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Safety Recommendation Details

Safety Recommendation R-96-008
Details
Synopsis: AT 2:39 P.M. ON 2/9/95, METROPOLITAN TRANSPORTATION AUTHORITY/YORK CITY TRANSIT (NYCT) NORTHBOUND M LINE SUBWAY TRAIN COLLIDED WITH THE REAR CAR OF A STOPPED NYCT B LINE SUBWAY TRAIN. THE COLLISION OCCURRED ON ELEVATED TRACK ABOUT 1,011 FEET SOUTH OF THE NINTH AVENUE STATION IN BROOKLYN, NEW YORK, FOUR NYCT EMPLOYEES & 11 PASSENGERS SUSTAINED MINOR INJURIES. THE BOARD HAS REVIEWED THE 7/26/90, NYCT REAR-END COLLISION THAT INVOLVED KEYING BY WITHOUT PERMISSION IN WHICH THE TRACK, SIGNAL, & TRAINS WERE THE SAME AS IN THIS FEBRUARY 1995 COLLISION. THE RTO WAS INFORMED BY MEMORANDUM AFTER THE NYCT INVESTIGATION THAT THE COLLISION WAS CAUSED "BY THE FAILURE OF THE OPERATOR, OPERATING THE M TRAIN, TO ADHERE TO THE OPERATING RULES RELATIVE TO PASSING RED SIGNALS, & PASSING RED SIGNALS, & FAILING TO PAY PROPER ATTENTION TO THE OPERATION OF THE TRAIN" & WAS ISSUED A RECOMMENDATION BY THE OFFICE OF SYSTEM SAFETY TO "INSTRUCT LOCAL SUPERVISORS TO INCREASE THEIR OBSERVATION OF OPERATOR'S PERFORMANCE IN THEIR AREAS OF RESPONSIBILITY AS A DETERRENT TO IMPROPER TRAIN OPERATION." AFTER THE 3/10/89, REAR-END COLLISION AT THE 103RD STREET STATION, THE BOARD ASKED THE NYCT IN R-90-4 TO CONDUCT RANDOM TESTING, USING RADAR GUNS, OF TRAIN SPEED, WITH SPECIAL EMPHASIS GIVEN TO THOSE LOCATIONS WHERE SPEED RESTRICTIONS ARE IN EFFECT, THE NYCT RESPONDED THAT "OPERATORS ARE REGULARLY MONITORED FOR THEIR ADHERENCE TO POSTED SPEED LIMITS; WE WILL, MANPOWER PERMITTING, INTENSIFY OUR EFFORTS TO ENSURE THAT SPEED RESTRICTIONS ARE STRICTLY OBEY."
Recommendation: THE NTSB RECOMMENDS THAT THE METROPOLITAN TRANSPORTATION AUTHORITY/NEW YORK CITY TRANSIT: ENSURE THAT EACH EXISTING ONE-SHOT GRADE TIME SIGNAL IS EQUIPPED WITH A LUNAR WHITE LIGHT.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Unacceptable Action
Mode: Railroad
Location: BROOKLYN, NY, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA95MR001
Accident Reports: Collision and Derailment of Two Subway Trains Metropolitan Transportation Authority New York City Transit
Report #: RAR-96-01
Accident Date: 2/9/1995
Issue Date: 3/27/1996
Date Closed: 12/12/1997
Addressee(s) and Addressee Status: Metropolitan Transportation Authority New York City Transit (Closed - Unacceptable Action)
Keyword(s): Signals, Transit

Safety Recommendation History
From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 12/26/1997
Response: Letter Mail Controlled 1/6/98 11:36:37 AM MC# 980006:

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 12/2/1996
Response:

From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date: 10/15/1996
Response: THE BOARD IS PLEASED THAT NYCT TOOK PROMPT ACTION TO MODIFY THOSE ONE-SHOT GRADE TIME SIGNALS THAT POSED THE GREATEST RISKS TO SAFE OPERATIONS. HOWEVER, THE BOARD IS DISAPPOINTED THAT NYCT DECIDE NOT TO EQUIP THE REMAINING SIGNALS, AS RECOMMENDED. MR. HOFFMANN'S 5/20/96, MEMORANDUM, TRANSMITTED WITH YOUR LETTER, CITES INSTALLATION COSTS THAT ARE SIGNIFICANTLY HIGHER THAN ESTIMATES FURNISHED TO OUR INVESTIGATORS DURING THE INVESTIGATION. THE BOARD IS ALSO CONCERNED THAT GRADE WAS NOT CONSIDERED IN THE INSTALLATION SECTION CRITERIA. WE HAVE CLASSIFIED R-96-8 "OPEN--UNACCEPTABLE RESPONSE" & ASK THAT THE NYCT REEXAMINE ITS JUSTIFICATIONS FOR NOT MODIFYING THE SUBJECT SIGNALS.

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 5/22/1996
Response: MR. LAWRENCE G. REUTER, PRESIDENT, METRO TRANSIT AUTHORITY, NEW YORK CITY TRANSIT RESPONDED ON 5/22/96, THAT 609 ONE SHOT GRADE TIME SIGNALS ON NYCT OF WHICH, 203 ARE WITHOUT LUNAR WHITE ASPECTS. OF THE 203, FIFTEEN PRIORITY LOCATIONS ON THE NYCT SYSTEM HAVE BEEN IDENTIFIED & EQUIPPED WITH LUNAR WHITE ASPECTS BY IN-HOUSE FORCES. THE REMAINING 188 ON SHOT GRADE TIME SIGNALS COULD BE MODIFIED AT AN ESTIMATED COST OF $13 MILLION UNDER A SEPARATE CAPITAL PROJECT. IT HAS BEEN RECOMMENDED THAT THE INSTALLATION OF LUNAR WHITE ASPECTS BE INCLUDED AS PART OF THE SIGNAL MODERNIZATION PROGRAM AS EACH LINE IS RESIGNALLED & NOT INSTITUTED AS A SEPARATE PROJECT.