Heathrow failures highlight NATM (abuse?) misunderstandings

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Heathrow failures highlight NATM (abuse?) misunderstandings
GroBbritannien
                                                                  United Kingdom

         Heathrow failures highlight NATM
         (abuse?) misunderstandings
          Shani Wallis

        In February 1999 the heaviest               Following a quite extraordinary       four Beatty is set against an original   cution's main expert witness
    fines ever imposed following               trial - which has actually left no party   contract value of £ 60 million and       report had been directed and
    prosecution by the British Health &        to the proceedings unscathed -             against a company within a large         in some cases written by the
    Safety Executive were levied against       Geoconsult has lodged an appeal            corporation that accounts for about      leading HSE inspector. The re-
    Balfour Beatty and Geoconsult              against both the conviction and the        10% to 15% ofthe group's £2 billion      port could not be relied upon
    following collapse of NATM station         sentence. It claims that HSE               annual turnover. The fact that Bal-      as being independent and un-
    tunnels on the Heathrow Express Rail       "breached its paramount legal              four Beatty admitted guilt, the          biased. As a result prosecu-
    Link Project at Heathrow Airport in        obligation to prosecute fairly" and        judge said, mitigated in its favour      tion withdrew the report in its
    London in October 1994. Balfour            that rulings on procedural orders          although it was made evident             entirety and the court
    Beatty, tunnelling contractor on the       "resulted in prejudice" against the        during the trial that Balfour Beatty     allowed      prosecution    to
    £440 million project, pleaded guilty       company. Against the sentence it           "must bear greater responsibility        depend on the alternative
    to violating two counts ofthe              claims that the fine is excessive and      for the collapse".                       expert witness of Sir Alan
    country's Safety at Work Act 1974          overlooks guidelines that fines should                                              Muir Wood and of Prof John
    and was fined £1.2 million plus            reflect the gravity of the offence but         One of the major losers in this      Hutchinson. These reports
    £100,000 toward prosecution costs          should not imperil the existence           case is the prosecuting agency           were        introduced      by
    and were given 14 days to pay.             ofthe company. The total £600,000          itself. The HSE was severely             prosecution at a preliminary
                                               fine for Geoconsult is levied against      criticised by the trial judge for its    hearing in November 1998, it
        Geoconsult, as specialist designer     an original contract value of £1           conduct of the case and was              was said, to support the origi-
    to Balfour Beatty for the NATM             million and against a medium sized         awarded only £200,000 of the             nal and subsequently with-
    works on the project, denied the           consulting engineering company. The        £880,000 claim for costs. In the         drawn expert witness report
    charges but was found guilty by a          $1.3 million total fine for Bal-           opening days of the trial and by         submitted by Mr Guy Lance
    jury of 12 after a 26-day criminal trial                                              chance, the defence team found           of WS Atkins. In response, de-
    at the Old Bailey Criminal Crown                                                      that much of the prose-                  fence made application for
    Court and was fined £500,000 with                                                                                              the case to be dismissed on
    £100,000 towards costs and was                                                                                                 the grounds of "abuse" and
    given two-and-a-half years to pay.              Balfour Beatty's lowest bid £60 million contract was to build 8.8km            applied also for the expert
                                                of shield-driven running tunnel and various NATM caverns including                 witness of Muir Wood and
       The two charges laid against each        the underground station complexes at CTA and Terminal 4 on the                     Hutchinson to be disallowed
    company were for failing in their           estimated £440 million Heathrow Express Rail Link Project.                         as substitute. Both applica-
    duty to ensure the safety of their          Geoconsult was specialist NATM design engineer to Balfour Beatty.                  tions were denied and the
    employees during construction of            NATM was specified for design of the stations following a successful               trial proceeded. This matter is
    the NATM station tunnels at the CTA         trial of the method in London Clay at Heathrow in 1992. The trial was              to be re-examined in Geocon-
    (Central Terminal Area), and failing        designed and supervised by the UK office of Austria's Dr Sauer                     sult's appeal. So although HSE
    to ensure the safety of those not in        company and was built by the Kier/Lilley/Kunz UK/German joint                      obtained a conviction, it was
    their employ (the general public), by                                                                                          effectively fined £680,000 -
                                                venture. This was the first use of NATM in London Clay and the
    exposing them to danger. For                                                                                                   not including the cost of the
                                                method was subsequently adopted for the Waterloo and London
    Geoconsult the charge included                                                                                                 Lance report.
