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All across the Great Western territory => The Wider Picture Overseas => Topic started by: Brucey on July 12, 2013, 19:49:12



Title: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: Brucey on July 12, 2013, 19:49:12
I won't post the whole story here as it is constantly changing, however the BBC are currently reporting 6 people have died in a train crash near Paris.

http://www.bbc.co.uk/news/world-europe-23294630

SNCF have posted many photographs on their Twitter account: https://twitter.com/SNCF_infopresse


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on July 12, 2013, 19:57:57
Watching French TV, the reports are still garbled - even those commenting on SNCF's footage.

The best I can make out is that the train consisted of loco plus 6 carriages, the first two followed the loco through the station, and the third split from the second and all the last four derailed. The order of these events, and cause and effect, are not at all clear.

The third car was almost smashed to bits, and the fifth ended up sideways across a platform with the sixth on a different track altogether.

This aerial video gives an impression - the loco and first two cars are out of shot, perhaps moved.
http://www.francetvinfo.fr/faits-divers/accident-de-train-a-bretigny/video-bretigny-images-aeriennes-de-la-catastrophe-ferroviaire_368968.html (http://www.francetvinfo.fr/faits-divers/accident-de-train-a-bretigny/video-bretigny-images-aeriennes-de-la-catastrophe-ferroviaire_368968.html)


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 12, 2013, 21:51:32
I've just seen a better aerial view, which shows two more cars so eight in all:
1,2,3 upright (but 3 may be derailed) and 4 on its side followed the loco
5 severely damaged on the wrong track
6, 7 on top of the platform canopy
8 on the original track.

This clearer video shows cars 3 and 4, though it's hard to see what they are.
http://www.francetvinfo.fr/faits-divers/accident-de-train-a-bretigny/video-bretigny-images-aeriennes-de-la-catastrophe-ferroviaire_368968.html (http://www.francetvinfo.fr/faits-divers/accident-de-train-a-bretigny/video-bretigny-images-aeriennes-de-la-catastrophe-ferroviaire_368968.html)

Clearly an event of great violence.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 12, 2013, 21:54:04
Terrible.

The story accompanying that video says it is the worst accident in the past 5 years. It says also that the train left Paris a little early, but does not say whether that may be important. There has been a Red Plan activated, with fire service, ambulances, and helicopters, and the whole of the staff of all hospitals in the Ile-de-France region have been put on standby. That region is bigger than Greater London. There are many tens of people injured, some very badly, some lightly.

The Twitter feed says that three inquiries have been opened, by the police, the transport ministry, and SNCF internally.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Red Squirrel on July 12, 2013, 21:59:14
Echoes of Potters Bar 2002..?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: LiskeardRich on July 12, 2013, 22:27:54
Echoes of Potters Bar 2002..?

This was my thoughts as well, has France been having our heat wave? Hear of speed restrictions because of rail contracting in heat. This may be a result of said effect?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 12, 2013, 23:03:33
I thought of Potters Bar too, but decided to keep it to myself because the similarity as things stand is in the effect, rather than the cause. But it is eerily similar.

There was apparently permanent way work done around that area recently. It has been said on Twitter that there are 8 confirmed deaths, but that the fire service have yet to be able to get to the worst damaged carriage. This is a holiday weekend in France, and this is an awful start to it.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 12, 2013, 23:56:50
Yes ... a lot of things have been mentioned - most are irrelevant.
I was watching French rolling TV news, where they were running the available pictures - basically the same stills and videos you can find on the net - and egging experts (or "experts") on to give them news that had not happened yet (i.e the discovery of what caused it). Almost no attempt was made to relate the words to the very confusing pictures (which was my main motivation in trying to piece that together).

Much of the "what might have caused ..." answers brought up the shortage of cash for "classic" lines, given the cost of LGVs, until recently when RFF started to complain loudly; or the political arguments against separating off RFF, let alone outsourcing maintenance (though major works sometimes are).

From what I heard, the points that were replaced as urgent maintenance were on another line, and most reports said the middle of the train derailed first and then colliding with the station did most of the damage. There were estimated to be 370 passengers, hence the size of the emergency services call-out. Also hence the number of red herrings raised: e.g. in that number there is bound to be one passenger who says the train was going too fast, even if it was not.,

It's actually the worst accident for 25 years excluding level crossing accidents*, since French railways have a good record recently. I suspect that this is partly just random, but has given them a false sense of virtue.

A predictable part of the news reporting has been listing the major post-war rail accidents in France (mostly not familiar to me). Two struck me as worth noting:
A train that derailed on a viaduct due to buckled rails in the heat - very nasty, one carriage fell to the ground below.
The collapse of the roof of a tunnel, with two trains involved in it. this was the worst recent rail accident, with over 100 deaths. It might explain a greater sensitivity to the dangers of tunnels (which I noted elsewhere).

*revision: Allinges (described here http://www.firstgreatwestern.info/coffeeshop/index.php?topic=12589.msg135332#msg135332 (http://www.firstgreatwestern.info/coffeeshop/index.php?topic=12589.msg135332#msg135332)) was 5 years ago, with 7 deaths. However, it appears to be usual in France to exclude level crossing accidents (or deal with them separately) hence 25 years.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 13, 2013, 10:11:59
Further reporting this morning:

The official word is that the immediate cause is equipment not human - train speed was 137 km/h where the limit is 150.

The driver is being given credit for raising the alarm very quickly, allowing other trains to be stopped in time to avoid further collisions.

Within the common theme of "lack of maintenance/investment for over 30 years", the signalling has been cited, though none is older than 1970 and the main line is newer. There are four signal boxes within the Br^tigny area, with some equipment and trackwork as old as 1910! However, this includes operating freight yard, so again the oldest equipment will not be on or even near the main line.

The points before the station are on an embankment, and at that point there is a small bridge over a road (Av. Jules Marquis). A new, bigger, bridge has been built next to it,  apparently by insertion into the embankment without closing the line. The reports now say that subsidence/settlement at this point has been detected by a track measurement train* and urgent work was carried out on another track. The track relevant to yesterday's accident was inspected and passed on July 4th.


* These use a Mauzin - a dynamometer car with two or four extra axles under it, able to duplicate specific ride characteristics and even derailment itself (i.e. simulate with real wheels and track - none of this computer modelling nonsense). I found one of these at Saint-Gilles-Croix-de-Vie last month, but it sneakily avoided being photographed, and I have not found a decent still picture on-line - the best is half-way through this: http://www.youtube.com/watch?v=AlDvMZChpuM (http://www.youtube.com/watch?v=AlDvMZChpuM)


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 13, 2013, 10:34:27
I have just seen an SNCF/RFF/SNCF-infra press conference. Unfortunately the TV pointed their camera at the speaker not the illustrations he referred to, but they said that a fishplate (or part of one) came loose and lodged within a flangeway of the points. Work proceeds to find out what broke (or came loose, or was loosened?) first.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Red Squirrel on July 14, 2013, 18:15:52
I note that some tabloid reports are suggesting that passengers were electrocuted. Is that likely? Wouldn't the power have tripped out pretty quickly as soon as a derailing train shorted the circuit?



Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 14, 2013, 19:03:26
Thought so too, Red Squirrel. I'd have thought there would have been earth leakage circuit breakers, as well as residual current protection. But if one bit can fail... who knows?

Having a background which includes light aviation, I know that most "accidents" have at least three causes. We know from SNCF's initial disclosure that there was a line fault, which is presumably the primary problem. We do not yet know what the other contributory factors are. This does get more like Potters Bar every day. I hope our railway (and especially our government) learn from the French mistakes as they are revealed, rather than making more of their own. This is not a criticism of SNCF or CoRail, or anybody French, more an expression of my own wish that all transport systems are safe, because they learn from any source available.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Red Squirrel on July 14, 2013, 19:33:44
I'm always amused when I hear people mistaking the statement that aviation is the safest way to travel (which it may be) with the idea that it is intrinsically safe - which it plainly isn't. Aviation is safe because a lot of highly professional people work very hard indeed to keep it that way. It is harder to imagine a more intrinsically fail-dangerous form of transport than one that involves travelling 6 miles up in something that will only stay there if it keeps moving very fast.

