Developing a historic database of serious accidents for the ERA Bulgaria

1. Developing a historic database of serious accidents for the ERABulgaria Steven Hughes Karen Douglas 6th November 2008

2. Agenda • Background to the project and findings of the study to date • Accident investigation process prior to the implementation of the Directive • Accident questionnaire for all organisations in the country going back to 1990 • Review accidents identified for Bulgaria • Availability of accident statistics and other information • Feasibility of extending the database back in time

3. Accident investigation process prior to the implementation of the Safety Directive • What organisations were involved? • Infrastructure Maintainer • Railway Undertaking • Railway Inspectorate • Railway Regulator • Railway Accident Investigator • Other Bodies • Police • Judiciary • When was this structure in place? (from date to date) • Was legislation governed this structure? • What was the purpose of the accident investigation?

4. Accident questionnaire for all organisations in the country going back to 1990 (1) • Name of Investigation Organisations • Date Formed • Was there a legal requirement to investigate certain types of accidents? • Were investigations carried out by an independent body? • Which type of accidents were investigated? • Collisions • Derailments • Collisions between trains and road vehicles • Train Fires • Accidents involving dangerous goods • Accidents involving significant damage • Illegal or unauthorised acts • Falls from moving trains • Are there other type of accidents / incidents not covered above that were investigated?

5. Accident questionnaire for all organisations in the country going back to 1990 (2) • Were there specific consequences that led to an investigation? • Multiple fatalities (passengers, staff, MOP, etc.) • Single fatality • Serious injuries • Serious damage (rolling stock, infrastructure, environment) • Accidents resulting from illegal activity • Other • Did it matter if it was passengers, staff or members of the public?

6. Accident questionnaire for all organisations in the country going back to 1990 (3) • Which category of people were included in the definition of a "passenger"? • person on train with ticket • person on train without ticket • person boarding / alighting moving train • person boarding / alighting at station • person on station platform with ticket • person on station platform without ticket • person on station concourse with ticket (not on platform) • person on track • person on track at station • other

7. Accident questionnaire for all organisations in the country going back to 1990 (3) • Which category of people were included in the definition of an "employee"? • train drivers • on-board train crew • staff working on the track • station staff • depot staff • other staff on railway (e.g. signallers) • contractors • other

8. Accident questionnaire for all organisations in the country going back to 1990 (4) • Which category of people were included in the definition of "others (3rd party)"? • level crossing users • members of the public • station staff • track workers • contractors • person on train without ticket • person on station platform with ticket • person on station platform without ticket • person on station concourse with ticket • person on running line • person on track at station • other

9. Accident questionnaire for all organisations in the country going back to 1990 (5) • What specific issues did the accident investigations focus on? (e.g technical, safety management, culture, operations, damage, human error) • What documents were formally produced? (for example investigation reports) • Were the formal documents published / publicly available? (body publishing them, website) • If so, by whom? • What is the oldest investigation report that you know of? (year, if known) • Where are the investigation reports kept?

10. Review of the accidents identified for Bulgaria • Are the details and the classification of the accidents are correct? • What accidents have we missed that would be eligible under the Safety Directive? • Do accident reports for the accidents exist? • If yes, can we get a copy?

11. Accidents Identified for Bulgaria • 18/08/92, Kazichene station • A freight train travelling at 100 km/h went through a stop signal and was hit by a passenger express train travelling from Burgas to Sofia • 8 fatalities, 57 serious injuries • Railway Undertaking BDZ, Infrastructure Maintainer NRIC • 01/10/1992, Harmanli • An international passenger train travelling from Istanbul to Munich collided head-on with a Liubimez-Biser freight train • 3 staff, 2 passenger fatalities • 1 serious injury • Railway Undertaking BDZ, Infrastructure Maintainer NRIC

12. Availability of Accident Statistics and other Information • What Bulgarian railway accident statistics have been published? • How have these statistics been collated? • Is there a central record of safety-related incidents (e.g. the UK SMIS system)?

13. Feasibility of Extending the Database back in time • What formal accident reports have been published? • Are they readily available in electronic / paper form? • What language are they available in? • Are there other sources / reports / websites / papers available to support the project?

14. For more information, please contact: Lloyd’s Register (amend as req.) 71 Fenchurch Street London, EC3M 4BS T+44 (0)20 7709 9166F+44 (0)20 7488 4796Ejohn.doe@lr.org