the sightline requirements

    The track operator should exclusively be responsible for monitoring the realization of visual clearance at level crossings and the relevant clearing work.

    Implemented

  • Setting up a service telephone for the family members of persons involved in an accident

    In their crisis information instructions, the railway operators should also consider the information addressed to participants in an accident and their relatives.

    Implemented

  • Collaboration when starting contracted work involving driving with heavy-duty equipment

    In the planning of heavy-duty contract work for trailer lorries, including numerous railway crossings, safety arrangements at level crossings should be jointly discussed by the trucking operators and the railway traffic operators. In the discussions also the views of the engine drivers and trailer lorry drivers should be considered.

    Implemented

  • Verification of structural calculations and dimensioning criteria

    Building inspections authorities should demand for inspection all structural calculations and dimensioning criteria which have been needed in the designing and planning of the structures.

    Implemented

  • Establishing a designer database

    A database should be set up to facilitate the establishing of the competency of the structure designers. The database would include the designer’s name and valid qualifications as regards to demanding designing and planning tasks.

    Implemented

  • Sufficient resourcing of building inspections

    Building inspections should in the whole country have such resources that the structural solutions and their safety could be closely examined at least when it comes to more demanding projects which are relevant as to the safety of the citizens. (The recommendation is repeated in Investigation Report B2/2000Y)

    Not to be implemented

  • Implementing a joint safely

    The joints corresponding to the damaged one should be realised so that the entire sheering stress would be moved to the steel part by connection from the lower edge of the beam.

    Implemented

  • Binding of loads

    If the load is not bound, the wagons shall be moved with requisite precaution. If a swing movement is necessary, the binding of the load shall always be ensured.

    Not to be implemented

  • Inspecting the condition of a level crossing

    The condition of the level crossing should be checked prior moving wagons to track 880A on Tampere railway yard.

    Implemented

  • Maximum allowed speed on track class A tracks

    20 km/h should be prescribed as the maximum speed admitted on all sidings of track class A, whenever the maximum axle load of 16 tonnes is exceeded.

    Implemented

  • Instructions for preparatory work

    Detailed instructions and safety criteria should be drawn up for preparative work preceding superstructure renewal or any other major track work.

    Implemented

  • Improving inspection methods

    The rail inspection methods should be developed also to permit an early detection of beginning vertical ruptures (capillary cracks) along the rail. Rails displaying surface defects (flakes) should be repaired as soon as possible so as to allow a reliable ultrasonic measurement of the rail condition.

    Not to be implemented

  • Level crossings should be equipped with signboards displaying at least the name of the level crossing

    Level crossings should be equipped with signboards displaying at least the name of the level crossing and its location in the coordinates and relevant track-km. The signboard should be clearly visible in both running directions of the road.

    Implemented

  • Placement of the crossing sign at unguarded level crossings

    At unguarded level crossings, the crossing sign should be placed at a distance of 2.3 – 4.0 m from the closest rail.

    Not to be implemented

  • Adding displays to the Oulu emergency response centre

    The emergency duty officers’ tables 1 and 2 in Oulu Emergency Center should be equipped with additional displays showing the contents of the display of the neighbouring colleague.

    Not to be implemented

  • Alarm instructions of rescue formations

    In the alarm instructions, the fire brigade emergency arrays should be formed in conformity with the Instructions 21/701/92 of 14.9.1992 (Series A:42, Instructions on Emergency Readiness of Municipal Fire Brigades) by the Ministry of the Interior.

    Implemented

  • Changing the railroad regulations and instructions on level crossings

    The visual clearances at all unguarded level crossings should meet the 8 meter requirement as measured from the closest rail. Should the visibility range requirement fail to be met for some direction, the level crossing should be equipped with warning facilities or rebuilt to a flyover.

    Not to be implemented

  • Communications about an accident during rescue operations

    Giving information during an accident or incident should be planned in advance with particular attention paid to arrangement and timing of information releases on incidents of special public interest.

    Implemented

  • Obstruction clearing device of the Dr16 locomotive

    The obstruction clearing device of the Dr16 locomotive should be reinforced and its form modified so that its lower edge approaches the rail by at least 10 cm closer.

