The US National Transportation Safety Board (NTSB) finished its second of three days of hearings in Washington, DC regarding the June 2009 DC Metro crash that killed nine and injured scores more. The testimony yesterday focused on the "maintenance, testing and installation procedures" involving the Metro's signaling system, says this article in the Washington Post.
The Post story says that, "Five days before the accident, Metro crews replaced a key piece of equipment with one from another manufacturer. After the equipment was replaced, the circuitry malfunctioned, and no one at Metro detected the problem."
Worse, the NTSB says that Metro ignored warnings from the original signal equipment manufacturer not to use third-party components during maintenance of the system, since the manufacturer Alstom said that it presents "not only a customer quality issue, but also constitutes a serious and increasing risk to overall signaling system safety."
The former Metro supervisory engineer at the time claims that he was "not familiar" with the warning, even as line engineers and technicians apparently knew and were worried over using non-Alstom replacement parts.
The Post said that, "In interviews with federal investigators, Metro technicians who worked on the portion of track involved in the accident before the crash said the installation of equipment by Union Switch & Signal caused speed and power problems because it did not properly match the existing equipment, much of which they noted was 40 years old."
The transcripts of the maintenance crew's interviews with NTSB investigators can be found here. They make for uncomfortable reading if you are a DC Metro rider (like I am).
The NTSB hearing concludes today. The final NTSB report is expected to be released in June.
Robert N. Charette is a Contributing Editor to IEEE Spectrum and an acknowledged international authority on information technology and systems risk management. A self-described “risk ecologist,” he is interested in the intersections of business, political, technological, and societal risks. Charette is an award-winning author of multiple books and numerous articles on the subjects of risk management, project and program management, innovation, and entrepreneurship. A Life Senior Member of the IEEE, Charette was a recipient of the IEEE Computer Society’s Golden Core Award in 2008.