Safety recommendation JB no. 2008/17T
A wagon with a partially blocked brake pipe was not identified during brake testing despite the fact that several persons and service groups were involved. CargoNet AS’s internal procedures do not provide adequate instructions for supporting fault localisation and responses to problems which arise during brake testing.
It is recommended that the National Railway Inspectorate order CargoNet AS to assess whether current internal rules on brake testing, including expertise requirements, are adequate and are carried out as prescribed, and to supplement rules and training plans with instructions on fault localisation and responses to fault situations.
Safety recommendation JB no. 2008/18T
The possibility of incorrect fitting of the brake hose above the middle bogie on articulated wagons was either not identified in connection with the design and approval process for the wagon type, or not communicated by the wagon owner to the maintenance supplier and user. Safety management in the system which covers foreign registration, wagon ownership and maintenance work is not considered to have functioned satisfactorily.
It is recommended that the National Railway Inspectorate check that railway enterprises leasing rolling stock obtain access to all necessary documentation on its safe use and maintenance and send feedback on experiences to the owner of the stock and the registering authority.