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Safety Recommendation Details

Safety Recommendation I-89-002
Details
Synopsis: ABOUT 7:54 A.M., EASTERN STANDARD TIME, ON JANUARY 14, 1988, WESTBOUND CONSOLIDATED RAIL CORPORATION (CONRAIL) "TRAILER VAN" FREIGHT TRAIN TV-61 COLLIDED WITH EASTBOUND CONRAIL FREIGHT TRAIN UBT-506 NEAR CONTROL POINT THOMPSON, AT THOMPSONTOWN, PENNSYLVANIA. THE ENGINEERS AND BRAKEMEN ON BOTH TRAINS WERE FATALLY INJURED. THE CONDUCTORS ON BOTH TRAINS RECEIVED MINOR INJURIES. DAMAGE TO THE TRAINS WAS ESTIMATED AT $6,015,000.
Recommendation: THE NTSB RECOMMENDS THAT THE U.S. DEPARTMENT OF TRANSPORTATION: DEVELOP AND DISSEMINATE EDUCATIONAL MATERIAL FOR TRANSPORTATION INDUSTRY PERSONNEL AND MANAGEMENT REGARDING SHIFT WORK; WORK AND REST SCHEDULES; AND PROPER REGIMENS OF HEALTH, DIET, AND REST.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Intermodal
Location: THOMPSONTOWN, PA, United States
Is Reiterated: Yes
Is Hazmat: No
Is NPRM: No
Accident #: DCA88MR003
Accident Reports: Head-End Collision of Consolidated Rail Corporation Freight Trains UBT-506 and TV-61
Report #: RAR-89-02
Accident Date: 1/14/1988
Issue Date: 5/12/1989
Date Closed: 5/25/2001
Addressee(s) and Addressee Status: DOT (Closed - Acceptable Action)
Keyword(s): Fatigue, Training and Education

Safety Recommendation History
From: NTSB
To: DOT
Date: 5/25/2001
Response: Based on information provided by the DOT in a May 4, 1999, letter, Safety Recommendation I?89-2 was classified “Open—Acceptable Response” pending further efforts by Research and Special Programs Administration (RSPA) and the Coast Guard to address the recommendation. In its 1999 safety report “Evaluation of U.S. Department of Transportation Efforts in the 1990s to Address Operator Fatigue,” the Safety Board noted the extensive efforts made by most of the modal administrations to develop and disseminate educational materials on fatigue issues and health and diet issues. The Board indicated at that time, however, that we would like to see more efforts in marine and pipeline to develop these materials. We are aware, through correspondence related to Safety Recommendations P-99-12 and M-99-1 (that were issued in conjunction with the above study), of the various projects and research with which RSPA and the Coast Guard have been involved. While the Safety Board believes that most of the modal administrations have made a concerted effort to address this recommendation, and as a result we are classifying I?89-2 “Closed--Acceptable Action,” we had hoped for more activity from RSPA on this issue.

From: NTSB
To: DOT
Date: 1/3/2000
Response: THE SAFETY BOARD FOUND IN ITS MAY 1999 REPORT THAT ALL DOT MODAL ADMINISTRATIONS, WITH THE EXCEPTION OF THE RESEARCH AND SPECIAL PROGRAMS ADMINISTRATION (RSPA) AND THE U.S. COAST GUARD, HAVE MET THE INTENT OF THIS RECOMMENDATION. WE FOUND NO NEW INFORMATION REGARDING RSPA OR THE COAST GUARD IN YOUR 5/4/99, RESPONSE. THEREFORE, PENDING FURTHER EFFORTS BY RSPA AND THE COAST GUARD I-89-2 REMAINS CLASSIFIED "OPEN--ACCEPTABLE RESPONSE."

From: DOT
To: NTSB
Date: 5/4/1999
Response: Letter Mail Controlled 5/7/99 1:56:11 PM MC# 990480 SECRETARY RODNEY SLATER ON 5/4/99 FURNISHED A LIST OF EDUCATION INITIATIVES BY THE FRA AND PROVIDED A LIST OF RAIL INDUSTRY INITIATIVES.

