In the UK railway it is necessary to show that risks relating to any design solutions are as-low-as-reasonably-practicable. It is a legal requirement and in certain instances complying with a standard may be enough. However, in other circumstances we may have to perform a formal risk assessment. It seems clear that there is a continuum between the two positions but how do we know what to do and if that is enough? This article seeks to address the question. The UK risk acceptance approach, including the as-low-as-reasonably-practicable principle, is explored and the recent initiative of the common safety method is discussed. An example of a compliance safety process against standards is given using a case study based upon changes to rolling stock. A further example where risk assessment and a cost benefit analysis have been employed to support a safety argument for a non-compliant gradient is then presented, followed by concluding remarks.
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US Dept Vet Affairs VA, Natl Ctr Eth Hlth Care, Washington, DC 20420 USA
New York Univ, Dept Med, Grossman Sch Med, New York, NY 10016 USA
NYU, Grossman Sch Med, Dept Populat Hlth, New York, NY 10016 USAUS Dept Vet Affairs VA, Natl Ctr Eth Hlth Care, Washington, DC 20420 USA
Alfandre, David
Foglia, Mary Beth
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VA Natl Ctr Eth Hlth Care, Washington, DC USA
Univ Washington, Sch Med, Dept Bioeth & Humanities, Seattle, WA USAUS Dept Vet Affairs VA, Natl Ctr Eth Hlth Care, Washington, DC 20420 USA
Foglia, Mary Beth
Holodniy, Mark
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VA Publ Hlth Natl Program Off, Washington, DC USA
Publ Hlth Reference Lab, San Diego, CA USAUS Dept Vet Affairs VA, Natl Ctr Eth Hlth Care, Washington, DC 20420 USA
Holodniy, Mark
Elwy, A. Rani
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VA Boston Healthcare Syst, Ctr Hlth Optimizat & Implementat Res, Boston, MA USA
VA Bedford Healthcare Syst, Bedford, MA USA
Brown Univ, Warren Alpert Med Sch, Dept Psychiat & Human Behav, Providence, RI USAUS Dept Vet Affairs VA, Natl Ctr Eth Hlth Care, Washington, DC 20420 USA
Elwy, A. Rani
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY,
2025,
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