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Safety Recommendation Details

Safety Recommendation R-10-021
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: Ensure that the lead married-pair car set of each train is equipped with an operating onboard event recorder.
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: 5/18/2016
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: 5/18/2016
Response: We are pleased that you have installed event recorders on all 4000-series railcars and that, as a result, all your lead railcars are now equipped with these recorders; further, we note that you discontinued the use of 1000-series railcars in lead operations. NTSB staff contacted Mr. Sachit K. Kakkar, PE, WMATA Deputy Chief Engineer, Office of Vehicle Program Services, who provided us clarification and further documentation regarding your actions to implement Safety Recommendations R-10-21 and 22. Mr. Kakkar gave us Vehicle Monitoring System (VMS) documentation and he assured staff that all WMATA train cars on each end (point cars) are equipped with the recommended operating onboard event recorder. He verified that each VMS had been inspected upon installation to ensure that it operated properly, and provided documentation of your event recorder inspection procedures, intended to monitor the performance of onboard event recorders and ensure they are functioning properly, as specified in Safety Recommendation R-10-22. We understand that you have completed and implemented procedures for the continual inspection of the 2000-, 3000-, 5000-, and 6000-series cars, and that you are finalizing development of the inspections of onboard event recorders for the 4000-series cars. We are encouraged that this effort is expected to be completed soon. In consideration of the information provided in your letter, and that provided by Mr. Kakkar, Safety Recommendation R-10-21 is classified CLOSED—ACCEPTABLE ACTION, and Safety Recommendation R-10-22 is classified “Open—Acceptable Response,” pending notification that the inspection requirements for the 4000-series cars has been completed and implemented.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 11/19/2015
Response: -From Louis J. Brown, Jr., Acting Chief Safety Officer: In collective review of the Washington Metropolitan Area Transit Authority (WMATA) "Open-Acceptable Action" National Transportation Safety Board recommendations, the attached documentation is provided to support the closure of recommendation R-10-21. In the letter dated September 3, 2015, the NTSB requested WMATA provide notification when all software issues had been resolved and all event recorders are operational. WMATA is providing the attached supporting documentation that confirms the installations and software issues have been resolved on the 4000 car series. As provided in the last letter, EMI170141 was completed and closed. Another EMI 170146 has been implemented that resolved all software issues. The resolution of these issues demonstrates our goal of making safety a top priority throughout the Metrorail system.

From: NTSB
To: Washington Metropolitan Area Transit Authority
Date: 9/3/2015
Response: We are pleased that you have installed event recorders on all 4000-series railcars and that, as a result, all your lead railcars now are equipped with event recorders. We note that you have also discontinued the use of 1000-series railcars in lead operations in lieu of equipping these cars with event recorders. Although the installation of the event recorder equipment is complete, the background information found in WMATA EMI 170141, Rev. 00, indicates that several remaining software issues need resolution. We would appreciate receiving notification when these issues are resolved and all event recorders are operational. Pending such notification, Safety Recommendation R 10-21 is classified OPEN—ACCEPTABLE RESPONSE.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 5/14/2015
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-1 0-21. WMATA is providing supporting documentation that confirms the installation of event recorders in all lead cars for the 4000 series railcar fleet. As you may recall, the recommendation was also extended to the 1000 series railcar which is the only remaining railcar fleet without an event recorder. However, through a Standard Operating Procedure, the 1 000 series has been barred from assuming a lead position in all revenue consists.

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: 4/5/2011
Response: The NTSB notes that WMATA has devised and is implementing a plan to equip the 4000- and 1000-series cars with onboard event recorders as recommended. Pending receipt of the plan and completion of the event recorder installation, Safety Recommendation R-10-21 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 has devised and is implementing a plan to equip the 4000 and 1000 series cars with onboard event recorders. The remaining fleet is already equipped. The enhanced maintenance criteria of the on-board event recorders will be incorporated in the preventative maintenance and inspection process beginning in November 2010.