Washington Metropolitan Area Transit Authority (WMATA)

Transcription

1 Washington Metropolitan Area Transit Authority () National Transportation Safety Board (NTSB) Detailed Tracker As of 0/0/18 Description #s * Unacceptable: The hazard must be mitigated in the most expedient manner possible. 1 Undesirable w/ Executive Safety ommittee (ES) decision required: The hazard must be mitigated. If necessary, the hief Safety Officer may develop interim 16 mitigations in coordination with the ES, subject to FTA approval. Acceptable w/ review: The hief Safety Officer must determine if the hazard is adequately controlled or mitigated as is. 9 Acceptable w/o review: The hazard does not need lv immediate mitigation, but corrective actions are monitored. 5 *In accordance with FTA requirements, s categories are expressed in terms of severity and probability of occurrence. This is used as a safety management tool for mitigating hazards to the lowest practicable level Metro able Item losed Under Review In Development NTSB Index O Open AI Awaiting NTSB's Inspection O/PD Open / Past Due A Addressing NTSB omments UR Under NTSB Review losed L'Enfant Incident Immediate from L'Enfant Incident Open Prior to L'Enfant Incident orrective Plan () Progress losed Under Review 2 01 In Development NTSB Progress # NTSB orrective Plan (1 s) % Open Prior and Immediate to L'Enfant Incident (7 s) % NTSB R NTSB-R NTSB-R NTSB R-15-8 Open Prior to L'Enfant Incident: is developing technology to notify train operators when approaching work areas. removed 1000-series railcars from service as new 7000-series railcars are commissioned and placed inservice. developed a program to monitor railcar event recorders. Immediate from L'Enfant Incident: assessed the state of good repair of tunnel ventilation systems in accordance with industry best practices. I December O/PD September % 75% NTSB R-15-9 NTSB R NTSB R developed operational procedures for tunnel ventilation to provide optimal configuration for smoke emergencies. developed training programs for control center staff on updated ventilation procedures and configurations. is inspecting all cable connector assemblies for proper construction, including weather-tight seals, & making any necessary repairs. O/PD NTSB twenty-four (24) safety recommendations % NTSB R Review and revise s tunnel inspection, maintenance, and repair procedures to mitigate water intrusion into tunnels. February 2018 O/PD of 6 Prepared by The Office of Quality Assurance, Internal ompliance and Oversight (QIO)

2 # is developing maintenance/inspection procedures to identify and mitigate water intrusion into the tunnels. NTSB R When the revision of tunnel inspection, maintenance, and repair procedures recommended in Safety Recommendation R have been completed, train maintenance employees on the new procedures, and ensure that the procedures are implemented. is developing maintenance/inspection procedures to identify and mitigate water intrusion into the tunnels. will incorporate a revised tunnel inspection, maintenance, and repair procedures into training curriculum. will rollout a new curriculum and training program. will create an audit plan and schedule to verify implementation. March 2019 O 5 0 Improve the capacity of tunnel ventilation fans to conform to the requirements of National Fire Protection Association (NFPA) 10. reviewed existing ventilation studies that have September 2021 O NTSB R been completed and also developed a recommended approach to analyzing the entire underground ventilation system for compliance with NFPA 10. will issue a contract for ventilation analysis. will recommend infrastructure improvements. will develop an action plan for recommended improvements. Develop location specific emergency ventilation config based on engineering studies of the tunnel ventilation system. wrote tunnel ventilation procedures in July 2017 UR 4 4 NTSB R conjunction with NTSB R analyzed potential tunnel ventilation system improvements. developed location-specific emergency ventilation configurations. Develop and implement procedures for actions to be taken by Rail Operations ontrol enter (RO) personnel when smoke detectors alarm. wrote tunnel ventilation procedures in October 2017 O/PD 1 % NTSB R conjunction with NTSB R will set a specific set of steps and responsibilities for smoke detector alarms. NTSB R-16-1 Once action to address Safety Recommendation R is completed, train all RO personnel on the new procedures for responding to smoke alarms. This training should include regular refresher training. May 2018 O of 6 Prepared by The Office of Quality Assurance, Internal ompliance and Oversight (QIO)