I worry that the kind of highly-evolved safety systems that make aviation viable (let alone safe) are hard to apply to a railway organised as it is - the essence of aviation safety is no-fault reporting, yet the railways seem to have 'blame' written into every contract.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 14, 2013, 19:36:21
The big puzzle is still how a fishplate had four bolts holding it when inspected on 4th July, and eight days later was loose and jumping about.
The latest info says one of the bolts was still there, and the fishplate rotated, but was so close to the points it ended in the flangeway. SNCF Twitter photos in this report: http://www.rtl.fr/actualites/info/article/train-paris-limoges-les-circonstances-du-drame-se-precisent-7763126734 (http://www.rtl.fr/actualites/info/article/train-paris-limoges-les-circonstances-du-drame-se-precisent-7763126734)

If someone undid it, then who? why? Could it have undone itself?

Electrocution was reported right from the start. The train mowed down several OLE supports, so the line may have dropped towards the ground before power was removed. In addition, this line is 1500V DC, not 25 kV AC, so the fault current to trip the breakers will be much higher.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Electric train on July 14, 2013, 21:30:01
Thought so too, Red Squirrel. I'd have thought there would have been earth leakage circuit breakers, as well as residual current protection. But if one bit can fail... who knows?

Earth leakage devices are of no use on an ac rail traction systems as they have earthed return system; in the case of dc electrification systems they have an earthy traction current return system even though there is no direct connection between the rectifier negative and earth the fact the rails and ground are close enough in potential not to case a problem.  The reason for not having a direct earth connection is to manage stray dc return current , also extraneous metal work like signal posts, lighting columns etc are not bonded to traction return if they are earthed to other electrical systems they are often screened by an insulting barrier.

Electrocution was reported right from the start. The train mowed down several OLE supports, so the line may have dropped towards the ground before power was removed. In addition, this line is 1500V DC, not 25 kV AC, so the fault current to trip the breakers will be much higher.

Not sure what the fault current on the French 1500V dc is, generally on traction systems the protection is there to protect the equipment and not to protect protect persons from harm, wiring regs for buildings (eg BS7671) have a emphasise to protect persons from harm.  It is possible that the French operating procedure is to re-close circuit breakers after a tripping which could mean if the wreckage was clear of the OLE and the OLE remained clear of structures it could have been recharged.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: SandTEngineer on July 14, 2013, 21:49:53
Very similar to the incident at Southall back in 2002 (not the train collision one) http://www.hse.gov.uk/press/2003/e03027.htm


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 15, 2013, 16:47:03
... they are often screened by an insulting barrier.

Ah, les Fran^ais - quelle finesse!

But seriously, ET, I appreciate the explanation. As a barrack-room electrician only, I had missed the blindingly obvious. It seems then that the main protection from shock is normally the physical separation of equipment from civilian.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: thetrout on July 15, 2013, 16:54:01
When I saw the news about this my initial thoughts on hearing the accident was related to a set of points was actually Eschede 1998 Accident (http://en.wikipedia.org/wiki/Eschede_train_disaster) There is a Seconds from Disaster Documentary here about the accident. I'm not a great fan of the way the program is delivered, and this one easily wins a place in the irrelevant stock thread in The Lighter Side, after using MkII ExGatwick Express Stocks as a substitute for an ICE!

Eschdele was the results of a defective wheel which lead to a chain reaction of unlikely, yet unfortunate and devastating events. This included knocking over a set of points to the wrong position. What struck me as similar was that part of the train travelled over the points successfully before being diverted off the running line and hitting a bridge. I guess that would have been different if it was the Power Car Wheel that failed.

However the similarities to Potters Bar are also frightening. Indeed the collision with the Station Canopy was another part of the Potters Bar Crash.

But what was of interest to me was that it was the third coach that derailed. Just like Eschede where the leading power unit didn't derail and a trailing carriage did, although the main causes of both accidents appear to be very different. It seems odd that it was the third coach. Also seems unusual that another Train travelled over the same track about 30 minutes before the doomed train did.

I guess we can be fortunate to say that there were no Diesel involved. I'm minded of the events of Ladbroke Grove where the OHLE Equipment set the Diesel Vapours alight during the 1997 collision. If that were the case here I fear the consequences could have been much, much worse!

I also think that the contrast to the safety of Aviation vs other transport modes is ridiculous. A Pilot told me you're more likely to die slipping over in the bath than on an Aircraft. Whilst statistically he may have been right. If I'm onboard a train that crashes, take Grayrigg Accident for example. Or an Aircraft Crash... Which one am I likely to survive the most? He couldn't didn't want to answer that one!


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: JayMac on July 15, 2013, 17:06:23
Points, switches, crossovers, call them what you will, are always going to be a weak link in the safe running, at speed, of trains.

That's why they need special attention, and regular inspection. And after any sort of maintenance they need to be checked, checked again and triple checked.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Red Squirrel on July 15, 2013, 17:09:51

I also think that the contrast to the safety of Aviation vs other transport modes is ridiculous.


How so? Are you saying that rail has nothing to learn from the excellent safety systems used in aviation?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: thetrout on July 15, 2013, 17:22:58
I also think that the contrast to the safety of Aviation vs other transport modes is ridiculous.
How so? Are you saying that rail has nothing to learn from the excellent safety systems used in aviation?

Oh gosh... I didn't word that very well at all!

No, I was saying that basing a safety record of aviation to rail is completely ridiculous. I certainly think that some aviation safety methods could work very well on the railway.

However by saying that Air Travel is statistically safer, is a little smug in of the Aviation industry in my opinion, as the methods, vehicles, training etc is very different from a Railway. If you look at the amount of times the average commuter flies every year vs the amount of trains and buses they catch every year, you may see what I'm getting at!

Also look at the amount of flights in/out of the UK every year vs the amount of timetabled trains run every year, it soon becomes apparent that you cannot base one from the other.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 15, 2013, 18:00:17

I also think that the contrast to the safety of Aviation vs other transport modes is ridiculous. A Pilot told me you're more likely to die slipping over in the bath than on an Aircraft.

Uncannily, I once almost did both within 12 hours. The morning after successfully flying my first ever solo cross-country flight, I made a non-standard departure from the bath after my shower, suffering what physicists call a "rapid decrease in potential energy". I woke up sometime later, having stopped my fall with the edge of the toilet.

You are quite right about the comparison of risks in transport being futile. Walking is not without its perils, especially if done badly. The truth these days is that when we set off on a journey, it is always with the expectation of arriving safely. This is a fairly recent thing - there is still no news of John Cabot. Much of the English law relating to negligence and personal injury, and especially who is responsible for what, arose out of litigation after train crashes. That doesn't make rail travel any more or less dangerous than any other mode, just older than most. Until rail came, very few people could travel fast enough to damage themselves or others.

Air traffic control is not unlike block signalling in some senses. A piece of airspace has to be empty before another aircraft can enter it, although the majority of the sky above us is uncontrolled for small aircraft flying visually. Maintenance schedules are stringent - one of the first steps in planning a flight is to check the tech log to make sure you'll be home before the next 50 hour check is due. I assume rail operators and Network Rail have similar regimes in place. I'm struggling to think of any other similarities. Risk assessment has a dirty name these days, but it's what keeps us safe - mostly.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: broadgage on July 15, 2013, 18:15:31
I note that some tabloid reports are suggesting that passengers were electrocuted. Is that likely? Wouldn't the power have tripped out pretty quickly as soon as a derailing train shorted the circuit?



Very unlikely in my view that anyone on the train could have been electrocuted.
Whilst it is entirely possible that displaced and still live OHLE came into contact with the train, this is unlikely to be dangerous.
For electricty to be dangerous, current must pass through the body, for example by touching a live conductor whilst in contact with earth.
Someone on a train that is in contact with live wires should be safe as all parts of the train would be at same voltage.
I consider it much more likely that those on the train were killed by impact, crush injuries etc.

For someone on the platform the position is very different, a person standing on the ground could well be killed by contact with displaced overhead line equipment that remained live, even briefly.

It should be noted that overhead line failures (without any other accident) occur regretably often in the UK, often resulting in the wires contacting the train, I have never heard of anyone on the train getting an electric shock in such circumstances.

Bystanders and trackworkers would be at some risk in such circumstances.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: JayMac on July 15, 2013, 18:18:36
The morning after successfully flying my first ever solo cross-country flight,

Being that it was cross-country, were there plenty of toilets, but all smelling worse than a downtown Kolkata sewer? Did you turn up expecting a seat but had to fight for one because the reservation system had gone t*ts up? Did the on-board catering consist of nothing more than a melting Kit-Kat and a warm can of Carling, delivered to you by a trolley dolly who turned up 3 minutes before your destination?

