The
Aviation Accidents Prevention and Investigation Department (GPIAAF) investigated the accident. Its final report was released on 29 September 2021. It came to light that after two events, in 2016 and 2018, where such vehicles passed signals at danger, GPIAAF recommended that IP reassess the possibility of equipping these vehicles with ATP and act to ensure train driving qualifications of their maintenance staff. IP agreed to install ATP, but this was met with difficulties in sourcing
CONVEL-compatible equipment from
Bombardier. While the immediate cause was human error — the driver passing the signal at danger — five other causal factors were identified, including the absence of ATP on the maintenance vehicle. Its incursion into the reserved block was, however, detected by the
track circuit and signals were updated accordingly, but the passenger train had already passed the previous signal and
balise, and proceeded at top speed expecting a clear track ahead. ==References==