Public Transportation Safety Board Rail Accident Close out Form
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PUBLIC TRANSPORTATION SAFETY BOARD RAIL ACCIDENT CLOSE OUT FORM 1 . CASE NUMBER: 4352 2. PROPERTY NAME: MTA New York City Transit 3 . CRITERIA CODE: PF 4. ACCIDENT DATE: December 31, 1997 (CHOICES : CX-EV-PF) 5. LINE NAME: "A" Division #6 Line 6. LOCATION: Buhre Avenue Station 7. NO. OF INJURIES : None 8. NO OF FATALITIES : One 9. ACCIDENT CODE: 50 (CHOOSE ONE OF THE FOLLOWING) 40-Track Maint. Deficiency 45-Human Failure-Imp. Procedure 50-Fell From Train 41-Track Component Def. 46-Material On Track 51-Ignored Warning Devices 42-Equipment Maint. Def. 47-Inconclusive 52-Unsafe Action 43-Equipment Component Def. 48-Loss Of Power 53-Mech. Failure/Other Vehicle 44-Human Factor/Eq. Oper . 49-Fire or smoke 55-Drag Related 56-Non-Passenger Fatality 10. PROBABLE CAUSE: At approximately 12 :30 p. m. on Wednesday, December 31, 1997, the northbound 11 :22 #6 train in route from Brooklyn Bridge Station, Manhattan to Pelham Bay Park Station, Bronx experienced an emergency brake application while departing Buhre Avenue Station, Bronx, New York. The train operator reported the occurrence to Command Center and that the lead car had only moved approximately 10 to 20 feet out of the station when the brake application occurred. The train operator was instructed by the Command Center to secure the train and investigate . The train crew's initial investigation revealed that an emergency brake valve had been activated at the rear of the 10th car (# 1773) . The crew reset the brake valve and attempted to reset the train's brakes but they failed to recharge. The crew again inspected the train and while doing so, heard air blowing from between the 8th and 9th cars. Their investigation of this condition revealed a body under the 9th car #1665 . The crew immediately reported their findings to the Command Center and requested additional assistance. Police and Fire Department Emergency Medical personnel responded and the person was pronounced dead at the scene. Passengers on board the train were discharged to the station platform without incident. The body was removed from the roadbed and at approximately 2 :45 p.m., normal service resumed. The crew was taken to the local medical facility where they tested negative for drugs and/or alcohol . Post accident inspection of the equipment involved revealed that the safety chains between the 8th and 9th cars had been removed from their applied position and were hanging . Investigating New York City Police personnel determined this fatality to be accidental and concluded the deceased person was apparently trying to exit the train from between cars when he fell to the roadbed. There were no witnesses to this accident identified. The Public Transportation Safety Board staff finds that the probable cause of this accident was the unsafe actions of the passenger attempting to exit the train from between cars while the train was in motion and makes no recommendations concerning this accident. 11 . DID THE PROPERTY CONTRIBUTE TO THIS ACCIDENT? NO 12. ARE THERE ANY RECOMMENDATIONS TO BE MADE NO INVESTIGATOR: John Ulrich DATE : February 5, 1998 SUBMITTAL THE ABOVE CASE HAS BEEN THOROUGHLY INVESTIGATED AND MEETS ALL THE CONDITIONS IDENTIFIED IN PTSB RESOLUTION #1220 AND DOES NOT REQUIRE A WRITTEN REPORT . Date : Jerry Shook, Chief Rail Safety Section Public Transportation Safety Board Date : Dennison P. Cottrell, Bureau Director Passenger and Freight Safety Section .