All the matters requiring attention in the report were already in hand at Foxfield prior to the accident, the improvement notice just meant that the process had to be accelerated. What this report does highlight is that one of the most important things to bare in mind when working on any railway, or in any industry come to that, is communication. The accident was not caused by people not having a piece of paper to say they were competent, it was caused by the people involved not communicating fully to each other their intentions prior to and during the move.
|