The metro train slipped, did not stop at the red signal, and collided with the previous train.

Transcription

1 Occurrence Summary What Location Date of occurrence Location name Budapest, Pillangó utca Local time 06:51 Latitude 47:30:05 North Event type Railway vehicle movement events Longitude 19:07:14 East Description Direct Cause descrip The metro train slipped, did not stop at the red signal, and collided with the previous train. Slip of wheels Final Report Other Attachments Nam Desc Type Size Last Orga Repo Nam Desc Type Size Last Orga Repo 2016 Final Offic /2-136 repor e 972 1/20 2-5_ t Open 17 zj.do XML 3:03: cx Docu 27 ment PM 0 What Title, , Budapest, Pillangó utca (Hungary) Occurrence type Railway vehicle movement events Occurrence Class Accident Date of occurrence Local time 06:51 Events Railway vehicle movement events - - Descriptions Description The metro train slipped, did not stop at the red signal, and collided with the previous train. Location name Budapest, Pillangó utca ERAIL-REP PUBLIC 1 Saturday, December 29, 2018

2 Railway System type Metro Country Hungary Location type Station Border Country Line type Double track Line number M2 Allowed line speed 60 km/h Km number Latitude 47:30:05 North Longitude 19:07:14 East Location description Additional location in Location type details Fixed installations Occurrence details Railway vehicles Movement type Metro Train number M2 RU Hungary Wagons overturned No BKV Zrt. Train speed at mom 18 km/h Passengers onboard Yes Vehicle description Other objects involved in the occurrence Other objects Parties involved IM Involved Hungary - BKV Zrt. RU Hungary - BKV Zrt. Passengers Staff Level crossing users Unauthorised persons Others Total Fatalities Serious injuries Minor injuries Material consequences Material Damage Estimated total mate Damage description Images ERAIL-REP PUBLIC 2 Saturday, December 29, 2018

3 Causation Causes Direct Cause description Slip of wheels Underlying and root causes description Causation classification Railway vehicle movement events Wheels, axles, boogies and running gear 1 - Control and communications systems (onboard train control systems etc) 1 - Training / Experience 2 - Operation and traffic management s title REC End implementer RU TSB recommends BKV Zrt. to elaborate, in a joint effort with the manufacturer of the train, a technical solution which provides sufficient adhesion between the wheels of the train and the rails even in adverse weather conditions Accepted ERAIL-REP PUBLIC 3 Saturday, December 29, 2018

4 title REC End implementer IM TSB recommends BKV Zrt. to elaborate and apply rules for moving on track sections which have become slippery due to weather conditions. Fully implemented title REC End implementer RU TSB recommends BKV Zrt. to elaborate a procedure for the purpose of increasing and maintaining vehicle drivers manual driving skills ERAIL-REP PUBLIC 4 Saturday, December 29, 2018

5 Fully implemented Causation links Railway vehicle movement events - - Subsystem - Rolling stock - Locomotives and traction units - Wheels, axles, boogies and running gear Subsystem - Rolling stock - Locomotives and traction units - Control and communications systems (onboard train control systems etc) Causal factors - Training / Experience Subsystem - Operation - Operation and traffic management Investigation details Legal Basis Other reason descrip National rules imposed by implementing of the Safety Directive 2004/49/EC - in light of Article 19, 2 of SD - (a) the seriousness of the accident or incident Reporting Body National investigatio Occurrence creation :59:57 Investigator in charge ROZSA.JANOS Decision to investigate Declaration date Date of IM/RU notific Report Type Final report Workflow Status Validated Report Version 2 Investigation Status Closed Other Attachments Name Descriptio Type Size Last Organizati Repositor 0 Final Report Name Descriptio Type Size Last Organizati Repositor Final Office /21/ _zj.doc report Open XML 7 3:03:27 x Document PM ERAIL-REP PUBLIC 5 Saturday, December 29, 2018