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Safety Recommendation Details

Safety Recommendation R-10-015
Details
Synopsis: On Monday, June 22, 2009, about 4:58 p.m., eastern daylight time, inbound WMATA Metrorail train 112 struck the rear of stopped inbound Metrorail train 214. The accident occurred on aboveground track on the Metrorail Red Line near the Fort Totten station in Washington, D.C. The lead car of train 112 struck the rear car of train 214, causing the rear car of train 214 to telescope1 into the lead car of train 112, resulting in a loss of occupant survival space in the lead car of about 63 feet (about 84 percent of its total length). Nine people aboard train 112, including the train operator, were killed. Emergency response agencies reported transporting 52 people to local hospitals. Damage to train equipment was estimated to be $12 million.
Recommendation: TO THE WASHINGTON METROPOLITAN TRANSIT AUTHORITY: Work with the Tri-State Oversight Committee to satisfactorily address the recommendations contained in the Federal Transit Administration’s March 4, 2010, final report of its audit of the Tri-State Oversight Committee and the Washington Metropolitan Area Transit Authority.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: Washington, D.C., DC, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA09MR007
Accident Reports: Collision of Two Washington Metropolitan Area Transit Authority Metrorail Trains Near Fort Totten Station
Report #: RAR-10-02
Accident Date: 6/22/2009
Issue Date: 8/10/2010
Date Closed: 7/19/2012
Addressee(s) and Addressee Status: Washington Metropolitan Area Transit Authority (Closed - Acceptable Action)
Keyword(s): Oversight, Transit

Safety Recommendation History
From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 7/19/2012
Response:

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 7/19/2012
Response: The NTSB is pleased that WMATA worked with the Tri-State Oversight Committee to implement the recommendations from the Federal Transit Administration’s March 4, 2010, final report, as we requested. Because these actions satisfy Safety Recommendation R-10-15, this recommendation is classified CLOSED—ACCEPTABLE ACTION.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 1/13/2012
Response: -From James M. Dougherty, WSO-CSSD, Chief Safety Officer: In collective review of the Washington Metropolitan Area Transit Authority (WMATA) "Open Acceptable" National Transportation Safety Board recommendations, the attached documentation is provided to support the closure of recommendation R-10-015. As requested, WMATA is providing information from the Federal Transit Administration which expressly states, WMATA and the Tri-State Oversight Committee have completed all of the associated recommendations to close out the FTA State Safety Oversight Program Audit, which was issued as a Final Report on March 4, 2010.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 4/5/2011
Response: The NTSB notes that WMATA has made progress and has been working with the TOC to satisfy the recommendations contained in the FTA’s March 4, 2010, final audit report. In the TOC’s November 2, 2010, response to companion Safety Recommendation R-10-6, it indicated it had developed an Audit Recommendations Tracking Matrix that shows, in part, audit findings, actions required for closeout, next response, prior WMATA/TOC activities, status, and WMATA/TOC action/projected completion date. Accordingly, pending satisfactory closeout of the 11 TOC findings and 10 FTA recommendations, Safety Recommendation R-10-15 is classified OPEN – ACCEPTABLE RESPONSE.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 11/4/2010
Response: CC# 201000408: - From Richard Sarles, General Manager: WMATA continues to work diligently with TOC to respond to and implement each of the recommendations made in FTA's March 4, 2010 final audit report. Since receiving FTA's report, WMATA has: • Completed an internal assessment of Safety Department resources and expertise needs and increased Safety Department staff levels to include more than 230 years of safety experience. • Provided additional training to Safety Department staff through the Transportation Safety Institute, independent contractors (TapRoot) and mentoring the Internal Safety Audit process. • Increased Safety Department access to operating and maintenance information. This has included providing the Safety Department tools to receive and review daily ATC and loss of shunt reports, and to monitor real-time operations of the rail system through the Rail Operation Control Center (ROCC) Accident Information System (AIMS). • Made the Chief Safety Officer a direct report to the General Manager and instituted formal processes to increase communication between the GM and CSO including scheduled weekly meetings and frequent informal follow-up meetings (almost daily). • Taken steps to develop a new hazard management process to improve agency-wide participation in the safety program. • Worked with peer agencies to identify industry best practices for analyzing the safety implications of operating rule changes prior to their implementation. • Developed and is currently implementing a new Roadway Worker Protection Manual and training curriculum. • Implemented a pilot program to improve WMATA's configuration management programs and processes. • Revised the System Safety Program Plan and System Security and Emergency Preparedness Plan to document WMATA's new programs and to better address the requirements of TOC's Program Standards and Procedures. WMATA continues to provide FTA and TOC with regular updates of its activities and progress toward implementing each of FTA's recommendations. At this time, FTA considers all actions taken by WMATA in response to its recommendations as "acceptable," which means the FTA has reviewed and accepted the proposed actions. WMATA also submitted documentation to FTA as part of its September 2010 audit follow-up response to close several of FTA's recommendations, and is currently awaiting FTA's response to this submittal.