Page:NTSB - Railroad Accident Report - Derailment on May 25, 1989.djvu/6

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Event Recorders
95
 
Computer-Generated Tonnage Profile Information
97
Dynamic Brake/Emergency Interlock
98
Reporting Defective Conditions on Locomotives
98
Training Program for Engineers
99
Southern Pacific Training Program for Yard Clerks
99
Southern Pacific Management Oversight of Train Operations
100
The Pipeline Rupture
101
 Removal of the Train Wreckage
103
 Removal-of Trona From Over the Pipeline
103
 Excavation and Inspection of the Pipeline
104
 Removal of Trona From the Oer ailment Area
105
Adequacy of Calnev's Inspection cf the Pipeline Following the Train Derailment
105
The Timing of the Pipeline Rupture
108
Calnev Pipeline Monitoring System
108
Shutdown of Failed Pipeline
109
 Check Valves
109
 Remotely Operated Valves
110
 Federal Reguations
112
Enhancing Public Safety Near Railroads and Pipelines
115
Survival Aspects
117
Emergency Response
117
Medical and Toxicological Factors
119
Southern Pacific's Physical Examination Policy
119
 
CONCLUSIDNS
Findings
120
Probable Cause
123
 
RECOMMENDATIONS
124
 
APPENDIXES
Appendix A—Investigation and Hearing
129
Appendix B—Personnel information
130
Appendix C—Bill of Lading Information
131
Appendix D—Tonnage Profile of Extra 7551 East
137
Appendix E—OPS Hazardous Facility Order and Subsequent Amended Orders
144
Appendix F—Assessment of Damages to Residences and Property
153
Appendix G—FRA Letter Regarding Functioning Dynamic Brakes
155
Appendix H—Southern Pacific Timetable Instructions (Maximum Tons per Operative Brake)
156
Appendix I—Selected Provisions of ASA Code B31.4
157
Appendix J—Pertinent Provisions of 49 CFR Part 195
159
Appendix K—Pertinent Provisions of 49 CFR Part 192
165
Appendix L—Alert Bulletin Issued by RSPA on November 13, 1989
166
Appendix M—Strip charts From Event Recorders of Extra 7551 East
171
Appendix N—Report of Converse Consultants
174
Appendix O—Agreement Between the Southern Pacific and the City of San Bernardino
183

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