Transportation Safety Board of Canada
www.bst-tsb.gc.ca
REPORTS > RAIL > 2006 > R06T0022
Table of Contents
1.0 Factual Information
- 1.1 The Accident
- 1.2 Site Examination
- 1.3 Track Information
- 1.4 Freight Car CP 346875
- 1.5 Freight Car and Wayside Inspection
- 1.6 Derailments Involving Canadian National's Transcona Wheel Shop
- 1.7 Association of American Railroads Wheel Shop Practice and Wheel Set Assembly
- 1.8 Wheel Set Recording Marks, Service Life, and Record Keeping
- 1.9 Canadian National-Led Research to Determine the Cause of Transcona Wheel Shop Loose Wheels
- 1.10 Industry Response to Transcona Wheel Shop Loose Wheel Issue
- 1.11 Canadian National Internal Response to Transcona Wheel Shop Loose Wheel Issue
- 1.12 TSB Engineering Laboratory Report
- 1.13 Canadian Pacific Railway Accelerated Wheel Removal Program on Coil Steel Cars
- 1.14 Transport Canada Regulatory Overview
2.0 Analysis
- 2.1 Introduction
- 2.2 The Accident
- 2.3 Transcona Wheel Shop Loose Wheel Derailments
- 2.4 Association of American Railroads Wheel Boring and Mounting Standards
- 2.5 Industry Response and Recall Protocols for Transcona Wheel Shop Loose Wheels
- 2.6 Tracking Wheel Set Components
- 2.7 Canadian Pacific Railway Overview in Accelerated Wheel Removal Program
3.0 Conclusions
- 3.1 Findings as to Causes and Contributing Factors
- 3.2 Findings as to Risk
4.0 Safety Action
- 4.1 Action Taken
- 4.1.1 TSB Rail Safety Advisories
- 4.1.2 Industry Response
- 4.2 Action Required
- 4.2.1 Removal of Suspect Transcona Wheel Shop Wheel Sets
- 4.2.2 Tracking Wheel Set Components
- 4.3 Safety Concern
- 4.3.1 Wheel Manufacturing Defects
Appendices
- Appendix A - Canadian National Transcona Wheel Shop Loose Wheel Derailments in Canada (2000-2006)
- Appendix B - Canadian National Transcona Wheel Shop Out-of-Gauge/Loose Wheel Findings (2000-2006)
- Appendix C - Glossary
Photos
- Photo 1 - No. 1 Wheel Set from Car CP 346875
- Photo 2 - Wheel Mount Press
- Photo 3 - Wheel Movement on Axle Seat (2 inches), Typical of Loose Wheel-Related Occurrences
- Photo 4 - Typical Cross-Section of Wheel Bores Examined
- Photo 5 - Typical Axle Wheel Seat Examined
Figures
- Figure 1 - Derailment Location
- Figure 2 - Derailment Site
- Figure 3 - Cumulative Main-Track Derailments in Canada Involving Loose 36-inch Canadian National Transcona Wheel Shop Wheel Sets, by Date
- Figure 4 - Forces Acting on a Wheel During Curving