Project Summary: Highway Investigation - 147 Docket Items - HWY11MH005

Description: A motorcoach rolled over onto its right side, departed the roadway and subsequently stuck a pole supporting an overhead sign. The impact split the motorcoach along the base of the passenger windows resulting in 15 occupants being fatally injured.

Mode: Highway

NTSB Number: HWY11MH005

Date of Accident: 03/12/2011

City: New York City

State/Region: NY

Country: United States

Project Type: Investigation

Docket Information

Creation Date: 03/25/2011

Last Modified: 05/16/2012 1:04 PM

Public Release Date & Time: 03/30/2011 10:02 AM


Docket Table of Contents

Docket Items: 147
#
Title
Pgs
Photo
Type
File
1 Accident Summary 3 0 Adobe PDF file View
2 Figure 1 IIC and NTSB Vice Chairman examine motorcoach damage with NTSB investigators. 1 1 Adobe PDF file View
3 Figure 2 NTSB investigators examining motorcoach interior. 1 1 Adobe PDF file View
4 Figure 3 NTSB investigators examining motorcoach damage. 1 1 Adobe PDF file View
5 Figure 4 NTSB investigators examining motorcoach damage. 1 1 Adobe PDF file View
6 Figure 5 View of motorcoach at final rest and vertical sign posts, courtesy of the New York State Police. 1 1 Adobe PDF file View
7 Figure 6 Close-up views of the motorcoach and the vertical sign posts, courtesy of the New York State Police. 1 1 Adobe PDF file View
8 Figure 7 View of damage to the motorcoach passenger compartment, courtesy of the New York State Police. 1 1 Adobe PDF file View
9 Materials Lab - Factual Report 11-034 18 0 Adobe PDF file View
10 Vehicle Dynamics and Visualization Study 17 0 Adobe PDF file View
11 Highway Factors - Highway Factors Group Chairman Factual Report 61 0 Adobe PDF file View
12 Highway Factors - Attachment 1, New York State Department of Motor Vehicles Police Accident Report dated November 23, 2006 3 0 Adobe PDF file View
13 Highway Factors - Attachment 2, New York State Department of Motor Vehicles Police Accident Report dated December 14, 2010 4 0 Adobe PDF file View
14 Highway Factors - Attachment 3, NYS Thruway Authority Maintenance Directive (MD) 2002-4, Guidelines for the Repair and Upgrade of Guide Rail and Bridge Rail 4 0 Adobe PDF file View
15 Highway Factors - Attachment 4, NYS Thruway Authority Regulatory Speed Limits 2 0 Adobe PDF file View
16 Highway Factors - Attachment 5, NYS Thruway Authority Horizontal and Vertical Plans for I-95, Construction Contract TANE 84-25 21 0 Adobe PDF file View
17 Highway Factors - Attachment 6, NYS DOT Mountable Concrete Curb (Type AB) 2 0 Adobe PDF file View
18 Highway Factors - Attachment 7, Design Report for Construction Contract TANE 84-25 150 0 Adobe PDF file View
19 Highway Factors - Attachment 8, NYS Thruway Authority Plans for strong post blocked-out W-beam guiderail as part of Construction Contract TANE 84-25 2 0 Adobe PDF file View
20 Highway Factors - Attachment 9, NYS Thruway Authority Plans for strong post blocked-out W-beam guiderail as part of Construction Contract TANE 98-70 5 0 Adobe PDF file View
21 Highway Factors - Attachment 10, FHWA Memorandum to Division Administrators and Federal Lands Highway Division Engineers dated February 14, 2000 6 0 Adobe PDF file View
22 Highway Factors - Attachment 11, NYS Thruway Authority Signage and Structure Plans for I-95, Construction Contract TANE 84-25 6 0 Adobe PDF file View
23 Highway Factors - Attachment 12, NYS Thruway Authority Plans and Specifications for Shoulder Treatment for Accident Reduction (STAR) for I-95, Construction Contract TANE 06-21 7 0 Adobe PDF file View
24 Highway Factors - Attachment 13, NYS Thruway Authority Highway Lighting Plans for I-95, Construction Contract TANE 84-25 5 0 Adobe PDF file View
25 HWY Photo-01, Illustrating the three southbound travel lanes of I-95 1 0 Adobe PDF file View
26 HWY Photo-02, Illustrating the 1,600 foot radius and 4,500 foot radius horizontal curves 1 0 Adobe PDF file View
27 HWY Photo-03, Illustrating the overhead sign structure support above the southbound travel lanes of I-95 1 0 Adobe PDF file View
28 HWY Photo-04, Illustrating the height of the east vertical pole was approximately 28 feet and the height of the west vertical pole was approximately 27 feet 1 0 Adobe PDF file View
29 HWY Photo-05, Illustrating the grooved rumble strips on the paved right shoulder of the southbound lanes of I-95 looking to the north 1 0 Adobe PDF file View
30 HWY Photo-06, Illustrating the initial point of contact with the guiderail 1 0 Adobe PDF file View
31 HWY Photo-07, Illustrating Sign #1 located approximately 453 feet from the final rest of the bus 1 0 Adobe PDF file View
32 HWY Photo-08, Illustrating Sign #2 located approximately 217 feet from the final rest of the bus 1 0 Adobe PDF file View
33 HWY Photo-09, Illustrating Sign #3 located approximately 130 feet from the final rest of the bus and the damage and removal of the left post 1 0 Adobe PDF file View
34 HWY Photo-10, Illustrating the angle of approach in which the bus departed the travel lanes and initially collided with the guiderail 1 0 Adobe PDF file View
35 HWY Photo-11, Illustrating the damage to lower left hand corner of Sign #1 1 0 Adobe PDF file View
36 HWY Photo-12, Illustrating the damage to lower left hand corner of Sign #2 1 0 Adobe PDF file View
37 HWY Photo-13, Illustrating the rail element completely separated from the posts and the posts deformed and turned down 45 degrees and 90 degrees 1 0 Adobe PDF file View
38 HWY Photo-14, Illustrating the two E-Z Pass transponder devices mounted to the overhead sign structure support above the travel lanes 1 0 Adobe PDF file View
39 HWY Photo-15, Illustrating the location of the cabinet mounted to the cross bracing before the accident 1 0 Adobe PDF file View
40 HWY Photo-16, Illustrating the location of the cabinet mounted to the cross bracing before the accident 1 0 Adobe PDF file View
41 HWY Photo-17, Illustrating the final rest of the cabinet after the accident 1 0 Adobe PDF file View
42 HWY Photo-18, Illustrating the two wire conduits dislodged from the cross bracing to feed a VMS sign located above the northbound lanes of I-95 1 0 Adobe PDF file View
43 HWY Photo-19, Illustrating the punched hole located at the base of the west vertical pole 1 0 Adobe PDF file View
44 HWY Photo-20, Illustrating the multiple scrape marks on the east vertical pole measured from the base of the pole to a height of 9 feet 1 0 Adobe PDF file View
45 HWY Photo-21, Illustrating the repairs made by the NYS Thruway Authority between March 15 and March 16, 2011 to install new strong post W-beam guiderail with steel block-outs 1 0 Adobe PDF file View
46 HWY Photo-22, Illustrating the repairs made by the NYS Thruway Authority on April 29, 2011 to replace the steel block-outs with plastic block-outs 1 0 Adobe PDF file View
47 Motor Carrier Factual Report of Investigation 20 0 Adobe PDF file View
48 Errata Sheet to MC Factual Report 2 0 Adobe PDF file View
49 MC Attachment #1 - NY Department of Corporations Great Escapes Information 3 0 Adobe PDF file View
50 MC Attachment #2 - Great Escapes SAFER, SMS, Company Profile 42 0 Adobe PDF file View
51 MC Attachment #3 - Great Escapes 2007 and 2008 Compliance Reviews 24 0 Adobe PDF file View
52 MC Attachment #4 - World Wide SAFER, SMS, and Company Profile 36 0 Adobe PDF file View
53 MC Attachment #5 - World Wide MC-150 Form and Operating Authority Letter 5 0 Adobe PDF file View
54 MC Attachment #6 - World Wide 1999, 2007, 2008 Compliance Reviews 31 0 Adobe PDF file View
55 MC Attachment #7 - Consolidated Safety Services Safety Audit 30 0 Adobe PDF file View
56 MC Attachment #8 - Post-Accident Compliance Review 24 0 Adobe PDF file View
57 MC Attachment #8A - Great Escapes Post-Accident Review 15 0 Adobe PDF file View
58 MC Attachment #9 - Article 19A Information 62 0 Adobe PDF file View
59 MC Attachment #9A - Driver's Article 19A Record 8 0 Adobe PDF file View
60 MC Attachment #10 - New York Inspection of Great Escapes and World Wide Vehicles 11 0 Adobe PDF file View
61 MC Attachment #11 - Driver's Toxilogical Test Results 2 0 Adobe PDF file View
62 MC Attachment #12 - World Wide Driver's Qualificaiton File 35 0 Adobe PDF file View
63 MC Attachment #13 - Community Coach - Coach USA Driver Qualification File 93 0 Adobe PDF file View
64 MC Attachment #14 - New York MTA Driver's Job Application 31 0 Adobe PDF file View
65 MC Attachment #15 - Driver's License Records 35 0 Adobe PDF file View
66 MC Attachment #16 - Driver's Work Schedule 1-10 thru 3-12-2011 14 0 Adobe PDF file View
67 MC Attachment #17 - Hand Written Logs 72 0 Adobe PDF file View
68 MC Attachment #18 - Re-created Driver Logs 87 0 Adobe PDF file View
69 MC Attachment #19 - PC Miler Information 3 0 Adobe PDF file View
70 MC Attachment #20 - World Wide - United Coach Trip Information and United Coach SAFER Information 21 0 Adobe PDF file View
71 MC Attachment #21 - World Wide - Mohegan Sun Casino Transportation Information 14 0 Adobe PDF file View
72 MC Attachment #22 - World Wide Bus Arrival and Departure Times 27 0 Adobe PDF file View
73 MC Attachment #23 - Supplemental Information for Great Escapes 8 0 Adobe PDF file View
74 MC Attachment #24 - List of Great Escapes Compliance Reviews 2 0 Adobe PDF file View
75 MC Attachment #25 - Great Escapes Compliance Review 10-18-2011 7 0 Adobe PDF file View
76 Vehicle Factors Group Chairman's Factual Report 12 0 Adobe PDF file View
77 Vehicle Attachment 1 - Final Record and Technical Specifications for Accident Bus 11 0 Adobe PDF file View
78 Vehicle Attachment 4 - Michelin XZA Tire Specifications 2 0 Adobe PDF file View
79 Vehicle Attachment 5 - Bendix SN7 Air Disc Brake Service Data 4 0 Adobe PDF file View
80 Vehicle Attachment 6 - Meritor WABCO ABS Code Report and Code Descriptions 8 0 Adobe PDF file View
81 Vehicle Attachment 7 - January 2011 Inspection of the Accident Bus 6 0 Adobe PDF file View
82 Vehicle Attachment 8 - Prior State Inspections of the Accident Bus 13 0 Adobe PDF file View
83 Vehicle Attachment 9 - New York State Department of Transportation Post Crash Inspection Report for the Accident Bus 4 0 Adobe PDF file View
84 VEH Photo 1 - Post crash view of the accident bus, right side 1 0 Adobe PDF file View
85 VEH Photo 2 - Post crash view of the accident bus, left side 1 0 Adobe PDF file View
86 VEH Photo 3 - Post crash view of the accident bus, left front corner 1 0 Adobe PDF file View
87 VEH Photo 4 - Post crash view of the accident bus, right front corner 1 0 Adobe PDF file View
88 VEH Photo 5 - Right front lower edge of the bus body, showing scrape marks 1 0 Adobe PDF file View
89 VEH Photo 6 - Post crash view of the accident bus, with panel sections laid out 1 0 Adobe PDF file View
90 VEH Photo 7 - Right rear of the accident bus, showing damage to engine and electrical components 1 0 Adobe PDF file View
91 VEH Photo 8 - Driver control panel to the left of the driver’s seat 1 0 Adobe PDF file View
92 VEH Photo 9 - Driver control area forward of the driver’s seat 1 0 Adobe PDF file View
93 VEH Photo 10 - Rear suspension damage and tire contact marks 1 0 Adobe PDF file View
94 VEH Photo 11 - Right tag axle disc brake wear indicator 1 0 Adobe PDF file View
95 VEH Photo 12 - Disc brake wear indicator, showing face of pin detached from rolling boot 1 0 Adobe PDF file View
96 Vehicle Recorders - Electronic Control Module - Specialist's Factual Report 5 0 Adobe PDF file View
97 Vehicle Recorders - Electronic Control Module - Attachment 1 35 0 Adobe PDF file View
98 Vehicle Recorders - Electronic Control Module - Attachment 2 2 0 Adobe PDF file View
99 Vehicle Recorders - Electronic Control Module - Attachment 3 6 0 Adobe PDF file View
100 Human Performance Group Chairman Factual Report 28 0 Adobe PDF file View
