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Safety Recommendation Details

Safety Recommendation R-87-008
Details
Synopsis: ABOUT 8:12 A.M., EASTERN DAYLIGHT TIME, JULY 10, 1985, EAST BOUND TWO-CAR TRAIN NO. 6601 STRUCK THE REAR OF THREE-CAR TRAIN NO. 6614, WHICH WAS STANDING INOPERATIVE ON THE EAST BOUND MAIN TRACK OF THE GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY (GCRTA) RED RAPID TRANSIT LINE. TRAIN NO. 6614 WAS STUCK IN A REVERSE CURVE ABOUT 900 FEET WEST OF THE WEST 98TH STREET STATION IN CLEVELAND, OHIO. THE OPERATORS AND CONDUCTORS OF BOTH TRAINS AND A TOTAL OF 46 OF THE APPROX IMATELY 400 PASSENGERS ON THE TRAINS WERE TRANSPORTED TO NEARBY HOSPITALS. TWO DAYS AFTER THE ACCIDENT, ANOTHER PASSENGER WAS ADMITTED TO THE HOSPITAL FOR A CERVICAL SPINE INJURY; THE TRAIN CREWMEMBERS AND THE OTHER PASSENGERS RE CEIVED OUTPATIENT TREATMENT FOR MINOR INJURIES. THE REAR CAR OF TRAIN NO. 6614 WAS DERAILED AND SUSTAINED REAR END STRUCTURAL DAMAGE AS A RESULT OF THE COLLISION IMPACT.
Recommendation: THE NTSB RECOMMENDS THAT THE GREATER CLEVELAND REGIONAL TRANSIT AUTHORITY: PERFORM AND DOCUMENT FREQUENT SUPERVISORY CHECKS USING A SYSTEMATIC PROCEDURE TO DETERMINE IF TRAIN OPERATORS ARE COMPLYING WITH THE OPERATING RULES INCLUDING SPEED RESTRICTIONS AND SIGNAL RULES.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: Cleveland, OH, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA85RM009
Accident Reports: Rear-End Collision of Two Greater Cleveland Regional Transit Authority Red Line Rapid Transit Trains near the 98th Street Station
Report #: None
Accident Date: 7/10/1985
Issue Date: 5/11/1987
Date Closed: 1/17/1989
Addressee(s) and Addressee Status: Greater Cleveland Regional Transit Authority (Closed - Acceptable Action)
Keyword(s): Oversight, Transit

Safety Recommendation History
From: Greater Cleveland Regional Transit Authority
To: NTSB
Date: 10/18/1988
Response: IN REFERENCE TO YOUR COMMENTS ON R-87-8, WE HAVE NOTED AND SHARE THE SAME CONCERN. HOWEVER, WITH OUR RECENT, POSITIVE USE OF ADDITIONAL, NEWLY-ACQUIRED RADAR GUNS AND THE RECENT POSTING OF ADDITIONAL SPEED LIMIT SIGNS, WE FEEL CONFIDENT THAT WE HAVE THIS SITUATION UNDER CONTROL. PROGRESSIVE DISCIPLINE FOR SPEED INFRACTIONS IS ADMINISTERED IN ACCORDANCE WITH ARTICLE 137 OF OUR EMPLOYEE PERFORMANCE CODE AND WORK RULES: ITEM C. SPEED CONTROL VIOLATING THE DISPLAYED PERMITTED SPEED, RESTRICTED SPEED 15 M.P.H., SLOW SPEED 5 M.P.H., OR LINE OF SIGHT. FIRST OFFENSE: WRITTEN REPRIMAND SECOND OFFENSE: 2-DAY SUSPENSION WITH TRAINING (UNPAID). THIRD OFFENSE: 5-DAY SUSPENSION WITH TRAINING (UNPAID). FOURTH OFFENSE: DISCHARGE. THIS DISCIPLINE IS BEING APPLIED IN AN EVEN-HANDED, CONSISTENT MANNER THROUGHOUT OUR OPERATION. IN REFERENCE TO YOUR COMMENT REGARDING OPERATORS NOT SIGNING A DISCIPLINARY REPORT, IT MAKES NO DIFFERENCE WHETHER THE OPERATOR SIGNS THE REPORT. DISCIPLINE IS ADMINISTERED IN ACCORDANCE TO ARTICLE 137, CITED ABOVE. BASED ON THIS INFORMATION, WE FEEL THAT POSITIVE, APPROPRIATE ACTION HAS BEEN TAKEN AND REQUEST THAT THE STATUS OF THIS RECOMMENDATION BE CHANGED TO "CLOSED--ACCEPTABLE ACTION."