That's my experience of travelling solo cross-country.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 15, 2013, 19:25:48
For someone on the platform the position is very different, a person standing on the ground could well be killed by contact with displaced overhead line equipment that remained live, even briefly.

Four of the six people killed were on platforms, though I've not found out whether this was by impact with the train, a cable or other infrastructure, or by electricity. And several people were thrown from the train as windows smashed and in some cases carriages broke up. All told, I am still amazed so few passengers were killed.

There were two SNCF staff on the platform who saw a carriage coming towards them, sideways on, at high speed. They threw themselves on the ground and the carriage was launched into the air over them and onto the canopy. Now that is really scary - others sadly were not so lucky.

At 1500 V, one ohm circuit resistance, hence 1500 A, the power (in simple terms) is 2.25 MW or about 3000 HP. That's about one train (at full power). If a supply has to cope with several trains, it has to supply a total circuit resistance of well under one ohm. So it will take a very firm contact with the ground (or grounded metalwork) to produce such a low resistance to Earth, and carry a big enough over-current to then trip the supply.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 15, 2013, 20:07:17
Looking at the electrocution question again, I recall hearing that DC is more dangerous than AC, because the latter causes muscle spasm, meaning that one is likely to be thrown away from the danger. No-one on the train would be in danger in any case, but people on the platform may, sadly, have been. It remains a moot point only. Being crushed or electrocuted is unimportant compared to being killed or seriously injured.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 15, 2013, 20:08:26
Being that it was cross-country, were there plenty of toilets, but all smelling worse than a downtown Kolkata sewer? Did you turn up expecting a seat but had to fight for one because the reservation system had gone t*ts up? Did the on-board catering consist of nothing more than a melting Kit-Kat and a warm can of Carling, delivered to you by a trolley dolly who turned up 3 minutes before your destination?

That's my experience of travelling solo cross-country.

For the record, the onboard catering consisted of a packet of mint Imperials that I forgot all about once I left the ground. Toilet facilities consisted of waiting until I landed. I did have a seat, however; the left-hand one.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 15, 2013, 20:34:59
Looking at the electrocution question again, I recall hearing that DC is more dangerous than AC, because the latter causes muscle spasm, meaning that one is likely to be thrown away from the danger. No-one on the train would be in danger in any case, but people on the platform may, sadly, have been. It remains a moot point only. Being crushed or electrocuted is unimportant compared to being killed or seriously injured.

I think it is the other way - DC produces strong constant muscle contraction, but AC produces more of a twitch, though it can be very strong. The extra danger was supposed to be when you are gripping something and cannot let go, since hand muscles only pull one way (to grip). In other parts of the body muscles oppose each other, so the effect is less predictable.

If this effect is important, it might show up in the advice on how to rescue someone from the third rail. However, I rather think the actual advice is to keep clear, and a very out-of-date version that advised some action would be of dubious scientific basis.

Either way, what kills you is ventricular fibrillation due to the small part of the current that goes near your heart.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Electric train on July 15, 2013, 21:01:05
... they are often screened by an insulting barrier.

Ah, les Fran^ais - quelle finesse!

But seriously, ET, I appreciate the explanation. As a barrack-room electrician only, I had missed the blindingly obvious. It seems then that the main protection from shock is normally the physical separation of equipment from civilian.
That's correct for OLE systems place out of reach; ac protection against shock is also by equipotential bonding and for dc screening and insulation, conductor rail systems are just dangerous!!!!

It is unlikely that anyone was electrocuted, as soon as the wire hit the ground or a return path (earth) fault clearance and limitation of rise of earth potential are governed by EN50122-2

I can not recall an incident where a passenger in a train has been electrocuted by the passage of OLE fault current through a train. 


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 15, 2013, 21:12:52
[I can not recall an incident where a passenger in a train has been electrocuted by the passage of OLE fault current through a train. 

Neither can I. The "Faraday Cage" effect would see any current running to earth around passengers, rather than through them. I have twice, in former times, seen Blackpool trams - both double-deckers - "brewed up" by a catastrophic short circuit. No passengers were harmed, although many were shaken by the sight and noise, and even more were inconvenienced.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Electric train on July 15, 2013, 21:25:03
[I can not recall an incident where a passenger in a train has been electrocuted by the passage of OLE fault current through a train. 

Neither can I. The "Faraday Cage" effect would see any current running to earth around passengers, rather than through them. I have twice, in former times, seen Blackpool trams - both double-deckers - "brewed up" by a catastrophic short circuit. No passengers were harmed, although many were shaken by the sight and noise, and even more were inconvenienced.

That's when you find out that adrenalin is brown, very runny  and can be found in your under pants  :o  :o  ;D


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: ChrisB on July 17, 2013, 12:30:29
No one has yet reported that it was a fishplate stuck in a diamond cross-over some yards north of the station...twitter photo (which I meant to grab) showed it stuck in the crossover. A loose nut on the wooden (rather old & splitting) sleeper that the diamond crossing was attached to.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 17, 2013, 18:28:26
No one has yet reported that it was a fishplate stuck in a diamond cross-over some yards north of the station...twitter photo (which I meant to grab) showed it stuck in the crossover. A loose nut on the wooden (rather old & splitting) sleeper that the diamond crossing was attached to.
Er - actually I did, on Saturday, and on Sunday (in http://www.firstgreatwestern.info/coffeeshop/index.php?topic=12646.msg135922#msg135922 (http://www.firstgreatwestern.info/coffeeshop/index.php?topic=12646.msg135922#msg135922)) with a link to several pictures.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: ChrisB on July 17, 2013, 18:39:41
Indeed you did. It was the mention of it having rotated while attached by one bolt that threw me - the photos in that article you linked to very clearly shiws one totally loose fishplate in the diamond of the crossing damaged where the train has obviously gone over it, and another loose lying on the sleeper aside the diamond. Neither attached by one bolt


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 17, 2013, 19:04:50
Indeed you did. It was the mention of it having rotated while attached by one bolt that threw me - the photos in that article you linked to very clearly shiws one totally loose fishplate in the diamond of the crossing damaged where the train has obviously gone over it, and another loose lying on the sleeper aside the diamond. Neither attached by one bolt
Strange - what I see in the article is a diagram that explains how it rotated, and a picture that shows one bolt in place that might or might not still be intact right through the fishplate. Clicking through to the original picture, full size, I think the bolt is still there but a bit bent (understandable after a train has gone over it).

So is there another picture that shows it better?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 17, 2013, 20:05:30
From Twitter, so in the public domain:
(http://www.firstgreatwestern.info/Boyamijealous_7108a707/large_zpsd643a665.jpeg)

Somebody tell me if there's a copyright notice embedded. I couldn't see anything. The Twitter description says "Plan and picture of splints" - the French word "eclisse" is used for fishplate.

There's a second picture in the SNCF Twitter feed:

(http://www.firstgreatwestern.info/Boyamijealous_7108a707/large2_zps42c6d5c7.jpeg)

These two, and the plans are brought together in RTL.fr (http://www.rtl.fr/actualites/info/article/train-paris-limoges-les-circonstances-du-drame-se-precisent-7763126734), which includes a quote by Jacques Rapoport of RFF, which is roughly translated as "We know what happened, but not why it happened".

Messy.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 17, 2013, 20:08:21
Yes - that's the one in the article I was talking about. I think you can just about see the bolt going through the rail and fishplate.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 17, 2013, 20:32:52
I see what you mean, Stuving. It might not be as it looks, of course. There are what look like undamaged loose bolts in those pictures, plus the one through the rail. The metallurgist will be able to interpret this scene, to show what order everything came apart in.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 19, 2013, 11:18:18
A couple of things struck me in the pictures. It was always clear that the bits sitting on the rail in the second one had been collected and put there, presumably after the main legal record photos had been done. Looking closer, I see several rusty bolts, presumably discarded during earlier work. Isn't this now regarded as unacceptable in Britain, at least since Potters Bar and Grayrigg?

There are a number of new-looking loose nuts, but also what look like bolt heads (square) and shafts that have been sheared. What stands out by its absence a shaft with a nut still on it. It is not clear which way the bolts went through this particular joint - the gap on one side looks narrow enough to hinder inserting a bolt, but maybe not. You can see why the official response has been one of energetic head-scratching.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Electric train on July 19, 2013, 18:58:17
A couple of things struck me in the pictures. It was always clear that the bits sitting on the rail in the second one had been collected and put there, presumably after the main legal record photos had been done. Looking closer, I see several rusty bolts, presumably discarded during earlier work. Isn't this now regarded as unacceptable in Britain, at least since Potters Bar and Grayrigg?

