Deviation management
Implemented
Rail R
Accident
31.8.2009
S1/2008R/S269
Suosituksen perustelu
In the deviation management system currently in use information about a deviation does not always reach all the relevant parties. It is possible that even documented deviations may not be handled. Also, some deviations has been undocumented. The informing of procedures related to the deviation management has been inadequate.
Recommendation
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
Toimenpide-ehdotukset
In the deviation management system currently in use information about a deviation does not always reach all the relevant parties. It is possible that even documented deviations may not be handled. Also, some deviations has been undocumented. The informing of procedures related to the deviation management has been inadequate.
Investigation report
S1/2008R Safety study on traffic control deviations in Kouvola, Finland