Thursday, June 14, 2012

Perfect Storm Leads to Horrible Injury


Click for larger. It still sucks, but that's what Metro published.

Apparently, Metro has a 50-page report on what happened at the Shady Grove yard late last month when a Metro employee was struck by a train and severely injured.

Metro has made only two pages of that report public, but it would appear they're going to talk about it at the safety and security committee meeting today.

Here's what I've been able to put together based on several Metro sources, two of which were there.

Boiled down, sources say the tragedy was a perfect storm, combining a careless employee and failure by management at the yard to consistently enforce fundamental safety rules.

The employee was struck inside a car washing facility. The area outside the car wash served as an unofficial smoking area for car mechanics because there wasn't an officially designated smoking area for them, sources say.

For the mechanics to leave the smoking area and return to work often required crossing live track. The route through the car wash, which involves entering live tracks, was a commonly used shortcut, sources said.

According to Metro rules, any employee entering live track must request permission. This rule appears to have been loosely enforced at Shady Grove, if at all.

The employee did not request permission to enter a live track area from the yard master, say two sources. But this was a common practice, they said, and management turned a blind eye.

"It was not a good area to have people smoking," said a source. "The way they crossed the tracks like that, it was only a matter of time. No one ever said anything. If you bring stuff up like this at Metro, you risk becoming a black sheep. There's too much go along to get along."

Further complicating the situation was that trains were entering the car wash from the opposite direction from which they normally do. Sources conflict as to how long that had been going on, but all said it was widely known that trains were flowing differently from the norm because of work in the area.

"This guy should have known," said a source.

Adding to chain of events that led to the injury is that the area around the door the mechanic used is a widely known structural blind spot.

Another potential issue is that signs on the door the employee used to enter the car wash, which warned of moving trains inside, had been removed and had not yet been replaced, said a car mechanic at the yard.

"I don't think that's a big deal," said one source.

Once the impact occurred, the employee was dragged 38 feet, according to Metro's own diagram (above).

One source familiar with the case said "we all cannot understand how a train going at less than five miles per hour would have this effect. Even if he stepped into the path of the train, at that speed, he should have been able to either get knocked back or into the pit between the rails. Most of us suspect the train was traveling at a greater speed than five miles per hour."

To add to the horror of the incident, at some point, while the employee was pinned under the train for over an hour as rescue workers tried to free him, "750 volts was energized on the rail he was pinned against," confirmed two sources.

Those there said he "let out a loud deathly scream when the voltage came back up," said a source.

They didn't know if third-rail power was inadvertently restored or was gapped (gapping is when third rail power is dropped in one place, but the train picks it up from another section that hasn't been dropped and bridges the "gap" to re-energize it.) from the rear of the train.

The injured employee remains in critical condition.

After the incident, Metro issued a "safety stand down." I asked a source what that means.

"Considering all the stand downs we've had--nothing," they said.

Sources added that since each new Metro regime comes in with new rules, the rules all pile on top of one another, often conflicting and "after a while you tune them out."

Other items:
Rush+ will force agency to recalibrate on-time metrics/spent $400k on Rush+ PR (Examiner)
Is Red Line graffiti more than vandalism? (WTOP)
Columbia Pike light rail faces hurdles (WaPo)

Comments (31)

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That's not accurate.
Source tells me those run on battery.
I took another look at the picture--was the light on or was it a reflector catching the flash?
you are incorrect sir. there was no power on the train.
GlenmontGirl's avatar

GlenmontGirl · 666 weeks ago

Yes, and also when you utilize sources other than the official Metro PR statement.
horseydeucey's avatar

horseydeucey · 666 weeks ago

Want: A 'for hire' posting, C/O WMATA that reads: Adults.