    Implemented

  • Ordering of signal, grouping and waiting areas

    In accidents requiring particularly important rescue resources, their entry, guidance, grouping and waiting spots should be specified in an early phase, whenever the rescue resources cannot immediately be assigned to the rescue operation. In such cases the scene of the accident should be isolated as early as possible.

    Implemented

  • Adding location coordinates to the list of level crossings

    The Finnish Rail Administration should supplement its list of level crossings by specifying their positioning coordinates and then submit the list to the Emergency Centers

    Implemented

  • Wheelset maintenance interval

    The wheelset maintenance intervals should be determined in addition to/instead of in terms of calendar time, on the basis of distances driven.

    Implemented

  • Location of the train when turning the turnouts locally

    Whenever local points-operating keys are used, the train or vehicle should stop at the signal protecting the turnouts to be operated, or else it should in any case be off the turnouts.

    Implemented

  • Instructions on arranging operations in different accidents

    The Ministry of the Interior should draw up Instructions for Cooperation of Rescue Services, in replacement of Instructions 1184/701/88 (Planning of General Rescue Service), Series A:26, as focusing on more general criteria in the arrangement of activities in different accident situations.

    Implemented

  • Labelling of dangerous goods in traffic between Finland and Russia

    In Finnish-Russian bilateral rail transport services, such dangerous goods markings should be adopted in the wagons as specified in the domestic Regulations on Carriage of Dangerous Goods by Rail.

    Not to be implemented

  • Location of local turn buttons

    The local points-operating keys should be placed in a logical order corresponding to the location of the turnouts to be operated

    Implemented

  • Marking of dangerous goods in the wagon list

    The UN number of hazardous goods to be transported should regularly be indicated in the wagon list, as well as the data specified in the domestic Regulations on Carriage of Dangerous Goods by Rail for Finnish-Russian bilateral rail transport services

    Implemented

  • Chemical accident response network

    A chemical destruction equipment network should be created in Finland.

    Not to be implemented

  • Rescue plans for railway yards where chemicals are handled

    Internal and external rescue plans and notifications in conformity with Section 26 of Decree on Transportation of Dangerous Goods by Rail (674/97), shall be drawn up for railway yards handling and storing a considerable number of chemicals carrying wagons. The operator and the relevant authority shall ensure the compatibility of their plans.

    Implemented

  • VR’s chemical accident response equipment

    VR’s rescue service units should have chemicals control equipment at their disposal.

    Implemented

  • Turnout maintenance and limiting values

    The limit values of the turnout should be more reasonable and expedient. The definitions of the limit values and action when they have been exceeded should be specified unequivocally and followed carefully.

    Implemented

  • Detailing the instruction A:42

    The Ministry of the Interior should supplement its Instructions 21/701/92, Series A:42 (Instructions on Emergency Readiness of Municipal Fire Brigades) or else draw up separate new instructions focusing on preparatory work for an extension and supplementing of the management organization in view of ensuring management and decision-making support in major accident situations.

    Implemented

  • Correction to the alarm instructions

    In major accidents possibly involving medical rescue operations and medical care needs, the clinics or hospitals concerned shall be accordingly notified as soon as possible.

    Implemented

  • Definition of alarm levels

    Lappeenranta Rescue Service should specify the alarm stages in conformity with the Instructions 21/701/92 (Instructions on Emergency Readiness of Municipal Fire Brigades), Series A:42, by the Ministry of the Interior, so as to ensure the accessibility of the targets in each area as corresponding to the risk area standard defined in the risk analysis and to ensure at least the targeted availability of senior officers and service managers.

    Implemented

  • Training for a service rail car driver

    In railgoing lorry drivers’ training, the rules and regulations governing travel on an occupied section of line with several track machines working simultaneously should be emphasized.

    Implemented

  • A minimum of 6 kg fire extinguisher in buses and lorries

    The Investigation Commission recommends that the Ministry of Transport and Communications prescribe a fire extinguisher of at least 6 kg in coaches and buses instead of the current 2 kg portable fire extinguisher.

    Implemented

  • Operation when the hot box detector is not in use

    Should a hot-box detector for some reason or another be out of service or defective, a backup system for detection of bearing defects and prevention of accidents should be adopted and introduced, e.g. more efficient perceptive inspections or reduced speed limits.

    Implemented

  • Equipment in the locomotive cockpit

    The equipment in the engine driver’s cabin should be fixed so as not to detach in a crash or collision.

