Rail transportation safety investigation R17T0170
The TSB has completed this investigation. The report was published on 23 April 2018.
Canadian Pacific Railway
Freight train 141-30
Mile 113.0, Galt Subdivision
View final report
On , a Canadian Pacific Railway employee sustained serious injuries after falling from a train in the Quebec St. Yard, in London, Ontario.
Investigation report: July 2017 railway accident causing injury at the Quebec St. Yard in London, Ontario
Read the news release
Map showing the location of the occurrence
Don Mustard has been with the Transportation Safety Board of Canada (TSB) since 2002. Over the years he has been an investigator-in-charge (IIC), a standards and performance specialist, and a team member on numerous rail and pipeline accident investigations. Mr. Mustard received a Public Service Award of Excellence for his contributions to the Lac-Mégantic investigation. He has also been recognized for his contributions to other major TSB investigations, most recently on the investigation into the fatal runaway train derailment near Field, British Columbia, in 2019. His research work has been presented and published at international industry events such as the International Heavy Haul Association and the International Level Crossing Safety and Trespass Prevention Symposium. Mr. Mustard recently completed his Master of Science in Applied Analytics at Columbia University, with a focus on the application of analytics to safety management, and spent a year on sabbatical applying those studies as the Manager, Safety Risk Management at Metrolinx.
Before joining the TSB, Mr. Mustard spent 13 years providing geological and communication services to resource companies and Canada’s nuclear regulator.
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.