Page 23 - Report of the railway accidents investigated in 2021

Annual report 2021
The effect and impact of the infrastructure manager’s safety management system in the context of the case under investigation is important for ensuring railway safety. The safety investigation assesses the aspects of the safety management system that are connected to the case under investigation. Guidelines on what to concentrate on are provided in Annex R4 of the Safety Investigation Manual. In cases that are not related to the management of infrastructure managers, an assessment is given to the operation of the infrastructure manager’s safety management system as part of the ascertainment of the causes of the occurrence and elimination of consequences. As a rule, the safety management of other companies involved in the case does not fall under the competence of the safety investigation.
The investigator-in-charge is responsible for the investigation report to be completed in a timely manner and in the prescribed format. The recommendations presented in the report are subject to proceedings by the addressees of these recommendations. Once a year, the body conducting proceedings submits a report on the current status or results of the proceedings to the ESIB. The ESIB monitors the proceedings that take place prior to the report being presented. For this purpose, the investigator-in- charge contacts the recipient of the recommendation. Monitoring of the proceedings by the investigator-in-charge is set out in Annex R5 of the Safety Investigation Manual.
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