    Implemented

  • Reserving a worksite with a short-circuit conductor

    Short-circuit conductors should be introduced to secure an occupied slot.

    Not to be implemented

  • Equipping Dr14 locomotives with registration devices

    The Dr14 locomotive series should be equipped with a better running recorder.

    Implemented

  • Further development of working habits

    The instructions governing Viinikka freight yard should clearly specify the worker responsible for removal of arresters.

    Implemented

  • Placement of the main signals in the departure direction

    The departure-direction main signals at Kerava and other stations should be placed as close to the passenger platform as possible.

    Implemented

  • Making the regulations on sequential reservations more precise

    In the Train Safety Regulations, the paragraph on track-work traffic should be supplemented by unequivocal specifications of the conditions permitting the dispatching of a track-work machine after another machine. If the conditions are not fulfilled, the machine shall be introduced into traffic as a train.

    Implemented

  • Marking the structure gauge

    In work sites in the vicinity of a railway, the structure gauge limits shall be marked and access therein shall be prevented by a surrounding band, sealing-off line or preferably by a fixed railing.

    Implemented

  • Locations of track changing points

    The location of track changing points should be clearly and unequivocally specified to the work supervisor, train dispatchers and remote-control operators.

    Implemented

  • Working hours of remote control operators

    Remote-control operators shall be ensured adequate pauses during the shift, and overlong shifts shall be avoided particularly during busy seasons, such as during track work periods.

    Implemented

  • Improving side protection

    A protection turnout or at least two shunting signals should be used as lateral protection for main lines operated at high speeds.

    Implemented

  • Installing safety devices in the Sköldvik turnouts

    Turnout V014 and the other turnouts in the same function on Sköldvik railway yard shall be rebuilt to be electrically operated, or else position control contacts or at least safety locks shall be installed in them.

    Implemented

  • Detection of wheel flats

    Utilization of wheel-flat detectors should be generalized, and more efficient wheel-flat auscultation should be practised at stations and possibly also elsewhere.

    Implemented

  • Inspection of the VR76 signal boxes

    All VR76 signal boxes shall be inspected and any requisite additional connections in the interlocked-relay discharge switch shall be installed to improve safety.

    Implemented

  • Old passenger wagon seats

    All old seats equipped with a turning mechanism should be taken out of service.

    Implemented

  • Window glazing in the end doors and intermediate doors of passenger wagons

    The glass panes of the end and partition doors of all passenger-car compartments should be checked. Should the glass panes be of regular glass, they shall be replaced by safety glass panes.

    Implemented

  • Developing the signal system

    The signalling system should be revised so as to feature one same signal used as both distant and main signal.

    Not to be implemented

  • Improving the visibility of the Sn35 signal and speed limit area

    The signal aspects indicating entry to an Sn35 turnout should be more clearly distinguishable from the aspects indicating entry to other turnouts. The speed limit of 35 km/h should be indicated as a figure aspect, as well.

    Not to be implemented

  • Lengthening the stop times of passenger trains

    The stopping times of express trains at stations, indicated in the timetable, should be longer.

    Implemented

  • Highest allowed speed when ATP is not in use

    In case ATC is not installed or not in use, the speed limit for trains should be set at 80 km/h

    Implemented

  • Ensuring the position of manually turned turnouts

    Manually operated turnouts on a track with train traffic shall always be secured by at least a hook which can be locked. Wherever outsiders have access to the turnout operation mechanism without being noticed, the turnouts should be equipped with a safety lock or changed to electrically operated turnouts.

    Implemented

  • Construction of a safety turnout

    A protection turnout and trap siding should be built in the track running from Kontiomäki to Oulu, before its joining the main line track. The length of the trap siding should permit a train to stop before the rail barrier when braking at the main signal.

    Implemented

  • Additional displays to line turnouts V330, V331 and V351 in Oulu

    The train operator’s panel in Oulu should include displays of the position of the V330, V331 and V351 line turnouts so as to ensure a correct situation status being displayed even in exceptional situations.

    Not to be implemented

  • Lack of automatic train control

    The station-approaching speed limits on sections of line without automatic train control should be lower than today. Otherwise the engine drivers should not be obliged to one-man driving.

    Implemented

  • Internal structures of passenger wagons

    In compartments of passenger cars, partition walls should separate the hand luggage racks to compartments, to prevent any movement or falling of luggage.

