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Safety Recommendation Details

Safety Recommendation R-96-022
Details
Synopsis: ABOUT 6:12 A.M. ON 6/5/95, A NEW YORK CITY TRANSIT (NYCT) SOUTHBOUND SUBWAY TRAIN TRAVELING AT MAXIMUM ATTAINABLE SPEED PASSED A RED SIGNAL & COLLIDED WITH THE REAR CAR OF ANOTHER NYCT SUBWAY TRAIN THAT WAS STOPPED ON THE WILLIAMSBURG BRIDGE, WHICH SPANS THE EAST RIVER & WHICH LINKS THE BOROUGHS OF BROOKLYN & MANHATTAN. THE OPERATOR OF THE STRIKING TRAIN WAS FATALLY INJURED WHEN THE LEAD CAR OF HIS TRAIN PARTIALLY TELESCOPED INTO THE REAR CAR OF THE STRUCK TRAIN & HIS CAB WAS TOTALLY CRUSHED. SIXTY-SEVEN PASSENGERS & TWO EMERGENCY RESPONDERS WERE TREATED AT AREA HOSPITALS FOR SERIOUS OR MINOR INJURIES RESULTING FROM THE ACCIDENT.
Recommendation: THE NTSB RECOMMENDS THAT THE NEW YORK CITY TRANSIT: DEVELOP & DISSEMINATE A TRAINING & EDUCATION MODULE TO INFORM TRAIN OPERATORS & OTHER EMPLOYEES INVOLVED IN SAFETY-SENSITIVE POSITIONS ABOUT THE HAZARDS OF PERFORMING THEIR DUTIES WHILE FATIGUED.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: BROOKLYN, NY, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA95MR003
Accident Reports:
​Collision Involving Two New York City Subway Trains on the Williamsburg Bridge in Brooklyn, New York, June 5, 1995
Report #: RAR-96-03
Accident Date: 6/5/1995
Issue Date: 9/11/1996
Date Closed: 10/13/1999
Addressee(s) and Addressee Status: Metropolitan Transportation Authority New York City Transit (Closed - Acceptable Action)
Keyword(s): Fatigue, Training and Education, Transit

Safety Recommendation History
From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date: 10/13/1999
Response: THE SAFETY BOARD WAS PLEASED TO RECEIVE A COPY OF THE NYCT'S "FATIGUE AWARENESS TRAINING MANUAL" INFORMING SUBWAY WORKERS OF THE IMPACT OF FATIGUE AND THEIR NEED TO BE PROPERLY RESTED BEFORE REPORTING FOR WORK. WE ALSO NOTE THAT THE NYCT HAS INITIATED FATIGUE COUNTERMEASURES TRAINING FOR ITS TRAIN OPERATORS, CONDUCTORS, AND TOWER OPERATORS. BASED ON YOUR RESPONSE, THE SAFETY BOARD HAS CLASSIFIED R-96-22 "CLOSED--ACCEPTABLE ACTION."

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 5/14/1999
Response: NYCT ON 5/14/99 SUBMITTED A COPY OF THE NEW YORK TRANSIT FATIGUE AWARENESS TRAINING MANUAL AND ADVISED THAT FATIGUE TRAINING WAS PROVIDED TO ALL OF NYCT'S CONDUCTORS (2862), TRAIN OPERATORS (2960), AND TOWER OPERATORS (538) IN 1997. DURING 1998, NYCT PROVIDED THIS TRAINING TO 623 NEW EMPLOYEES. TO DATE IN 1999, NYCT HAS PROVIDED THIS TRAINING TO 250 NEW EMPLOYEES.

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 12/2/1996
Response: NYCT concurs and the Department of Subways has developed, with the assistance of the Office of System Safety (OSS),:+ comprehensive fatigue module that will be given to all newly hired RTO employees in the affected titles as well as during refresher classes. In keeping with this initiative, RTO sent a manager and a supervisor to the NASA /Ames “Managing Human Fatigue in Transportation: Promoting Safety and Productivity” Symposium; the manager further advanced the learning process by attending their “Train the Trainer” Workshop. The whole area of fatigue research is relatively new and there are very few “hard facts” on how we can detect a fatigue employee. A fatigue study was conducted by the Transportation Cooperative Research Program:The “Fitness-for-Duty” testing in the transit workplace report prepared by the Battelle Memorial Institute revealed that Fitness for Duty testing is not yet feasible in the transit industry, based on the evaluation of scientific and operational perspectives. The report also indicated that current fitness for duty tests are not sufficiently sensitive to be used in transit. NYCT continues to report on an ongoing basis the actions taken in reference to the training and education of employees in safety sensitive positions in the monthly status report prepared by the Department of Subways.

From: Metropolitan Transportation Authority New York City Transit
To: NTSB
Date: 9/30/1996
Response:

From: NTSB
To: Metropolitan Transportation Authority New York City Transit
Date:
Response: At the 1990 Board meeting addressing the NTSB’s Most Wanted List of Transportation Safety Improvements (MWL), the Board voted to place Safety Recommendations I-89-1 through I-89-3 and R-89-19 on the MWL under the issue category “Cross Modal Human Fatigue/ Hours-of-Work Policy.” Safety Recommendations H-95-1, A-94-194, A-95-113, A-97-71, A-99-45, I-99-1, H-99-19, R-91-45, R-91-47, R-91-48, R-96-20 through R-96-22, R-96-56, R-99-2, P-98-30, P-99-12, M-99-1, A-06-10, A-07-30, A-07-32, and A-08-44 were added to this category at later dates.