NATIONAL

8 〔图〕插图 PB85-917207

〔图〕RANSTOPANALONATIONSAFENBOARD\n

NATIONAL

TRANSPORTATION SAFETY BOARD

〔图〕插图 WASHINGTON, D.C. 20594

〔图〕插图

RAILROAD ACCIDENT REPORTS

BRIEF FORMAT

ISSUE NUMBER 3 - 1984

〔图〕插图 NTSB/RAB-85/07

〔图〕插图 REPRODUCED BY NATIONAL TECHNICAL INFORMATION SEPVICE US DEPARTMENT OF COMMERCE CFRINOFED. VAL 22151

UNITED STATES GOVERNMENT

TECHNICAL REPORT DOCUMENTATION PAGE

FOEWORD

The National Transportation Safety Board is an independent Federal agency that serves as the overseer of safety in railroad, highway, pipeline, marine, and civil aviation transportation. The Safety Board was created by the Transportation Act of 1966 at which time it functioned as an autonomous agency under the Department of Transportation. In 1974, Congress enacted the Independent Safety Board Act which established the Safety Board as a totally independent agency of the Federal Government and broadened the Board’s investigative role in the surface modes of transportation,

Under the Independent Safety Board Act, the Board has the authority to investigate, determine the facts, conditions, circumstances, and probable cause(s) of accidents, issue safety recommendations, conduct special studies on transportation safety, assess techniques of accident investigation, evaluate effectiveness of other government agencies with respect to transportation safety, and evaluate the adequacy of safeguards and procedures for transporting hazardous materials.

In accordance with the provisions of the Independent Safety Board Act of 1974, the NTSB has determined the probable cause of the accidents reported herein,

This publication contains the reports of 27 U.S. railroad accidents arranged in alphabetical order by railroad company name and tabulations of selected accident information including (1) types of accidents by carrier, (2) types of accidents by state, (3) casualties by types of accident and classes of persons, and (4) causal factors arranged by categories, types and numbers of accidents. These brief format reports are published quarterly on a calendar year basis and mostly include summaries of field investigations conducted by the Board's six railroad field offices. (See figure 1.) The briefs also contain data extracted from reports of investigations of major accidents which may be distinguished from the field investigations by the reference to the published National Transportation Safety Board major accident report under the probable cause section.

Care should be taken in interpreting the data contained in the four tables as they reflect only a three-month period and thus do not reflect an accurate long-term statistical distribution. At the end of each calendar year, an annual review of railroad accident data is published which contains tables and graphs compiled from that year's accident data.

These Briefs are summaries of reports of the National Transportation Safety Board and are thereby subject to the limitation of 49 USC 1903(c):

No part of any report or reports of the Board, relating to any accident or the investigation thereof, shall be admitted as evidence or used in any suit or action for damages growing out of any matter mentioned in such report or reports.

For those readers who wish more detailed information, the original factual reports for both field and major accidents are on file in the Washington, D.C., office of the National Transportation Safety Board and may be examined. These reports will be reproduced for a fee covering reproduction cost and postage. Orders for material also are subject to a user charge by the Board for special services, and such charge will be included in the bill.

Requests for reproduction should be forwarded to:

National Transportation Safety Board Public Inquiries Section Washington, D.C. 20594

National Transportation Safety Board

Railroad Field Offices

〔图〕11iw Tork-LCity9ChictgoFigure 1(8DanvorOLCTEAtPuserto RicoForarth(Under AtlantnFeid Otficnla4IEMRY\n

Figure 1

Effective June 1, 1984

TABLE OF CONTENTS

FOREWARD $\ldots$ i

TABLE OF CONTENTS $\ldots$ v

EXPLANATORY NOTES $\ldots$ vi

STATISTICAL TABLES:

1. Accidents by Type and Railroad $\ldots$ 1

1. Accident by Type and State $\ldots$ 2

1. Casualties by Typa of Accident and Class of Person $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldots$ , $\ldot

1. Causal Factors by Major Category and Accident Type. $\ldots$ $\ldots$ $\ldots$ 4

REFORT OY ACCIDENTS $\ldots$ 5-31

EXPLANATORY NOTES

Scope

The accidents included herein are those occurrences incidental to railroad operations which fall within the scope of Section 304 of the Independent Safety Board Act of 1974. As provided in that Section, the Board investigates and determines facts, conditions, circumstances, and probable cause of any railroad accident in which there is a fatality or substantial property damage, or which involves a passenger train. The following definitions, as set forth in Part 840 of the National Transportation Safety Board's regulations (49 CFR 840), effective April 1, 1976, and a amended August 14, 1980, are applicable.

