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Safety Recommendation Details

Safety Recommendation R-92-019
Details
Synopsis: ABOUT 12:12 A.M. ON AUGUST 28, 1991, A NEW YORK CITY TRANSIT AUTHORITY (NYCTA) 10-CAR SUBWAY TRAIN DERAILED AT A CROSSOVER, STRIKING STEEL COLUMNS AND CONCRETE SUPPORTS AT THE UNION SQUARE STATION (14TH STREET). OF THE 216 PASSENGERS ON BOARD, 5 PASSENGERS (ALL IN THE FIRST CAR) WERE FATALLY INJURED. ONE HUNDRED AND TWENTY-ONE PASSENGERS AND 24 RESCUE PERSONNEL WERE TRANSPORTED TO 13 AREA HOSPITALS FOR THE TREATMENT OF POSSIBLE INJURIES. OF THE 145 PERSONS TRANSPORTED TO HOSPITALS, 16 WERE ADMITTED AND 129 WERE TREATED AND RELEASED. DAMAGE TO THE TRAIN INCLUDED THE DESTRUCTION OF TWO CARS (1440 AND 1437) AND SUBSTANTIAL DAMAGE TO OTHER CARS. IN ADDITION, 23 STEEL COLUMNS SUPPORTING THE OVERHEAD ROADWAY (SOUTH PARK AVENUE) WERE DAMAGED, RESULTING IN A 1/2-INCH TO 1 1/4-INCH SETTLEMENT OF THE ROADWAY. NYCTA ESTIMATES THAT THE COST OF ACCIDENT DAMAGE, CLEANUP, AND TRACK REPLACEMENT WILL EXCEED $5 MILLION.
Recommendation: THE NTSB RECOMMENDS THAT THE NEW YORK CITY TRANSIT AUTHORITY: REVISE AND UPDATE THE OPERATING RULEBOOK TO INCLUDE CLEARLY DEFINED DUTIES AND RESPONSIBILITIES FOR OPERATING CREWMEMBERS AND INFORMATION ON ASPECTS AND INDICATIONS OF SIGNALS NOT PREVIOUSLY ADDRESSED.
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 #: DCA91MR008
Accident Reports: ​New York City Transit Authority Derailment at Union Square Station
Report #: RAR-92-03-SUM
Accident Date: 8/28/1991
Issue Date: 12/21/1992
Date Closed: 9/23/1993
Addressee(s) and Addressee Status: Metropolitan Transportation Authority New York City Transit (Closed - Acceptable Action)
Keyword(s): Transit

Safety Recommendation History
From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date: 9/23/1993
Response: THE BOARD IS PLEASED TO HAVE RECEIVED THE 1992 EDITION OF NYCTA'S OPERATING RULEBOOK, WHICH CONTAINS THE REVISIONS REQUESTED THROUGH THIS RECOMMENDATION. THE BOARD HAS CLASSIFIED RECOMMENDATION R-92-19 "CLOSED--ACCEPTABLE ACTION."

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 7/15/1993
Response: NYCTA ENCLOSED A COPY OF THEIR REVISED OPERATING RULES AND REGULATIONS THAT MEET THE INTENT OF THE RECOMMENDATION. (NOTE: THE REVISED NYCTA RULE BOOK IS MAINTAINED IN THE DIVISION RULE BOOK LIBRARY FOR REFERENCE.)

From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date: 4/23/1993
Response: THE BOARD NOTES THAT THE NYCTA HAS REVISED THE OPERATING RULEBOOK & THAT THE SIGNAL ASPECTS NOT INCLUDED IN THE REVISION WILL BE PRESENTED TO THE RULEBOOK COMMITTEE FOR INCLUSION IN THE NEXT REVISION. WE ALSO NOTE THAT A BULLETIN DEFINING THE RESPONSIBILITIES OF CONDUCTORS WAS ISSUED ON 12/6/92. PENDING RECEIPT OF A COPY OF THE REVISED OPERATING RULEBOOK FOR REVIEW, THE BOARD HAS CLASSIFIED RECOMMENDATION R-92-19 "OPEN--ACCEPTABLE RESPONSE."

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 1/27/1993
Response: NYCTA STATED THAT THE NYCTA RULE BOOK HAS RECENTLY BEEN REVISED AND WILL BE PRINTED SOON. HOWEVER, THEY WILL ENSURE THAT SIGNAL ASPECTS NOT INCLUDED IN THE RESENT REVISION ARE PRESENTED TO THE RULE BOOK COMMITTEE FOR INCLUSION IN THE NEXT REVISION. IN THE INTERIM, ANY SIGNAL ASPECTS WHICH NEED CLARIFICATION, SUCH AS AN "APPROACH HOME SIGNAL", WILL BE DEFINED IN DIVISIONAL BULLETINS. ADDITIONALLY, THE DIVISION OF RAPID TRANSIT OPERATION ISSUED A BULLETIN DEFINING THE RESPONSIBILITIES OF CONDUCTORS ON DECEMBER 6, 1992, (BULLLETIN NO. 91-91).