From: NTSB
To: DOT
Date: 7/19/1996
Response: THE BOARD HAS REVIEWED THE VIDEOS, BOOKLETS & BROCHURES THAT WERE TRANSMITTED WITH YOUR APRIL 20 LETTER. WE HAVE BEEN IMPRESSED AT THE LEVEL OF DETAIL IN THESE EDUCATIONAL ITEMS & ENCOURAGE YOU TO CONTINUE TO DEVELOP & DISSEMINATE SIMILAR MATERIALS AS RESEARCH PROGRESSES. HOWEVER, WE REMAIN CONCERNED THAT THE INFO PRESENTED ADDRESSES ONLY THE HIGHWAY & AVIATION MODES. WE LOOK FORWARD TO SIMILAR EFFORT BEING MADE TO DEVELOP EDUCATIONAL MATERIALS RELATED TO RAILROAD, MARINE, & TRANSIT OPERATIONS. BASED ON THE WORK ALREADY COMPLETED, WE HAVE CLASSIFIED I-89-2 "OPEN--ACCEPTABLE RESPONSE." WE STRONGLY ENCOURAGE YOU TO PROVIDE SIMILAR INFO IN THE MODES OTHER THAN AVIATION & HIGHWAY.

From: DOT
To: NTSB
Date: 4/20/1996
Response: THE DOT LETTER TRANSMITTED A PUBLICATION "SHARING THE KNOWLEDGE, DEPARTMENT OF TRANSPORTATION FOCUS ON FATIGUE," & 2 VIDEO TAPES DEVELOPED FOR DOT USE IN FATIGUE EDUCATION. THE TAPES ARE "FATIGUE BUSTERS--HOW TO SURVIVE FATIGUE IN THE 90'S & "HUMAN FACTORS." ALSO, THE DOT SENT COPIES 2 BROCHURES RELATED TO FATIGUE EDUCATION. THE "FATIGUE BUSTERS" BROCHURE WAS DEVELOPED BY THE FAA & HAS BEEN SENT TO REGIONAL SAFETY OFFICES OF THE FAA. THE FHWA HAS DISTRIBUTED 2 SEPARATE "WAKE UP" BROCHURES--ONE FOR TRUCKERS & ONE FOR AUTOMOBILE DRIVERS.

From: NTSB
To: DOT
Date: 7/31/1990
Response: From the marine accident report of the grounding of the U.S. tankship EXXON VALDEZ on Bligh Reef, Prince William Sound, near Valdez, Alaska on March 24, 1989. The Board adopted this report on 7/31/1990. Also, the Board reiterates the following safety recommendations: I-89-1, I-89-2, I-89-3, I-89-4, I-89-5, I-89-6, I-89-7, I-89-8, I-89-9, I-89-10, I-89-11, and M-88-1.

From: NTSB
To: DOT
Date: 10/10/1989
Response:

From: DOT
To: NTSB
Date: 8/11/1989
Response: DOT WILL REVIEW ITS CURRENT POLICY ON DEVELOPING EDUCATIONAL MATERIALS ON THE EFFECTS OF FATIGUE AND RELATED FACTORS ON TRANSPORTATION WORKERS. DOT IS WELL AWARE OF THE OFTEN UNIQUE DEMANDS PLACED UPON TRANSPORTATION INDUSTRY WORKERS AS A RESULT OF SHIFT WORK, LONG-HAUL OPERATIONS AND NIGHT TIME DUTY. CLEARLY, THE IDENTIFICATION OF EFFECTIVE COUNTERMEASURES TO FATIGUE-INDUCING FACTORS WILL RESULT IN GREATER SAFETY AND EFFICIENCY. AS DOT AND OTHER DETERMINE WHAT COUNTERMEASURES PROVE EFFECTIVE, THIS INFORMATION WILL BE MADE AVAILABLE TO THE INDUSTRY.

From: NTSB
To: DOT
Date:
Response: At the 1990 Board meeting addressing the NTSB’s Most Wanted List of Transportation Safety Improvements (MWL), the Board voted to place Safety Recommendations I-89-1 through I-89-3 and R-89-19 on the MWL under the issue category “Cross Modal Human Fatigue/ Hours-of-Work Policy.” Safety Recommendations H-95-1, A-94-194, A-95-113, A-97-71, A-99-45, I-99-1, H-99-19, R-91-45, R-91-47, R-91-48, R-96-20 through R-96-22, R-96-56, R-99-2, P-98-30, P-99-12, M-99-1, A-06-10, A-07-30, A-07-32, and A-08-44 were added to this category at later dates.