Railroad - 840.2(a)

"Railroad" ineans any system of surface transportation of persons or properly over rails. It includes, but is not limited to, line-haul freight and passenger-carrying railroads, and rapid transit, commuter, scenic, subway and elevated railways.

Accident - 840.2(b)

"Accident" means any collision, derailment, or explosion involving railroad trains, locomotives, and cars; or any other loss-causing event involving the operation of such railroad equipment that results in a fatality or the emergency evacuation of persons.

Joint Operations - 840.2(c)

"Joint Operations" means rail operations conducted on a track used jointly or in common by two or more railroads subject to this part, or operation of a train, locomotive, or car by one railroad over the track of another railroad.

Fatality 840.2(d)

"Fatality" means the death of a person either at the time an accident occurs or within 24 hours thereafter.

Substantial Damage - §40.3

"Substantial Damage" in nonfatal railroad accidents is defined as follows:

1. Damage of $150,000 or more to railroad and nonrailroad property; or

1. All accidents involving passenger trains.

Causes and Other Factors

In determining probable cause(s) of an accident, all facts, conditions, and circumstances are considered. The object is to ascertain those cause-effect relationships in the accident sequence about which action may be taken to prevent recurrence. Accordingly, for statistical purposes, where two or more causes or contributing factors exist in an accident, each is recorded with no attempt to establish a primary cause or factor. Therefore, in the causal factor tables, the figures shown may exceed the total number of accidents.

TABLE 7:

ACCIDENTS SY REPORTING RAILROAD AND TYPE

(FIGURES BELOS REPRESENT A 3 MONTH PERIOD)

(3) NOT INCLULED IN TOTAL RAILROAD ACCIDENTS/INCIDENTS INVESTIGATED

(2) AMTRAK PASSENGER TRAIN ACCIDENTS ARE INCLUDED UNDER REPORTING RAILROAD

TABLE 2:

ACCIGENTS BY STATE AND TYPE

(FIGURES SELO: REPRESENT A 3 MONTH PERIOD)

(1) NOT INCLUDED IN TOTAL RAILROAD ACCIDENTS/INCIDENTS INVESTIGATED

TANLE: 3

CASUALITIES AT CLASS OF PERSON AND ACCIDENT TYPE

(FIGURES UFLOD REPRESENT A J MONTH PERIOD)

NOTE: "GENERAL PUBLIC CONSISTS OF ALL PERSONS WHO ARE NEITHER RAILROAD EMPLOYEES NOR PASSENGERS, INCLUDING BUT NOT LIMITED TO PERSONS ON OFFICIAL BUSINESS ON THE RAILROAD, EMERGENCY FCRCES, AND MEMBERS OF THE PUBLIC NOT ON RAILROAD PROPERTY

TABLE 4:

CAUSAL FACTORS BY MAJOR CATEGORY AND ACCIDENT TYPE

(FIGURES BELO� REPRESENT A 3 MONTH PERTOD)

(1) NOT INCLUDED IN TOTAL RAILROAD ACCIDENTS/INCIDENTS INVESTIGATED

(2) OTHER includes human failure, damage from natural forces, visualisation, sabotage, system design inadequacies, failure of radio and radio components, and failure of cargo and cargo tiedown and/or blocking

NATIONAL TRANSPORTATION SAFETY BOURU

Washington, D.C. 20594

8: -124

Accident Description:

National Railroad Passenger Corporation (Amtrak) trains Nos. 151 and 168 collided head-on on Amtrak's Hell Gate Line in the Astoria section of Queens, New York, New York, Train No. 151 was being opcrated westbound on the No. 2 main track by train order authority between Market Interlocking and the east end of Gate Interlocking. Train No. 168 was supposed to have been stopped and held at the home signal on No. 2 track at the west end of Gate Interlocking for the arrival of train No. 151. However, train No. 168 did not stop at the home signal but continued past Gate Interlocking. The two trains collided about l.l. miles east of Gate Interlocking.

84-121

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

84-143

NATIONAL TRANSPORTATION SAFETY BOARD

Washingros, D.C. 20594

84-146

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

84-127

NATIONAL TRANSPORTATION SAFETY BOARD

Washiugtou, D.C. 20594

84-128

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

84-140

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C., 20594

84-129

Accident Description: Freight Train No. 78, consisting of 3 locomotive units and 69 cars, had the three units and 12 cars derail while moving 40 mph. The engineer and head brakeman had sighted a tree lying across the track. The engineer said he thought they could easily negotiate an impact with the tree. Part of the tree lodged under the locomotive, was dragged to a turnout and wedged in the turnout, derailing the locomotive. The engineer put the train brakes into emergency application. The train went 500 more feet, hit a grade crossing and then the general derailment occurred. All three locomotive units turned over on their side. The engineer was fatally injured.

