The Railways has decided to upgrade its accident investigation process by introducing industry-standard cause and effect analysis techniques such as Ishikawa (fishbone) diagrams and other such tools developed by Japan. An order issued by the Railway Board on Wednesday said that the fishbone technique and other tools like 5-why analysis will better determine the root cause and thus, reduce the chances of recurrence.
Both these techniques have been developed by Japan and are widely used in various fields to look at the effects and causes and solve the problem.
“Further, in the case of SPADS (Signal Passing at Danger), a 5-why (why-why) root-cause analysis can be carried out to improve the acuity of accident investigation. Authorities approving accident investigation reports may be directed to ensure that the root-cause analysis techniques as mentioned above are used in the respective cases without fail,” the order said.
Also read: Indian Railways earns Rs 500 crore from Tatkal, premium Tatkal tickets
It also said that introducing these techniques may require training of the officers and personnel involved, which is to be conducted by the railway zones on their behalf. The Railway Board also said that the short courses are being organized by the Director General, National Academy of Indian Railways (NAIR).
It has been said in the order that these instructions to upgrade the accident investigation process will be effective from February 1. Railway accidents are investigated by the Commissioner of Railway Safety which comes under the Ministry of Aviation to make it fair.
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