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Safety Recommendation Details

Safety Recommendation H-09-008
Details
Synopsis: On January 6, 2008, about 3:15 p.m. mountain standard time, a 2007 Motor Coach Industries 56-passenger motorcoach with a driver and 52 passengers on board departed Telluride, Colorado, en route to Phoenix, Arizona, as part of a 17-motorcoach charter. The motorcoach passengers were returning from a 3-day ski trip. The normal route from Telluride to Phoenix along Colorado State Route 145 was closed due to snow, and the lead driver planned an alternate route that included U.S. Route 163/191 through Utah. About 8:02 p.m., the motorcoach was traveling southbound, descending a 5.6-percent grade leading to a curve to the left, 1,800 feet north of milepost 29 on U.S. Route 163. The weather was cloudy, and the roadway was dry at the time of the accident. After entering the curve, the motorcoach departed the right side of the roadway at a shallow angle, striking the guardrail with the right-rear wheel and lower coach body about 61 feet before the end of the guardrail. The motorcoach traveled approximately 350 feet along the foreslope (portion of roadside sloping away from the roadway), with the right tires off the roadway. The back tires lost traction as the foreslope transitioned into the drainage ditch.
Recommendation: TO THE AMERICAN ASSOCIATION OF STATE HIGHWAY AND TRANSPORTATION OFFICIALS AND THE NATIONAL ASSOCIATION OF STATE EMERGENCY MEDICAL SERVICES OFFICIALS: Work with the Federal Highway Administration to develop and implement criteria based on traffic patterns, passenger volume, and bus types that can be used to assess the risks of rural travel by large buses.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Highway
Location: Mexican Hat, UT, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: HWY08MH012
Accident Reports: Motorcoach Rollover
Report #: HAR-09-01
Accident Date: 1/6/2008
Issue Date: 5/29/2009
Date Closed: 8/28/2018
Addressee(s) and Addressee Status: American Association of State Highway and Transportation Officials (Closed - Acceptable Action)
National Association of State EMS Officials (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: National Association of State EMS Officials
Date: 8/28/2018
Response: On March 25, 2015, Mr. Gregory G. Nadeau, then Deputy Administrator, FHWA, informed us that, in collaboration with you and AASHTO, the FHWA had created a geographic information system-based motorcoach roadway assessment tool, a nationwide motorcoach origin destination data set, and a guide to help states include motor carrier and motorcoach activities in the highway safety plan process. Your contribution to the development of these resources constitutes a long-term, state-of-the-art solution that provides states with solid data to allow them to properly assess rural road travel and hazardous locations, especially in remote areas where a tour or charter bus accident can result in large numbers of injured passengers. Accordingly, Safety Recommendation H-09-8 is classified CLOSED--ACCEPTABLE ACTION.

From: NTSB
To: National Association of State EMS Officials
Date: 11/21/2013
Response: We appreciate your providing the additional information about your efforts to implement this recommendation as you continue to work with the Federal Highway Administration and the American Association of State Highway and Transportation Officials. Pending the implementation of the proposed assessment tools and guidance you described, Safety Recommendation H-09-8 remains classified OPEN—ACCEPTABLE RESPONSE. We look forward to receiving further updates on your actions.

From: National Association of State EMS Officials
To: NTSB
Date: 6/26/2013
Response: -From Elizabeth Armstrong, Executive Vice President: This letter is in response to your March 26, 2013 inquiry regarding the National Transportation Safety Board recommendation H-09-8 (noted below) resulting from the NTSB investigation of the 2008 Mexican Hat motorcoach crash in rural Utah. As a result of its investigation, the National Transportation Safety Board made the following recommendation to the American Association of State Highway and Transportation Officials (AASHTO) and the National Association of State Emergency Medical Services Officials (NASEMSO): Work with the Federal Highway Administration to develop and implement criteria based on traffic patterns, passenger volume, and bus types that can be used to assess the risks of rural travel by large buses. (H-09-8) The NTSB further recommends that the FWHA use these criteria as part of the SAFETEA-LU requirement to identify and select HSIP projects. The criteria should allow assessment of both fatal and nonfatal accidents involving large buses in all types of service and use, travel routes, travel activity and travel characteristics of these buses, and problems for EMS in rural communities. The National Association of State EMS Officials (NASEMSO) is pleased to report that it has been providing input to the FHWA in the development of a tool that could be utilized to assess risks of rural travel by large buses. The Motorcoach, Rural Roads, EMS, & Infrastructure Assessment Tool is under development by the Center for Transportation Injury Research (CenTIR) at CUBRC though a cooperative agreement with FHWA. The goal is to compile and geo-code infrastructure, EMS and road safety data into a mapping product which ultimately produces maps with “road segment” safety scores. The road segments can then be color-coded based on the safety score, after which the analyst can plot a specific motorcoach route and visually assess the safety of all parts of that route. The Motorcoach, Rural Roads, EMS & Infrastructure Assessment Tool is incorporating the Model Inventory of Emergency Care Elements (MIECE) “Proof of Concept” produced by NASEMSO in 2011 through a cooperative agreement with NHTSA. Further, NASEMSO is working with the developers to obtain EMS data (location of ambulance bases, number of EMTs and paramedics) required for the project. In addition to the development of the motorcoach tool, FWHA has contracted with the RedFlash Group, a public safety consulting firm, to build an online kit featuring tools and resources to promote better collaboration between EMS and Highway Safety Officials during the Strategic Highway Safety Plan (SHSP) evaluation and revision process. NASEMSO has been working to provide the necessary EMS information to the project developers. The State Highway Safety Plan and EMS Toolkit should ultimately help to identify Highway Safety Improvement Program (HSIP) projects that would promote a safer travel environment along rural roads where EMS resources are often limited and strained by crashes with multiple casualties, such as in the case of the Mexican Hat motorcoach incident.

