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Russell Keir HM Inspector of Railways

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Russell Keir HM Inspector of Railways Safety Culture & Regulation Russell Keir HM Inspector of Railways ORR - http://orr.gov.uk/about-orr Russell Keir, HM Inspector of Railways 1980 – British Rail / First Engineering • Mechanical apprenticeship and fitter • Technical grades: Industrial Engineering • Technical and management: 25 kV overhead line equipment 2000 – HM Railway inspectorate HM Inspector of Railways • Field Inspector • RAIB recommendation handling (Railway Accident Investigation Branch) • Regulatory Strategy manager The European Rail Agency (ERA) believes… ‘there is a need to improve safety culture awareness within railway companies so that the development of Safety Management Systems within the companies is effective .’ Safety culture has Been defined as… ‘consisting of shared values (what is important) and beliefs (how things work) that interact with an organisation’s structure and control systems to produce behavioural values ’. An integrated safety culture is an ‘enaBler’… it should further reduce the likelihood of a dangerous occurrence and make compliance with health and safety legislation easier, as it should promote a willingness to think and do things in a safe way. Encyclopaedia of Occupational health and Safety - Chapter 59 http://www.ilocis.org/documents/chpt59e.htm#JD_Figure59.2 ORR Activity Using the Railway Management Maturity Model (RM3) system, ORR inspectors will look at organisational leadership and culture under a number of assessment criteria including: Criterion SP: Policy, governance and leadership • Sub-criterion SP1: Leadership • Sub-criterion SP2: Safety policy • Sub-criterion SP3: Board governance Criterion OC: Organising for control and communication • Sub-criterion OC6: Organisational culture Risk of well-intentioned actions Mistakes are a specific type of error brought about by doing something believing it to be correct when it was, in fact, wrong. Mistakes can be made for a number of reasons; such as slips, where actions were not carried out as intended or planned, or lapses, where the need to take an action is missed. However, violations or deviations from safety arrangements can be committed by well-intentioned individuals. These occur for many reasons, and are rarely deliberate acts of sabotage or vandalism. Most arise from a genuine desire to perform work satisfactorily, but can put performance or time savings before safety and are the cause of many accidents. violations or deviations If violations or deviations from laid down safety arrangements is accepted the safety culture in an organisation is eroded resulting in a poor safety culture. Violations are highly susceptible to management influence as most underlying causes of violations are created by management, accepted by management or condoned as normal working practice by management neglect. Negligence: Negligence is a failure to exercise the care that a reasonable person would exercise in similar circumstances. The area of The cobra effect tort law known as negligence involves… harm caused by carelessness, not intentional harm. Paisley Disasters… 10 November 1810. The Paisley canal disaster. As the passengers disembarked, the crowd waiting on the dock began to push forward combined with the previous passengers attempting to scramble off at the other caused the boat to capsize. The final death toll was established at 84 people. 31 December 1929. The Glen Cinema disaster was caused by a smoking film canister. Children ran downstairs so fast and in such numbers that they piled up behind the escape door. The door could not be opened, as it was designed to open inwards and was padlocked. The resulting panic and crush killed 71. 16 April 1979. The Paisley Gilmour Street rail accident The 19:40 service from Glasgow Central to Wemyss Bay, crossed from the Down Fast Line to the Down Gourock Line under clear signals. It collided head-on with the 18:58 Ayrshire Coast Line special service from Ayr to Glasgow Central, which had left Platform 2 against a red signal P31. Both drivers and five passengers were killed. Who was Mrs Donoghue’s friend…? Russell Keir HM Inspector of Railways ORR - http://orr.gov.uk/about-orr.
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