Project Summary: Highway Investigation - 168 Docket Items - HWY15MH006

Description: A Metrolink commuter train struck a 1-ton truck towing a trailer near an active highway / railroad grade crossing. As a result of the crash, 32 train occupants were injured and a train engineer was fatally injured.

Mode: Highway

NTSB Number: HWY15MH006

Date of Accident: 02/24/2015

City: Oxnard

State/Region: CA

Country: United States

Project Type: Investigation

Docket Information

Creation Date: 08/22/2016

Last Modified: 08/26/2016 2:54 PM

Public Release Date & Time: 08/29/2016 12:00 PM


Docket Table of Contents

Docket Items: 168
#
Title
Pgs
Photo
Type
File
1 Accident Summary 3 0 Adobe PDF file View
2 Vehicle Factors Group Chairman Factual Report 19 2 Adobe PDF file View
3 Vehicle Attachment 1 - 2005 Ford and 2000 Wells Cargo - Vehicle Specifications 56 0 Adobe PDF file View
4 Vehicle Attachment 2 - 2005 Ford - Engine Visual Inspection Report from Navistar, Inc. 15 0 Adobe PDF file View
5 Vehicle Attachment 3 - 2005 Ford - Brake Specifications 2 0 Adobe PDF file View
6 Vehicle Attachment 4 - 2005 Ford - Maintenance Records 4 0 Adobe PDF file View
7 Vehicle Attachment 5 - 2005 Ford - NHTSA Recall History 4 0 Adobe PDF file View
8 Vehicle Attachment 6 - 2005 Ford - Field-Actions and Warranty Records 23 0 Adobe PDF file View
9 Vehicle Attachment 7 - 2005 Ford - Airbag Control Module Download Report 9 0 Adobe PDF file View
10 Vehicle Photograph 1 - Overall Damage to Truck Facing Front Left Corner (overturned) 1 1 Adobe PDF file View
11 Vehicle Photograph 2 - Overall Damage to Truck Facing Rear Right Corner (overturned) 1 1 Adobe PDF file View
12 Vehicle Photograph 3 - Overall Damage to Trailer Facing Front Right Corner 1 1 Adobe PDF file View
13 Vehicle Photograph 4 - Overall Damage to Trailer Facing Rear Left Corner 1 1 Adobe PDF file View
14 Vehicle Photograph 5 - Damage to Cab of Truck Facing Right Side Top 1 1 Adobe PDF file View
15 Vehicle Photograph 6 - Damage to Cab of Truck Facing Left Side Top 1 1 Adobe PDF file View
16 Vehicle Photograph 7 - Damage to Truck’s Engine Facing Rear Right Corner (displaced from vehicle) 1 1 Adobe PDF file View
17 Vehicle Photograph 8 - Trailer Safety Chains 1 1 Adobe PDF file View
18 Vehicle Photograph 9 - Damage to Spring-Loaded Chain Hook Keeper on the Trailer's Right Safety Chain 1 1 Adobe PDF file View
19 Vehicle Photograph 10 - Steering Wheel Displaced from Truck Showing Deformation and Deployed Airbag 1 1 Adobe PDF file View
20 Vehicle Photograph 11 - Circumferential Scuffing to Tread Surface of Outer Tire on Right Side of Axle 2 1 1 Adobe PDF file View
21 Signal Group Chairman Factual Report 8 2 Adobe PDF file View
22 Signal Attachment 2 - Aspect Chart Santa Barbara 2 0 Adobe PDF file View
23 Signal Attachment 3 - Circuit Plans C0406 South Oxnard 19 0 Adobe PDF file View
24 Signal Attachment 4 - C0413 C0400 Interlocking 2 0 Adobe PDF file View
25 Signal Attachment 5 - CP 43652 C0406 Data Downloads 366 0 Adobe PDF file View
26 Signal Attachment 6 - DOT 111460 74585B 02 25 09 30 GC 58 0 Adobe PDF file View
27 Signal Attachment 7 - DOT 111466 745855H 2 24 11 42GC 40 0 Adobe PDF file View
28 Signal Attachment 8 - DOT 745854B Rose Ave Oxnard, CA Santa Barbara Sub MP 405.25 Long Term Tests 3 0 Adobe PDF file View
29 Signal Attachment 9 - DOT 745854B Rose Ave Oxnard, CA Santa Barbara Sub MP 405.25 Short Term Tests 10 0 Adobe PDF file View