FOR HIRE:
Adults
WMATA
so by "perfect storm" you really mean "normal operating conditions," right?
1 reply · active 666 weeks ago
Right, this is by no means a "perfect storm," which implies it's a one-of-a-kind, nearly random occurrence. The nature maybe unusual, but the conditions sure as hell weren't. This is systemic, the opposite of a perfect storm.
DC Denizen's avatar

DC Denizen · 666 weeks ago

Metro: Always reactive, never proactive.
1 reply · active 666 weeks ago
They're hardly even REactive.
Dr. Gridlock's avatar

Dr. Gridlock · 666 weeks ago

I'll get right on this after I ask my boss Mr. Stessell for comment
Wow. What a mess. Sure it's easy to blame the employee, after all, he's a dirty smoker, and he isn't without blame here, it sounds like the metro equivalent of J walking. You shouldn't do it, but you do, and every now and then someone gets badly hurt doing it. And after a 2 month crackdown, everyone will go right back to it.
Update: During the meeting today, Metro blamed the incident on a "lack of situational awareness" on the part of the victim.

Seems a bit too simplistic given all that was at play.
3 replies · active 666 weeks ago
Ever n Anon's avatar

Ever n Anon · 666 weeks ago

"situational awareness?" Really? Wonder if they can even spell that. ;)

"What we have here is a lack of communication."
Of course, could have predicted that. It's in no doubt partially true, but completely ignores the culpibility of managers at the rail yard.
what is being overlooked is the train was traveling at 7 mph instead of the speed restriction of 3 mph. this difference in speed was a greater factor than metro is saying. there is a button on the console that allows the train to travel at a maximum speed of 3 mph. what is this button called you might ask???

"CAR WASH"
Dan Stessel's avatar

Dan Stessel · 666 weeks ago

One person's brush with death is another person's thrill ride.
Another Nick's avatar

Another Nick · 666 weeks ago

"Further complicating the situation was that trains were entering the car wash from the opposite direction from which they normally do."

Rule #1 of being near tracks of any kind: expect a train from any direction at any time.

That shouldn't be a complication. Its a fact of life, like "jamming a fork in an electric outlet will result in a shock."
1 reply · active 666 weeks ago
Provided that the fork is made out of some conductive material and you have a "live" outlet.
This was probably not this guy's first smoke break. The only thing that appears to be unpredictable about something he's possibly done dozens of times was the speed of the train. So that lead me to think that unsafe speeds are just fine, even if someone gets hurt.
Normal procedures for all power companies involve putting ground straps on deenergized equipment that's being worked on.

In the event that the equipment is reenergized unexpectedly, the electricity will take the path of least resistance to ground (the ground strap, not the person touching the equipment).

I guess WMATA doesn't have such a procedure to keep people in contact with normally-live electric equipment safe. Or that procedure wasn't followed.

Either way, it's both unsurprising and inexcusable.
off topic, sorry:

anybody affiliated (as in, a sys admin or superuser) with metroriders.org, please shut down the listserv; seems to have been hacked/zombified. thanks.
Vienna Bound's avatar

Vienna Bound · 666 weeks ago

This is just unfortunate all the way around.
"we all cannot understand how a train going at less than five miles per hour would have this effect. Even if he stepped into the path of the train, at that speed, he should have been able to either get knocked back or into the pit between the rails. Most of us suspect the train was traveling at a greater speed than five miles per hour."
+100
No Baloney's avatar

No Baloney · 665 weeks ago

The injured worker is a family member, and in the 53 years I've known him, he's never smoked a day in his life.
3 replies · active 665 weeks ago
Never said he was smoking. Could have just been taking a break. I'm sorry this happened.
No Baloney's avatar

No Baloney · 665 weeks ago

Not mad at you - actually very thankful for your website. Being out-of-state, your site is the best place to get any unvarnished info into what exactly happened. And to learn more about Metro - whether employee or passenger, their record of injuries/fatalities is jaw-dropping.
It really is.

I hear more and more questions popping up about how fast that train was going.

Again, I'm sorry this happened to a loved one.
This strikes me to be almost exactly like a recent fatality that occurred on a US Navy ship; people occupying a danger area inappropriately. equipment out of commission, and then the final link people taking shortcuts in maintenance procedures
http://www.navytimes.com/news/2012/05/navy-essex-...

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