
The case relates to a fatal incident near Twerton on 1 December 2018, when 28-year-old Bethan Roper suffered a fatal head injury after placing her head outside a droplight window of a moving GWR train and striking a tree branch. Droplight windows, found on trains with slam doors, can be lowered to open.
In 2016, a passenger died in a similar incident near Balham, south London. Following that accident, the Rail Accident Investigation Branch (RAIB) issued safety recommendations in May 2017.
Although GWR was already aware of a number of previous incidents, the company did not produce a written risk assessment for droplight windows until September 2017. That assessment identified the hazard as one of the most significant passenger safety risks.
However, ORR later found the assessment to be neither suitable nor sufficient and wrote to GWR to highlight its shortcomings. The assessment was not revised in light of ORR’s concerns, and the actions GWR had identified to reduce the risk were not implemented before the fatal accident in 2018.
Following Ms Roper’s death, further safety recommendations were issued across the rail industry, to prevent passengers from leaning out of droplight windows.
As a result of these measures, all rolling stock operated by train companies that had droplight windows has since either been withdrawn from service or fitted with engineering controls to prevent windows being opened while trains are moving.
Richard Hines, ORR’s Chief Inspector of Railways, said:
Notes to editors
The Office of Rail and Road (ORR) is the independent economic and safety regulator for Britain’s railways, and monitor of performance and efficiency for England’s strategic road network.
First Great Western Limited, trading as Great Western Railway, pleaded guilty to a breach of section 3 (1) of the Health and Safety at Work etc. Act 1974 and to a breach of Regulation 19(1) of The Railways and Other Guided Transport Systems (Safety) Regulations 2006 (ROGS).
- First Great Western Limited has been issued a fine of £1 million. It was also ordered to pay ORR’s full costs of £78,444.19 and victim surcharge of £175.