There are a number of new-looking loose nuts, but also what look like bolt heads (square) and shafts that have been sheared. What stands out by its absence a shaft with a nut still on it. It is not clear which way the bolts went through this particular joint - the gap on one side looks narrow enough to hinder inserting a bolt, but maybe not. You can see why the official response has been one of energetic head-scratching.

I feel the French Railways might be going through the same sort of problems that surrounded the UK Railways 10 to 12 years ago, fragmented organisation, lack of investment etc


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on September 11, 2013, 23:08:04
Le Monde reported yesterday that the judicial investigators had observed over 40 anomalies in the set of points that caused the derailment. On closer reading, these are things listed by investigators with no expert knowledge, that should be referred for an expert opinion - which is not really the same. However, they still wanted to add a charge against RFF of "knowingly risking other people's lives" - which was refused by the prosecutor's office.

No sign yet of report - BEA-TT (equivalent to RAIB) seem not to do interim reports.

At the same time, CFDT (not the biggest rail union, and certainly not usually the noisiest) has tried to link this accident to the state of the Nantes to St-Gilles-Croix-de-Vie line, in a letter to the ministry. The fact that this line is in dire need of replacement is not news - as reported elsewhere on this forum. The supposed link is lack of money, due to it all going on TGVs and LGVs. Again, not much real news behind the headline.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on September 24, 2013, 01:48:02
Le Figaro has got hold of SNCF's initial report to the investigating judge, submitted on July 22nd (ten days after the accident). It concludes (from the rust in the hole) that the fishplate that jumped had been missing a bolt (No. 3) for some time. Perhaps suprisingly it was bolts 1 and 2 that sheared and it pivoted about bolt 4.

The opposite fishplate was worse, with one bolt missing, one missing a nut, and the other two loose! This passed inspection eight days earlier.

SNCF have responded with a press briefing, but with no direct recording of it - but have released the report itself: http://medias.sncf.com/sncfcom/pdf/presse/Rapport-Bretigny-Deraillement-train-n3657-12juillet2013.pdf (http://medias.sncf.com/sncfcom/pdf/presse/Rapport-Bretigny-Deraillement-train-n3657-12juillet2013.pdf). I'll have a further look at it tomorrow and report here, but initially it seems that Le Figaro have the basic facts.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on September 24, 2013, 11:55:41
The main points of this report are indeed the ones already noted. I won't copy all the pictures; I think most are pretty clear without the words. The damage to the brake disc in figure 7 is on the last axle of the third carriage, which did not derail. It is thus thought this contact flipped the fishplate, already bouncing up, into the flangeway.

A few other things:
  • the line speed limit is 150 kph
  • these Corail carriages are rated for 200kph - which surprises me a bit
  • the fishplate in question is on the RH switch rail before the double slip crossing
  • the fishplate in a worse state is on the LH switch rail after the same crossing
  • the trackwork was installed in 1991, with a planned life of 25 years
  • it looks more dated than that to me - and the wooden sleepers look a bit rough
  • it is reported, but as not being a causal factor, that 20 sleepers were replaced under a another of this set of crossings in May and June 2013 (to correct a twist of 27 mm/3 m) because they were the wrong height when installed!
  • all of the observations of track components have the caveat "subject to detailed metallurgical examination", or in the case of the motion of the fishplate "requiring detailed dynamical modelling"

The layout also looks dated to me - with its long diagonal track having a double slip where it crosses each running track. I've seen similar pre-war layouts here, but none in use now. Why were they thought clever then, and more importantly why are they now not acceptable? Is it anything to do with reliability and maintenance?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on September 26, 2013, 09:14:46
Another piece in Le Figaro. They have got hold of some track inspection records going back to February, and say that these did mention faults on this stretch of line. However, the detail is a bit lacking - while they say a missing bolt was recorded in February, it may have been a different one. They reproduce part of the last inspection sheet, noting it was done by a newly-appointed young engineer walking the line alone rather than with a lookout. This does note some bolts to be tightened, but none missing, and stops just before the accident location.

Severe cracking on one of the rails was recorded in April at the relevant joint, with "must repair within 3 months" urgency. It is hard to see how this could have been examined without seeing the missing bolt. One of their "experts" commented that that the inner bolts were much more important that the outer ones, to the extent that on first finding one missing you would swap a bolt from the outside. Does that sound right? I find it hard to believe.

http://www.lefigaro.fr/actualite-france/2013/09/26/01016-20130926ARTFIG00280-bretigny-des-anomalies-avaient-ete-reperees-plusieurs-mois-avant-l-accident.php (http://www.lefigaro.fr/actualite-france/2013/09/26/01016-20130926ARTFIG00280-bretigny-des-anomalies-avaient-ete-reperees-plusieurs-mois-avant-l-accident.php)


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on September 26, 2013, 16:10:01
Another piece in Le Figaro. They have got hold of some track inspection records going back to February, and say that these did mention faults on this stretch of line. However, the detail is a bit lacking - while they say a missing bolt was recorded in February, it may have been a different one.
SNCF have responded immediately to point out that Le Figaro have misunderstood these inspection reports. That's easy to do, since they are written in a very abbreviated form of railway jargon. Still, on a national newspaper the journalists ought to know where they only have "a little learning". Maybe the experienced railwaymen they consulted had the wrong kind of experience?

The two key errors were that the piece of the relevant double slip crossing that was cracked was actually an earth continuity connection (bond), not a rail, and the bolt noted as missing was not in a fishplate, but in a gauge tie bar. They did use the right word for this (entretoise but did not understand it.

The SNCF site http://www.sncf.com/fr/fil_info/presse/Bretigny-rapport-enquete (http://www.sncf.com/fr/fil_info/presse/Bretigny-rapport-enquete) has the three relevant inspection sheets plus a short document pointing out the errors, and that this section of track was subjected to "fixing and tightening" visit in week 12 (March). The sheets still contain lots of puzzling cryptic entries, especially the last one (4th July). I've managed to find most of the jargon words involved, but not their abbreviations.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12/7/13
Post by: stuving on September 27, 2013, 00:21:07
There was a TV report on SNCF's and RFF's maintenance standards tonight (Envoy^  Sp^cial, F2). Largely familiar - my favourite line to Saint-Gilles-Croix-de-Vie featured again, which everyone agrees is overdue for rebuilding, plus other lines with severe speed restrictions. Not very much directly about Br^tigny sur Orge, where the journos seemed unable to cope with the boss of SNCF saying it was almost certainly down to maintenance, and so their fault, but not admitting that it definitely was. Of course that's simply because the investigations are still underway.

Similarly, a point was made that after a low-speed derailment at Lyon two weeks earlier (26th June) SNCF instructed staff not to use the D-word. The accident is listed by BEA-TT (French for RAIB) as an ongoing investigation, so it's hardly a secret. It was apparently due to a wheel breaking up, and the programme reported that a batch of 236 wheelsets had to be traced and recalled as they were assembled using the wrong torque (on its wheel-fixing bolts, I think). That was not the cause at Lyon, after which another batch of wheelsets had to be checked.

So the picture is building up that the safety culture and organisation had slipped below the required standards. And Guillaume Pepy (SNCF boss) is already talking about pre- and post-Br^tigny eras, much as Hatfield marked a radical change of priorities here.


Title: Re Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on October 11, 2013, 08:56:19
RFF and SNCF Infra announced on Tuesday an urgent programme of accelerated inspection and replacement of track, concentrated on the most heavily used S&C, called "Vigirail". This is a direct result of the Br^tigny-sur-Orge accident, and they warn that the extra possesions for the work will lead to some disruption. This follows on from the emergency work immediately after the accident, in which they claim to have inspected 5000 crossings, 100,000 fishplates, and 520,000 rail clamps in two weeks.

There is no new railway money involved, just collecting an extra ^410M according to SNCF) over four years from other budgets. Most of this is planned to double the number of replacements to 500 per year, and to recruit more staff to do it. Small amounts go on digitising the maintenance records and management, and on some new survey trains using HD video to inspect tracks.