    Implemented

  • Passenger safety

    All new or reconditioned day coaches of long-distance trains shall be equipped with state-of-the-art lap belts installed in the seats.

    Not to be implemented

  • Details associated with working in a locomotive

    The practices of auxiliary functions to engine driving shall be clarified and uniform instructions drawn up thereon. The engine drivers’ responsibility for the brake-type lever being set in its adequate operating position when driving the locomotive out of the engine shed, shall be underscored.

    Implemented

  • Blocks between Jyväskylä and Pieksämäki and signals at Naarajärvi

    Jyväskylä – Pieksämäki section should be equipped with a block system and signals protecting Naarajärvi railway yard.

    Not to be implemented

  • Verifying the consistency of a train

    When starting to push a shunting work unit, the locomotive should first pull it over a distance of, e.g. a car length

    Not to be implemented

  • Hot box detection

    Hot-box control of bearings and the corresponding detection instruments should be developed.

    Implemented

  • Improving the visibility of a reversing train

    A train in convoy operation should be equipped with an automatically operated acoustic signal or other corresponding device that warns the track workers of an approaching train.

    Not to be implemented

  • Competence requirements for a person in charge of train safety at a worksite

    The persons entitled to assume responsibility for train safety work should be specified. Moreover the corresponding requisite qualifications should be specified, as well.

    Implemented

  • Mounting of restaurant equipment

    The fixings of restaurant-car facilities (e.g. cash registers) shall be checked.

    Implemented

  • Installing an emergency brake in the end vestibules

    An emergency brake should be installed in the end vestibule of passenger cars in view of convoy operations.

    Not to be implemented

  • Changing the signals at the at the Viinijärvi railway yard

    The operation of the signals protecting Viinijärvi yard should be modified so as to render impossible a ’Proceed’ signal aspect whenever the turnout opens to an already occupied track.

    Implemented

  • Placement of the devices at an electric track

    Suspension cantilevers and hinged cantilevers of electrified lines should be mounted at a sufficient height so as to allow a wire laying train with its railings up, pass underneath also during shunting operations and when moving over to a dead track. Unambiguous instructions for sections where the railings have to be lowered should be drawn up for the train operators and the persons responsible for the movements of the work units.

    Not to be implemented

  • Engine driver training

    A personal training plan and its monitoring shall be designed for each engine driver. In addition updated management training shall be ensured for work supervisors.

    Implemented

  • Speed of trains at signal locations

    The following speed limits should be adopted at signals. Should the automatic train control be out of service and the distant signal display a ”Wait Sn35” aspect, the maximum admissible speed for passing the distant signal is 120 km/h, while the maximum admissible speed for a main signal displaying a ”Proceed Sn35” aspect is then 80 km/h

    Implemented

  • Developing the design instructions for railway yards, taking into account the speed limits of turnouts

    The planning, design and building of railway yards shall prevent direct entry to an Sn35 arrival turnout from a main track operated at a speed of 120 km/h. The first turnout should be at least of the Sn80 type

    Implemented

  • Defining the engagement of emergency response centres

    For all accident types and targets, the municipalities shall specify the rescue resources engaged as based on a risk survey of the area in question. The municipalities shall submit the emergency services the Instructions on Alarm Operation drawn up on the basis of the A:42 Instructions published by the Ministry in 1992 (Instructions on Emergency Readiness of Municipal Fire Brigades). Jointly with the Ministry of the Interior, the Emergency Services shall ensure the permanent staff sufficient further training. Before a possible establishing of trial Emergency Services in a permanent basis, the personnel shall be trained so as to be capable of fulfilling the tasks of some other job sector, as well. Special attention shall be paid to the development of the questioning technique of the on-duty alarm officers.

    Implemented

  • Working in a locomotive and associated instructions

    The ”Instructions on driver’s cab work tasks” drawn up by the Transport Production Unit of VR Ltd Production Department in 1993 shall be urgently revised. The instructions on division of tasks and responsibilities in double driving shall be specified in detail. For example, the driver of the locomotive shall be responsible for the driving operation. The paragraphs concerning driver’s cab work tasks in the ”Train Safety Regulation” (Jt) issued by the Finnish Rail Administration shall be deleted therefrom so as to be incorporated and updated in VR’s ”Instructions on driver’s cab work tasks”. In this connection all instructions on engine driving shall be compiled to form one entity.

