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Safety Recommendation Details

Safety Recommendation R-84-018
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 EVALUATE THE NEW YORK CITY TRANSIT AUTHORITY MAINTENANCE DIVISION STANDARDS FOR SUPPORTING SKELETONIZED TRACK, AND INSURE THAT THE STANDARDS PROVIDE FOR THE SAFE OPERATION OF TRAINS. PROVIDE THOSE STANDARDS TO ALL DIVISIONS INVOLVED IN THE CONSTRUCTION AND MAINTENANCE OF TRACK, AND INCORPORATE THOSE STANDARDS IN ALL WORKPLANS. (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 Board notes that the Track and Structures and Engineering and Construction Departments have developed new drawings for use as the detailed standard for skeletonized track work on type I and type II track. The Board notes further that these drawings (1) have been distributed to all contractors presently performing such work, (2) will be incorporated in all contract documents which require track skeletonization, and (3) will be issued to all divisions involved in the construction and maintenance of the track. These efforts are responsive to Safety Recommendation R-84-18 which 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: THE TRANSIT AUTHORITY HAS REVIEWED THE ESTABLISHED TRACK AND STRUCTURES DEPARTMENT STANDARDS FOR SKELETONIZED TRACK WORK AND HAS DETERMINED THAT THESE STANDARDS PROVIDE FOR THE SAFE OPERATION OF PASSENGER TRAINS. THROUGH THE COMBINED EFFORTS OF THE TRACK AND STRUCTURES AND ENGINEERING AND CONSTRUCTION DEPARTMENTS NEW DRAWINGS (SEE ENCLOSURES 1 AND 2) HAVE BEEN DEVELOPED FOR USE AS THE DETAILED STANDARD FOR SKELETONIZED TRACK WORK ON TYPE I AND TYPE II TRACK. THESE DRAWINGS HAVE BEEN DISTRIBUTED TO ALL CONTRACTORS PRESENTLY PERFORMING SUCH WORK. THEY WILL BE INCORPORATED IN ALL CONTRACT DOCUMENTS WHICH REQUIRE TRACK SKELETONIZATION. THE TRANSIT AUTHORITY INTENDS TO ISSUE ONE SET OF COMPLETE DRAWINGS REGARDING SKELETONIZED TRACK TO ALL DIVISIONS INVOLVED IN THE CONSTRUCTION AND MAINTENANCE OF TRACK.

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.