The document outlines the trauma response process for an incident on a train. It lists the roles and responsibilities of various parties including the driver, guard, operations manager, on-site manager, and police. Key steps include securing the train, assessing injuries, contacting relevant parties, establishing a crime scene if needed, protecting the train, and providing counseling and transport for affected crew and passengers. The overall goals are to look after welfare, ensure site safety, and coordinate the response between the different groups.