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Rapport D'enquête Sur La Sécurité Du Transport Ferroviaire R18W0237

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Rapport D'enquête Sur La Sécurité Du Transport Ferroviaire R18W0237 RAPPORT D’ENQUÊTE SUR LA SÉCURITÉ DU TRANSPORT FERROVIAIRE R18W0237 | III RAPPORT D’ENQUÊTE SUR LA SÉCURITÉ DU TRANSPORT FERROVIAIRE R18W0237 DÉRAILLEMENT DE TRAIN EN VOIE PRINCIPALE Chemin de fer de la baie d’Hudson Train de marchandises 995-15 Point milliaire 99,59, subdivision de Wekusko Ponton (Manitoba) 15 septembre 2018 II | BUREAU DE LA SÉCURITÉ DES TRANSPORTS DU CANADA À PROPOS DE CE RAPPORT D’ENQUÊTE Ce rapport est le résultat d’une enquête sur un événement de catégorie 2. Pour de plus amples renseignements, se référer à la Politique de classification des événements au www.bst.gc.ca. Le Bureau de la sécurité des transports du Canada (BST) a enquêté sur cet événement dans le but de promouvoir la sécurité des transports. Le Bureau n’est pas habilité à attribuer ni à déterminer les responsabilités civiles ou pénales. CONDITIONS D’UTILISATION Utilisation dans le cadre d’une procédure judiciaire, disciplinaire ou autre La Loi sur le Bureau canadien d’enquête sur les accidents de transport et de la sécurité des transports stipule que : • 7(3) Les conclusions du Bureau ne peuvent s’interpréter comme attribuant ou déterminant les responsabilités civiles ou pénales. • 7(4) Les conclusions du Bureau ne lient pas les parties à une procédure judiciaire, disciplinaire ou autre. Par conséquent, les enquêtes du BST et les rapports qui en découlent ne sont pas créés pour être utilisés dans le contexte d’une procédure judiciaire, disciplinaire ou autre. Avisez le BST par écrit si ces documents sont utilisés ou pourraient être utilisés dans le cadre d’une telle procédure. Reproduction non commerciale À moins d’avis contraire, vous pouvez reproduire le contenu en totalité ou en partie à des fins non commerciales, dans un format quelconque, sans frais ni autre permission, à condition : • de faire preuve de diligence raisonnable quant à la précision du contenu reproduit; • de préciser le titre complet du contenu reproduit, ainsi que de stipuler que le Bureau de la sécurité des transports du Canada est l’auteur; • de préciser qu’il s’agit d’une reproduction de la version disponible au [URL où le document original se trouve]. Reproduction commerciale À moins d’avis contraire, il est interdit de reproduire le contenu du présent site Web, en totalité ou en partie, à des fins de diffusion commerciale sans avoir obtenu au préalable la permission écrite du BST. Contenu faisant l’objet du droit d’auteur d’une tierce partie Une partie du contenu du présent site Web (notamment les images pour lesquelles une source autre que le BST est citée) fait l’objet du droit d’auteur d’une tierce partie et est protégé par la Loi sur le droit d’auteur et des ententes internationales. Pour des renseignements sur la propriété et les restrictions en matière des droits d’auteurs, veuillez communiquer avec le BST. Citation Bureau de la sécurité des transports du Canada, Rapport d’enquête sur la sécurité du transport ferroviaire R18W0237 (publié le 23 avril 2020). Bureau de la sécurité des transports du Canada 200, promenade du Portage, 4e étage Gatineau QC K1A 1K8 819-994-3741 ; 1-800-387-3557 www.bst.gc.ca [email protected] © Sa Majesté la Reine du chef du Canada, représentée par le Bureau de la sécurité des transports du Canada, 2020 Rapport d’enquête sur la sécurité du transport ferroviaire R18W00237 No de cat. TU3-11/18-0237F-PDF ISBN 978-0-660-34542-0 Le présent rapport se trouve sur le site Web du Bureau de la sécurité des transports du Canada à l’adresse www.bst.gc.ca This report is also available in English. RAPPORT D’ENQUÊTE SUR LA SÉCURITÉ DU TRANSPORT FERROVIAIRE R18W0237 | III Table des matières 1.0 Renseignements de base ......................................................................................... 1 1.1 L’accident ....................................................................................................................................................... 1 1.2 Intervention en cas d’urgence ............................................................................................................... 5 1.2.1 15 septembre 2018.................................................................................................................... 5 1.2.2 16 septembre 2018.................................................................................................................... 9 1.2.3 Entre le 16 septembre 2018 et le 17 septembre 2018 ................................................ 