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Safety Recommendation Details

Safety Recommendation R-18-008
Synopsis: On April 3, 2015, at 9:23 p.m. central daylight time, a Railroad Switching Services crew—a locomotive operator and a ground person—was moving 34 railroad cars onto yard track 4 at the Evergreen Packaging plant in Pine Bluff, Arkansas. After moving the train about three-car lengths without receiving radio commands from the ground person, the operator stopped the train and disembarked. He found the ground person under the ninth car. The ground person died at the scene.
Recommendation: TO THE UNITED STATES DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION: Develop, and use, a process for forwarding notifications of railroad-related incidents and accidents involving railcars, locomotives, and track to the Federal Railroad Administration.
Original recommendation transmittal letter: PDF
Overall Status: Open - Await Response
Mode: Railroad
Location: Pine Bluff, AR, United States
Is Reiterated: No
Is Hazmat: No
Accident #: DCA15FR007
Accident Reports: Railroad Switching Services Employee Fatality​
Report #: RAB-18-03
Accident Date: 4/3/2015
Issue Date: 3/6/2018
Date Closed:
Addressee(s) and Addressee Status: United States Department of Labor, Occupational Safety and Health Administration (Open - Await Response)

Safety Recommendation History
From: NTSB
To: United States Department of Labor, Occupational Safety and Health Administration
Date: 3/6/2018
Response: The National Transportation Safety Board (NTSB) is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant accidents in other modes of transportation—railroad, highway, marine, and pipeline. We determine the probable cause of the accidents and issue safety recommendations aimed at preventing future accidents. In addition, we carry out special studies concerning transportation safety and coordinate the resources of the federal government and other organizations to provide assistance to victims and their family members affected by major transportation disasters. On March 1, 2018, the NTSB adopted its accident brief, Railroad Switching Services Employee Fatality, Pine Bluff, Arkansas, April 3, 2015, RAB-18/03. The details of this accident brief and the resulting safety recommendations may be found in the accident brief, which can also be accessed at Among the safety recommendations is one issued to the Occupational Safety and Health Administration, which can be found on page 10 of the report. The NTSB is vitally interested in these recommendations because they are designed to prevent accidents and save lives. We would appreciate a response within 90 days, detailing the actions you have taken or intend to take to implement these recommendations. When replying, please refer to the safety recommendations by number. We encourage you to submit your response to If it exceeds 10 megabytes, including attachments, 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.