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Safety Recommendation Details

Safety Recommendation R-14-009
Details
Synopsis: On Sunday, December 1, 2013, at 7:19 a.m. eastern standard time, southbound Metro-North passenger train 8808 derailed at milepost 11.35 on track number 2 of the Metro-North Hudson Line. The train originated in Poughkeepsie, New York, with a destination of Grand Central Station in New York City. It consisted of seven passenger cars and one locomotive at the rear in a push configuration. All seven passenger cars and the locomotive derailed. The derailment occurred in a 6° left curve, where the maximum authorized speed was 30 mph. Event recorder data indicated that the train was traveling at 82 mph when it derailed. As a result of the derailment, 4 passengers died and 4 crewmembers and 55 persons were transported to local hospitals for treatment of their injuries. Metro-North estimated there were about 115 passengers on the train at the time of the derailment. Damage was estimated by Metro-North to be $9 million. The weather at the time of the accident was reported as 39°F with cloudy skies.
Recommendation: TO METRO NORTH RAILROAD: Regularly review and use in-cab audio and image recordings in conjunction with other performance data, to verify that train crew actions are in accordance with rules and procedures that are essential to safety.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Railroad
Location: Bronx, NY, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA14MR002
Accident Reports: ​Metro-North Railroad Derailment
Report #: RAB-14-12
Accident Date: 12/1/2013
Issue Date: 2/18/2014
Date Closed: 11/8/2019
Addressee(s) and Addressee Status: Metro North Railroad (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: Metro North Railroad
Date: 11/8/2019
Response: We note that you hold monthly meetings with your transportation, rules, safety, regulatory compliance, and security departments to ensure that recorder data is used to tailor employee testing and follow up. This meets the intent of Safety Recommendation R-14-9, which is classified CLOSED-ACCEPTABLE ACTION.

From: Metro North Railroad
To: NTSB
Date: 5/10/2018
Response: -From Joseph J. Lhota, Chairman: As we stated in our May 14, 2014, letter to the NTSB, we are incorporating the use of inward- and outward-facing audio and image recordings into our training programs, operational test and evaluation, and other audit programs. Beginning in November 2017, MNR initiated monthly meetings where review of these audio and video recordings was incorporated to verify crew actions and adherence to operating rules and procedures essential to safety. This is a monthly, reoccurring meeting that includes the following departments; Transportation, Rules, Safety, Regulatory Compliance, and Security. Considering MNR' s actions to implement the proactive use of audio and video recordings as recommended, we request that NTSB Safety Recommendation (R-14-009) be classified as "Closed-Acceptable Action."

From: NTSB
To: Metro North Railroad
Date: 7/23/2015
Response: We understand that Metro-North awarded a contract for the installation of audio and image recording devices to address Safety Recommendations R-14-8 and -9, and that design work began on March 3, 2015. We also understand that you expect to begin installing these devices early in 2016. Pending completion of the recommended actions, Safety Recommendations R-14-8 and -9 are classified OPEN--ACCEPTABLE RESPONSE.

From: Metro North Railroad
To: NTSB
Date: 4/24/2015
Response: -From Joseph J. Giulietti, President: Attached is our September 26th response to R-14-07. Each of the actions mentioned in our submission have been completed. In addition Metro-North has reviewed all MP markers to ensure accuracy and consistency with its timetable. This will assist engineers in identifying the locations of speed changes on the system. Our trains are capable of operating at 6” of cant deficiency safely. In a conservative approach, based on track geometry, and the analysis performed, signs were placed at all locations where greater than 5” exists. Metro-North has completed the installation of all permanent speed signs and all open signal system modifications for lowered speeds. In addition, we continue to utilize our speed compliance program as a method of ensuring engineer compliance with Maximum Authorized Speed (MAS). This program utilizes a combination of radar checks, on-board observations and event recorder reviews. The event recorder reviews have been enhanced using GPS coordinates reducing the time to perform a review from 90 minutes to approximately 5 minutes. We request that this recommendation be classified as “Closed – Acceptable Action.” We thank the NTSB for its consideration of this request. If there is any additional information you need, we will be happy to provide it. Metro-North has awarded a contract to SEPSA for the installation of audio and image recording devices. Design efforts began on March 3, 2015. The design is expected to meet or exceed the NTSB recommendations. Prototype units are expected by the end of 2015 with production and installation beginning in early 2016. We thank the NTSB for its consideration of this submission and we will continue to update you on our progress. If there is any additional information you need, we will be happy to provide it.

From: NTSB
To: Metro North Railroad
Date: 1/14/2015
Response: Safety Recommendations R-14-8 and 9, which were not addressed in your September 24, 2014, update or in our November 19, 2014, Board Meeting, remain classified OPEN—ACCEPTABLE RESPONSE pending completion of the recommended actions.

From: NTSB
To: Metro North Railroad
Date: 6/26/2014
Response: We understand that your Safety Department will develop the integration plan for the anticipated data as part of your System Safety Program Plan. We note that you plan to use the audio and image recordings from this equipment for training, efficiency testing, hazard analysis, and accident investigations, in conjunction with the other performance data currently being used. Pending completion of these efforts, Safety Recommendation R-14-9 is classified OPEN—ACCEPTABLE RESPONSE.

From: Metro North Railroad
To: NTSB
Date: 5/14/2014
Response: -From Joseph J. Giulietti, President: Metro-North’s Safety Department will work on developing the integration plan of the anticipated data as part of Metro-North’s System Safety Program Plan. The audio and image recordings from this equipment will be utilized by Metro-North for training, efficiency testing, hazard analysis and accident investigations in conjunction with the other performance data currently being utilized.