Address the root cause of rail accidents, avoid red herrings
Readers would recall that nine
passengers died and nearly forty were injured following the derailment of
several coaches of Up Bikaner-Guwahati Express on 13th January at
Domohani in Mainaguri area of West Bengal’s Jalpaiguri district. I covered some aspects
of this accident in one of my blogs and a programme on the YouTube channel News
Station in Hindi:
http://anindecisiveindian.blogspot.com/2022/01/accident-of-bikaner-guwahati-express.html
https://www.youtube.com/watch?v=92NniLP0jKA&t=536s
The derailment caused many of the
twelve coaches which derailed, to capsize or climb over another coach. This accident had brought into focus once again, the issue of
avoidable fatalities in an accident by switching over to a safer coach design
on all faster services such that even if a derailment does occur, in spite of
all the precautions and measures, the damage it causes to the affected coaches
should be so controlled that it causes minimal casualties.
IR principally employs two types of coaches; the old
ICF type and the newer LHB type; the latter coaches are designed with a
coupler, which gets strongly interlocked with the coupler of the adjacent
coach, preventing relative sideways and vertical movements of the coaches
with respect to each other and, therefore, coaches do not climb or capsize,
even if there is a derailment. ICF type coaches, on the other hand, have no
such restraining arrangement, causing them to mount each other or capsize
individually when subjected to a thrust in case of a derailment. At the same time, the more recent Vande Bharat Train
18 type coaches are even safer with their semi-permanent type couplers,
anti-climbing feature and safer structural designs. I had recommended in this column that ICF type
coaches should be scrapped in a greater haste and to increase the pace of
manufacture of LHB and Train 18 type coaches to replace them. It is possible, thanks
to some measures taken by railway Production Units, particularly Integral Coach
Factory since 2016, that IR can be geared to manufacture more than 9000 coaches
per year. Once we replace the ICF coaches on faster services in a period of 3
to 4 years, the balance can be relegated to inferior services which can then
complete their full useful life without putting lives of passengers to any
significant danger of fatalities in case of an accident.
The coach production programme issued by IR has a
plan for manufacturing 8429 coaches, falling short of the possible 9000 or
more. Although it is not explicitly spelt out, it would help faster replacement
of ICF coaches, and therefore, a good step towards improving safety. The pitfall
is that this plan envisages 1200 Vande Bharat Train sets and another 52
Cargo-liner and freight EMU coaches whereas the actual achievement would be far
less. Even if IR manages to manufacture around 500 against these 1252, it would
not be a mean achievement, considering that not one coach of Vande Bharat coach
has been built since their first turn-out in October 2018, more than three
years back. It is strongly hoped that the shortfall of these 700 plus coaches
would be made up through manufacture of more LHB coaches by correcting the
course in mid-year. This would ensure that the pace of replacement of ICF
coaches is not vitiated too badly.
The safety record of IR has improved in recent
years and the number of fatalities has been much lower. Greater stress on
upkeep of track and allied infrastructure has certainly helped. Due to this
focus on trying to have more and more of safer coaches to limit the loss of
life in case of a derailment, primacy of thorough investigation into cause of accidents
and implementation of corrective measures should not be ignored due to any
complacency.
The cause of the accident was reported as a
traction motor of the locomotive falling down and causing the locomotives
wheels to lift and derail followed by derailment of twelve trailing coaches;
such an event is very rare and largely limited to a particular type of motor on
electric locomotives. The traction motor is stoutly secured in the bogie and
the accident indicated a serious manufacturing defect compounded by improper
examination of the fitment of traction motor on the bogie during maintenance. Subsequent examination of data revealed that the
culprit seems to be the nose stay lug of this motor and its weld failure has
caused ten cases of motor getting detached in recent years whereas its indicated
failures during checks number in hundreds.
This key aspect, whether the manufacturing alone
or both design and manufacturing need improvement, it is expected, would be a
part of the findings of Commissioner of Rail Safety (CRS), who has been
entrusted with the inquiry. Some aspects of the follow-up related to the
accident in question are somewhat disturbing.
There have been some instructions which give the
impression that some officers are trying to jump the gun and attempting to divert
the issue. First, in a knee jerk reaction, a top Railway Board executive passed
bizarre instructions immediately after the accident, calling out for Loco
Pilots to check the condition of traction motor mounting while taking over
charge and even during halts in the middle of a train-run, never mind that a
routine check by a Loco Pilot can hardly detect a failure of fabrication or
weld, and it unnecessarily stresses them out. There may be need to institute a
one-time examination of this fitment on all locomotives of this series on a pit
by maintenance staff but it is not a defect which is within the purview of a
Loco Pilot to assay, particularly when he would be without the benefit of a
locomotive standing on an inspection pit. A Loco Pilot, who carries the burden
of safety of hundreds of lives when in-charge of a train should be freed from
such impractical and disquieting duties.
This programme on News Station channel connects:
https://www.youtube.com/watch?v=7M2BBXmkadQ&t=6s
After that came the news report of the CRS flagging railways’ failure in ensuring mandatory safety inspection of locomotive of the ill-fated train. He observed that the locomotive in question was running continuously for 18,000 km after the last trip inspection whereas it should have undergone inspection after 4,500 km as per stipulations. This news report connects:
It would appear that the trip inspection
time interval has been kept at 4500 km as a matter of supreme caution by IR whereas
modern locomotives, not today but for more than two decades, are good for
working 30 to 40 thousand kilometres without any inspection. In fact, many
locomotives on IR easily work for this range of distance without any checks and
even if we assume that these passenger locomotives need closer examination,
there can never be a case to examine their traction motor mounting every 4500
kilometres. Experts say that overdue schedule running of the locomotives, per
se, cannot be the cause of an accident and our operations are such that overdue running is frequently
unavoidable. The matter can certainly be taken up for systematic improvements
but linking it with the derailment would only tend to obfuscate the real cause
of this tragic event.
Even complex problems have simple solutions
whereas this seemed to a simple problem with a simple solution; the solution
sought, however, seems to be a complex one, with unnecessarily duplicity borne
out of unclear intentions. IR has managed well to keep its record largely
accident-free and such red herrings by certain executives
may cause it to fritter away this advantage. This should not be allowed to happen.
Excellent and concise essay.
ReplyDeleteWhat happened to the proposal to fit Centre Buffer Couplers on existing ICF type coaches?
There was also a proposal to fit hydraulic shock absorbers between the body and bogie of ICF coaches.
Sir, the conversion of ICF coaches to CBC was proving to be cumbersome so it was started but given up, all in 2017 and 2018...indecision!!
DeleteThe fitment of CBC was started in house then subsequently out sources and lastly decided not to fit and phase out the ICF type coach from service and replace with LHB.Now LHB is being introduced and ICF type coach will be get replaced.
ReplyDeleteBut that is not fast enough...
Delete