                                                Bridge stations on the Jubilee Line Extension of London's
    technical supervision of the works.         Underground. At no time in the trial did HSE or prosecution suggest                The trial
.                                               that NATM as verified by the trial tunnel or designed by Geoconsult                   During the trial, evidence
Shani Wallis, Laser Line,                       for the Heathrow Express was defective in any way. Prosecution and                 revealed extremely poor
Surbiton/UK                                     the HSE in its report "Safety of NATM with particular reference to                 workmanship; major flaws in
                                                London Clay" stated that NATM is a safe and appropriate tunnelling                 construction management;
                                                method in London Clay "providing enough care is taken" and that the                and             questionable
                                                Heathrow NATM structures now open to the public since mid 1998,                    contractual arrangements.
                                                are safe.                                                                          Miners in the tunnelling
                                                                                                                                   gangs told of difficulty in
66 Tunnel 3/99
                                                                                                                                   constructing the invert joint
                                                                                                                                   of the NATM side-wall drift
Heathrow failures highlight NATM (abuse?) misunderstandings
London Heathrow
                                                                    Express Link

excavation        sequence;         of
problems with blockages and
delayed delivery of shotcrete; of
regular changes in the personnel
in the gangs and of little
continuity of routine. Con-
struction foremen and shift
engineers told of pressures from
management           to     improve
productivity and make up for
delays Site and supervising en-
gineers raised concerns about
over-excavation of rounds by the
miners; inexperience and lack of
skill in the crews; and higher than
expected surface settlement
leading to inspection and repair
of inverts where shotcrete was
50mm instead of 250 to 300mm               3 Plan of the excavation works completed at the time of the collapse of the Central Terminal Area
thick;      where      there      was
insufficient overlap or no starter
bars at all in construction joints;
and where shotcrete was
sprayed over rebound. Senior
project management engineers             1 It was on the night of 21 Nov. 1994 that the Central Terminal Area station tunnels collapsed causing
questioned the apparent lack of          extensive damage to the surface
an experienced supervision
team; the apparent disregard of
                                            All of these flaws culminated   Eventually the teams were or-
the many CARS (corrective action
                                         in October 1994 with the ul-       dered to vacate the tunnels at          The prosecution
requests) raised by any engineer
                                         timate collapse of the CTA NATM    about 12am amid the sound of            case
noticing poor workmanship;
                                         tunnels. Cracks in the shotcrete   cracking and the sight of shotcrete
apparent disregard of SDNs                                                                                              HSE as the prosecuting
                                         started to propagate farther,      particles raining down. At about
(system defect notices) raised by                                                                                   agency claimed that the col-
                                         faster and grew wider during the   1am the abandoned tunnels
the project management team                                                                                         lapse "was the worst civil en-
                                         early hours of the night shift     started to collapse and continued
for the attention of senior                                                                                         gineering disaster in the united
                                         (started at 7pm) and teams were    over the two following days
contract        managers;          the                                                                              Kingdom in the last quarter of
                                         being moved from one area to       creating a hole on the surface and
application of "self certification"                                                                                 a century" and that it was only
                                         another to try and repair cracks   causing extensive damage to
as part of the construction                                                                                         by chance that no-one was
                                         and replace lumps of shotcrete     surface structures. All stabilised on
contract; and early relaxation of                                                                                   seriously injured or killed. As
                                         as they fell and wire mesh burst   the third day and with much of the
the       already     disfunctioning                                                                                well as endangering the lives
                                         through the green shotcrete of     underground cavity infilled with
auditing role by HEX of the                                                                                         of the workers, prosecution
                                         earlier repairs.                   concrete.
