I hope he (and the report's authors) don't prejudge the conclusions.
Not sure what you mean by "prejudge"?
This is the report & has its conclusions, which the authors & Mark Carne are commenting on. So surely it's already "judged", not being "prejudged"?
Page 18.....wow.
You have to wonder just how
NR» got themselves into this mess.
They sourced a load of cranes.
They also sourced a load of *new* "log grabs", which appear to be bits that go on to the end of a crane's jib in order to allow it to pick up scrap rail. They even had a spare one, and an on-site fitter.
But they didn't test in advance that these log grabs actually worked on these jibs, and when it came to it the hydraulic joints couldn't be made pressure-tight and all the cranes started leaking fluid and losing pressure.
And that's game over: they were unable to clear scrap rail, and it all goes down hill from there.
Given that these cranes are road-rail vehicles, and the business end of a small crane's jib is hardly new technology, sensible engineers would do, you would think, a quick acceptance test and make sure that there hadn't been a "whoops, the fittings are the wrong size" cockup on ordering brand new, untested grabs, and perhaps bolt on in the yard and spin it around and check it works.
NR, however, didn't do any testing until Christmas day, by which time it was all too late. The onsite fitter couldn't bodge the connectors, and from then on they were b*ggered: they were running late, so the engineering trains ran late, so the drivers timed out, so they didn't have spare drivers available, etc, etc.
However, as noted above, the project had been cascading train drivers throughout the day and, shortly after midnight, the supply of new drivers to support this cascade, ran out. There was one remaining driver and five engineering trains still on-site and this was the point at which the project started to rapidly lose time. Whilst all the drivers involved were cooperative and committed to completing the project, they reached their maximum shift duration limits, which for safety reasons cannot be exceeded.
Ten minutes' testing would have found that the hoses didn't fit the jibs in advance. Then the railways ran out of railway staff, and had no plan to obtain more. They didn't have enough drivers to handle the workload when recovering from the contingency they'd built in. Contingency which isn't resourced isn't
contingency.
With only one driver and five trains spread out over the length of the site, progress on site slowed to a crawl as trains were in the wrong place to support the planned pace of work. This was compounded by the mechanical failure of one of the ballast wagons which failed in such a way that it could not be moved for a number of hours.
The lessons learned are shameful. Point 2 is just a disgrace:
Contractors will be required to test any new equipment in an off-the-railway environment before it is used on live railway work.
How can you call yourself an engineer and not have some idea that the live workplace, with massive time pressures, at time on Christmas Eve, is not the time to test out whether previously untried equipment works? Seriously?
And similarly point 5:
Engineering train crew and contingency at times of peak work will be treated with the same level of nationwide cross-project scrutiny and planning as other resources in short supply, such as signal testers and overhead line engineers."
Is the whole point of contingency planning that you evaluate all the things that might fail, and decide to reduce, mitigate, transfer or accept the risk? Does it really take a genius, or bitter experience,
to realise that having people to drive the engineering trains is quite important, and without them you're b*ggered?
Edit note: Quote marks fixed, for clarity. CfN.