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Safety Recommendation Details

Safety Recommendation R-10-017
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: Develop and implement a non-punitive safety reporting program to collect reports from employees in all divisions within your organization, and ensure that the safety department; representatives of the operations, maintenance, and engineering departments; and representatives of labor organizations regularly review these reports and share the results of those reviews 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: 6/24/2014
Addressee(s) and Addressee Status: Washington Metropolitan Area Transit Authority (Closed - Acceptable Action)
Keyword(s): Transit,

Safety Recommendation History
From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 4/15/2015
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-10-017. In response to your letter dated October 23, 2014, WMATA is providing a copy of a presentation that was delivered to the Board of Directors by the Deputy General Manager for Operations, which provides an update on the program's progress and quarterly reports which outline the corrective actions that have been taken to address employee concerns. The implementation of this industry leading program demonstrates our goal of making safety the top priority throughout the Metrorail system.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 6/24/2014
Response: We note that, in June 2013 you implemented the first US Confidential Close Call Transit Safety Reporting System (C3TSRS) to demonstrate the effectiveness of a confidential, non-punitive close call reporting system for employees that captures data not otherwise captured and provides opportunities for you to identify safety issues that require preventive action. On April 23, 2014, my staff met with Mr. Louis J. Brown, Assistant Chief Safety Officer, to discuss the results of the system’s implementation so far. Mr. Brown explained that the system will be adjusted as necessary over time to keep it relevant and effective. Accordingly, Safety Recommendation R 10-17 is classified CLOSED—ACCEPTABLE ACTION.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 10/23/2013
Response: We support WMATA’s pilot program, implemented in June 2013, for the first US Confidential Close Call Transit Safety Reporting System (C3TSRS) to demonstrate the effectiveness of a confidential, non-punitive close call reporting system for employees, which will capture data not otherwise captured and will provide WMATA opportunities to identify safety issues that require preventative action. We note that if the pilot program is determined to be successful after a comprehensive review and evaluation, the parties intend it to be the basis for a continuing program. Pending implementation of the permanent program, Safety Recommendation R-10-17 is classified OPEN—ACCEPTABLE RESPONSE.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 6/6/2013
Response: -From James M. Dougherty, WSO-CSSD, Chief Safety Officer: I want to personally thank you for taking the time out of your schedule to meetwith members of my staff on May 23, 2013, to discuss the WashingtonMetropolitan Area Transit Authority's (WMATA), National Transportation SafetyBoard (NTSB) recommendations that are currently classified "Open AcceptableAction". It is my belief that the dialogue, along with the documentation that wasprovided to support the closure of several recommendations, will assist theNTSB in its evaluation of WMATA's progress and move these recommendationsto closure. Enclosed is a listing of all of the items in which closure documentation wasprovided during the meeting. WMATA would like to thank the NTSB for its consideration and support as wecontinue to demonstrate our goal of making safety a top priority for both ouremployees and patrons. We look forward to continued meetings with the NTSBwhere we can exchange technical information in support of our common goal. Provided copy of Close Call Reporting system Memorandum of Understanding between WMATA and Local 689 in conjunction with BTS

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 4/5/2011
Response: The NTSB notes that WMATA has established an anonymous hotline, has reinforced its whistleblower protection policy, and has started discussions with the Amalgamated Transit Union, Local 689, about a nonpunitive near-miss-reporting program. We also note that WMATA is continuing to develop and implement a web-based Safety Measurement System that will allow for communication of safety-related information and tracking across departments, and that training for the rail division began in September 2010. The NTSB is encouraged by WMATA’s steps toward implementing this recommendation. Pending our receipt and review of information describing WMATA’s nonpunitive safety-reporting program, Safety Recommendation R-10-17 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: On July 22, 2010, the Metro Board approved Metro's revised whistleblower protection policy to encourage employees to raise safety-related concerns. WMATA has started working with its largest Union, Local 689, to develop a non-punitive program to report near misses. On September 21, 2010 SAFE launched a Safety Hotline intranet-based application to further streamline the capture of potential hazards, and to provide WMATA leadership with a method of centralized access to hazard information. This system collects call information received via WMATA's Safety Hotline, as well as information received via email or in-person. Reports to the hotline can be made anonymously. SAFE staff is assigned responsibility for resolving the reported issues and the hotline system tracks each report through resolution. The system also provides data downloads of logged call information for review and analysis by SAFE staff and WMATA leadership. WMATA is continuing to develop and implement a Safety Measurement System (SMS) web-based tool that will allow for communication of safety related information and tracking across departments. The Bus Operations component of this system has been active since July 1, 2010. Training for the Rail Division related to this system began in September and is on track to be started for all other divisions by the beginning of November 2010.