Monday, April 30, 2012

Reaction to Switch Malfunction Led to Derailment



What should have been a story about how things went right for Metro turned instead into a derailment, according to several sources familiar with the incident and subsequent investigation.

As the Washington Post reported, the operator of the train saw a red signal at the switch just inside the tunnel on the western end of Rosslyn station. In technical terms, the switch was "out of correspondence."

Correctly, the operator notified operations control center (OCC) which then ordered the operator to hold the train, perform a visual inspection of the switch and get assistance from "nearby crew."

That crew was was an automatic train control (ATC) technician who installed a clamp to the malfunctioning switch. The clamp, had it been properly installed, was supposed to keep the switch in the correct position and would have allowed trains to proceed without incident.

While the ATC tech may have felt the clamp was installed tightly, they apparently failed to notice a "small obstruction" in between the switch point and main track on the switch which prevented the clamp from "tucking" the point snugly under the main rail, leading to the derailment, said sources.

Here's how Metro's own internal reporting system described the incident:
At 2025hrs ATC Supervisor Craven informed MOC that switch 3 was clamped normal, but the switch was clamped with a 2 inch gap and was not tucked.
One source said it was possible that the gap was initially much less than two inches and may have looked OK. They said it's possible that the train wheels, as they derailed, forced the gap to widen to the reported two inches.

According to two sources, after installing the clamp, the tech was supposed to "check the point" to make sure it was properly tucked under the main rail.

"You have to inspect everything," said an ATC worker. "If anything like this happens, it's ATC's fault. The guy should have checked the point. He was just being lazy."

Other sources said that the obstruction in the switch was a "fluke" or "freak occurrence," but they agreed there is no excuse for the ATC tech or the operator not to notice something was still wrong even after the clamp was installed.

This particular tech, two sources confirm, has been written up once before for falling asleep in a truck.

According to Metro's own handbook, "Cranking and Blocking of Switches":
According to FRA specifications, a switch point must close within 1⁄4’’ of the stock rail. In some cases, the point may have a slight opening, but the tip is still under the head of the stock rail. This is perfectly fine.
If a switch point is not within 1⁄4’’ of the stock rail, it is not safe for the passage of trains. If a switch has been damaged by trailing or other accident, it might not be possible to get the switch point to tuck. In this case, train movement must not be allowed over the switch.
And, as with most Metro problems, things were only made only worse by operations control center's (OCC) disconnect from what actually happens on the tracks, said one source.

At first, said one source, OCC was "was under the impression the train was completely in the tunnel" when the majority of the train was actually still on the platform.

Furthermore, Metro's standard operating procedure for a derailment dictates that power is to be cut for both tracks. It makes sense in most places as the tracks are side by side.

However, at Rosslyn (and Pentagon) the tracks are not side by side, they're on different levels, meaning it would have been safe to single track through the area, causing less of a service disruption.

Since the staff at OCC apparently did not realize Rosslyn's configuration, they issued an order to cut power to both tracks and establish a shuttle bus bridge around Rosslyn.

This led to initial confusion for riders at the scene immediately after the derailment.

After about 30 minutes, with several pleas to single track form those on the scene, OCC realized it could single track safely through Rosslyn and the bus bridge was aborted.

"When sh*t really hits the fan, I have to trust my life to those people [at OCC], said one veteran Metro worker. "The only information is what I'm getting from them. That's a scary proposition.They just had a bunch of new controllers come in off the street. They don't know the system."

Other items:
Silver Line phase II in doubt (WaPo)
Advocates question elimination of peak of the peak (Examiner)

Comments (34)

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If there is a systemic problem with switch machines

Even a rare systemic problem with switch machines

Or a fundamental engineering problem with switch machines

I would rather see the switch machine engineering, or switch machine procedures be improved, than some WTA employees blamed for an accident that was a result of equipment design failure.

It might be all too easy for Unsuck or the WTA to just pin the problems on a couple of well-intentioned employees who were just trying to work around a design flaw in the equipment. I would hate to see Unsuck backing up the WTA strategy of blame the employee. That is not good in the long run.
2 replies · active 673 weeks ago
Actually, the switch worked as engineered, sending a fault signal when an obstruction got in the way of it's operation. In other words, read the fucking article!
The switch, and switch controls, worked properly in this case. What is concerning about the employee ( and his/her supervisor) actions was that the assumption that the switch had broken rather than looking for the foreign object that was jamming the switch. THAT implies that switches must malfunction a LOT.
Nobody at OOC knew the configuration of the station? Yikes.
FreeMarketFan's avatar

FreeMarketFan · 673 weeks ago

Just so everyone knows - today at noon http://live.washingtonpost.com/gridlock-0430.htm everyone's favorite mouth piece Dr. Gridlock will be answering your questions.