Probable 1. Human failure - crew believed tree on track was not hazardous

Cause: 2.

84-117

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 20594

84-135

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 20594

Reported by: Missouri Pacific Railroad Company

Brief of Railroad No.： DEN84FR021

Location:

Time:

Date:

Weather: Visibility:

Ottawa, Kansas

1515 CDT

Cloudy / 5000 PT

Train:

Railroad:

Class:

rection:

Operating Phase:

Track No.:

1 Minous Pacific Railroad Company

Freight

East

En route $\ldots$ 1

2

Accident Description: Denver & Rio Grande Western (DRGW) freight train F150-13 had ll cars derail while opeating on the Missouri Pacific RR (MP) at a speed of 59 mph. The first car to derail was a box car containing 120,000 pounds of lumber stacked so that the center of gravity was 10 inches higher than allowed. The truck side bearings of the box car were also out of tolerance.

Probable

1. Improper side bearing clearance

Cause:

1. High center of gravity of lading

Other

Factors: l.

Fatalities: Number: Description

• 0 =

——

Injuries: Number: Description:

$$ 0 = 1 $$

Probable Caune of Casualty:

1. $\_$

1. $\_$

Property Losses:

Railroad: S153,000

Non-Railroad:

84-141

NATIONAL TRANSPORTATION SAFETY BOARD Washiugtou, D.C., 20594

84 - 114

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

Reported by: Norfolk Southern Ry Co. Brief of Railroad No.: ATLC4FRO11

Location: Time: Date: Weather: Visibility:

Atlanta, Georgia

Train: Railroad: Class: Direction: Operating Phase: Track No.:

1 Seaboard System

2

Accident Description: Seaboard northbound train FNOHL with 5 locomotive units, 85 loaded cars, 15 empty cars, 8829 tons, derailed one car on Norfolk Southern tracks at a turnout trog, car continued derailed for one mile when two additional cars derailed. The derailed cars struck concrete pillars which supported an overhead walkway which collapsed and also struck the World Congress building. Heavy damage to non-railroad facilities. Speed of train was 5 mph. Engineer was not aware of impending accident.

Probable 1. Excessive locomotive power, train handling, caused wheel climb

Cause: 2.

Other Factors: 1. Excessive locomotive units on train, violation of Seaboard System S.I. #15

$$ \text{Fatalities:} \quad \text{Number:} \quad \text{Description} \quad \text{Injuries:} \quad \text{Number:} \quad \text{Description:} $$

Probable Cause of Casualty:

Property Losses:

Railroad: $ 140,000 Non-Railroad: $1,000,000

84-139

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 20594

Catlin, Illinois

Train: Rzilroad:

1 Norfolk Southern Ry C.

2 $\_$

1347 CDT

Class: Direction: Operating Phase: Track No.:

Freight

En route

$\_$

Accident Description: Train No. DN 78 struck a maintenance of way Caterpillar-type tractor working along the side of the track. The tractor operator was killed and a laborer nearby was seriously injured. The train consisted of 4 locomotive units and 64 cars, and was moving about 40 mph. The fireman saw the tractor and alerted the engineer who made an emergency brake application.

Probable Cause: 1. Human failure - tractor operator did not secure time to work near track __2. __3. __4. Other Factors: 1. __5.

84-134

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 2059

Accident Description: A 1977 Chevrolet Camaro collided head-on with a San Francisco Municipal Railway Cable Car in the vicinity of Hyde and Francisco Streets in the City of San Francisco, CA. The driver of the automobile was the sole occupant; he was pronounced dead at the scene. Twenty-eight passengers and both crewmen were treated at local hospitals. Twenty-five of the passengers and both crewmen were released; one passenger sustained serious injuries. Several witnesses saw the automobile stopped at the intersection of Hyde and Chestnut Streets. The driver was observed to peer intently downhill in the direction of the cable car. The automobile accelerated rapidly upon starting, turned northbound and crossed directly into the path of the on-coming southbound cable car. The speed of the automobile was estimated at between 50 and 60 mph at the point of impact. The maximum speed limit for automobile traffic is 25 mph in this area. Acceleration increased up to the point of impact; the e were no skid or scuff marks to indicate an attempt was made to stop. Post accident inspection of the vehicle found the braking systems, carburetor, linkage, motor mounts and gas pedal to be in good operation prior to the accident.

NATIONN. TRANSPORTATION SAFETY BOARD washunton, D.C. 20594

84-119

Accident Description:

Tractor trailer tank truck containing gasoline stopped on grade crossing protected by railroad crossing signs and was struck by Amtrak train # 82. Engineer and truck driver were killed; fireman seriously injured; 4 passengers with minor injuries. Truck destroyed by fire. Train scorched by fire. Car on sidings and a tree obstructed view of truck driver. Speed of train was 70 mph.