SNCF info at http://debats.sncf.com/bretigny-sncf-et-rff-lancent-vigirail/#.UlevWFCkpcg (http://debats.sncf.com/bretigny-sncf-et-rff-lancent-vigirail/#.UlevWFCkpcg), and full text at: http://www.rff.fr/?page=ajax_view&real_action=download&file_url=IMG/pdf/DP-Bretigny-sur-Orge_Point-presse-N6.pdf (http://www.rff.fr/?page=ajax_view&real_action=download&file_url=IMG/pdf/DP-Bretigny-sur-Orge_Point-presse-N6.pdf)


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on January 09, 2014, 08:24:34
Advance news (in French) on RTL (http://www.rtl.fr/actualites/info/article/accident-de-bretigny-l-enquete-pointe-une-serie-de-dysfonctionnements-7768611306) of the results of the enquiries. The first report is due out tomorrow - I think that's the interim technical report from the BEA-TT.

RTL concentrate more on the (leaked) prosecutors' report, which seems to be heading for a criminal prosecution as well as a civil liability case. The news item talks about missing bolts in fishplates that no-one is bothered about, and maintenance that was both random and not thorough enough. The other theme, which is obviously going to have political implications, is the confused relationship between RFF and SNCF, and how this clouds the responsibility for maintenance standards.

All sounds rather familiar, doesn't it?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on January 10, 2014, 12:15:50
BEA-TT produce reports very similar in style and thoroughness to RAIB's. The interim report (http://www.bea-tt.developpement-durable.gouv.fr/rapport-d-etape-r202.html) on the Br^tigny-sur-Orge accident is no exception. Of course that means it will take a while to read through (and no English text at the moment) ... but here's an initial appreciation:

The technical explanation is in line with what we heard earlier, but with more detail. The key facts, I think, are:
  • There were cracks running along a cast piece of rail, passing through the hole for a fishplate bolt.
  • This rail was part of the cast central crossing*, attaching it to the plain rail on the "upstream" side.
  • The cracks reached the end of this rail, where a piece broke off, leaving the fishplate free to deflect under the load of wheels.
  • This bolt (No.3 in the direction of travel) must have broken months before the accident.
  • The rest of the successive failures probably took place after the last inspection 8 days before the accident.
  • Movement unscrewed or broke three of the bolts, each failure placing more load on those remaining.
  • Finally only bolt No. 4, was left at the downstream (inner) end.
  • The nut unscrewed of this bolt, and then the outer fishplate fell off.
  • The bolt had too little clearance to come out, but the inner fishplate was now free to rotate and twist.
  • The fishplate was then flipped up under a train ,bent and hammered into the flangeway, and derailed its last four carriages.

The report comments that this trackwork is particularly complex and needs a lot of maintaining:
  • There is a diagonal link track across all five running tracks, with a double slip crossing with each.
  • This is now rare, in France as here, and scheduled for replacement but not before 2025.
  • The close spacing of the rails and other parts means the visibility of the underside of the trackwork was poor, and the initial fault - cracks and one broken bolt - was missed.

The country-wide inspection of similar crossings after the accident showed up a lot of deficient single fixings, though no immediate serious risks. Of course there is enough redundancy that it takes more than one bolt to fail before it causes an accident. They did find:
  • 4% of examples had vertical play of > 10 mm
  • 0.2% of bolts missing and 5.1% loose
  • from 1.7% to 4% of fixing bolts (rail to seat and seat to sleeper) were missing or loose.

The report notes the similarity of this track failure and resulting accident to Southall (2002) and a Danish accident (Farris,  2012), but not Grayrigg (2007). In all cases they observe there were specific technical issues, as well as poor maintenance.

The immediate recommendations are as you would expect:
  • Technical: to look at materials, procedures for tightening, locking of threads etc.
  • Inspection: to identify areas of track that need extra attention;
  • Procedures: to clarify the rules for follow-up time limits etc.

*I'm not sure what this piece is specifically called - but I now believe it is an obtuse crossing.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Electric train on January 10, 2014, 20:29:15
The report notes the similarity of this track failure and resulting accident to Southall (2002) and a Danish accident (Farris,  2012), but not Grayrigg (2007). In all cases they observe there were specific technical issues, as well as poor maintenance.


I find there drawing a parallel with Southall strange, my recollection was not a track failure, it was Railtrack signaller / route control crossing a freight train from Southall Down West yard across to the UP Relief, which meant crossing over the DN and UP Main and DN Relief in front of a class 1 passenger train which was compounded by the ATP not functioning correctly and the drive "packing his bag" 

I do think Network Rail are in a much better place than they were at the time of Grayrigg in 2007 I cannot speak for maintenance, in projects the process, procedures and checking that has to be done before, during and after any work is exceedingly onerous.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: SandTEngineer on January 10, 2014, 21:38:14
The report notes the similarity of this track failure and resulting accident to Southall (2002) and a Danish accident (Farris,  2012), but not Grayrigg (2007). In all cases they observe there were specific technical issues, as well as poor maintenance.


I find there drawing a parallel with Southall strange, my recollection was not a track failure, it was Railtrack signaller / route control crossing a freight train from Southall Down West yard across to the UP Relief, which meant crossing over the DN and UP Main and DN Relief in front of a class 1 passenger train which was compounded by the ATP not functioning correctly and the drive "packing his bag" 

I do think Network Rail are in a much better place than they were at the time of Grayrigg in 2007 I cannot speak for maintenance, in projects the process, procedures and checking that has to be done before, during and after any work is exceedingly onerous.

Wrong derailment.  That was the 19 September 1997 one.  The one similar to the French one is that at Southall that occured on 24 November 2002 http://www.hse.gov.uk/press/2003/e03027.htm and http://www.rssb.co.uk/LEARNING/Documents/Southall%20East%20Junction%20summary.pdf


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: Electric train on January 10, 2014, 22:02:20
The report notes the similarity of this track failure and resulting accident to Southall (2002) and a Danish accident (Farris,  2012), but not Grayrigg (2007). In all cases they observe there were specific technical issues, as well as poor maintenance.


I find there drawing a parallel with Southall strange, my recollection was not a track failure, it was Railtrack signaller / route control crossing a freight train from Southall Down West yard across to the UP Relief, which meant crossing over the DN and UP Main and DN Relief in front of a class 1 passenger train which was compounded by the ATP not functioning correctly and the drive "packing his bag" 

I do think Network Rail are in a much better place than they were at the time of Grayrigg in 2007 I cannot speak for maintenance, in projects the process, procedures and checking that has to be done before, during and after any work is exceedingly onerous.

Wrong derailment.  That was the 19 September 1997 one.  The one similar to the French one is that at Southall that occured on 24 November 2002 http://www.hse.gov.uk/press/2003/e03027.htm
Ah yes strikingly similar


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 07, 2014, 08:17:36
The next step in the process following this accident is not the final BEA-TT report, but the release of two reports done for the prosecutors' office. One is the metallurgical examination of the track components, mentioned in the BAA-TT interim report as not finished. The other is an overall report by their own appointed expert engineers. These were both delivered to the prosecutors by June, and some kind of announcement is expected today, as well as publication. However, as is usual it has already been leaked to the press - and no one seems to find this odd.

In this case Le Figaro had the story (http://www.lefigaro.fr/actualite-france/2014/07/06/01016-20140706ARTFIG00149-accident-de-bretigny-les-experts-judiciaires-pointent-un-etat-de-delabrement-jamais-vu.php). Obviously the purpose of the main report is to allocate blame, and so it is not as studiously neutral in tone as the BAE-TT one. SNCF and RFF have already said they dispute the findings (also an entirely routine part of the legal process). Basically, the report is reported to say the poor state of maintenance was unprecedented, and due to deficiencies throughout the maintenance branch, including training. SNCF point out the inherent contradiction in that - doesn't it mean maintenance is overall good and quite adequate (as the accident record shows)? And just who are these experts anyway? More will appear soon, no doubt.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: TonyK on July 07, 2014, 22:01:19
To clarify:

 
Quote
A year after the disaster, the conclusions of reports commissioned by the judges in charge of the investigation are instructive for the SNCF and its maintenance procedures.