contractor's        self-certification                                                                              suggested that the conse-
system.                                                                                                             quences for the public could

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have been disastrous, if the
collapse at one of the world's
busiest airports had occurred
during the day, and if the con-
course tunnel had "unzipped" to
beyond the Piccadilly Line
tunnels of the London under-
ground system which lie above
the Express Rail Link tunnels and
some 70m out in front of the
collapsed zone (Figs 2 and 3).
Prosecution claimed on the
basis of expert witness that
monitoring data indicated that
the collapse was evident up to
seven days before the event,
that Geoconsult was "the                   3 Plan of the excavation works completed at the time of the collapse of the Central Terminal Area
watchdog that did not bark".
                                     certification in that Balfour         on-going repairs in the invert of       double production by the end
    Sir Alan Muir Wood for           Beatty felt HEX should not be         the CTA concourse had been              of the week. He demands that
prosecution stated that in his       involved". He felt, he said, that     raised", (in evidence Sir Alan          we open all six faces. Panic all
opinion, the collapse was caused     Balfour Beatty were paying "lip       Muir wood retorted that "Nero           round". "Cracks in the tempo-
by the defective invert. He          service" to self certification. in    was fiddling while Rome was             rary wall - expert foreign
claimed         that      recorded   his read statement Bob Gee,           burning".) in defence, it was           sounding gentleman to inspect
monitoring data and other            engineering design manager in         made clear that Geoconsult was          and instruct." "Oh dear, oh
contemporaneous           evidence   HEX, said other than increasing       acting as part of Balfour               dear, oh dear. Horizontal cracks
indicated that collapse was          the initial prediction of 9.34mm      Beatty's own engineering                in concourse tunnel. The witch
imminent up to 14 days before.       of settlement over the                department under manager Ian            hunt starts now." "Big
He criticised the NEC form of        concourse tunnel at CTA, the          Massey; and that Geoconsult             movement in the concourse
contract as inappropriate for        HEX team were satisfied with          personnel were not invited to           crown at chainage 31 to 40m.
tunnelling contracts; that self-     Geoconsult's NATM design and          project meetings; were not on           Time to open up the invert for
certification as a method of         the baseline criteria and             the distribution list of letters or     a look see.” "Work on inverts
quality control had failed; and      assumptions used. There was           meeting records; and were not           [in section back to the shaft]
that (under cross examination)       concern however of apparent           party to various decisions              still on-going. You might as well
"it is very unfortunate for          lack of supervision and lack of       including it was claimed the            take the whole section out." in
Geoconsult to find itself where it   experience in the construction        programme of compensation               his evidence Muir Wood
is" and that "morally it is very     teams as work started and a           "jacking" under Camborne                suggested that removal of a
hard luck for them." He said that    major concern that the process        House in August 1994, nor the           large section of the tunnel's
"the way in which the whole          of self-certification and its audit   decision to stop concourse              infill clay over the defective
management of this contract          by the HEX team was not               tunnel invert repairs in August         invert (rather than in 2m
was proceeding meant there           working. He said that while           rather than continuing back to          sections as instructed and
was a great break between engi-      compensation grouting had             the access shaft; nor the               carried out for the earlier re-
neering and construction which,      been used in August 1994 to           instruction to open the two             pairs), together with starting
to my mind, is the fundamental       counteract         higher     than    parallel upline and downline            the parallel platform tunnels,
ill effect which led to all these    expected (18mm) settlement            station platform tunnels in late        initiated the collapse.
