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Safety Recommendation Details

Safety Recommendation R-10-016
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: Require that your safety department; representatives of the operations, maintenance, and engineering departments; and representatives of labor organizations regularly review recorded operational data from Metrorail train onboard recorders and the Advanced Information Management system to identify safety issues and trends and share the results across all divisions of your organization.
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: 11/20/2014
Addressee(s) and Addressee Status: Washington Metropolitan Area Transit Authority (Closed - Acceptable Action)
Keyword(s): Transit,

Safety Recommendation History
From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 11/20/2014
Response: We have reviewed the WMATA 2000 System Integrity Maintenance Practices Rev 0.0, and supporting documentation submitted as enclosures to your September 2014 letter: • Operations Administration Procedure 200-07 • AIM/VMS Data Report Reviewer and Trending Matrix • Safety Data Committee Agenda and Attendance Sheets • Loss of Shunt Report • Loss of Shunt Real-Time Events • Bobbing Track Circuit Trends • On Time Performance • Deputy GM Reliability of Operations Committee Report • Oracle Report • Spots Report We are pleased that you have established the recommended requirements and procedures to ensure the review of operational data recorded by Metrorail train onboard recorders and the Advanced Information Management system, and that you share the identified safety issues and trends across all divisions of your organization, as recommended. Accordingly, Safety Recommendation R-10-16 is classified CLOSED—ACCEPTABLE ACTION.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 9/30/2014
Response: -From James M. Dougherty, 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-10-016. In response to your letter dated July 19, 2012, WMATA is providing data review procedures used by personnel in different departments in addition to identifying who reviews the collected data. Attached are samples of recorded operational data reports which are shared regularly and reviewed across all divisions of WMATA to include but not limited to Safety, Operations, Maintenance, and Engineering departments in addition to members of Local 2 and Local 689 with the objective of identifying safety issues and trends as part of our hazard identification efforts. Sharing this information across WMATA departments demonstrate our commitment of becoming more predictive in hazard identification which is a top priority throughout the Metrorail system. Please review the enclosed documentation.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 10/23/2013
Response: We encourage you to submit your reply regarding actions to address Safety Recommendations R-08-4, R-09-16, R-10-12, R-10-13, R-10-16, R-10-17, R-10-20, R-10-21, and R-10-22 at the following e-mail address: correspondence@ntsb.gov. If your response, including attachments, exceeds 10 megabytes, please e-mail us at the same address for instructions. Please do not submit both an electronic copy and a hard copy of the same response.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 7/19/2012
Response: Although WMATA documented several sources of recorded data in its update, it did not address the various data review procedures used by personnel in different departments, nor did it identify who reviews collected data. Pending our receipt of this information, Safety Recommendation R-10-16 is classified OPEN—ACCEPTABLE RESPONSE.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 6/10/2011
Response: CC# 201100318: - From James M. Dougherty, WSO-CSSD, Chief Safety Officer: Consistent with our discussions held on May 3, 2011, in collective review of the Washington Metropolitan Area Transit Authority (WMATA) "Open Acceptable" National Transportation Safety Board recommendations, the enclosed documentation is provided to support the closure of recommendation R-07-024. As requested, WMATA is providing information on our wheel truing procedures, along with examples of audits conducted by the Quality Assurance and Warranty department, whose responsibilities include, verification of accurate wheel truing at all locations.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 4/5/2011
Response: The NTSB approves of WMATA’s plans to include review of operational data from on-board event recorders at monthly senior staff meetings to which employee union representatives will be invited. We also note that WMATA’s Safety Department is reviewing daily ATC and periodic LOS data and is monitoring real-time operations of the rail system through the Advanced Information Management System (AIMS). We further note that safety officers have been assigned to each rail division to attend and participate in weekly operations department senior staff meetings and regular meetings of the front-line superintendents and staff in their divisions, as well as to interact on a daily basis with operations employees on safety-related matters. We would appreciate receiving copies of written documentation that WMATA has developed for communicating safety-related information across all its departments. Pending a response to the above questions and our receipt and review of the requested information, Safety Recommendation R-10-16 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: The Safety Department currently receives and reviews daily ATC and loss of shunt reports and is now capable of monitoring real-time operations of the rail system through the Rail Operations Control Center (ROCC) Advanced Information System (AIMS). To improve communications between the Safety Department and operational personnel, safety officers have been assigned to each bus and rail division. These safety officers participate in regular meetings of the front-line staff in their division, as well as interact on a daily basis with operations employees on safety related matters. In addition, "Safety Action Report Out" meetings continue to be held with front-line superintendents on a regular basis, and Safety Department senior managers continue to attend weekly Operation's Department senior staff meetings.