From: National Association of State EMS Officials
To: NTSB
Date: 6/26/2013
Response: -From Elizabeth Armstrong, Executive Vice President: The National Association of State EMS Officials (NASEMSO) is pleased to report that it has been providing input to the FHWA in the development of a tool that could be utilized to assess risks of rural travel by large buses. The Motorcoach, Rural Roads, EMS, & Infrastructure Assessment Tool is under development by the Center for Transportation Injury Research (CenTIR) at CUBRC though a cooperative agreement with FHWA. The goal is to compile and geo-code infrastructure, EMS and road safety data into a mapping product which ultimately produces maps with “road segment” safety scores. The road segments can then be color-coded based on the safety score, after which the analyst can plot a specific motorcoach route and visually assess the safety of all parts of that route. The Motorcoach, Rural Roads, EMS & Infrastructure Assessment Tool is incorporating the Model Inventory of Emergency Care Elements (MIECE) “Proof of Concept” produced by NASEMSO in 2011 through a cooperative agreement with NHTSA. Further, NASEMSO is working with the developers to obtain EMS data (location of ambulance bases, number of EMTs and paramedics) required for the project. In addition to the development of the motorcoach tool, FWHA has contracted with the RedFlash Group, a public safety consulting firm, to build an online kit featuring tools and resources to promote better collaboration between EMS and Highway Safety Officials during the Strategic Highway Safety Plan (SHSP) evaluation and revision process. NASEMSO has been working to provide the necessary EMS information to the project developers. The State Highway Safety Plan and EMS Toolkit should ultimately help to identify Highway Safety Improvement Program (HSIP) projects that would promote a safer travel environment along rural roads where EMS resources are often limited and strained by crashes with multiple casualties, such as in the case of the Mexican Hat motorcoach incident.

From: NTSB
To: National Association of State EMS Officials
Date: 3/26/2013
Response: We are encouraged that NASEMSO is working with the FHWA to develop and implement the recommended risk assessment criteria. Pending the implementation of the proposed assessment tools and guidance in late 2013, Safety Recommendation H-09-8 is classified OPEN—ACCEPTABLE RESPONSE.

From: NTSB
To: American Association of State Highway and Transportation Officials
Date: 2/10/2017
Response: We are pleased by your collaboration with the FHWA and the National Association of State Emergency Medical Services Officials to create (1) a geographic information system-based motorcoach roadway assessment tool, (2) a nationwide motorcoach origin-destination data set, and (3) a guide to help states include motor carrier and motorcoach activities in the highway safety plan process. Your actions constitute a long-term, state-of-the-art solution that provides states with solid data to allow them to properly assess rural road travel and hazardous locations, especially in remote areas where a tour or charter bus accident can result in large numbers of injured passengers. Accordingly, Safety Recommendation H-09-8 is classified CLOSED--ACCEPTABLE ACTION.

From: NTSB
To: American Association of State Highway and Transportation Officials
Date: 5/23/2014
Response: This letter concerns 16 open safety recommendations that the National Transportation Safety Board (NTSB) issued to the American Association of State Highway and Transportation Officials between 2002 and 2012. I understand that we received requests from your staff to speak at two of your July committee meetings regarding several of these open recommendations. I am pleased to inform you that NTSB staff members are available to attend both meetings. For the July 16, 2014, meeting in Portland, Maine, of the Technical Committee for Roadside Safety, Mr. Dan Walsh, General Engineer, Office of Highway Safety, and Ms. Julie Perrot, Highway Safety Recommendation Specialist, Office of the Managing Director, will make a presentation and be available to discuss the following 12 roadside barrier recommendations.

From: NTSB
To: American Association of State Highway and Transportation Officials
Date: 3/26/2013
Response: We are encouraged that AASHTO is working with the FHWA to develop and implement the recommended risk assessment criteria. Pending the implementation of the proposed assessment tools and guidance in late 2013, Safety Recommendation H-09-8 is classified OPEN—ACCEPTABLE RESPONSE.