I would never advise anyone to troll or try to cause trouble on a chat - but I for one will be asking why he didn't address the track jumping phenomenon
2 replies · active 673 weeks ago
UnSuck Fan's avatar

UnSuck Fan · 673 weeks ago

Really?!? And you expect an answer?
We need to get his attention somehow. ENOUGH IS ENOUGH!
http://live.washingtonpost.com/gridlock-0430.html

Hey, Unsuck readers! Please come over to Gridlock's Q&A and ask questions for his chat. You can ask any time form now until the chat ends. Lets let him know his coverage is unacceptable!
9 replies · active 673 weeks ago
UnSuck Fan's avatar

UnSuck Fan · 673 weeks ago

Seriously? He's just going to ignore us the way almost all of WMATA does. Even though I’m sure one organization’s ignoring is another organization’s way of playing coy.
Well, if we overwhelm his inbox with complaints/criticisms, maybe he will get the message. If he keeps ignoring, we write to his editor.
sent:__Any more details on Rosslyn Metro Rail Derailment?__Hello, has the Post been able to collect and publish any more details on the Rosslyn Metro Rail Derailment? Certain blogs are starting to report detailed reports from interviews of Metro employees and incident reports which point to faulty (recent) maintenance by Metro? It seems like Metro employees are willing to give details to blogs far beyond what the Metro PR is able to give as long as their names are not quoted. Will the Post (you) be publishing investigative reporting to substantiate this claim or prove it wrong? It would be helpful for the community to have this information verified and substantiated if it is true.
God, like 8 questions about stopping at a red light.

Dr. Gridlock is the worst. Who is Dr. Gridlock's editor? I want to write him/her a letter expressing my disgust with this guy's coverage. I hope many of you join me. ENOUGH IS ENOUGH!
They're just talking about how to stop at red lights on the chat. What a freaking waste of time. I say we revoke Dr. Gridlock's PhD, DO, or MD -- whatever he has, and slap him with a malpractice suit.
If anyone knows how to contact his superiors, let me know. I've had it with his crap.
Gotta keep hitting back, week after week.

This is what he wants. Don't give up. Flood his blog with comments and questions. Don't let him get away with it!
Dr. Gridlock's editor, per the Post's web site, is Michael Bolden, boldenm@washpost.com. Clearly he is the real problem. What a terrible excuse for a journalist, and a timid person.
Wasn't there an Unsuck article that didn't refer to him by name but that insinuated that he (or maybe his boss) is why the Local section is just regurgitating whatever various flacks pass off to them?
Articles like this are why I read this blog. It is the only place to find out what actually happened when something went wrong on metro - like a few months ago when the "friction ring" (LOL) fell off the train near smithsonian and exploded everywhere.

Keep it up unsuck. And keep it up, anonymous metro sources.
1 reply · active 673 weeks ago
Gotta give big support to the brave men and women who are feeding Unsuck the inside scoop on what's happening. As we know, its a huge risk given the culture at WMATA when it comes to accountability and such.
And we all know the tech will receive a paid vacation as a result of his failure.
1 reply · active 673 weeks ago
former employee's avatar

former employee · 673 weeks ago

Wing and prayer is Metro's SOP. If a procedure worked in the past, but not according to their own "handbook" they will use that procedure again until their prayers are not heard. Equipment that is not according to specs or procedure--wing it. ' So and so said it was ok we've done it before" Often times the manuals are not available or material is so outdated the information is useless.

Stay safe. Say your prayers before boarding Metro

Stay safe. Don't forget to say your prayers before boarding Metro
Oh, let's keep a list. People who should be fired:

1. The person who attached the clamp improperly.
2. The staff who had no idea how Rosslyn was configured.

Each instance is an example of core incompetence, which would be grounds for dismissal.
FreeMarketFan's avatar

FreeMarketFan · 673 weeks ago

Dr Gridlock will take care of this once he's done talking about the distance between cars at a red light.

GUFFAW
1 reply · active 673 weeks ago
That was absolutely pathetic. Just ridiculous.
http://live.washingtonpost.com/gridlock-0430.html

Here's a recap of Dr. Gridlock's chat.
Seems like every other question was about car spacing at a stop light. Seriously. Not a single question was answered about the fare hikes. Derailment? Not a chance. Stinky Stations? Please.

The #1 Issue for travelers, in Dr. Gridlock's mind, was car spacing at stoplights. Most pathetic crap I've ever seen. This is worse than the Sarles hangout.
3 replies · active 673 weeks ago
MetroRider's avatar

MetroRider · 673 weeks ago

I know. Hundreds of thousands of people depend on Metro to get to work and events safely, but Dr. Gridlock is most concerned that people are leaving a car length between them and the car in front of them.

I think Dr. Gridlock's second job must be in the operations control center -- he's about that clued in to what really matters.
DC Denizen's avatar

DC Denizen · 673 weeks ago

Nice! Thanks!
The tech in question has no business being in ATC IMHO.
Track Walker's avatar

Track Walker · 673 weeks ago

Metro is very lucky this incident happen when the train was just barely moving. Derail in the tunnel at speed.....and whole new headline.
If every Metro rail car was at least one rail car length in back of the rail car in front of it the subway system would run flawlessly, always on time, never crowded, and all doors operating properly. I know this is true because Dr Gridlock told me so.
ok, so there's something i don't get here: we all know that WMATA doesn't give an airborne rodent's backside about customer safety. but when trains wreck, WMATA employees can (and do, and have) get killed too. why isn't the all-powerful godlike union that represents WMATA employees up in screaming hysterical arms about train safety? as noted above, a train hitting a closed switch at high speed would be a catastrophe. (hell, i wasn't even too comfortable with the operator of the train i was on the other night going through the glenmont interlock at about 30 mph.)

since the union seems to have all the power, why don't they have WMATA by the balls on safety issues?
1 reply · active 673 weeks ago
what makes you think the union is all powerful? a big misconception

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