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TSB Quarterly Review — First quarter 2021-22

ISSN 2369-7954

July 2021

Chair's message

Despite the ongoing challenges brought by the COVID-19 pandemic, the TSB continued to advance transportation safety in the first quarter of 2021, deploying to five occurrence sites across the country.

Since April 2021, we began six new investigations, including a Class 1 Safety Issue Investigation (SII) - R20H0082 into accidents at level rail crossings and released 12 investigation reports.

Additionally, on May 13, the TSB released its annual reassessment of responses to 62 outstanding safety recommendations in the air, marine and rail modes. The Board noted progress on some responses, with 12 recommendations now rated Fully Satisfactory: five in aviation, four in marine and three in rail.

However, other key issues showed minimal progress, indicating much work remains.

Figure 1. TSB assessments and reassessments of responses to recommendations
TSB assessments and reassessments of responses to recommendations

As mentioned above, last month we launched a new Class 1 SII aimed at understanding the factors leading to an increase in the rate of railway crossing accidents during winter months in Canada. Each year, approximately 23 people are killed and 28 more are seriously injured at rail crossings, making this type of accident among the deadliest of rail accidents. Each SII undertaken by the TSB involves a detailed study of a series of occurrences that have formed a pattern over time. Such investigations often involve a large team and significant resources in order to produce a lengthy and detailed report.

As we look ahead, we are preparing for the TSB Watchlist 2020 mid-cycle consultations. These sessions will allow us to understand how the air, marine and rail industries are progressing on the issues identified in the current Watchlist. We will use that information to start the process of preparing the next TSB Watchlist, due in the fall of 2022.

Stay healthy and safe!

Kathleen Fox

Completed investigations




New investigation pages


Recommendations now classed as “Fully Satisfactory”




Other developments