Why SPAD risk is still as relevant as ever
Yet SPADs still come readily to mind when we think of the principal causes of train accidents – even though there has not been a fatal accident resulting from a SPAD since Ladbroke Grove in 1999. Yet it was that accident – and the devastation it caused, the lives it ruined – that led to much mitigation effort to try to stop it happening again. And that – in an industry like ours, in which staff retire, move on, or move in from other industries – is something we can’t afford to let slide.
You only have to look at RAIB’s report on the incident at Sileby, where a rail grinder passed a signal at danger and was involved in a near miss to know that today’s near miss could be tomorrow’s collision.
With this kind of thinking in mind, in 2020, Network Rail commissioned a comprehensive review of SPADs in the Southern region, led by Mike Carr of RSRSL, an industry expert on SPAD management. The data was analysed to understand the most likely precursors of SPAD and how drivers could help prevent them. It revealed some interesting facts about SPADs in the Southern region. For example, 91% of the SPADs identified in the review were linked to driver error. Common causes included ‘failure to check signal aspect’ and ‘reading the wrong signal’. Similarly, more than half of the incidents took place within the first 5 and final 5 miles of the journey.
What all this work did was – in effect – give us a load of new spanners to put in our SPAD toolbox.
The aim of the SPAD toolbox is to share these findings to a wider audience to increase a driver’s understanding and awareness of some of these trends and causes of SPADs, and to signpost some resources to help drivers to develop their own strategies to help manage SPAD risk.
The toolbox is organised into sections with different themes so that drivers can understand the risks and ways to help manage them for each theme. We also signpost you to further resources that can help you. The themes covered are:
- the first and final five miles of each journey
- cognitive underload
- the influence of the time of day
- empty coaching stock (ECS) trains
- precursors to SPADs and the importance of reporting events
- expectation bias
- focus on freight
We hope you and your colleagues find this useful, but to maximise the use of the SPAD toolbox, we need greater collaboration across the industry regarding the input of quality SMIS data.
You can also read more about SPAD causes in our deep dive report, which looked at the causes of the SPAD spike seen in Periods 5 and 6 2022/23.