Findings:

Rail disaster 12 July 2013 last Bretigny-sur-Orge (Essonne), which killed seven people and wounded thirty, is definitely due to a maintenance problem. It is telling that the railway and metallurgical expertise has procured reports whivh  Le Figaro and the prosecutor Evry shall make public on Monday. In these extremely severe reports for the SNCF, sent to judges on June 25, expert engineers (Court of Appeal of Douai) and Pierre Michel Dubernard Henquenet note that "metallurgical examinations were made possible to establish that we are not in the presence of a malicious act, and the process that led to the complete disintegration of the assembly is quite the opposite over several months and involved the entire assembly failing, from which were recorded over 200 anomalies of varying degrees of criticality. Most of these abnormalities were known from the railway company or its agents, but were not adequately remedied. The conclusion of the experts is final and evokes "dilapidation never seen elsewhere." He added: "imfrastructure perished by fatigue, vibration, beat, defects tightening, wear, etc.. Damages relating to the quality of maintenance. "
Number 3657 Intercity train consisted of seven cars Reef. There were 385 passengers on board. The train had left the Gare d'Austerlitz to 16 h 53. At 17 h 11, as it prepared to cross Br^tigny station vi platform 1, passengers felt a shock when crossing a double junction crossing . The train derailed and separated into two parts between cars 4 and while traveling at 137 km / h. the authorized speed limit on this road being 150 km / h. Due to the state of the network, the experts appointed by the judges noted in their report that "it would be desirable to limit to 100 km / hour speed trains approaching the station Br^tigny."
Inadequate monitoring network

It further notes that "current maintenance requirements" for sleepers at double junctions are "inadequate because insufficient." Currently, SNCF dismantles the spliced ​​connections to check every three years because they are classified as "comfort items". Experts advise strongly to dismantle every year to inspect. According to them, the tour audits on channels should lead agents to "the immediate compliance", which is not the case today. The network status Br^tigny "would logically have led the SNCF to increased surveillance, and especially adapted," they write.
Experts are clearly involved in the railway maintenance organization: "There is also important to say that the SNCF staff responsible for implementation of track maintenance and equipment should be chosen according to the first criteria for solid training in engineering and in addition have received extensive specialized training. "an allusion to the youth of the agent who made the last inspection tour July 4, 2013, eight days before the accident. It was a railwayman 25, freshly graduated from an engineering school. In February 2013, he became leader of nearby lanes Br^tigny. He framed 19 agents responsible ways to do maintenance on the rail network in the industry. At the last inspection, no abnormality was reported.
Abnormalities inadequately considered

"The maintenance requirements of the SNCF, complex, difficult to interpret or apply by field workers were not fully met (...). This has led to a lack of consideration and processing of errors encountered; It should be noted in this regard that many observations made ​​during the monitoring tours found themselves carried from one operation to another, sometimes to eventually disappear without us was sure they were treated . "And experts conclude by holding the top three factors that led to the accident by improper maintenance" repositories large maintenance superabundant, sometimes inadequate or contradictory so against-productive. "
Finally judicial engineers who conducted the inspection lane January 28 rounds alert on the status of network station of Noisy-le-Sec (Seine-Saint-Denis). They consider disturbing.

I speak French, but have used Google Translate for speed, tidied up to make sense for the the first half of the article. I'll translate further, as time allows, but the gist is that it was a Potters Bar incident, down to poor inspection and maintenance. I don't think the report was to allocate blame, the tenor of the report being largely similar to that of a report by the AAIB or RAIB - what happened, why it happened, what should be done to stop it happening again. There is reference to the judicial process, something which would not happen in the UK, although the relevant inspector could be summonsed to the criminal court proceedings, and indeed to any civil proceedings for damages.

We do not have
Quote
les ing^nieurs judiciaires
or judicial engineers in the UK, and therefore rely on legal experts to listen to two sides of the argument about what went wrong.

We find it common for everyone to blame everyone else at time like this, unlike the days before rail privatisation, when if it wasn't sabotage, it was down to British Rail. France has a similar dilemma, but it ends up as a decision as to which pocket gets dipped to pay for the repairs.

J'offre mes condolednces aux familes touch^s par cet accident. C^tait vraiment tragique.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 08, 2014, 09:52:54
SNCF have put their side of the arguments in their "newsroom" (http://www.sncf.com/fr/presse/fil-info/actualites-bretigny-juillet2014-113421) (all in French, obviously).

They do have an obvious problem, both legally and as PR, in that the accident was caused by inadequate maintenance, which they admitted almost immediately. Worse, they identified a lot of similar pointwork in need of renewal, and set up a major programme to do that. In that context, they are trying to resist the conclusions that the whole system (or at least the non-LGV part) has been allowed to deteriorate and hence is, in general, less safe than it ought to be (i.e. "unsafe" in headline terms).

The procedure appears to be that the legal opinions ("expertises*") of the "experts*" are only published on paper, made available to the press and maybe waved at a camera in a press conference. SNCF/RFF do not get to see them in advance of publication, so are playing catch-up at this point. They have put some extracts of the latest report on-line, essentially the conclusions.

One point worth thinking about in a British context is in the translated version posted yesterday, where it refers to "the maintenance requirements of the SNCF, complex, difficult to interpret or apply by field workers..." Their point is that there is just too much written material about doing maintenance: instructions, working methods, standards, reference documents. They reckon much of it is also not suitable for it purpose, confusing, and contradictory.

There was another such expert report in June, just about the state of that specific section of track, that got a lot less attention. It was not mentioned in the BEA-TT interim report, but I think the examination was done together (i.e. this was the prosecutors' report of that examination). BEA-TT's mission is the same as the RAIB's and their reports contain a similar warning not to use them to allocate legal liability.

There is another bit of French railway bureaucracy you don't much hear about - the safety authority EPSF (http://www.securite-ferroviaire.fr/) - answering to that part of the ORR.

They are credited with the attached little picture, which SNCF quite like  (http://ressources.data.sncf.com/explore/dataset/eur-lex-vrn-2013/?tab=metas)as it puts them ahead of the Germans.

The head of SNCF has been saying, Rice-Daviesly, that the system is "safe". Worse, the head of RFF said it was the safest in Europe. Given that the picture is based on data to 2012, that seems hard to justify.

*Note that expert does not have the same primary meaning in French as in English when used as a noun (it does as an adjective). It means someone asked for advice or an opinion, such as the experts judiciaires in this case, and expertise has the primary meaning of an opinion, legal or otherwise. The English senses of these words are also known too, by leakage.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on July 12, 2014, 16:11:03
Following some passing comments in the latest reports, there is now confirmation (via Mediapart) that previous internal reports into maintenance elsewhere in the Paris region have been pretty poor. Specifically, at and around the Gare du Nord in 2010, an audit noted procedures not followed, the wrong tools, mistakes in rail condition monitoring, inspections not planned and scheduled and sometimes not done at all, among other things.

SNCF have fallen back on "explanations" such as: not following the rules doesn't mean it's unsafe, audits only report deficiencies so what do you expect?, if we got no deficiencies reported then we'd be worried, we started a recovery programme and some things have improved since then, etc.

Sound familiar?


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on September 16, 2014, 13:58:07
RFF have been formally "mis ex examen", which is an earlier stage than a formal charge would be here. The offence is "homicides et blessures involontaires", a purely accidental kind of manslaughter, rather than the "mise en danger de la vie d'autrui" - which involves reckless conscious acts - and which some victim groups had been calling for.

The same thing will happen to SNCF on Thursday, though possibly not on the same charge. SNCF infra actually maintains the infrastructure, which RFF only manages. That will change with the the fusion of RFF and SNCF, recently voted by parliament, but not coming into effect until January 2015.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple fatalities - 12 July 2013
Post by: stuving on February 19, 2015, 11:43:48
From 1st January 2015, the old RFF has been transformed into SNCF R^seau. The idea is to integrate ownership and management of rail infrastructure (RFF) with the engineering activity (SNCF Infra), at least while talking to French Socialists. This new entity has to be kept at arms length from the operating divisions of SNCF (SNCF Mobilit^s), at least while talking to European Commissioners.

However, despite well over a year's notice, neither web site yet reflects the new structure any more than the new logo and one paragraph of text on the old rff.fr site, promising a new version. I suspect that there was the predictable tug-of-war between RFF and SNCF Infra about which would take over the other, and RFF lost. The SNCF site does include the report of yesterday's meeting of a new safety oversight committee.

This new structure doesn't create any new bodies (unusually), as there already was the EPSF (cf. the safety-related bits of ORR) and BEA-TT (RAIB). It gives SNCF a central r^le in writing rules for the industry. The communiqu^ has been reported in quite different ways (no English reports, that I can see).

The headline news is that the starts of a number of big projects are being deferred, notably new LGVs (these would be regional links, mostly), station revamps, and resignalling. This is to permit resources to be shifted to the backlog of renewals work on the "classic" network. In effect, a two-year moratorium on new starts.

One TV report this morning (http://www.francetvinfo.fr/economie/transports/la-sncf-revoit-ses-mesures-de-securite_828679.html) refers to the Br^tigny-sur-Orge accident, of course, and to a report from the year before on the state of (dis)repair of the network. It suggests that money is the main consideration - a km of new line costs ^15 M against ^1 M for renovation.

This AFP report (http://www.lepoint.fr/societe/le-gouvernement-differe-les-nouveaux-projets-ferroviaires-18-02-2015-1906082_23.php) also refers to Br^tigny-sur-Orge, and the survey report done after it - plus another done in 2005 which (it says) had already led SNCF to make maintenance its priority. That does sound odd. It also says the main limited resource is specialist staff, rather than money, citing signals testers in particular - "we can't train them in two or three years, the job takes twenty years of experience"!

The following summary of the scale of thus year's renewals programme may be of interest:

- a budget of ^2.3 Bn for maintenance and ^2.6 Bn ;
- the renewal of 1,000 km of track, 400 items of S&C, and 450 km contact wire ;
- the replacement of 788 points,  280,000 sleepers, 15,000 welded track inserts (precautionary against breakages), 3,600 km of catenary as planned renewal and 563 million m^ of vegetation dealt with ;
- verification of 37,000 signaling "centres" (not sure what level that represents) in 8 months.


Title: Re: Train crash at Br^tigny-sur-Orge, near Paris - multiple
Post by: stuving on November 17, 2015, 09:04:57
BEA-TT published their final report on this accident (http://www.bea-tt.developpement-durable.gouv.fr/IMG/pdf/Rapport_BEATT_2013_009-2.pdf) in September. It didn't get much reported, as it doesn't really change anything in the interim report, so I for one missed it at the time.

BEA-TT have a page of brief summaries of their reports in English (http://www.bea-tt.developpement-durable.gouv.fr/railways-technical-investigations-r41.html), but have not added any new ones for several years. In this case RAIB have put a summary in English on line (http://www.rssb.co.uk/Library/risk-analysis-and-safety-reporting/2015-10-02-rail-investigation-summary-bretigny.pdf). This emphasises the caveat that investigations for the prosecutor's office are proceeding, and were not all made available for this report. However, there is no obvious sign of a shortage of information, so that is perhaps just the formal position.

The story line of how the accident happened is still that a cracked frog on a double slip led to the bolts on a fishplate failing one at a time, until it was free to flip up under a train and jam in a flangeway. This chain of events is reconstructed in great detail by reference to the marks and indentation on the wheels and bogie components. While that might not seem entirely necessary, it was important to make sure that no other cause, even a minor one, contributed to the derailment.

The rest of the report looks at the inspection and measurement (by "Mauzin" trains) of this track, whether the faults were detected, and if so why they were not fixed. A lot of this sounds very familiar.

A couple of things are missing from the report. One is a clear statement of the impact of the restructuring of SNCF and RFF into a single organisation, which happened betwen the accident and this report. This should be slight, as SNCF did all the actual maintenance work anyway, but surely worth recording. The other is about what led to the 1500V DC power being turned off, and whether that was a fault current due to the accident, and if damaged live wires constituted a danger. This was raised by comments elsewhere, before being commented on in this forum, but is not mentioned in the report. Presumably it was not in fact an issue at all.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: TonyK on November 17, 2015, 19:54:08
Advance news (in French) on RTL (http://www.rtl.fr/actualites/info/article/accident-de-bretigny-l-enquete-pointe-une-serie-de-dysfonctionnements-7768611306) of the results of the enquiries. The first report is due out tomorrow - I think that's the interim technical report from the BEA-TT.

RTL concentrate more on the (leaked) prosecutors' report, which seems to be heading for a criminal prosecution as well as a civil liability case. The news item talks about missing bolts in fishplates that no-one is bothered about, and maintenance that was both random and not thorough enough. The other theme, which is obviously going to have political implications, is the confused relationship between RFF and SNCF, and how this clouds the responsibility for maintenance standards.

All sounds rather familiar, doesn't it?


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on January 27, 2016, 14:01:20
The criminal investigation of this accident is still going on, and Le Canard Enchain^ is today suggesting that SNCF (now with added RFF) is schooling its staff in what to say to the prosecutors. On the evidence, it's pretty clear that SNCF/RFF are guilty of some kind of manslaughter. If there is still something SNCF fear, it is probably that the current charge (accidentally causing death) is replaced by one of recklessness or wilful causing death.

Is this a shock horror scandal story, or just the French way of doing things? It's hard to say, though some of its features (prosecutors tapping witnesses' phones, the leaking of what should be secret prosecution details to the press) are very French.

I can imagine that an employer would want to warn staff about what to expect - along the lines of:
  • Just answer the questions. You'll have enough difficulty dealing with that, without volunteering information on extra topics.
  • Be very careful what you say and how you say it. If you later correct something that's not quite right, they may still keep coming back with your incorrect version and saying it's "the truth" and the rest is all lies.
  • Stick to what you know directly, and never mention rumours or things that "everyone knows".
  • If you are asked about rumours, morale, or that kind of subjective stuff, make clear in every reply that it is just your impression and may be wrong.
  • Remember that prosecutors are not objective, they have their own agendas - political, internal office politics, various prejudices, personal ambition, etc.
(The first of those was mentioned in the story as being part of the manipulation.)

Of course that could easily then go on to rehearsing the "story" and editing its text, which I guess we'd all call manipulation (or perverting of the course of justice, if wearing a suit). SNCF have refused to comment on a story based on leaked documents.

Le Canard Enchain^ is resolutely old-fashioned, and its accommodation of the internet age extends just far enough to put a facsimile of its front page on line. This story isn't on the front page, so there's only the like of this second-hand version (http://www.lemonde.fr/societe/article/2016/01/27/le-canard-enchaine-accuse-la-sncf-d-avoir-manipule-l-enquete-sur-la-catastrophe-de-bretigny_4854289_3224.html).


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: TonyK on January 28, 2016, 00:37:52
I read the French article about the accident, and agree, stuving. This doesn't look like the English way of doing things - a judge bugging the phone calls between an accused person and his company's lawyers? I know that major criminal matters are investigated by a judge in France, but I cannot imagine a Detective Chief Superintendent even asking for an intercept warrant from the Home Secretary in such a case.

As for coaching the witnesses, I can't see much wrong with what was said - "Come with nothing - you should wait for their questions" is probably what every solicitor tells every defendant before any court case. I spent a fair bit of time in courts, mainly magistrates, but Crown on more than a few occasions. I was told by the judge on one such occasion to answer the question, and only the question, telling the court only what I myself knew with certainty, not what I thought everyone knew. Apart from anything else, it saves the court time that could be spent arguing what was and what was not admissible. I had to explain this myself to witnesses in cases I was involved in, and it was nothing untoward. Manipulation of the evidence, or asking someone to give false evidence is another matter, never crossed my mind, and isn't alleged against SNCF.

This is a huge case in France, but unless the judicial rules are vastly different to ours, this seems much ado about nothing. I assume that, like here, there is a fine distinction between "dangerous" and "careless" in driving offences, and between "negligent" and "dangerous" actions leading to manslaughter. The difference in sentence can be measured in years. This is before the company's reputation is called into question. I would be surprised if the employees had not been advised by the company's lawyers.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on January 28, 2016, 01:33:12
I read the French article about the article, and agree, stuving. This doesn't look like the English way of doing things - a judge bugging the phone calls between an accused person and his company's lawyers? I know that major criminal matters are investigated by a judge in France, but I cannot imagine a Detective Chief Superintendent even asking for an intercept warrant from the Home Secretary in such a case.

Bugging supposedly privileged phone calls with a lawyer is exactly what was done to Sarkozy - but that did smell strongly of political motivation. Examining magistrates still have the power to hold people in custody just for interview, which were almost unlimited before the recent(!) introduction of something like habeas corpus.

It is exactly at this initial instruction phase that the French system is so different. It is led by the examining magistrate, who is a judge but on loan to the prosecutor's office (parquet). Normally the leg-work is done by the Police Judiciare but in this case most of that's been done by BEA-TT. So they are nowhere near court yet, and the comparison is with an employer advising staff before a - rather formal - police interview.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: TonyK on January 28, 2016, 10:04:50

It is exactly at this initial instruction phase that the French system is so different. It is led by the examining magistrate, who is a judge but on loan to the prosecutor's office (parquet). Normally the leg-work is done by the Police Judiciare but in this case most of that's been done by BEA-TT. So they are nowhere near court yet, and the comparison is with an employer advising staff before a - rather formal - police interview.

