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The crash at Kerang: Investigating systemic and psychological factors leading to unintentional non-compliance at rail level crossings
Journal article   Peer reviewed

The crash at Kerang: Investigating systemic and psychological factors leading to unintentional non-compliance at rail level crossings

Paul M Salmon, Gemma J M Read, Neville A Stanton and M G Lenne
Accident Analysis and Prevention, Vol.50, p.1278–1288
2013
url
https://doi.org/10.1016/j.aap.2012.09.029View
Published Version

Abstract

rail level crossings Kerang systems schema accident analysis
In 2007 a loaded semi-trailer truck struck a passenger train on a railway level crossing in Northern Victoria, Australia, killing eleven train passengers. Although the incident was formally investigated, why the truck driver proceeded through the crossing in the presence of a train remains unexplained. This article uses two juxtaposed Human Factors approaches to provide insight into the contributory factors underlying the incident. A systems analysis framework is used to examine the rail level crossing system in which the incident occurred and an individual psychological schema theory account is used to examine the failures which led the truck driver to proceed through the crossing in the presence of a train. The findings suggest that the primary cause of the incident was a looked-but-failed-to-see error driven by a faulty activation of schema error, leading the truck driver to assume initially that the crossing was in fact in a non-activated state with no train present. Moreover, various system-wide factors that shaped the rail level crossing 'system' and thus the incident are identified.

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Domestic collaboration
International collaboration
Web Of Science research areas
Ergonomics
Public, Environmental & Occupational Health
Social Sciences, Interdisciplinary
Transportation

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