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Safety Recommendation Details

Safety Recommendation R-87-054
Details
Synopsis: AT 4:25 P.M. E.D.T., ON JULY 8, 1986, 15 CARS OF A SOUTH BOUND BALTIMORE AND OHIO RAILROAD COMPANY FREIGHT TRAIN CONSISTING OF 44 CARS AND A LOCOMOTIVE, DERAILED WHILE TRAVELING AT 45 MPH NEAR MIAMISBURG, OHIO. THREE OF THE 15 DERAILED CARS WERE TANK CARS CONTAINING YELLOW PHOSPHORUS, MOLTEN SULFUR, AND TALLOW. WHILE DERAILING ON A BRIDGE, THESE TANK CARS WERE EXTENSIVELY DAMAGED, LOST PRODUCT, AND WERE INVOLVED IN THE RESULTING FIRE. APPROX IMATELY 7,000 RESIDENTS FROM A SECTION OF MIAMISBURG WERE INITIALLY EVACUATED AS A SAFETY PRECAUTION. ON THE FOL LOWING DAY AS A WRECKAGE-CLEARING CREW CONTRACTED BY THE RAILROAD WAS PREPARING TO REMOVE THE SMOLDERING PHOSPHORUS TANK CAR, A CONCRETE STRUCTURE SUPPORTING THE TANK CAR COL LAPSED AND SEVERAL HUNDRED GALLONS OF MOLTEN PHOSPHORUS IN SIDE THE TANK CAR ESCAPED AND IGNITED, RESULTING IN AN EX TENSIVE CLOUD OF PHOSPHORUS COMBUSTION EFFLUENTS. DURING THE NEXT 48 HOURS, A 3-SQUARE-MILE AREA OF MONTGOMERY COUN TY, OHIO, WAS EVACUATED, FORCING AN ESTIMATED 30,000 PEOPLE TO LEAVE THEIR HOMES AND BUSINESSES; 569 PERSON WERE TREATED FOR VARIOUS COMPLAINTS DURING THE INCIDENT. TOTAL PROPERTY DAMAGE WAS APPROXIMATELY $3,540,000, INCLUDING THE COST OF HAZARDOUS MATERIALS CLEANUP.
Recommendation: THE NTSB RECOMMENDS THAT THE ASSOCIATION OF AMERICAN RAILROADS: ESTABLISH A QUALITY CONTROL PROGRAM THAT INCLUDES ON-SITE INSPECTION TO DETERMINE THAT TANK CAR MANUFACTURE, REPAIRS, MODIFICATIONS, AND ALTERATIONS ARE PERFORMED IN COMPLIANCE WITH THE TANK CAR SPECIFICATIONS APPROVED IN APPLICATIONS.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: Miamisburg, OH, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA86HZ003
Accident Reports: Derailment of CSX Transportation Extra 7614​​Hazardous Materials Release Following the Derailment of Baltimore and Ohio Railroad Company Train No. SLFR
Report #: HZM-87-01
Accident Date: 7/8/1986
Issue Date: 10/16/1987
Date Closed: 6/7/1994
Addressee(s) and Addressee Status: Association of American Railroads (Closed - Acceptable Action)
Keyword(s): Hazmat