things happening". He said that      under Camborne House above            September to make up for
liability for the collapse "should   the CTA concourse tunnel as it        delays of 28 days and 80 days           The case for the
extend to those who were             passed underneath, the HEX            on these headings. Further
                                                                                                                   defence
putting these sorts of contracts     team was not alarmed by               evidence read by prosecution
                                                                                                                      Of all the collapse reports
together".                           monitoring data they had seen         from the Balfour Beatty section
                                                                                                                   produced so far, perhaps the
                                     to date. "We did not spot the         engineers log book prior to the
                                                                                                                   most thorough is that produced
   Jonathan Allen, CTA area          lead up to the collapse," he          collapse gives an indication of
                                                                                                                   by defence expert witness Prof.
manager in BAA's (the private        said, and that at the last            the climate on the site. Entries
                                                                                                                   Reinhard Rokahr of Hanover
owners of Heathrow Airport)          progress meeting between HEX          read: "Alan (more muck) Myers
                                                                                                                   university. Sir Alan Muir Wood
HEX (Heathrow Express) man-          and Balfour Beatty on the day         [Balfour Beatty's construction
                                                                                                                   admitted that his report was
agement team said that he was        of the collapse, "neither             project director] demands we
                                                                                                                   prepared in a week
"concerned with the lack of          settlement nor
understanding about self
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                                                                     United Kingdom
and used "rough back of an
envelop” calculations; the Guy
Lance expert witness report was
withdrawn; an expert witness
report produced by Profs. Mair
and Potts of Cambridge
University for Balfour Beatty was
not made available, given
Balfour Beatty's guilty plea; and
the incident Report, called for by
the UK government and being
prepared as a statutory duty by
HSE with input from Guy Lance
of WS Atkins, Martin Thurgood
of HSE, and Sir Alan Muir Wood
among many others, is yet to be 4 BAA, known in the UK as a progressive client, chose the New Engineering Contract (NEC) for the project and
published.                           to adopt a system of "self certification" whereby contractors certify their own work and keep their own
                                     quality assurance records. To manage the project, BAA established the HEX team comprising engineers from
    Although Prof Rokahr criti- Mott MacDonald, BAA'S project engineer and designer of all the permanent works; Taylor Woodrow,
cised the lack of on-site NATM appointed before contracts award as construction manager; and members of its own engineering and
authority at Heathrow; lack of management staff, in addition, Mott MacDonald was appointed by BAA and under separate contract to
experience among the field monitor and control all surface settlement issues during construction of tunnels under the airport facilities. It
engineers, the tunnelling fore- undertook the same responsibilities for Balfour Beatty under a different contract and Keller was engaged as
                                     the specialist contractor to undertake compensation grouting to control surface settlement under sensitive
men and the crews; poor quality
                                     structures. Following the collapse, all parties to the project remained engaged and in a truly single minded
of the monitoring instru-
                                     project oriented approach, some quite remarkable engineering and construction work, including NATM work
mentation data; lack of full time in the stations, was undertaken to restore the situation and complete the project just 6 months later than
geotechnical geologists within schedule - but at what cost depends where you start counting
an NATM supervision team that
already number too few; limited                                                                                   for the collapse given the
                                      bore down on the concourse ening of the clay body caused by
instrumentation data available;                                                                                   circumstances of the work, the
                                      tunnel which, with its defective starting the two parallel platform
serious omissions in the                                                                                          evidence, and the geotechnical
                                      invert, could not act as a closed tunnel headings, and a soaking of
installed         instrumentation                                                                                 data available. He said that the
                                      ring. This imparted heavy loads the clay through the collapsed eye
regime; and of the "inadequate"                                                                                   speed of collapse could not be
                                      onto the upline platform tunnel of an escalator box (excavated
computer software system                                                                                          predicted and that workers
                                      where the new shotcrete could overhead and under a earlier
provided by Balfour Beatty for                                                                                    were not exposed to risk until
                                      not carry the exceptionally high contract) could have initiated the
processing the instrumentation                                                                                    immediately before the collapse.
