Train accidents and near accidents occurring over a 3-year period were
examined within an Australian public rail authority. Retrospective an
alysis of 112 incidents according to Reason's (1992) Generic Error Mod
elling System(Reason, 1992, Human Error. Cambridge University Press, C
ambridge), revealed a propensity of skill based errors across the more
common types of rail mishaps. In agreement with previous rail researc
h, sustained attention was the most salient contributing human factor
across all incident types, particularly inattentiveness to railway sig
nals. The unfavourable nature of the working environment and the repet
itive nature of the train driving task are discussed in light of reduc
ing attentional deficits. In addition, a Railway Safety Checklist was
developed to identify train drivers perception of safety. One hundred
and ninety train drivers indicated that staff attitude in the form of
low morale was a serious problem in the safe conduct of their job. The
results of this study imply that useful strategies for improving driv
er vigilance should be directed at improving the safety culture of the
operating environment. (C) 1997 Elsevier Science Ltd.