Thanks for the clarification, stuving. We are talking similar to the Interview Under Caution here. I have conducted many of these. Some of those where the suspect was accompanied by a legal representative led to the answer "No comment" to every question except name and date of birth. All perfectly legal, given that I had just told the unfortunate subject of my attentions that he did not have to say anything, slightly frustrating, but I wouldn't be interviewing if I didn't think the evidence merited at least an explanation, and on more than one occasion disadvantageous to the suspect.

As it is nowhere near court yet, I can't see what advantage these recorded conversations could give to the prosecution. They remain no more than advice by a lawyer to a client, albeit with a rather fruity turn of phrase on one occasion.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on January 10, 2019, 13:54:53
Le Parisen reported this morning that one of the three SNCF (then RFF) employees implicated in the case, and previously "witnesses under caution", has been mis en examen - charged with a criminal offence, roughly. The prosecutors' office at Evry has confirmed only that step about an unnamed SNCF employee.

The newspaper report says more, that it was the local track maintenance manager (the other two being his direct reports). He did the last inspection before the accident, and the independent engineering reports said (based largely on the state of the fracture surfaces) that the relevant trackwork damage was present at that time.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on June 12, 2020, 19:35:00
Le Parisen reported this morning that one of the three SNCF (then RFF) employees implicated in the case, and previously "witnesses under caution", has been mis en examen - charged with a criminal offence, roughly. The prosecutors' office at Evry has confirmed only that step about an unnamed SNCF employee.

The newspaper report says more, that it was the local track maintenance manager (the other two being his direct reports). He did the last inspection before the accident, and the independent engineering reports said (based largely on the state of the fracture surfaces) that the relevant trackwork damage was present at that time.

It was announced today by the prosecutors that the case (for manslaughter, more or less) against both SCNF and the individual already charged will go to court next year.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: TonyK on June 16, 2020, 23:09:38
It was announced today by the prosecutors that the case (for manslaighter, more or less) against both SCNF and the individual already charged will go to court next year.

I know it's a complex matter, but eight years is a long, long time to have the sword of Damocles over your head.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: GBM on June 18, 2020, 09:47:14
Our UK system doesn't take that long to bring cases forward do they?
It seems the French system drags on far longer than ours, so are their systems more effective than ours; which could mean we convict when perhaps we should take longer to investigate?


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: TonyK on June 18, 2020, 10:08:12
Our UK system doesn't take that long to bring cases forward do they?
It seems the French system drags on far longer than ours, so are their systems more effective than ours; which could mean we convict when perhaps we should take longer to investigate?

I can remember a time when the UK system, or at least England and Wales, did drag on and on. I think it was back in the 1980s that a series of legal reforms were introduced to speed things up without detriment to the accused, mostly by making more things triable in Magistrates' Courts rather than Crown, and tidying up the administration. There are many more paid judges in the lower court these days, which helps. Cases are sent to Crown Court at an earlier stage, with progress directed by the judge rather than by magistrates. All that, of course, can only happen once the investigation has been completed and a prima facie case established for someone to answer. I struggle to think of any aspect of this that could have taken 7 years to establish.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on June 18, 2020, 10:50:59
Our UK system doesn't take that long to bring cases forward do they?
It seems the French system drags on far longer than ours, so are their systems more effective than ours; which could mean we convict when perhaps we should take longer to investigate?

Remember that this is a high-profile corporate liability case, and against a nationalised industry too. In France individuals are commonly cited in these, and they do drag on for reasons that are hard to see - commissioning lots of expert reports into expert reports is part of that, I think. I don't think France is particularly bad in this respect, but maybe it is in the length of time it takes for the appeals processes to (almost always) eventually overturn personal convictions.

In this country such cases have generally not happened, and guilty verdicts have been rare - and I'm not sure how much that has changed, though police investigations are now usual. Even with a big press campaign to get a case started, and another to get a prosecution, liability for manslaughter could not be proved against an organisation without finding a "single controlling mind". So corporate manslaughter was invented*, but proving “senior management failure” has been so hard that convictions are still rare. And of course individuals are in effect still excluded.

*The Corporate Manslaughter and Corporate Homicide Act 2007


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: TonyK on June 18, 2020, 11:20:13

Remember that this is a high-profile corporate liability case, and against a nationalised industry too. In France individuals are commonly cited in these, and they do drag on for reasons that are hard to see - commissioning lots of expert reports into expert reports is part of that, I think. I don't think France is particularly bad in this respect, but maybe it is in the length of time it takes for the appeals processes to (almost always) eventually overturn personal convictions.


I appreciate all that, and agree with your thoughts. Corporate manslaughter here would not preclude the prosecution of an individual if they were to perform a criminal act or omission, but yes, companies have to be brought to book if they do wrong in telling employees what to do or how to do it.

The expert reports will have been commissioned by both sides, or course, with the winner being the one with the more expensive experts as a general rule of thumb. The court in England and Wales, and the investigator in France, will work through these with both sides, holding in effect trials of the evidence and looking for the areas where both sides agree, so that the eventual trial will focus only on what remains in dispute, what actually happened, and why it happened. That takes time, and lots of arguments, but leaving it to rumble on for so long runs the risk of people growing old, infirm or dying, with the possibility of a whole new set of arguments about whose memory of the events is the most accurate. Justice may prevail, but it might look a little pale by the time it is done.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on April 25, 2022, 12:30:46
Le Parisen reported this morning that one of the three SNCF (then RFF) employees implicated in the case, and previously "witnesses under caution", has been mis en examen - charged with a criminal offence, roughly. The prosecutors' office at Evry has confirmed only that step about an unnamed SNCF employee.

The newspaper report says more, that it was the local track maintenance manager (the other two being his direct reports). He did the last inspection before the accident, and the independent engineering reports said (based largely on the state of the fracture surfaces) that the relevant trackwork damage was present at that time.

It was announced today by the prosecutors that the case (for manslaughter, more or less) against both SCNF and the individual already charged will go to court next year.

The court case starts today. There may be some Covid delay involved, but I suspect it's mostly the usual legal sort.


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on October 26, 2022, 12:28:04
The court has - at last - just handed down its verdicts: Guilty for SNCF (SNCF Infra at the time) with a fine of €300,000, not guilty for the individual PW engineer at SNCF and for SNCF Réseau (the infrastructure manager, was RFF). The specific charge sounds odd outside France , but implies negligence in its duty to ensure safety, plus being a repeat offender (adds a third to the fine) - fair enough, in the sense that it's not the first time such an accident has happened. The fine recognises the much greater cost to SNCF of compensating the victims and families.

No word of any appeal, and I can't really see why SNCF would want to. And if that's it, it's less than ten years end to end - not slow at all, as these things go!


Title: Re: Train crash at Br^tigny-sur-Orge - multiple fatalities - 12 July 2013
Post by: stuving on October 26, 2022, 13:49:01
Here's a report of that in English from Euronews (https://www.euronews.com/2022/10/26/french-rail-operator-sncf-fined-over-fatal-2013-train-crash-near-paris):
Quote
French rail operator SNCF fined over fatal 2013 train crash near Paris Access to the comments Comments
By AFP  with Euronews  •  Updated: 26/10/2022 - 13:29

France’s national rail operator has been convicted of manslaughter over a deadly train crash near Paris nine years ago.

SNCF was found criminally responsible for the accident, which killed seven people and injured more than 400 others.

The 3657 Intercity Paris-Limoges train derailed at Brétigny-sur-Orge station, south of the French capital, on 12 July 2013.

Investigators later found that a broken metal bar had caused the train to leave the tracks and hit the station platform.

On Wednesday, the court in Evry found SNCF guilty of involuntary injury and manslaughter and fined the French state company €300,000.

But former SNCF employee Laurent Waton and SNCF Réseau, a subsidiary company responsible for managing the railway line, were cleared by the court. Waton had carried out the last surveillance of the track eight days before the accident.

Victims’ associations had accused SNCF of failing to maintain the track, which led to "the decay of the suburban network".

The French company had acknowledged its “moral responsibility” for the derailment but claimed that the accident was caused by an undetectable defect in the steel.

But the court found that the metal bar had been damaged since 2008 and had been poorly maintained for five years.

"This negligence in monitoring the core is definitely linked to the derailment," the judge said on Wednesday.

The verdict can be appealed.



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