
Long-lasting tragedy: after an inquest and an Old Baily trial, families of the victims say that they have been denied justice
Of course, some of those bereaved by the Croydon tram crash may be disappointed by yesterday’s Old Bailey verdict, for not getting what they felt was justice. But, in fact, it would have been a far greater injustice had driver Alfred Dorris been convicted
There has, historically, been a tendency for individuals to be blamed for causing rail accidents, but for the most part such disasters have been the result of systemic and organisational failings, rather than the fault of a single individual.
Even the most cursory investigation of the Croydon crash will show that this was certainly the case at Sandilands. It was the prosecution in the Dorris trial who told the court at the Old Bailey that the operator had created “an accident waiting to happen”.
Of course, driver Dorris made a mistake, but the circumstances leading up to that fateful day reveal a catalogue of, at times, wilful mismanagement and inadequate responses to warnings which made such an accident almost inevitable. If it had not been Dorris, it would have been another driver.
Put quite simply, the tram system was unsafe and that should have long been apparent to its managers and others responsible for its safety.
First, the issue of driver tiredness caused by onerous shift systems was not properly considered by the tram operator, TOL, a subsidiary of FirstGroup. There were reports of at least half a dozen drivers falling asleep at the controls. But as the response to this by the company was to sack those involved, there may have been countless other incidents. TOL failed to address the issue, despite the clear evidence of frequent incidents of driver tiredness.
Secondly, there was the track layout and its obvious risks.
The accident occurred at a 90-degree bend which had a speed limit of just 12mph but was preceded by a long stretch with three tunnels where the limit was 50mph. Concerns about this section of track had long been expressed and yet lighting in the tunnels was in a poor condition, warning signs had been removed and other safety features not introduced.
However, because legally a tram system does not require the same safety features as a railway, there was no warning device to alert drivers to speeding, as there would have been in a similar situation on a railway line.
All this was compounded by a wholly inadequate investigation held by the Railway Accident Investigation Board which deliberately seems to have downplayed any suggestion that tiredness caused by the shift pattern could have contributed to the accident.
This inadequate investigation had wider consequences, because the coroner in the subsequent inquest refused to allow witnesses to cover any issues which she felt had already been looked at by the RAIB. This meant that the inquest failed to consider a wide range of contributory factors and its jury was limited to findings of “accidental killing” or “unlawful killing”.
The latter would have implied it was the driver’s fault and therefore, after an astonishing nine days of deliberation, the jury at the inquest returned a verdict of “accidental killing”, which inevitably left the bereaved dissatisfied.
Moreover, the investigations and reporting were coloured by the fact that the accident was caused by a derailment when, in fact, had the tram derailed, it probably would not have overturned, which is what caused the deaths and injuries.
This is an important distinction in learning the lessons from the disaster.
There were, too, attempts to cover up investigations after the accident with Transport for London, for example, failing to submit to the original RAIB inquiry a vital safety audit about fatigue management. Subsequently, the RAIB had to issue an addendum in relation to fatigue. Yet it still did not fully reopen its investigations into what was clearly a contributory cause of the accident.
This undermining of the proper process suggests a wider culture within Transport for London over its lack of proper oversight of TOL. There was also something of a revolving door for staff between TfL and TOL which subsequent investigations did not look into.
The acquittal, together with the failings of the investigations, mean that the bereaved are left with a feeling that the whole process has been unsatisfactory, leaving them with a deep sense of injustice.
Both Transport for London and TOL have pleaded guilty to similar charges, with a sentencing hearing expected next month.
But in truth, they have never really responded properly to what was a totally avoidable tragedy. A further, independent investigation should be undertaken. As the headlines of the various articles about this accident suggest, there are still numerous “unanswered questions” about this disaster. There should not be.
Read more: Flawed inquest into tram crash is ‘Hillsborough repeating itself’
Read more: Lawyer’s plea: ‘Save tram victims’ families further heartache’
Read more: TfL ‘scandal putting passengers at risk’ over driver fatigue
Christian Wolmar is a columnist for Rail magazine. His latest book is British Rail, A New History, which has just been issued in paperback by Penguin books. His podcast, Calling All Stations, is now available – just go to https://markwalkerg.podbean.com/ to listen to the latest episode and “follow” to ensure you get notification of future episodes
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