    Implemented

  • Improving train brakes

    The braking systems of passenger trains shall be developed so as to ensure a quicker and simultaneous starting of (emergency) braking in all cars.

    Implemented

  • Recording devices in the locomotive

    The locomotives should be equipped with video recording of the track view and the cabin functions.

    Not to be implemented

  • Inspection and approval of safety device drawings

    In the design and planning of modifications in signalling equipment, checking and approval of the modification drawings shall be completed prior to the commencement of the modification work.

    Implemented

  • Remote control recordings

    All signalling equipment events in remote control and train operation shall automatically be recorded.

    Implemented

  • Expediting the construction of the automatic train protection system

    To accelerate further the building of the automatic train control (ATC) system, local less complex supportive systems shall be planned.

    Implemented

  • Removal of repeaters

    The repeaters shall be removed from all stations.

    Implemented

  • Internal lining of wagon tanks and its inspection

    The inspection interval of tank-car tanks with rubberized interior shall be changed from two years to one year, or else the cars shall be taken out of service. In view of transportation of hydrosilicofluoric acid and other substances, a chemical analysis of the material (Soulplethane or other) replacing the rubber shall be produced and the suitability of the material for tank interior lining shall be specified. The analysis shall be delivered in connection with the next general inspection to the car inspector, and an indication thereof shall be included in the pressure-vessel inspection record. The interval of the car-interior inspection shall be cut from two years to one year until further notice, considering the necessary experiences to be gained of the resistance of the lining.

    Implemented

  • Felling of trees near a track

    The regulations shall ensure that there is no possibility of trees falling within the structure gauge. In clearing work along railway lines, all trees with an over 15 cm root diameter possibly penetrating the structure gauge when felled, shall be secured by a winding tackle or corresponding method.

    Implemented

  • Testing turnout operating equipment with test voltage

    Turnout operating equipment should be tested with test voltage.

    Implemented

  • Maintenance of private tracks

    The present legislation neglecting the monitoring of traffic operation on private tracks and the control of maintenance of such tracks shall be amended so as to include these tasks. A competent authority specified by law shall be assigned to design such a monitoring and maintenance system for private tracks that ensures the safety of rail traffic. As for the transportation of dangerous goods, the Finnish Rail Administration shall immediately engage the requisite investigation work.

    Implemented

  • Ensuring that wagons stay still on track 102 at Sköldvik

    Immobility of wagons on track 102 should be ensured in conformity with the Train Safety Regulation (Jt). The securing method adopted shall be specified in the instructions.

    Implemented

  • Developing locking conditions of a route in the railway safety system

    Blocking of a travel route should be modified so as not to enable operation of the turnout of a blocked section until the track circuit section has first been occupied and then cleared.

    Implemented

  • Improving turnout locking in the railway safety systems

    Such signalling equipment should be removed that enable unlocking of turnout locks irrespectively of the occupation order and whether both turnouts were occupied or not.

    Implemented

  • Equipping the Hyvinkää machine shop track with a signal

    The departure track of Hyvinkää railway station to the workshop should be equipped with either a signal controlled by the remote control operator, or an automatic signal. In addition to audible signal aspects, also visible signal aspects are necessary, as the Workshop features quite heavy departure traffic linked with trial runs.

    Not to be implemented

  • Material of wagon steps

    The wagon entrance steps and the steps designed for accompanying the wagon should be made of safety grid of the type used in the new brake operator’s steps. The recommendation should essentially be implemented for new and rebuilt wagons

    Implemented

  • Removal of the obstructions on the sightline at the Hyvinkää machine shop track

    The inner side of the right-turning curve in the track from Hyvinkää Workshop to the railway station should be cleared to ensure an at least 200 m visibility range.

    Implemented

  • Improving instructions for track reservations associated with track work

    Occupied tracks should not be cleared and traffic should not be started until the track work has been entirely achieved.

    Implemented

  • Developing instructions for test drives

    More detailed specifications should be included in the General Regulations on Trial Runs as for the work division between the person responsible for the triak run and the driver.

    Implemented

  • Improving the visibility of stop blocks

    The detectability of arresters should be improved.