                                      loads and failed. Thereafter the landslide. He claims that deforma-
data; he did state that there was
                                      block subsided further and tion and settlement readings taken
sufficient recorded data to                                                                                           Hutchinson, professor of
                                      caused the defective invert of the under Camborne House in August
indicate that: "In my view, the                                                                                  geology at imperial College as an
                                      concourse tunnel to fold in on 1994, with an equally defective
causation of the collapse, in all                                                                                expert witness for prosecution,
                                      itself and the upper part of the invert, were higher and did not
probability and I think bordering                                                                                stated that London Clay is a well
                                      concourse to settle by ap- cause collapse than those
on certainty, is a large scale slide                                                                             documented,                largely
                                      proximately 2m but without recorded, in the area that did
of the clay mass in the zone be-                                                                                 homogeneous, uniform and
                                      leading to a complete collapse of collapse in October. All readings,
tween the downline platform                                                                                      extensive     body     of    over
                                      the crown. The defective invert, including the last taken before the
tunnel north heading and                                                                                         consolidated sedimentary clay
                                      said Rokahr, and its ongoing collapse, he stated, were well
Camborne House (Figs 2 and                                                                                       with very few discontinuities and
                                      repair could not on their own within the design's critical level
3)." The collapse, he claims,                                                                                    none identified in the area of the
                                      have triggered the collapse. The criteria. Rokahr's expert evidence
started as horizontal shear                                                                                      CTA that could have caused a
                                      report by Mair and Potts he said, is based on the theory that some
cracks in the walls of the ad-                                                                                   landslip such as the one
                                      declared that even with part of unforeseeable and completely
vancing side wall drift of the                                                                                   described by Prof Rokahr. He did
                                      the invert completely removed, unpredictable            behaviour     or
downline platform tunnel. After                                                                                  however criticise the site
                                      the tunnel, as designed, should geotechnical mechanism in the
losing support in the area of the                                                                                investigation carried out by Mott
                                      still have stood up for up to 80 clay body is the only explanation
downline platform tunnel, a                                                                                      MacDonald           as      being
                                      days. He suggested that a soft-
monolithic block of clay created                                                                                 "preliminary" and "surprising if a
by a number of bored piles near                                                                                  tunnelling expert
the working shaft and acting like
stiff dowels,

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GroBbritannien
                                                                    United Kingdom

did not carry out a further             sumed the role of construction         The verdict                          was stopped near the end of the
investigation".                         quality control supervision. This      After closing statements the         Heathrow trial by the judge on.
                                        was confirmed in a letter from         jury was dismissed to consider       the grounds that even though the
In a reverse of usual criminal          Alan Myers, project director for       its verdict. In his instructions,    four accused were not on the site
prosecution proceedings, the            Balfour Beatty, to the HEX             the judge asked the jurors to        when they clearly should have
burden of proof is on the defence       management team a month                consider:      Did     Geoconsult    been, the event and its
to prove that all reasonably            before the collapse that: "The         endanger the lives of its workers    consequences could not have
practicable was done by their staff     primary function of the NATM           and those of the general public      been      avoided.    Equally,  is
to avoid the collapse and avoid         engineers is not quality control.      and did they do every thing          judgement by a lay jury of such
endangering the lives of workers        Quality      control      is   the     "reasonably practicable" to          complex       technical    matters
and the public. To this end             responsibility of the construction     avoid such risks? If yes to the      appropriate? The industry itself
Geoconsult argued that its              teams. This is in accordance with      first part and yes to the second     knows how difficult it can be to
responsibility on-site was greatly      our self-certification scheme, we      part - not guilty. If yes to the     discuss technical engineering
reduced by Balfour Beatty in that       repeat we have continuous NATM         first and no to the second -         principals even among skilled
its original proposal for three full    engineering supervision and we         guilty, it took the jury 10h - and   professional engineers.
