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Safety Recommendation Details

Safety Recommendation R-10-022
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 program to monitor the performance of onboard event recorders and ensure they are functioning properly.
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: 8/31/2017
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: 8/31/2017
Response: Thank you for providing documentation of your event recorder inspection procedures, which include monitoring onboard event recorders and ensuring they are functioning properly. We are encouraged that you have completed and implemented procedures for the continual inspection of the 2000-, 3000-, 5000-, and 6000-series cars. Accordingly, Safety Recommendation R-10-22 is classified CLOSED—ACCEPTABLE ACTION. We hope you have similar procedures in place for the 7000-series cars.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 3/10/2017
Response: -From Angel Pena, Managing Director, Quality Assurance, Internal Compliance and Oversight (QICO), WMATA: The attached documentation is provided to support the closure of Safety Recommendation NTSB R-10-22: Develop a program to monitor railcar event recorders. WMATA is providing additional supporting documentation in follow-up to previous NTSB response, sent on May 16, 2016. This documentation demonstrates our organizational commitment to improving the safety and reliability of the Metrorail system, our riders and employees. Please see the attached actionable items and contact me for any additional information or clarification.

From: Washington Metropolitan Area Transit Authority
To: NTSB
Date: 2/16/2017
Response: -From Tara B. Soesbee, Senior Program Manager, Office of Vehicle Program Services, WMATA: Per NTSB safety recommendation R-10-22, "Develop and implement a program to monitor the performance of on board event recorders and ensure they work properly". WMATA, under the contract FQ 15214 have completed the implementation of VMS unification baseline in all 2000-3000, 5000 and 6000 series cars. Please note that 4000 series cars are discontinued to be used as lead cars in revenue service starting December 2016. Also, in order to ensure the VMS is functioning properly, inspections were completed upon installation and in service under the following general maintenance program: 2000-3000 Series • Periodic I inspection Schedule Frequency: 11 (30 days), 12 (60 days), 13 (120 days), 14 (150 days), 15 (210 days), 16 (240 days), 17 (300 days) and 18 (330 days) Section 20. 7 (page 32) • Periodic A inspection Schedule Frequency: A 1 (90 days) and A2 (270 days) Section 40.5, 40.6, 40.7 (pages 100 to 102) • Periodic 81 inspection Schedule Frequency: Every 180 days Section 40.5, 40.6, 40. 7 (pages 110 to 112) • Periodic C1 inspection Schedule Frequency: Every 360 days Section 40.5, 40.6, 40.7 (pages 114 to 116) 5000 Series • Periodic I inspection Schedule Frequency: 11 (30 days), 12 (60 days), 13 (120 days), 14 {150 days), 15 (210 days), 16 (240 days), 17 (300 days) and 18 (330 days) Section 20.2 (page 23) • Periodic A inspection Schedule Frequency: A 1 (90 days) and A2 (270 days) Section 40.2, 40.3, 40.3, 40.4, 40.5, 40.6. 40.7, 40.8 (pages 105 to 110) • Periodic B 1 inspection Schedule Frequency: Every 180 day Section 40.2, 40.3, 40.4, 40.5, 40.6, 40.7, 40.8 (pages 105 to 110) • Periodic C1 inspection Schedule Frequency: Every 360 days Section 40.2, 40.3, 40.4, 40.5, 40.6, 40.7, 40.8 (pages 105 to 110). 6000 Series • Periodic I inspection Schedule Frequency: 11 (30 days), 12 (60 days), 13 (120 days), 14 (150 days), 15 (210 days), 16 (240 days), 17 (300 days) and 18 (330 days) Section 20.3, 20.4, 20.5 and 20.6 (pages 27 and 28) • Periodic A inspection Schedule Frequency: A 1 (90 days) and A2 (270 days) Section 40.3, 40.4, 40.5, 40.6, 40.7, 40.8, 40.9, 40.10 (pages 108 to 115) • Periodic 81 inspection Schedule Frequency: Every 180 days Section 40.3, 40.4, 40.5, 40.6, 40. 7, 40.8, 40.9, 40.10 (pages 114 to 121) • Periodic C1 inspection Schedule Frequency: Every 360 days Section 40.3, 40.4, 40.5, 40.6, 40. 7, 40.8, 40.9, 40.10 (pages 118 to 125) It is our understanding that the provided information will close safety recommendation R-10-22.

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: 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 enhanced maintenance criteria for onboard event recorders was scheduled to be incorporated in the preventative maintenance and inspection process beginning in November 2010. Pending completion of this action, Safety Recommendation R-10-22 is classified OPEN – ACCEPTABLE RESPONSE. We would appreciate receiving a copy of these procedures as progress continues to address Safety Recommendation R-10-22.

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.