9 1.2.4 18 septembre 2018..................................................................................................................10 1.2.5 Déroulement des événements liés à l’intervention d’urgence ...............................10 1.2.6 Restauration du site ................................................................................................................12 1.3 Caractéristiques du gaz de pétrole liquéfié et précautions à prendre en cas de rejet .13 1.3.1 Guide des mesures d’urgence 2016 – Guide 115 ........................................................13 1.4 Norme NFPA 472 de la National Fire Protection Association sur les compétences des intervenants à l’égard des incidents liés aux matières dangereuses et aux armes de destruction massive .................................................................................................................................14 1.5 Intervention d’urgence mettant en cause des marchandises dangereuses ......................15 1.5.1 Prise de décisions durant l’intervention d’urgence ....................................................16 1.6 Plan d’intervention d’urgence du chemin de fer de la baie d’Hudson ...............................17 1.7 Examen des lieux ......................................................................................................................................18 1.7.1 Wagons de marchandises déraillés ..................................................................................18 1.7.2 Voie ................................................................................................................................................18 1.8 Conditions météorologiques durant le printemps et l’été précédents ..............................19 1.9 Chemin de fer de la baie d’Hudson ..................................................................................................19 1.9.1 Propriété de la voie et investissement de capitaux ....................................................20 1.10 Renseignements sur la subdivision ...................................................................................................21 1.11 Renseignements sur la voie ..................................................................................................................22 1.12 Drainage dans les environs du déraillement .................................................................................23 1.13 Gestion des populations de castors ..................................................................................................23 1.14 Inspections de la voie et des ponceaux par le chemin de fer de la baie d’Hudson ......24 1.14.1 Inspections des hautes eaux et géotechniques par le chemin de fer de la baie d’Hudson .....................................................................................................................................25 1.14.2 Formation géotechnique pour d’autres chemins de fer ...........................................26 1.15 Surveillance réglementaire ...................................................................................................................26 1.15.1 Lignes directrices de Transports Canada relatives aux ponceaux et au drainage .......................................................................................................................................26 1.15.2 Enquêtes sur des événements dangereux mettant en cause des employés à bord des trains ..........................................................................................................................27 1.15.3 Règlement sur la santé et la sécurité au travail (trains) .............................................27 1.15.4 Règlement de 2015 sur le système de gestion de la sécurité ferroviaire ..............28 1.16 Activités réglementaires de Transports Canada concernant le chemin de fer de la baie d’Hudson depuis juillet 2016 ...............................................................................................................28 1.17 Événements antérieurs mettant en cause un affaissement de la couche supérieure de plateforme ...................................................................................................................................................30 IV | BUREAU DE LA SÉCURITÉ DES TRANSPORTS DU CANADA 1.18 Enquêtes antérieures mettant en cause des zones exemptes de signalisation où un retard à informer le contrôleur de la circulation ferroviaire a nui à l’intervention d’urgence .....................................................................................................................................................30 1.19 Liste de surveillance du BST ...................................................... Error! Bookmark not defined. 2.0 Analyse .................................................................................................................... 33 2.1 L’accident .....................................................................................................................................................33 2.2 Affaissement de la couche supérieure de
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