30 Signal Attachment 10 - DOT 745854B Rice Ave Oxnard, CA Santa Barbara Sub MP 406.23 Circuit Plans 8 0 Adobe PDF file View
31 Signal Attachment 11 - DOT 745854B Rice Ave Oxnard, CA Santa Barbara Sub MP 406.23 Long Term Tests 3 0 Adobe PDF file View
32 Signal Attachment 12 - DOT 745854B Rice Ave Oxnard, CA Santa Barbara Sub MP 406.23 Short Term Tests 6 0 Adobe PDF file View
33 Signal Attachment 13 - DOT 745854B Rice Ave Oxnard, CA Santa Barbara Sub MP 406.23 Tests After Incident 3 0 Adobe PDF file View
34 Signal Attachment 14 - Last Six Month CO406 South Oxnard Monthly Tests 02272015 2 0 Adobe PDF file View
35 Signal Attachment 15 - Signal Log 3 0 Adobe PDF file View
36 Signal Attachment 16 - Los Angeles Area Timetable #05 63 0 Adobe PDF file View
37 Signal Attachment 17 - Track Profile 2 0 Adobe PDF file View
38 Signal Attachment 18 - Santa Barbara Subdivision Timetable 5 0 Adobe PDF file View
39 Operations Group Chairman Factual Report 8 0 Adobe PDF file View
40 Engineer Certification 29 0 Adobe PDF file View
41 Engineer Operational Tests 5 0 Adobe PDF file View
42 Student Engineer Certification History 7 0 Adobe PDF file View
43 Student Engineer Operational Tests 5 0 Adobe PDF file View
44 Interview Student Engineer 56 0 Adobe PDF file View
45 Conductor Operational Tests 2 0 Adobe PDF file View
46 Conductor Interview 46 0 Adobe PDF file View
47 U.S. DOT - Crossing Inventory Information 2 0 Adobe PDF file View
48 Metrolink Delay Report 1 0 Adobe PDF file View
49 Metrolink Service Interruption Report 12 0 Adobe PDF file View
50 Metrolink Shift Report 3 0 Adobe PDF file View
51 Excerpts UPRR Special Instructions 49 0 Adobe PDF file View
52 Excerpts UPRR Timetable 7 0 Adobe PDF file View
53 Excerpts Amtrak Air Brake and Train Handling Instructions 54 0 Adobe PDF file View
54 Metrolink Timetable No. 9 53 0 Adobe PDF file View
55 Metrolink General Track Bulletin from Cab Car 7 0 Adobe PDF file View
56 Metrolink General Track Bulletin from Conductor 7 0 Adobe PDF file View
57 Metrolink General Notice 6 0 Adobe PDF file View
58 Metrolink General Orders 22 0 Adobe PDF file View
59 Metrolink Warrant ML 102 4 0 Adobe PDF file View
60 FRA Train Sheet Report 4 0 Adobe PDF file View
61 ML 102 Train Consist 1 0 Adobe PDF file View
62 ML 102 All Vehicle Defect Reports 8 0 Adobe PDF file View
63 Metrolink Daily Inspection ML 102 Train 15 0 Adobe PDF file View
64 Cab Car 645 Maintenance Records 32 0 Adobe PDF file View
65 Cab Car ML 645 Daily Blue Card Inspection 1 0 Adobe PDF file View
66 ML Car 206 Mechanical Inspections 28 0 Adobe PDF file View
67 ML Car 211 Mechanical Inspection 25 0 Adobe PDF file View
68 ML Car 263 Mechanical Inspections 9 0 Adobe PDF file View
69 ML Locomotive 870 Mechanical Inspections 35 0 Adobe PDF file View
70 ML Locomotive 870 Daily Inspections 4 0 Adobe PDF file View
71 Motor Carrier Factors Group Chairman's Factual Report 36 5 Adobe PDF file View
72 Motor Carrier Attachment 1 - The Growers Company MCS-150 2 0 Adobe PDF file View
73 Motor Carrier Attachment 2 - Harvest Management MCS-150 2 0 Adobe PDF file View
74 Motor Carrier Attachment 3 - The Grower's Company Labor Agreement 19 0 Adobe PDF file View
75 Motor Carrier Attachment 4 - The Grower's Company Driver Handbook 26 0 Adobe PDF file View
76 Motor Carrier Attachment 5 - Golden Gate Partnership Recognition Certificate 2 0 Adobe PDF file View
77 Motor Carrier Attachment 6 - Accident Driver's Training Records 43 0 Adobe PDF file View
78 Motor Carrier Attachment 7 - Driver Training Objectives 10 0 Adobe PDF file View
79 Motor Carrier Attachment 8 - Random Drug and Alcohol Testing 3 0 Adobe PDF file View
80 Motor Carrier Attachment 9 - How to Improve Safety Culture 3 0 Adobe PDF file View
81 Motor Carrier Attachment 10 - Accident Driver's Time Records 7 0 Adobe PDF file View
82 Motor Carrier Attachment 11 - BIT Inspections 4 0 Adobe PDF file View
83 Motor Carrier Attachment 12 - Accident Vehicle Manufacturer Data Plate 2 0 Adobe PDF file View
84 Motor Carrier Attachment 13 - The Grower's Company CRs 18 0 Adobe PDF file View
85 Motor Carrier Attachment 14 - Post Accident CR Harvest Management 12 0 Adobe PDF file View
86 Motor Carrier Attachment 15 - Harvest Management MCMIS Profile 73 0 Adobe PDF file View
87 Motor Carrier Attachment 16 - NTSB Interview Transcript with Motor Carrier 18 0 Adobe PDF file View
88 Motor Carrier Attachment 17 - Accident Driver DQ File 3 0 Adobe PDF file View
89 Motor Carrier Attachment 18 - Accident Driver DOT Medical Examination Report 7 0 Adobe PDF file View
90 Motor Carrier Attachment 19 - Accident Driver CDLIS Report 3 0 Adobe PDF file View
91 Motor Carrier Attachment 20 - Accident Driver FMCSA DIR Report 2 0 Adobe PDF file View
92 Motor Carrier Attachment 21 - Accident Driver Roadside Inspections 5 0 Adobe PDF file View
93 Motor Carrier Attachment 22 - Cash Advance for Accident Driver 3 0 Adobe PDF file View
94 Motor Carrier Attachment 23 - Accident Driver's Driving Instructions Provided by Motor Carrier 5 0 Adobe PDF file View
95 Motor Carrier Attachment 24 - Hotel Reservation for Accident Driver 2 0 Adobe PDF file View
96 Motor Carrier Attachment 25 - Motor Carrier Account of Accident Driver's 24Hour History 2 0 Adobe PDF file View
97 Motor Carrier Photos 1-11 7 11 Adobe PDF file View
98 Highway Factors Group Chairman's Factual Report 21 0 Adobe PDF file View
99 Highway Attachment 1 - Highway-Rail Grade Crossing Accident/Incident Report dated November 29, 2010 2 0 Adobe PDF file View
100 Highway Attachment 2 – Proposed Changes to the 2009 MUTCD – Edge Line Markings at Highway-Rail and Light Rail Transit Grade Crossings 3 0 Adobe PDF file View
101 Highway Attachment 3 - Average Daily Traffic Volumes on South Rice Avenue and East Fifth Street 4 0 Adobe PDF file View
102 Highway Attachment 4 - Cities of Port Hueneme/Oxnard Truck Traffic Study Final Report dated June 5, 2008 87 0 Adobe PDF file View
103 Highway Attachment 6 - Collision Report Summary in the Vicinity of the South Rice Avenue and East Fifth Street Intersection 10 0 Adobe PDF file View
104 Highway Attachment 7 - Scaled Post-Crash Diagram 2 0 Adobe PDF file View
105 Highway Photograph 1 – View of the Green Lane grade crossing looking to the northwest in Mount Kisco, New York in which raised delineator posts have been used to prevent vehicles from inadvertently turning onto the tracks 1 1 Adobe PDF file View
106 Highway Photograph 2 – Another view of the Green Lane grade crossing looking to the southeast in Mount Kisco, New York in which raised delineator posts have been used to prevent vehicles from inadvertently turning onto the tracks 1 1 Adobe PDF file View
