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Safety Recommendation Details

Safety Recommendation R-84-017
Details
Synopsis: ON MARCH 17, 1984, THE NATIONAL TRANSPORTATION SAFETY BOARD INVESTIGATED AN ACCIDENT THAT OCCURRED IN THE NEW YORK CITY TRANSIT AUTHORITY (NYCTA) SUBWAY SYSTEM. DURING THE INVESTIGATION, THE SAFETY BOARD IDENTIFIED PROBLEMS IN THE SUPERVISION OF CONSTRUCTION AND MAINTENANCE PRACTICES; THE EMERGENCY RESCUE PROCEDURES; AND THE LACK OF OVERSIGHT BY FUNDING SOURCES. THE MOST IMMEDIATE CONCERN, HOWEVER, WAS THE VERY POOR METHOD THAT HAD BEEN USED BY THE CONTRACTOR FOR SUPPORTING THE SKELETONIZED TRACK. THEREFORE, THIS RECOMMENDATION IS ADDRESSING THAT ISSUE.
Recommendation: THE NTSB RECOMMENDS THAT THE NEW YORK CITY TRANSIT AUTHORITY: IMMEDIATELY REQUIRE ALL EXISTING CONSTRUCTION CONTRACTS TO MEET APPROVED ENGINEERING, CONSTRUCTION, AND MAINTENANCE SPECIFICATIONS OF THE NEW YORK CITY TRANSIT AUTHORITY, AND REQUIRE THAT ALL FUTURE CONTRACTS CONTAIN SUCH PROVISIONS. (URGENT)
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: New York City, NY, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA84RM007
Accident Reports: Derailment of New York City Transit Authority Subway Train in the Joralemon Street Tunnel
Report #: RAR-85-07
Accident Date: 3/17/1984
Issue Date: 4/9/1984
Date Closed: 4/23/1985
Addressee(s) and Addressee Status: Metropolitan Transportation Authority New York City Transit (Closed - Acceptable Action)
Keyword(s): Maintenance,Transit

Safety Recommendation History
From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date: 4/23/1985
Response: The Safety Board notes that all existing contracts now contain a requirement that outside contractors who are performing track reconstruction work involving skeletonization of the track submit a shop drawing for approval to the New York City Transit Authority's (NYCTA) Engineering and Construction Department and that this requirement will extend to all new contracts. This drawing is reviewed by NYCTA and is approved if the work to be performed conforms to the NYCTA's established standard for skeletonized track work. Based on this positive action, Safety Recommendation R-84-17 has been placed in a "Closed-Acceptable Action" status.

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 12/4/1984
Response: NYCTA LTR: ALL PRESENT AND FUTURE CONTRACTS CONTAIN A REQUIREMENT THAT OUTSIDE CONTRACTORS PERFORMING TRACK RECONSTRUCTION WORK INVOLVING SKELETONIZATION OF THE TRACK ITSELF MUST SUBMIT A SHOP DRAWING FOR APPROVAL TO THE ENGINEERING AND CONSTRUCTION DEPARTMENT PRIOR TO COMMENCING WORK. THESE DRAWINGS MUST PROVIDE ALL THE NECESSARY DETAILS WHICH INDICATE THE METHOD THE TRACK IS TO BE SUPPORTED AND BLOCKED, AS WELL AS THE SPECIFIC PROCEDURES TO BE FOLLOWED. THIS DRAWING MUST CONFORM TO THE TRANSIT AUTHORITY'S ESTABLISHED STANDARD FOR SKELETONIZED TRACK WORK.

From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date: 11/6/1984
Response: On April 9, 1984, the National Transportation Safety Board issued Safety Recommendations R-84-17 through -19 to the New York City Transit Authority (NYCTA). These recommendations were issued as a result of the Board's investigation of an accident that occurred on the NYCTA subway system on March 17, 1984. The National Transportation Safety Board is an independent Federal agency with the statutory responsibility "…to promote transportation safety by conducting independent accident investigations and by formulating safety improvement recommendations" (Public Law 93-633). The Safety Board is vitally interested in any actions taken as a result of its Safety Recommendations. Our records show that we have not received any indication of action taken by the NYCTA regarding the recommended actions. We would appreciate being informed as to what efforts are being made to implement these recommendations. The Safety Board's letter including these recommendations is enclosed for your information.