Page 4 - Report of the railway accidents investigated in 2023
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Contents
Public railways in the Republic of Estonia 2 PREFACE 3 CONTENTS 4
1
2
3
INTRODUCTION TO THE INVESTIGATION BODY 5
1 Legal basis 5
2 Role and aim 11
3 Organisation 13
4 Organisational flow 14
INVESTIGATION PROCESSES 17
1 Cases to be investigated 17
2 Institutions involved in investigations 18
3 Investigation process and approach of the Investigation Body 20
SAFETY INVESTIGATIONS 25
1 Overview of completed investigations 25
2 Safety Investigations completed and commenced in 2023 26
3 Summaries of the investigations completed in 2023 27
4 Comments on investigations 28
5 Accidents and incidents investigated during the past five years
(2019 - 2023) 29
4 RECOMMENDATIONS 31
1 Short review and presentation of recommendations 31
2 Recommendations made in 2023 33
ANNEXES
Annex 1 Proceeding of recommendations – Ropka, 11.03.2022 34
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Annual report 2023