3 # is developing and implementing procedures for actions to be taken by RO personnel when smoke detectors alarm. will incorporate procedures into the RO curriculum, to include refresher training. will provide documentation of training. NTSB R Incorporate smoke alarms in periodic emergency drills and exercises. conducted quarterly emergency drills. developed a drill and coordination plan for the December 2016 UR drill scheduled for October NTSB R Include in your efficiency testing program (rules compliance testing program) a specific test to ensure appropriate emergency actions are taken by RO supervisors and control operators in response to an alarm. conducted efficiency testing. conducted specific tests for RO personnel's January 2017 UR response to alarms. NTSB R Install and maintain a system that will detect the presence and location of fire and smoke throughout the tunnel and station network. evaluated and tested potential smoke August 2020 O 1 % NTSB R detection solutions. will develop an implementation plans for selected smoke detection solution. NTSB R Develop procedures for regular testing of all smoke detectors. is developing procedures for smoke detection systems. January 2018 O/PD 2 0 onduct a risk assessment before any preventive maintenance program is initiated, changed or discontinued. revised System Safety Program Plan (SSPP) to August 2018 O state that changes in preventative maintenance procedures are subject to formal approval. is revising policy instructions to state that NTSB R changes in preventative maintenance procedures that are subject to formal approval. will review existing policies to identify needs for revision. will develop or revise policies to state that changes in preventative maintenance procedures must be approved as described. Ensure that all train operators are trained and regularly tested on the appropriate procedure for emergency shutdown of railcar ventilation. updated procedure for shutting down railcar March 2017 UR NTSB R ventilation. updated the new train operator training curriculum. of 6 Prepared by The Office of Quality Assurance, Internal ompliance and Oversight (QIO)

4 # NTSB R NTSB R NTSB R Incorporate a specific test in your efficiency testing program to ensure that train operators understand the procedure for emergency shutdown of railcar ventilation. implemented an efficiency testing program for Rail Traffic ontrollers (RTs). tested train operators in emergency shutdown of railcar ventilation. Revise Standard Operating Procedure (SOP) #6 to clarify which trains should be stopped until the source of smoke is identified. updated SOP #6 to state all trains that must be stopped in the event of a smoke incident. Revise your SOP to require that: (1) suitably trained, qualified, and properly equipped personnel investigate reports of wayside fire or smoke, and (2) these reports are not investigated using trains with revenue passengers. created procedural checklists. developed an SOP for smoke investigation. February 2017 UR December 2016 UR 2 February NTSB R-16-2 Review and revise as necessary your RO emergency response procedures for smoke and fire. developed tunnel ventilation procedures for Operations ontrol enter staff. developed procedural checklists for SOPs. developed drills to assess Metro s response to smoke and fire. will review and revise existing SOPs for RO response to fire and smoke emergencies. February 2018 O/PD 5 6 NTSB R Retrain RO supervisors on all standard operating procedures for emergencies. established SOP procedural checklists. retrained RO supervisors on procedural February 2017 UR checklists. NTSB R Develop and incorporate a comprehensive program for training RO control operators in emergency response procedures including regular refresher training. is developing annual recertification for RTs. is updating emergency response training. is developing and implementing procedures for smoke detector alarms. is training all RO personnel on the new procedures for smoke detector alarms. June 2018 O 5 0 NTSB R onduct regular emergency response drills and develop a program to test the efficiency of the RO to ensure that standard operating procedures are properly followed during emergencies. is updating emergency response training. October 2018 O/PD % 4 of 6 Prepared by The Office of Quality Assurance, Internal ompliance and Oversight (QIO)

5 # conducted drills to assess Metro s response to smoke & fire. will develop an audit plan to verify compliance with emergency procedures during drills. Install line identification and direction signage at tunnel entrances and inside tunnels. determined appropriate signage locations. surveyed tunnels to map proposed locations. developed proposed improvements and a April 2018 UR 5 5 NTSB R tentative implementation plan for jurisdictional review. developed and implement a final implementation plan when improvements are accepted by jurisdictional fire chiefs. NTSB R Implement a regular schedule for the inspection and removal of obstructions from safety walkways and track bed floors to ensure safe passageways for passengers to use during a tunnel evacuation. will remove obstructions from safety walkways. is developing formal written procedures for October 2017 O/PD 0 inspection, reporting, clearing, and recording of obstructions in the roadway and on safety walkways. NTSB R onduct emergency response drills with local emergency response agencies in accordance with NFPA 10, document lessons learned, and develop and implement additional procedures as necessary to effectively respond to emergencies. conducted quarterly emergency drills. outlined the standard approach for February 2017 UR documenting drills in accordance with industry guidelines. NTSB R-16-0 Revise your standard operating procedures to require that an after-action review be conducted of all emergency responses to events with passenger or employee fatalities, and publish the results, including both the successes and the potential deficiencies of your responses, to help ensure that deficiencies are appropriately remediated. developed an SOP detailing requirements for April 2017 UR 2 2 performing an After- Review (AAR). Review and revise your quality assurance program to ensure that regular quality assurance audits are included to identify and correct any elements of procedural noncompliance. developed an overview of the Quality May 2017 UR 5 5 NTSB R-16-1 Management System (QMS), quality objectives and guiding principles. reviewed the existing manual and identify gaps. revised manual to incorporate input from gap analysis. 5 of 6 Prepared by The Office of Quality Assurance, Internal ompliance and Oversight (QIO)

6 # Implemented updated QMS. 6 of 6 Prepared by The Office of Quality Assurance, Internal ompliance and Oversight (QIO)