From: NTSB
To: Greater Cleveland Regional Transit Authority
Date: 9/29/1988
Response:

From: Greater Cleveland Regional Transit Authority
To: NTSB
Date: 7/27/1988
Response: SUPERVISORY CHECKS ARE PERFORMED AND DOCUMENTED. EXAMPLES OF THOSE CHECKS AND DOCUMENTATION ARE: [LIST OF REPORTS FOLLOWS] COUNSELING IS GIVEN TO OPERATORS FOUND TO BE NONCOMPLIANT WITH ANY OPERATING RULE, PARTICULARLY THOSE RELATING TO SIGNAL PROCEDURES AND SPEED RESTRICTIONS.

From: NTSB
To: Greater Cleveland Regional Transit Authority
Date: 6/28/1988
Response:

From: Greater Cleveland Regional Transit Authority
To: NTSB
Date: 3/4/1988
Response: RAIL SUPERVISORS NOW PERFORM A MINIMUM OF TWO RIDE CHECKS PER DAY WHICH, AMONG OTHER ITEMS, NOTE THE PERFORMANCE OF THE OPERATOR WITH RESPECT TO SPEED LIMITS, SIGNALS, DOOR OPERATIONS, CALLING STOPS, ETC. THE SUPERVISORS ARE REQUIRED TO REPORT THE RESULTS OF EACH RIDE CHECK CONDUCTED FOR REVIEW BY THE CHIEF RAIL TRAFFIC SUPERVISOR. MOREOVER, THE SUPERVISORS HAVE BEEN RE-INSTRUCTED TO NOTE AND REPORT ALL DEFICIENCIES DISCOVERED AT ANY TIME THEY ARE RIDING TRAINS. EACH TOWER CONTROL SUPERVISOR IS TO CONDUCT ONE INTERLOCKING SIGNAL TEST PER SHIFT, WHERE A SIGNAL IS SET TO RED TO CHECK FOR OPERATOR COMPLIANCE WITH SIGNAL PROCEDURES. THESE TESTS ARE RECORDED IN THE DAILY TOWER LOG AND ARE REVIEWED BY THE CHIEF RAIL TRAFFIC SUPERVISOR. A FIELD TEST IS ALSO CONDUCTED WITH AUTOMATIC SIGNALS. RAIL TRANSPORTA TION SUPERVISORS AND SIGNAL MAINTENANCE PERSONNEL SET THE SIGNAL RED OR DARK AND MONITOR PASSING TRAINS FROM A CONCEALED VANTAGE POINT TO OBSERVE PROPER ADHERENCE TO OPERATING RULES. THIS TEST IS CONDUCTED TWICE EACH MONTH AND THE RESULTS ARE FORWARDED TO RAIL OPERATIONS MANAGEMENT AND THE SAFETY DEPARTMENT. A MINIMUM OF TWO RADAR CHECKS ARE CONDUCTED EACH MONTH BY RAIL SUPERVISORS WHERE TRAINS ARE OBSERVED FOR ADHERENCE TO POSTED SPEEDS. THE RESULTS ARE FORWARDED TO RAIL OPERATIONS MANAGEMENT AND THE SAFETY DEPARTMENT. MOREOVER THE SAFETY DEPARTMENT HAS INSTITUTED FORMAL RIDE SAFETY CHECKS TO BE CONDUCTED BY SAFETY PERSONNEL. A MINIMUM OF SIX CHECKS ARE PERFORMED EACH WEEK. OPERATORS ARE OBSERVED FOR PROPER COMPLIANCE TO OPERATING RULES INCLUDING OBSERVANCE OF SIGNALS AND SPEEDS. THE CONDITIONS OF SIGNALS, TRACK, AND WAYSIDE VEGETATION ARE ALSO MONITORED. THE RIDE CHECKS ARE FORWARDED TO THE DIRECTOR OF RAIL TRANSPORTATION FOR ANY ACTION WHICH MAY NEED TO BE TAKEN, WITH A COPY REMAINING IN THE SAFETY DEPARTMENT. ADDITIONALLY, THE SAFETY DEPARTMENT HAS THE AUTHORITY TO REQUEST AT ANY TIME THE RECORDS OF THE RIDE CHECKS PERFORMED BY THE RAIL SUPERVISORS IN ORDER TO ASSURE THAT THEY CONTINUE TO BE PERFORMED COMPLETELY AND ON SCHEDULE.

From: NTSB
To: Greater Cleveland Regional Transit Authority
Date: 1/17/1988
Response:

From: NTSB
To: Greater Cleveland Regional Transit Authority
Date: 11/25/1987
Response: