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Metro Crash: Experts Suspect System Failure, Operator Error in Red Line Accident

Two Red Line Metrorail trains crashed June 22, 2009 between the Fort Totten and Takoma Park stations, killing nine, including one train operator.

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By Lyndsey Layton
Washington Post Staff Writer
Tuesday, June 23, 2009

Experts familiar with Metro's operations focused last night on a failure of the signal system and operator error as likely causes of yesterday's fatal Red Line crash.

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Metro was designed with a fail-safe computerized signal system that is supposed to prevent trains from colliding. The agency's trains are run by onboard computers that control speed and braking. Another electronic system detects the position of trains to maintain a safe distance between them. If they get too close, the computers automatically apply the brakes, stopping the trains.

These systems were supposed to make yesterday's crash impossible.

But four years ago, in an episode eerily similar to yesterday's, the signal system briefly failed in the tunnel between Foggy Bottom and Rosslyn, forcing two quick-thinking operators to stop their trains manually to avoid a crash.

In the June 2005 incident, the operator of one train noticed that he was getting too close to the train ahead. The signal system was telling him the track was clear, but he hit the brakes. The operator of a third train on the line hit the emergency brakes on time, too.

Metro officials were stunned by the events, which they said at the time had not happened before, and launched an investigation. It was unclear last night whether they ever found a cause.

In yesterday's crash, it appeared that the operator of the train that crashed did not apply the emergency brakes, also known as the "mushroom." Experts said the train appeared to be traveling fast before impact because the force pushed the first car of the train on top of the train ahead. Witnesses on the train that crashed also reported that the train did not brake before impact.

There was no reason to think that the operator did not spot the train ahead of her yesterday. The weather was clear, and the trains were not in a tunnel.

"It doesn't look like she hit the brakes," said a train safety expert, who asked not to be identified because the crash is under investigation. "That's why you have an operator in the cab. She should have been able to take action. That's what they're there for."

Other possible factors in the crash include a medical emergency that incapacitated the operator or a catastrophic failure of the braking system.

The trains in yesterday's crash were supposed to be in automatic operation, which means the operators would have been relying on the computerized system to run the trains. The only function required of a train operator during automatic operation is to close the doors after a station stop. Some safety experts said operators can "zone out" during computerized operation because they don't have to pay as close attention as when they manually run trains.

During the past decade, Metro has struggled with troublesome communications relays. The agency tore out all 20,000 trackside relays in 1999 after discovering that a small portion designed to last 70 years were failing after 25. They sent erroneous instructions to trains on several occasions. One train was told to travel 45 mph on a stretch of track with a 15-mph speed limit; another was directed to travel at zero mph when it should have been ordered to move at 15 mph.

The manufacturer, Alstom Signaling, agreed to replace the relays. The company could not be reached for comment last night.

In May 2000, the Federal Railroad Administration issued a safety warning to all railroads and transit systems, saying relays manufactured between 1960 and 1985 by General Railway Signal had a tendency to stick or fail.

Alstom, which bought General Railway Signal in 1998, estimated that 2 million of the relays in question are used by railroads around the world. Federal officials said the sticking of the relays has caused the railroad administration serious concern. They said railroads using the Alstom relays should inspect and test them, but they stopped short of requiring immediate repair or replacement.



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