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Safety Recommendation Details

Safety Recommendation R-99-022
Details
Synopsis: ON 3/25/98, ABOUT 4:48 A.M. EASTERN STANDARD TIME, SOUTHBOUND NORFOLK SOUTHERN CORPORATION (NORFOLK SOUTHERN) TRAIN 255L5, WHICH WAS EN ROUTE TO FORT WAYNE, INDIANA, STRUCK EASTBOUND CONSOLIDATED RAIL CORP. (CONRAIL) TRAIN TV 220, WHICH WAS EN ROUTE TO COLUMBUS, OHIO. THE COLLISION OCCURRED WHERE THE NORFOLK SOUTHERN HUNTING DISTRICT AND THE CONRAIL CHICAGO MAIN LINES CROSS AT GRADE AT THE EAST END OF THE TOWN OF BUTLER, IN. BOTH LOCOMOTIVES AND FIVE CARS FROM THE NORFOLK SOUTHERN TRAIN DERAILED, AND THREE CARS FROM THE CONRAIL TRAIN, TWO WITH MULTIPLE STACKED PLATFORMS, DERAILED. THE NORFOLK SOUTHERN CONDUCTOR WAS KILLED; THE ENGINEER AND STUDENT ENGINEER SUSTAINED MINOR INJURIES. THE TWO CONRAIL CREWMEMBERS WERE NOT INJURED.
Recommendation: THE NTSB RECOMMENDS THAT NORFOLK SOUTHERN CORPORATION: IN COOPERATION WITH THE FEDERAL RAILROAD ADMINISTRATION, THE AMERICAN SHORT LINE AND REGIONAL RAILROAD ASSOCIATION, THE BROTHERHOOD OF LOCOMOTIVE ENGINEERS, AND THE UNITED TRANSPORTATION UNION, DEVELOP, FOR ALL TRAIN CREWMEMBERS, CREW RESOURCE MANAGEMENT TRAINING THAT ADDRESSES AT A MINIMUM: CREWMEMBER PROFICIENCY, SITUATIONAL AWARENESS, EFFECTIVE COMMUNICATION AND TEAMWORK, AND STRATEGIES FOR APPROPRIATELY CHALLENGING AND QUESTIONING AUTHORITY.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: Butler, IN, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: CHI98FR009
Accident Reports: Collision of Norfolk Southern Corporation Train 255L5 with Consolidated Rail Corporation Train TV 220
Report #: RAR-99-02
Accident Date: 3/25/1998
Issue Date: 7/29/1999
Date Closed: 8/9/2001
Addressee(s) and Addressee Status: Norfolk Southern Corporation (Closed - Acceptable Action)
Keyword(s): Crew Resource Management, Training and Education

Safety Recommendation History
From: NTSB
To: Norfolk Southern Corporation
Date: 8/9/2001
Response: The Safety Board notes that NS has developed a Crew Resource Management (CRM) training program in conjunction with the other constituents that addresses crewmember proficiency, situational awareness, effective communication, teamwork, and strategies for appropriately challenging and questioning authority. The Board further notes that the CRM program was implemented at the previously mentioned 8-hour safety workshop. The Safety Board appreciates the actions taken by NS regarding this important safety issue. Accordingly, Safety Recommendation R-99-22 is classified "Closed--Acceptable Action."

From: Norfolk Southern Corporation
To: NTSB
Date: 12/27/2000
Response: Letter Mail Controlled 01/03/2001 5:15:39 PM MC# 2010002: A Crew Resource Management (CRM) training program has been developed in conjunction with the other constituents that addresses crew member proficiency, situational awareness, effective communication, teamwork, and strategies for appropriately challenging and questioning authority. The customized program was provided to the Class I Railroads (CN, CP, CSX, BNSF, KCS, UP, Amtrak), the American Short Line Association, and the Association of American Railroads. The NS implementing plan for CRM is to present this at the eight-hour safety workshop currently being presented to 15,200 transportation employees. The CRM module is a significant portion of the workshop and will be completed during the fourth quarter of 2000. A copy of the CRM program was provided to Mr. L. F. Narvell, Jr. of your Human Factors Office and an offer extended to him to attend a class, as his schedule would permit. In addition, we appreciate the favorable comments on the program by NTSB. We believe these actions adequately address R-99-22 and bring closure to this recommendation.

From: NTSB
To: Norfolk Southern Corporation
Date: 6/27/2000
Response: THE SAFETY BOARD COMMENDS THE NS FOR EMBRACING THE CONCEPT OF CREW RESOURCE MANAGEMENT (CRM) AND FOR AGREEING TO TAKE A LEADERSHIP ROLE IN THE AMERICAN ASSOCIATION OF RAILROADS' CRM DEVELOPMENT PROGRAM. PENDING IMPLEMENTATION OF AN ACCEPTABLE CRM PROGRAM, THE SAFETY BOARD HAS CLASSIFIED R-99-22 "OPEN--ACCEPTABLE RESPONSE."

From: Norfolk Southern Corporation
To: NTSB
Date: 10/26/1999
Response: Letter Mail Controlled 10/28/1999 4:23:24 PM MC# 991193 NS RECOGNIZES THE VALUE OF CREW RESOURCE MANAGEMENT (CRM) AND IS CURRENTLY EVALUATING SEVERAL PROGRAMS THAT HAVE BEEN IMPLEMENTED ON OTHER TRANSPORTATION PROPERTIES TO DETERMINE IF THESE CONCEPTS CAN BE EFFECTIVELY INTEGRATED WITH OUR CURRENT PROCESSES. UPON COMPLETION OF THE EVALUATION TO UTU AND BLE WILL BE ASKED TO PROVIDE THEIR INPUT AS TO THE USE OF CRM ON NS. NS, IN COOPERATION WITH AAR, WILL ALSO TAKE A LEADERSHIP ROLE IN A BROAD-BASE APPROACH TO CRM ON A NATIONWIDE PERSPECTIVE. A FOUR-PART TRAINING MODULE WILL BE DEVELOPED THAT WILL ALLOW ALL CLASS I RAILROADS THE OPPORTUNITY TO IMPLEMENT THE SAME OR SIMILAR PROGRAM.