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Rail transportation safety investigation R19T0191

Updated in April 2021: This investigation is in the report phase.

Table of contents

Collision with pedestrians

Metrolinx GO Transit
Commuter train #3919
Mile 62.08 of the Guelph Subdivision
Kitchener, Ontario

The occurrence

On 13 November 2019, a westbound Metrolinx GO Transit commuter train (GO Train #3919), proceeding at about 30 mph, struck 2 pedestrians as they walked southward over the Lancaster Street crossing, just north of Victoria Road in Kitchener, Ontario. The GO train crew attempted to stop the train but were unable to do so before contact with pedestrians was made. The 2 pedestrians sustained serious injuries and were transported to hospital. The Province of Ontario has requested that the TSB conduct an independent safety investigation in accordance with the existing Memorandum of Understanding (MOU) between the TSB and the Province of Ontario. The TSB is investigating.


Investigation information

Map showing the location of the occurrence


Investigator-in-charge

Photo of Ken Miller

Ken Miller joined the Transportation Safety Board of Canada (TSB) in 2002 and has been a senior investigator with the Rail and Pipeline Investigations Branch since 2004. During that time he has participated in more than 50 investigations while also performing the duties of standards and performance specialist.

Before joining the TSB, Mr. Miller worked for consulting companies in the resource sector providing geological expertise. In this capacity, he was responsible for the development, management and successful completion of exploration projects.

Mr. Miller’s education credentials include a Bachelor of Science degree in Geological Sciences from Queen’s University in Kingston, Ontario, and a Masters of Business Administration degree from the University of Toronto, Ontario.


Class of investigation

This is a class 2 investigation. These investigations are complex and involve several safety issues requiring in-depth analysis. Class 2 investigations, which frequently result in recommendations, are generally completed within 600 days. For more information, see the Policy on Occurrence Classification.

TSB investigation process

There are 3 phases to a TSB investigation

  1. Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
  2. 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.
  3. 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.