107 Highway Photograph 3 – View of South Rice Avenue looking to the south before the short term improvements 1 1 Adobe PDF file View
108 Highway Photograph 4 – View of South Rice Avenue looking to the south after the short term improvements 1 1 Adobe PDF file View
109 Highway Photograph 5 – View illustrating derailed and overturned Coach Car Number 206 at final rest with a portion of the car laying in the travel lanes of East Fifth Street looking to the west 1 1 Adobe PDF file View
110 Highway Photograph 6 – View of remnants of truck at final rest located east of the grade crossing and on the south side of the tracks with the grade crossing shown in the background looking to the west 1 1 Adobe PDF file View
111 Highway Photograph 7 – View of island gate mechanism entangled with wreckage of the trailer at final rest located in the northbound lanes of South Rice Avenue with the rear locomotive shown in the background looking to the east 1 1 Adobe PDF file View
112 Highway Photograph 8 – View of the grade crossing and the path of the truck that inadvertently entered the railroad track right-of-way looking to the southwest 1 1 Adobe PDF file View
113 Highway Photograph 9 – View of the grade crossing and looking back towards the path of the truck that inadvertently entered the railroad track right-of-way looking to the east 1 1 Adobe PDF file View
114 Highway Photograph 10 – View of the southbound lanes of South Rice Avenue standing in the middle of the right through lane with the grade crossing shown in the background looking to the south 1 1 Adobe PDF file View
115 Highway Photograph 11 – View of the southbound lanes of South Rice Avenue standing in the center median with the grade crossing shown in the background looking to the south 1 1 Adobe PDF file View
116 Highway Photograph 12 – View of the grade crossing and the scrape and gouge marks located on the railroad track pad and adjacent asphalt transition looking to the west 1 1 Adobe PDF file View
117 Highway Photograph 13 – View of the southbound right turn lane and turn lane-use arrow pavement marking on South Rice Avenue with the grade crossing shown in the background looking to the north 1 1 Adobe PDF file View
118 Highway Photograph 14 - View of the southbound right turn lane from the view of the accident driver’s perspective looking to the south 1 1 Adobe PDF file View
119 Survival Factors Group Chairman Factual Report 13 0 Adobe PDF file View
120 Survival Factors Highway Attachment 1 - OPD Incident Detail Report 58 0 Adobe PDF file View
121 Survival Factors Highway Attachment 2 - OPD Injured Passenger Report 17 0 Adobe PDF file View
122 Survival Factors Highway Attachment 3 - LA Sheriff Incident Report 4 0 Adobe PDF file View
123 Survival Factors Highway Attachment 4 - OFD Incident Detail Report 6 0 Adobe PDF file View
124 Survival Factors Highway Attachment 5 - Unified Command Notes 16 0 Adobe PDF file View
125 Survival Factors Highway Attachment 6 - OFD NFIRS 10 0 Adobe PDF file View
126 Survival Factors Attachment 7 - Ventura County MCI Plan 49 0 Adobe PDF file View
127 Survival Factors Highway Attachment 8 - Ventura County MCI Report 5 0 Adobe PDF file View
128 Survival Factors Highway Attachment 9 - Oxnard CA Passenger Interviews 42 0 Adobe PDF file View
129 Survival Factors Highway Attachment 10 - Oxnard CA OFD Engine 65 Interviews 26 0 Adobe PDF file View
130 Survival Factors Highway Attachment 11 - Oxnard, CA OFD Engine 61 Interviews 27 0 Adobe PDF file View