time employees (an experienced          do not have project-wide quality       a return to the court room to
site engineer and two full time         problems as you suggest." Three        hear further evidence about the      So, Although the trial is over, the
NATM construction foremen) had          engineers were provided by             collapsed escalator box and the      debate continues. First the result
been reduced to one site engineer       Balfour     Beatty      to   assist          3
                                                                               13m of concrete pumped in to         of Geoconsult's appeal is awaited
whose responsibility was to act as      Geoconsult's engineer in the field     fill the void created - before it    and at some stage, the
site liaison with Geoconsult's de-      but these had little or no on-site     returned a unanimous verdict of      international tunnelling industry
sign office in Austria, prepare the     or NATM design experience and          guilty against Geoconsult.           will finally, after more than four
NATM working sheets as required,        had to cover all NATM areas of                                              years, have sight of the official HSE
interpret monitoring data, and          work on the full project.              in the aftermath of the trial, the   report into the incident itself.
advise Balfour Beatty accordingly.                                             UK technical trade press has
                                        In his efforts Adrian Kattinger                                             Wallis, S.: Heathrow rises from the
They further argued that the one                                               carried numerous letters and         mire and shines. Tunnel 6/1996, p. 6
on-site Geoconsult engineer,            warned of poor workmanship and         articles on various aspects of
Adrian Kattinger, tried to exert the    the possible consequences to           the case including criticism or
type of authority usually invested      Balfour Beatty's engineering and       support of the New Engineering                Tunnel
in the NATM site Engineer on the        management staff and to his
Continent and through a full team       colleagues in head office in
                                                                               Contract and of self-certification
                                                                               while in the meantime the
                                                                                                                          Sonderdruck-
of equally skilled and experienced      Austria. He raised several CARs,       actual cause of the collapse                  service
field engineers, but against all the    and had his instructions overruled     remains a point of professional        Sonderdrucke unserer
odds.                                   - a point clearly illustrated in the   dispute.                               Fachartikel sind jeder- zeit
                                        trial evidence when the NATM
                                        field engineer on night shift asks                                            möglich-zu einem
Kurt Laubichler, Geoconsult's head                                             On addition other serious issues
of NATM work at HEX, said in an         of his fellow engineer "Was it                                                erschwinglichen Preis: für
                                                                               are being discussed. For
interview with HSE that Geoconsult      agreed on the day shift that there                                            Ihre Werbung, für
                                                                               example is a criminal court
was "requested in writing by            is no need to progress invert re-      really the most appropriate            Schulen, Weiterbildung
Balfour Beatty, after award of          pairs in the concourse any further     venue for investigating such           und andere Veranstal-
contract I think, that we should        back toward the shaft?" A "NO!"        events? In an open letter to a         tungen.
propose one man to work within          in Kattinger's hand writing            UK technical trade magazine
the framework of the services           indicates the answer but               Geoconsult stated that had the         Wenn Sie interessiert sind
description". He said Geoconsult        regardless, repairs of the con-        collapse occurred in Austria, an       und Einzelheiten wissen
had no choice other than to agree.      course tunnel invert (following        official investigation would have      möchten - bitte rufen Sie
Balfour Beatty claimed that it had      excessive      settlement       and    been conducted but "it is
                                        compensation grouting under                                                   die Redaktion an:
sufficient NATM experience from                                                improbable        that   criminal
the Channel Tunnel and other pro-       Camborne House during August                                                   +49 (0) 52 41 / 80-19 43.
                                                                               proceedings        would     have
jects and that it could provide all     1994) was stopped at chainage          resulted in a case where nobody
the necessary site foremen, shift       54m. it was during subsequent          was injured or killed". The
engineers and field engineers. With     repair of the invert from chainage     criminal case against the four
only one Geoconsult engineer on-        54m back to the working shaft in       construction site managers
site, defence claimed it was implicit   October that the tunnels col-          following the NATM tunnel
that Balfour Beatty had as-             lapsed.                                collapse in Munich just weeks
                                                                               before the Heathrow collapse,
                                                                               and which killed four people,

     72 Tunnel 3/99
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