In the two reports we have, there seem to be two or three themes.
One is the maintenance of the track, the maintenance of the rolling stock. There seem to be inconsistent reporting methods, and follow-up is one of the issues.
The other is the relationship between the employees and the management in terms of conveying. In the reports, they say there's a disconnect between senior management and the line of employees as to following through on safety initiatives or understanding what is meant by them. There are recommendations talking about weak gaps in employee training, with skills and training, poor internal complaint resolution processes, and poor follow-up on accidents.
It says:
While the audit team was able to verify that accident and incident reporting and analysis processes are implemented, it was not able to find recorded implementation details or follow-up data on the effectiveness of corrective actions (safety measures) in all cases.
In other words, when they're not reported, it's one problem. When they are reported but are not followed up on to ensure that what was recommended is actually done, it seems to be another problem.
The corollary to that is this. In your opinion, does Transport Canada or the Transportation Safety Board have adequate teeth to enforce and do follow-up, or are they stuck with making recommendations?