The TSB has completed this investigation. The report was published on 23 April 2018.
Employee injury
Canadian Pacific Railway
Freight train 141-30
Mile 113.0, Galt Subdivision
London, Ontario
The occurrence
On , a Canadian Pacific Railway employee sustained serious injuries after falling from a train in the Quebec St. Yard, in London, Ontario.
Media materials
News release
Investigation report: July 2017 railway accident causing injury at the Quebec St. Yard in London, Ontario
Read the news release
Investigation information
R17T0170
Employee injury
Canadian Pacific Railway
Freight train 141-30
Mile 113.0, Galt Subdivision
London, Ontario
Investigator-in-charge
Don Mustard has been a senior investigator with the Transportation Safety Board of Canada (TSB) for more than 20 years. He has led and supported numerous rail and pipeline accident investigations and is a specialist in investigative methodology, regulatory affairs, safety management systems and data analysis. Mr. Mustard holds an MS in Applied Analytics from Columbia University and undergraduate degrees in communications and science.
Over the years, Mr. Mustard has been recognized for his contributions to major TSB investigations. He received a Public Service Award of Excellence for his contributions to the Lac-Mégantic investigation and, most recently, for leading the safety management investigation team into the fatal runaway train derailment near Field, British Columbia, in 2019. His investigative work has been presented and published at international industry events, including the International Heavy Haul Association and the International Level Crossing Safety and Trespass Prevention Symposium. His most recent work includes leading the implementation of the Safety Risk Management program at Metrolinx, while on sabbatical from his work at the TSB.
Prior to joining the TSB, Mr. Mustard spent 13 years providing geological and communications services to resource companies and the Canadian Nuclear Safety Commission.
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Class of investigation
This is a class 4 investigation. These investigations are limited in scope, and while the final reports may contain limited analysis, they do not contain findings or recommendations. Class 4 investigations are generally completed within 220 days. For more information, see the Policy on Occurrence Classification.
TSB investigation process
There are 3 phases to a TSB investigation
- Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
- Examination and analysis phase: the TSB reviews pertinent records, tests components of the wreckage in the lab, determines the sequence of events and identifies safety deficiencies. When safety deficiencies are suspected or confirmed, the TSB advises the appropriate authority without waiting until publication of the final report.
- Report phase: a confidential draft report is approved by the Board and sent to persons and corporations who are directly concerned by the report. They then have the opportunity to dispute or correct information they believe to be incorrect. The Board considers all representations before approving the final report, which is subsequently released to the public.
For more information, see our Investigation process page.
The TSB is an independent agency that investigates air, marine, pipeline, and rail transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.