-589 Occurrence Summary What Location Date of occurrence 12-5-16 Location name Vinkovci Station Local time 21:6 Latitude 45:18:15 North Event type Infrastructure events Longitude 18:48:44 East Description Direct Cause descrip A local passenger train passed through level crossing on which half barriers were open. The direct cause of this incident is: - Failure of the cable splitter switchgear contact K2/K12 and switchoffgear contact K4/14 (Chapter 4.3.1.). Final Report Other Attachments Nam Desc Type Size Last Orga Repo Nam Desc Type Size Last Orga Repo KI PDF 2426 6/28 Vink File 667 /21 ovci_ 7 216 3:46: _KI_ 23 web. PM pdf What Title Infrastructure events, 12-5-16, Vinkovci Station (Croatia) Occurrence type Infrastructure events Occurrence Class Incident Date of occurrence 12-5-16 Local time 21:6 Events Infrastructure events Descriptions Description A local passenger train passed through level crossing on which half barriers were open. Language Croatian Translation provider Original version ERAIL-REP PUBLIC 1 Friday, March 22, 219
-589 Description Putnicki vlak broj 2611 prešao preko nezacticenog ŽCP-a Location name Vinkovci Station Railway System type Railway Country Croatia Location type Station Border Country Line type Single track Line number L28 Allowed line speed Km number +846 Latitude 45:18:15 North Longitude 18:48:44 East Location description Additional location in Location type details Level Crossing Fixed installations Infrastructure - Level crossing protection Infrastructure - Level crossing protection - Active level crossing Occurrence details Railway vehicles Movement type Regional passenger train Train number 2611 RU Croatia Wagons overturned No HŽ PUTNICKI PRIJEVOZ Train speed at mom 5 km/h Passengers onboard Yes Vehicle description DMU Other objects involved in the occurrence Other objects Parties involved IM Involved Croatia - HŽ Infrastruktura RU Croatia - HŽ PUTNICKI PRIJEVOZ Passengers Staff Level crossing users Unauthorised persons Others Total Fatalities Serious injuries Minor injuries ERAIL-REP PUBLIC 2 Friday, March 22, 219
-589 Material consequences Material Damage Estimated total mate < 15 Damage description Images Name Description Type Size Last modified Organization Repository Causation Causes Direct Cause description The direct cause of this incident is: - Failure of the cable splitter switchgear contact K2/K12 and switchoffgear contact K4/14 (Chapter 4.3.1.). Underlying and root causes description Contributing factors: - Damage of the cable head splitter switchgear contact K2 / K12 switchoffgear contact K4/14 K4/14 (Chapter 4.3.1.), - above average rainfall (Chapter 2.4). Organizational factors: - Procedure of training and teaching executives in charge of maintenance of safety devices (chapter 4.3.2) Causation classification Infrastructure events Recommendations Recommendation Issuing information Recommendation title Education of IM workers Recommendation REC-238 End implementer IM Status Addressee NSA Issue date 2-6-17 Recommendation texts ERAIL-REP PUBLIC 3 Friday, March 22, 219
-589 Language Croatian Translation provider Original version Recommendations text Upravitelj infrastrukture tijekom poucavanja i školovanja izvršnih radnika trebao bi više pozornosti posvetiti na propisane postupke u slucajevima kad se pojavljuju opasnosti vezane za neukljucivanje SS-uredaj, a koje izravno utjecu na sigurnost prometa (poglavlje 4.3.2). Recommendations text The Infrastructure Manager, during regular education program of executive workers, should pay more attention to the training of the personal in prescribed procedures when an incident involving malfunctioning of a signaling and safety occurs (chapter 4.3.2). Implementation information Implementation status Implementation date 28-6-17 NSA Response NIB Comment Causation links Infrastructure events Investigation details Legal Basis Other reason descrip National rules imposed by implementing of the Safety Directive 24/49/EC - in light of Article 19, 2 of SD - (a) the seriousness of the accident or incident -589 National investigatio 341-9/16-3/27 Occurrence creation 27-5-16 14:4:53 Investigator in charge DBELAS Decision to investigate 13-5-16 Declaration date 23-5-16 Date of IM/RU notific 23-5-16 Report Type Final report Workflow Status Validated Report Version 4 Investigation Status Closed Other Attachments Name Descriptio Type Size Last Organizati Repositor ERAIL-REP PUBLIC 4 Friday, March 22, 219
-589 Final Report Name Descriptio Type Size Last Organizati Repositor KI PDF File 2426667 6/28/217 Vinkovci_ 3:46:23 216_KI_ PM web.pdf ERAIL-REP PUBLIC 5 Friday, March 22, 219