131 Survival Factors Highway Attachment 12 - Oxnard, CA OFD Truck 61 Interviews 12 0 Adobe PDF file View
132 Survival Factors Highway Attachment 13 - Oxnard, CA OFD Engine 63 and 64 Interviews 37 0 Adobe PDF file View
133 Survival Factors Highway Attachment 14 - Oxnard, CA OFD Truck 68 Interviews 26 0 Adobe PDF file View
134 Survival Factors Highway Attachment 15 - Oxnard, CA OFD Engine 67 Interviews 20 0 Adobe PDF file View
135 Survival Factors Highway Attachment 16 - Oxnard CA EMS Interviews 5 0 Adobe PDF file View
136 Human Performance Factual Report 11 0 Adobe PDF file View
137 Human Performance Attachment 1 - 2005 Ford Driver's Time and Attendance Records 7 0 Adobe PDF file View
138 Human Performance Attachment 2 - 2005 Ford Driver's Cell Phone Voice Call Data 8 0 Adobe PDF file View
139 Human Performance Attachment 3 - Commercial Driver Medical Examination Report 7 0 Adobe PDF file View
140 Human Performance Attachment 4 - GPS Waypoint Location Data 2 0 Adobe PDF file View
141 3D Laser Scanning Factual Report 14 0 Adobe PDF file View
142 3D Laser Scanning Video Visualization - Cab Car 645 Exterior 1 0 Adobe PDF file View
143 3D Laser Scanning Video Visualization - Cab Car 645 Interior 1 0 Adobe PDF file View
144 3D Laser Scanning Image - Cab Car 645 Exterior Front Left 1 0 Adobe PDF file View
145 3D Laser Scanning Image - Cab Car 645 Exterior Front Right 1 0 Adobe PDF file View
146 3D Laser Scanning Image - Cab Car 645 Exterior Left 1 0 Adobe PDF file View
147 3D Laser Scanning Image - Cab Car 645 Exterior Left Rear 1 0 Adobe PDF file View
148 3D Laser Scanning Image - Cab Car 645 Exterior Right 1 0 Adobe PDF file View
149 3D Laser Scanning Image - Cab Car 645 Exterior Right Rear 1 0 Adobe PDF file View
150 3D Laser Scanning Image - Car 206 Exterior Left Front A End 1 0 Adobe PDF file View
151 3D Laser Scanning Image - Car 206 Exterior Left Rear B End 1 0 Adobe PDF file View
152 3D Laser Scanning Image - Car 206 Exterior Right Front A End 1 0 Adobe PDF file View
153 3D Laser Scanning Image - Car 206 Exterior Right Rear B End 1 0 Adobe PDF file View
154 3D Laser Scanning Image - Car 211 Exterior Left A End 1 0 Adobe PDF file View
155 3D Laser Scanning Image - Car 211 Exterior Left Roof A End 1 0 Adobe PDF file View
156 3D Laser Scanning Image - Car 211 Exterior Planar View 1 0 Adobe PDF file View
157 3D Laser Scanning Image - Car 211 Exterior Right Front A End 1 0 Adobe PDF file View
158 3D Laser Scanning Image - Car 211 Exterior Right A end on Right Side of Image 1 0 Adobe PDF file View
159 Railroad Crashworthiness - Group Chairman's Factual Report 39 0 Adobe PDF file View
160 Railroad Crashworthiness - Group Chairman's Factual Report Exhibits 13 0 Adobe PDF file View
161 Materials Laboratory Factual Report 7 4 Adobe PDF file View
162 Mechanical Group Chairman Factual Report 9 13 Adobe PDF file View
163 Train Recorders Group Chairman Factual Report 9 2 Adobe PDF file View
164 Party Representative Signature Pages 11 0 Adobe PDF file View
165 Party Representative Technical Review 24 0 Adobe PDF file View
166 Lead Car and Locomotive Event Recorders-Attachment 1 0 0 Comma-delimited data file View
167 Lead Car and Locomotive Event Recorders-Attachment 2 0 0 Comma-delimited data file View
168 Onboard Image Recorder - Group Chairman's Factual Report 13 0 Adobe PDF file View