101 HP Attachment 1 - Narratives From Interviews with Accident Bus Driver 10 0 Adobe PDF file View
102 HP Attachment 2 - Surveillance Video Summary and Driver Club Card data from Mohegan Sun Casino 13 0 Adobe PDF file View
103 HP Attachment 3 - Bus Driver Cell Phone Records 18 0 Adobe PDF file View
104 HP Attachment 4 - E-ZPass Electronic Toll Data from World Wide 11 0 Adobe PDF file View
105 HP Attachment #5 - Rental Car Records 40 0 Adobe PDF file View
106 HP Attachment 6 - Dr Joseph Ciuffo Interview Transcript 66 0 Adobe PDF file View
107 HP Attachment 7 - Interview with Detective Rivera Regarding Bus Driver Portable Breath Test 2 0 Adobe PDF file View
108 HP Attachment 8 - Westchester County Toxicology Results 4 0 Adobe PDF file View
109 HP Attachment 9 - Civil Aerospace Medical Institute Toxicology Results 2 0 Adobe PDF file View
110 HP Attachment 10 - Bus Driver Statements to Police 5 0 Adobe PDF file View
111 HP Attachment #11 - Truck Driver Witness Interview Transcript 74 0 Adobe PDF file View
112 HP Attachment 12 - Bus Passenger and Witness Statements to Police 19 0 Adobe PDF file View
113 HP Attachment 13 - Hot Dog Vendor Statement to Police 5 0 Adobe PDF file View
114 HP Attachment 14 - Exemplar Video Conditions 1-4 1 0 Adobe PDF file View
115 SF Survival Factors Chairman Factual Report 27 0 Adobe PDF file View
116 SF Photo 1 Right Front Iso View Bus Exterior 1 0 Adobe PDF file View
117 SF Photo 2 Driver Side View of Bus Exterior with B Pillars 1 0 Adobe PDF file View
118 SF Photo 3 Passenger Side View of Bus Exterior with B Pillars 1 0 Adobe PDF file View
119 SF Photo 4 Front and Top View of Bus at Final Rest 1 0 Adobe PDF file View
120 SF Photo 5 Front and Interior View with Stanchion Intrusion and Parcel Rack Frame 1 0 Adobe PDF file View
121 SF Photo 6 View of Seatbacks Cut During Extrication 1 0 Adobe PDF file View
122 SF Photo 7 View of Broken Armrests 1 0 Adobe PDF file View
123 SF Photo 8 View of Row 2 Passenger Side with Occupant Impact Mark 1 0 Adobe PDF file View
124 SF Photo 9 View of Row 6 Passenger Side with Occupant Impact Mark 1 0 Adobe PDF file View
125 SF Photo 10 View of Row 3 and 4 Passenger Side Seat Track and Video Monitor Bracket 1 0 Adobe PDF file View
126 SF Photo 11 Aerial View of Bus Interior and Removed Inverted Roof 1 0 Adobe PDF file View
127 SF Photo 12 Roof Overview 1 0 Adobe PDF file View
128 SF Attachment 1 Driver Seat Manual 23 0 Adobe PDF file View
129 SF Attachment 2 Bus Cross Section Drawing 2 0 Adobe PDF file View
130 SF Attachment 3 NY State Police Troop T Incident Report 6 0 Adobe PDF file View
131 SF Attachment 4 Statements to NY State Police 23 0 Adobe PDF file View
132 SF Attachment 5 New York City 911 Call Log 2 0 Adobe PDF file View
133 SF Attachment 6 FDNY Incident History Report 13 0 Adobe PDF file View
134 SF Attachment 7 FDNY Responders 14 0 Adobe PDF file View
135 SF Attachment 8 FDNY Ambulance Dispatch Logs 2 0 Adobe PDF file View
136 SF Attachment 9 First Responder Interviews 8 0 Adobe PDF file View
137 Simulation Study: Biomechanics 28 0 Adobe PDF file View
138 Supplemental Report: U.S. Fatal Accidents on High-Speed Roadways Involving Guardrails 21 0 Adobe PDF file View
139 Study: Vehicle Dynamics and Visualization 17 0 Adobe PDF file View
140 Animation Description and Disclaimer 3 0 Adobe PDF file View
141 Vehicle Dynamics Study 3 0 Adobe PDF file View
142 Final Accident Report 101 0 Adobe PDF file View
143 Safety Recommendation Transmittal Letter (H-12-13 through -19) 1 0 Adobe PDF file View
144 Safety Recommendation Transmittal Letter (H-12-20 through -22) 1 0 Adobe PDF file View
145 Safety Recommendation Transmittal Letter (H-12-23 through -24) 1 0 Adobe PDF file View
146 Safety Recommendation Transmittal Letter (H-12-25 through -27) 1 0 Adobe PDF file View
147 Safety Recommendation Transmittal Letter (H-12-028) 1 0 Adobe PDF file View