Safety Recommendation History
From: NTSB
To: Association of American Railroads
Date: 6/7/1994
Response: THE BOARD NOTES THAT ALL TANK CAR MANUFACTURERS & REPAIR FACILITIES MUST NOW BE CERTIFIED IN ACCORDANCE WITH THE AAR'S MANUAL OF STANDARDS & RECOMMENDED PRACTICES SECATION J, SPECIFICATION FOR QUALITY ASSURANCE M-1003. TO RECEIVE CERTIFICATION THE BOARD UNDERSTANDS THAT EACH TANK CAR MANUFACTURER & REPAIR SHOP MUST SUBMIT TO THE AAR A COPY OF THE FACILITY'S QUALITY ASSURANCE MANUAL, & DEMONSTRATE TO ON-SITE AUDITORS THAT APPLICABLE ELEMENTS OF THE QUALITY PROGRAM HAVE BEEN ESTABLISHED, DOCUMENTED, & EFFECTIVELY IMPLEMENTED. BECAUSE THE QUALITY ASSURANCE CERTIFICATION PROCESS REQUIRES FACILITIES TO ESTABLISH QUALITY CONTROL PROGRAMS & REQUIRES ON-SITE AUDITS OF THE FACILITIES AT LEAST ONCE EVERY 3 YEARS, RECOMMENDATION R-87-54 IS CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: Association of American Railroads
To: NTSB
Date: 4/26/1994
Response: AT A JULY 21, 1993 MEETING BETWEEN AAR & NTSB STAFF, AAR PROVIDED A COPY OF SPECIFICATION M-1003 WHICH SETS FORTH THE QUALITY ASSURANCE CERTIFICATION PROCESS. TO DATE, APPOXIMATELY 95% OF THE ELIGIBLE TANK CAR FACILITIES HAVE BEEN CERTIFIED; THE CERTIFICATION PROCESS FOR THE REMAINING FACILITIES WILL BE COMPLETED BY MID-YEAR. AFTER A FACILITY IS CERTIFIED, IT WILL BE CHECKED FOR COMPLIANCE ON A PERIODIC BASIS. RECERTIFICATION IS REQUIRED EVERY THREE YEARS.

From: NTSB
To: Association of American Railroads
Date: 2/16/1994
Response: AS A RESULT OF BOARD STAFF MEETINGS WITH AAR STAFF AND AFTER REVIEWING AAR TANK CAR COMMITTEE MEETING MINUTES, THE BOARD UNDERSTANDS THAT AS OF JANUARY 1, 1994, THE AAR REQUIRES QUALITY ASSURANCE FACILITY CERTIFICATION FOR ALL TANK CAR MANUFACTUREING, REPAIR, AND RETEST FACILITIES. THE SAFETY BOARD WOULD APPRECIATE SPECIFIC INFORMATION ABOUT THE PROGRAM AND HOW IT WILL MEET THE INTENT OF RECOMMENDATION R-87-54. PENDING YOUR RESPONSE, RECOMMENDATION R-87-54 IS CLASSIFIED "OPEN--ACCEPTABLE RESPONSE."

From: Association of American Railroads
To: NTSB
Date: 4/13/1990
Response:

From: NTSB
To: Association of American Railroads
Date: 6/9/1988
Response: Because tank car shop audits establish only that a shop is capable of complying with applicable standards and procedures, increasing the frequency of such audits will not accomplish the objective sought in this recommendation. This recommendation calls for the AAR to establish a means of determining that work performed actually complies with specifications; thus a means of monitoring work in progress would be necessary. If the shop audits have been modified to include assessments of work in progress, a detailed description of this program would be appreciated so that we could determine whether such changes would meet the intent of this recommendation. Pending a further response, Safety Recommendation R-87-54 will be held in an "Open--Unacceptable Action" status.

From: Association of American Railroads
To: NTSB
Date: 2/22/1988
Response: EXISTING FACILITY CERTIFICATION REQUIREMENTS OUTLINED IN APPENDIX B TO SPECIFICATION M-1002, (WHICH INCLUDE EXTENSIVE NDT AND QUALITY CONTROL PROVISIONS), COMBINED WITH A RECENTLY IMPLEMENTED PROGRAM TO INCREASE THE FREQUENCY OF AAR SHOP AUDITS, WILL ADEQUATELY AND APPROPRIATELY REACH REASONABLE QUALITY CONTROL OBJECTIVES. NEEDLESS TO SAY, THE TANK CAR COMMITTEE WILL NOT HESITATE TO WITHDRAW FACILITY CERTIFICATION FOR THOSE CASES WHEN NONCOMPLIANCE WITH DOT OR AAR SPECIFICATIONS IS DISCOVERED.N NONCOMPLIANCE WITH DOT OR