    Implemented

  • Structure and alignment of a safety track

    Trap sidings should run away from the main line (over a sufficient distance) and preferably also lower than the main line. If the trap siding runs in parallel with the main line, its distance from the main line should be at least about 15 m (the length of a car).

    Implemented

  • Minimising the use of sloping holding sidings

    Installation of sloping holding sidings should be avoided. Such sidings should be equipped with an alarm system.

    Not to be implemented

  • Instructions on ensuring that Russian wagons stay still

    Uniform and unambiguous instructions on securing the immobility of Russian wagons should be available. Moreover the ability of the railway yard workers to perform the measures specified in the instructions should be ascertained

    Implemented

  • Ensuring the maintenance of surveillance cameras of railway yards

    Monitoring cameras should be kept in adequate operating condition. Monitoring should also be operated whenever the railway yard is unmanned.

    Implemented

  • Extending the use of train numbers to maintenance machines

    Also service railcars (and other track machines) travelling on a line should be assigned a train number or other identifier clearly distinguishing them from other trains in service so as to avoid any possible misinterpretations. Their present long identification codes require unnecessarily long talk times in the line radio.

    Implemented

  • Developing portable locomotive radios, i.e. so-called maintenance radios

    The portable maintenance radios of service railcar drivers (and drivers of other track machines) should feature the option of line-radio listening, as the drivers are frequently outside the driver’s cabin and therefore fail to hear calls by train control operators or remote control operators.

    Implemented

  • Inspection after track support installation, adding ballast

    In seasons with possibly considerable temperature variations, ballasting should regularly be checked and supplemented after tamping and sleeper replacement operations. No train traffic should be allowed on tracks with uncompleted track work.

    Implemented

  • Ensuring the maintenance of locomotive radios

    The operation of the radio equipment in the locomotives should be checked and improved, whenever needed.

    Implemented

  • Developing the method of opening the line in the locomotive radio system

    Radiophones should be developed so as to ensure immediate connection when pressing the key instead of the present delay-time connection. Particularly in emergencies and urgency situations, speaking is commenced immediately when pressing the key.

    Not to be implemented

  • Usage limitations of Mas wagons

    Taking all Mas wagons out of service should be considered. Should their utilization however not be discontinued, their brake weight should be checked and new restrictions on their use be introduced or else three-pressure operating valves be installed in replacement of the old ones.

    Implemented

  • The condition of the pivots of Russian wagons and their greasing

    The condition of bogie pivots of Russian cars and their greasing shall be ensured.

    Implemented

  • Instructions on the correct braking method for rolling stock that has a two-pressure system

    The service railcar drivers and drivers of other track machines should pay special attention to the importance of correct braking of cars equipped with a two-pressure system.

    Implemented

  • Interface between a rigid and flexible structure

    Present relatively important track-gauge variations in the interface of rigid and flexible rail fastenings should not be permitted. In bridge-decks rail fastenings should be more flexible than in the Kerkkolankatu railway bridge (built in 1963), or else the flexibility differences in the interfaces necessarily have to be smaller than in this particular case. The lateral wear limit values for curved rails in bridges need to be stricter.

    Implemented

  • Developing the maintenance of the brake system of the Tka7 service rail cars.

    More attention should be paid to the functioning of the brake equipment of the Tka7 service railcars. Particularly the detaching of brakes discovered in trial operation should be remedied. Such detachings took place when the Tka7 alone was stopped by the direct-acting brake (1 to 2 bar pressure in brake cylinder). The direct-acting brake was set in the closed position, then a 1 bar pressure drop in the brake conduit was realized by the train-brake valve, and also the train brake was set in the closed position. The brakes gradually started their releasing action. This should also be checked in the other Tka7 service railcars.

    Implemented

  • Adding a mechanical emergency brake valve to Tka7

    A mechanical emergency brake valve should be installed in the Tka7 service railcars to permit exhausting of a brake conduit in all events, including a malfunction in the driver valve and any other valves connected thereto.

    Implemented

  • Measurement of track condition

    An automatic measuring of track condition should be developed for the locomotives.

    Not to be implemented

  • Binding of loads

    Load-binding needs and possibilities in heavy and high mass-centre transports should be defined

    Implemented

  • Work arrangements in trackwork

    Contractors should be ensured more extensive work projects.

    Implemented

  • Detecting derailment

    The possibilities of the engine driver to detect a commencing derailing of a car should be developed.

    Not to be implemented

  • Improving the support of a temporary track

    The transition structure shall be further developed.

    Implemented

  • Train speeds at trackwork sites

    Train speeds on track work sites shall be revised and the speed criteria specified.

    Implemented

  • Information transfer

    Communication of exceptional observations to the operative organization should be developed.

    Implemented

  • Refurbishment of the Varkaus track

    The track should immediately be repaired and defective old sleepers be replaced. Replacement of spike fastenings by screw fastenings and rail replacement by stronger rails should be considered.

    Implemented

  • Improving the monitoring of the condition of private tracks

    The condition of privately owned tracks should be monitored by annual measurings. The Finnish Rail Administration should be assigned by decree as responsible for the measurements and the relevant reports.

    Implemented

  • Unification of the turnout position indicators

    Modification or replacement of turnouts should be considered so as to prevent incorrect interpretations of turnout positions as due to inconsistent signal aspects in signals displaying the turnout position.

    Implemented

  • Quality assurance in trackwork

    As a rule, train traffic may be allowed on track work sites on the basis of track measurement. The work reports shall include more detailed quality requirements. VR-Track Ltd should draw up a quality manual on track renewal. Acceptance of final and temporary work performances shall include deformation mesurements (load rigidity). The acceptance procedure shall be revised and developed. The responsibilities shall be specified and documented in the work performance contracts and work reports.

    Implemented

  • Report on problems in electricity supply and preparing for them

    The disturbances in the network power supply should be investigated in greater detail so as to ensure the activation of the backup system in cases of disturbance.

    Not to be implemented

  • Equipping automatic blocks with a control and registration system

    Self-operative line block systems should also be equipped with a signal aspect monitoring and recording system.

    Not to be implemented

  • Escape equipment

    Rescue equipment location, fixing and relevant instructions shall be substantially improved. For passenger compartments, evacuation times shall be specified considering the time needed for leaving the train.

    Implemented

  • Escape instructions and smoke detectors

    Compartments and side corridors of passenger cars shall be equipped with a fire alarm system, safety lighting and safety instructions fixed on the doors.

    Implemented

  • Train control systems and expediting their installation

    All efforts should be focused on an accelerated building of the Automatic Train Control system.

    Implemented

  • Training and night shift periods of engine drivers

    More attention should be paid to the age structure and training of engine drivers. The shift work system should also be developed

    Implemented

  • Use of a mobile phone, portable radio and line radio in a locomotive

    The use of the line radio shall be developed so as not to include other than radiocommunication pertaining to train driving. Train operators should be ensured the possibility of direct communication with the train conductors.

    Implemented

  • Driving a train in exceptional circumstances

    In conformity with the visual signal aspects, the speed of the train shall be adapted to the prevailing visibility conditions and weather conditions.

    Implemented

  • Mounting of seats in a wagon

    In the construction of new seating cars and reconditioning of old ones, special attention shall be paid to the floor fixing of the seats. The seats must not detach from the floor in deceleration movements of the train or when a passenger bumps against a seat. The seat fixing shall meet the applicable standards and norms.

    Implemented

  • Combustibility of sleeping cars

    To ensure an adequate safety standard, instructions shall be issued for fire-resistance handling and rehandling of linen used in sleeping-cars. Sleeping-car compartments and the wall and ceiling structures of the corridors shall meet the fire-resistance requirements set thereon.

    Implemented

  • Improving communications to family members

    The Accident Investigation Board of Finland proposes that in the event of major accidents and catastrophes, Information Centres for relatives be created in connection with two different emergency centres.

    Not to be implemented

  • Access rights to the memory module of the registration equipment

    Distribution and use of recording equipment keys shall be controlled more efficiently. Therefore corresponding separate instructions shall be issued. Basic operating training shall be ensured to persons carrying out modifications in recording equipment settings.

    Implemented

  • Visibility of the authorities on the scene of an accident

    Persons working at the scene of an accident should wear an identification clothing displaying their work organization, position and tasks. Different organizations should be specified their own colours, on a national basis.

    Not to be implemented

  • Bottom structures, doors and certain other structures of wagons

    The side corridor door structure in sleeping-cars shall be revised and improved. The ladders shall be suitable for escape.

    Implemented

  • Mounting of lighting and air conditioning structures of wagons

    The car structures shall feature a more solid fixing

    Implemented

  • Recording of actions in cockpit

    The possibility of video recording of cab function operation should be assessed for new fast locomotives.

    Not to be implemented

  • Liquid containers and automatic shutoff valves

    In connection with the general overhaul of the cars, the liquid piping should be equipped with an emergency valve at the outlet from the tank, thus preventing penetration of fuel oil and glycol into the cars and the environment, in case of broken piping.

    Implemented

  • Developing a warning and information system for engine drivers

    The weekly Exceptions report shall be improved and rendered more useful in consideration of the engine driver. The final target is to design a weekly Exceptions report as per train. The issue shall be discussed and finalized as urgent.

    Implemented

  • Instructions for the deployment of new signal systems

    The new signal systems should be introduced into operation simultaneously on the lines connecting major stations. The signals that are off service shall be covered more efficiently.

    Implemented

  • Travelling in a locomotive

    Possible permissions to travel in the driver’s cabin should be granted on a local basis so as to ensure a more efficient monitoring of the practice. Moreover an uncomplicated procedure of permission application – to be submitted to a colleague – should be adopted.

    Implemented

  • Improving the reliability of the devices the centralised traffic control

    Inexplicable defects in technical devices should be remedied more efficiently so as to ensure their reliability; exclusively memory-based working does not ensure an adequate safety standard.

    Implemented

  • Improving the working conditions in the signal box space in Espoo

    The working conditions in Espoo Area Interlocking Room shall be improved with particular attention paid to air-conditioning and temperature regulation.

    Implemented

  • Instructions on the staffing of signal boxes during exceptional circumstances

    Whenever an interlocking features exceptional situations, e.g. as due to on-going work, the interlocking manning shall be specified in a relevant plan. In such situations, any additional manning should be ensured, if necessary, and the plan should consider unpredictable situations possibly arising from the work.

    Implemented

  • Extending incident training to the traffic controllers working on signal box areas

    Also remote-control operators working in Area Interlocking Rooms should be ensured adequate equipment and disturbance-situation training and occupational guidance.

    Implemented

  • Creating instructions to the timing of work on track and safety devices

    The timing of track and signalling equipment work should be planned in a way that the disturbances and additional work in traffic control generated thereby do not set train safety at risk or cause unnecessary delays in train traffic. Simultaneous track work and interlocking system work should be avoided unless train traffic is completely interrupted during the work.

    Implemented

  • Instructions on traffic to the Ylämylly station

    Unambiguous instructions and regulations on traffic operation and shunting work at Ylämylly station should be issued so as to ensure that all workers are knowledgeable in advance of the procedures to be implemented.

    Implemented

  • Increasing the strictness of the competence requirements for staff working on private tracks

    The qualifications required of train crews of private industrial plants should be tightened particularly in terms of work safety; implementation of prohibited work methods should always be interrupted.

    Not to be implemented

  • Supervision of the work methods of private tracks

    Monitoring of the work of train crews should be rendered more efficient on private railway yards, as well.

    Not to be implemented

  • Instructions on transferring locomotives in double heading on railway yards

    In railway yard locomotive movements, the locomotives should be driven from the nose cabin in the travel direction, or else viewing in the nose cabin should be ensured.

    Implemented

  • Renovation of the railway safety devices at the Ylämylly station

    As due to the traffic volumes operated, Ylämylly station should be equipped with a modern signalling system.

    Not to be implemented

  • Renovation of the railway safety system at the Kontiomäki railway yard

    The signalling equipment/signalling system of Kontiomäki railway yard should be modernized so as to minimize the possibilities of human error.

    Implemented

  • Instructions on the cleaning of turnout fouling points in the winter

    Brushing of points and turnouts should extend to the rail limits to ensure the visibility of the marks in snow seasons, as well.

    Not to be implemented

  • Instructions on the working conditions of a traffic controller

    The train operators should be ensured undisturbed working conditions. For example, the train operator’s work room should not include other workers’ rest premises, it should not serve as a through passage to other premises. The train operator should not be burdened with questions other than pertaining to his work.

    Implemented

  • Instructions on the communications during shunting work

    In shunting work training programmes, it should be stressed that tracks, turnouts, etc. should be referred to in communications by unambiguous symbols, e.g. numbers, and that colloquial designations adopted by work teams should be avoided.

    Implemented