84-220

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 20594

NATIONAL TRANSPORTATION SAFETI BOUND Washington, D.C. 20594

84-126

Accident Description:

Northbound Amtrak train No. 88 struck a 1976 Datum pickup truck, with driver and passenger, at Mount Holly Road crossing. Mount Holly Road is a dirt road crossing the Seaboard Systems double track main line at approximately 90 degrees. Crossing was equipped with two standar' crossbuck signs and two standard stop signs. Truck was westbound. Engine crew stated truck pulled up on track and stopped, male driver jumped out and was not injured, female passenger did not get out. Speed of train was 79 mph, brakes applied prior to impact.

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 20594

84-136

Reported by: Seaboard System RR Inc.

Brief of Rails-based No.: ATL84PR016

Location:

Time:

Date: weather:

visibility:

Tucker, Georgia

2055_EDT

Train:

Class:

Direction:

Operating Phase:

Track No.:

1. Seaboard System RR Inc.

Freight

East

En route

1

1. Seaboard System RR Inc.

Freight

East

Standing

Accident Description: Eastbound train No. PMEHR-14 had the 58th through the 63rd head cars derail while moving through a siding at a reported speed of 10 mph. The train was passing a local freight train, No. FATGW, that occupied the main track. The derailed cars struck the 4th through the 47th cars of train No. PATGW and derailed them. One car that was loaded with sodium chlorate partly spilled and caught fire. Fire was quickly extinquished by DeKalb County Fire Department. Two empty tank cars that last contained phosphoric acid were not damaged. There was a change of cross level of 4 inches in a distance of 51 feet of the point of derailment.

-22-

Probable 1. Irregular track cross level caused wheel to climb over rail

Cause:

z. —

.

other

Number: Description:

Injuries:

Number:

Description:

〔图〕nn\n 〔图〕插图 Probable Cause of Casualty:

Railroad: $147.000

Non-Railroad:

NATIONAL TRANSPORTATION SAFETY ROAD

Washington, D.C. 20594

64-145

Reported by: Southeastern Pennsylvania Transp. Auch.

Brief of Railroad No.:

NYC84FRO32

Location:

Time:

Date:

Meather:

Visibility:

Trenton, New Jersey

0640 EDT

Clear

Dawn/Unknown

Train:

Class:

Directions:

Operating Phase:

Track No.:

1. Southeratern Pennsylvania Transp. Auth.

Passenger

www.www.

West

Enroute

70-24-47

〔图〕.\n .

〔图〕— 131 —\n

Accident Description:

Computer Train No. 563 was departing the Trenton Station when a late-arriving passenger ran across the platforms and attempted to board the moving train. A car inspector saw the passenger and called to him not to do it. The passenger fell and was dragged between the train and platform and was fatally injured. The doors have an automatic mode which starts to close them when the train starts to move.

Probable 1. Huesu failure - passenger fell while boarding moving train.

84-112

NATIONAL TRAMPORATION SAFET BOARD

Washington, D.C. 20594

Nour-Railroad:

84-113

MATICAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

84-118

NATIONAL TRANSPORTATION SAFETY BOARD

Washingcou, D.C. 20594

84-122

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, D.C. 20594

Reported by: Southern Pacific Transportation Company

Brief of Railroad No.: LAXB&PRO11

Location:

Time: Date: Weather: Visibility:

Tubac, Arizona 1935 HST 07/19/84 Clear Day/2640 FT

Train:

Railroad:

Class:

Directions:

Operating Phase:

Track No.:

1. Southern Pacific Transportation Co.

Local Freight

West

En route 1

2

Accideut Description: Four locomotive units and six loaded freight cars in the Nogales Local, Extra 7818 vest, derailed at mile post 1025.95. The train was midway across a bridge when the engineer detected a wash out of track subgrade and ballast adjacent to the west abutment and extending under the track. The engineer and brakamu felt the track sag and observed the lead unit uncouple from the second unit. The general derailment followed. There were no injuries or hazardous materials involved.

Probable 1. Roadbed washout

Cause:

1. Washout from rain and/or erosion

other

Factors: 1.

Fatalities: Number: Description

Injuries: Number: Description:

〔图〕插图 Probable Cause of Casualty:

Property Losses:

· —

Railroad: $522,000

Nou-Railroad:

84-123

NATIONAL TRANSPORTATION SAPETY BOARD

Washington, D.C. 20594

84-130

NATIONAL TRANSPORTATION SAFFIT BOARD

Washington, D.C. 20594

84-133

NATIONAL TRANSPORTATION SAFETY BOARD

Washington, P.C. 20594

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84-137

NATIONAL TRANSPORTATION SAFETY BOARD Washington, D.C. 20594