Background
The trains
On the day of the accident, the Shawnee train (operating number 392) from Carbondale, IL to Chicago, IL, was made up of AmtrakHarvey railroad yard
The railroad yard at Harvey is situated on theCrew members
There were 10 crew members in total, 4 on the ICG train and 6 on the Amtrak train.ICG crew (train number 51)
*Conductor Benjamin L. Gardner, aged 37, was employed as a brakeman on May 2, 1963, by the ICG, being later promoted to conductor on May 13, 1969. *Engineer Harold Ross Coghlan, aged 55, was employed as a fireman on June 5, 1974, by the ICG, being later promoted to engineer on May 21, 1975. † *Head Brakeman Richard O. Kingery, aged 21, was employed as a trackman on June 14, 1977, by the ICG, transferring to the Car Department on January 8, 1979, and later at the Transportation Department as a brakeman on October 9, 1979. † *Rear Brakeman Thomas Parker Brown, aged 20, was employed as a trackman on May 9, 1978, by the ICG, transferring to the Transportation Department as a brakeman/switchman on January 10, 1979.Amtrak crew (train number 392)
*Conductor James Lowell Garrison, aged 47, was employed as a brakeman by the ICG on August 1, 1950, being promoted to conductor on December 15, 1958. He was required to wear glasses at all times while on duty. *Engineer John Joseph Taksas, aged 65, was employed as a fireman by the ICG on January 21, 1940, being promoted to engineer on January 27, 1949. He was required to wear glasses at all times while on duty. *Fireman James Alexander Murray, aged 29, was employed as a fireman by the ICG on June 8, 1973, entering engineer training on June 28, 1978, completing it on April 26, 1979. *Baggageman Donald Eugene Schwieger, aged 30, was employed as a brakeman by the ICG on December 8, 1967, being promoted to conductor on October 6, 1972. *Flagman John Clarence Washington, aged 48, was employed as a laborer in the Car Department by the ICG on May 19, 1953, working on various positions (including car inspector) up to August 26, 1968, when he transferred to the Transportation Department, being promoted to conductor on March 3, 1973.Railway supervising crew
*Train director Norville J. Gapen, aged 49, was employed as an agent-operator by theEvents
At 8:45 PM local time, ICG train number 51 stopped 20 feet (6 meters) before the crossover on track 3, due to a train ahead dealing with a crew change. The crew of train 51 was then instructed to wait until Amtrak train 392 had passed them, after which the train was to overtake the stopped train on track 3, before moving back to track 4. During this time, the lights of train 51 were switched off. The train director from nearbyAftermath and NTSB report
The fire department and police were quick to respond, in three minutes, due to the proximity of the fire and police station to the site of the accident. Damage was estimated at $1,685,000 after the accident. The ICG crew members' bodies were located not far from the debris of the accident. It is unknown if they made any efforts to leave the cab, but it is likely that they did not, considering the lack of time and that the engineer tried to radio the engineer of the other train. The crew members of the Amtrak locomotive made no efforts to leave the engine room, and Fireman Murray sat on the floor at the time of the accident, facing forward with his feet against the front wall. His actions minimized his injuries, which would have been worse as the locomotive cab was crushed inwards towards the seat, however he still had a concussion and injuries to his cervical spine. Engineer Taksas had no recollection from the moment of the accident, but it is likely he struck the radio controls during the impact and subsequent rollover of the locomotive, as this equipment was found damaged. His injuries included internal injuries, a possible concussion, a fractured hip and right ribs with hematoma. The only other serious injury was located in the fourth car, where the snackbar counter collapsed, injuring and trapping the attendant. Five passengers were hospitalized for more than 48 hours, whilst another 33 left the accident with cuts, bruises, sprains and concussions. When initially interrogated, switch-tender Harris said that he knew he was doing a poor job on that day, but not only on the day of the crash, but also on other days. The day of the crash was also his second day working as a switch-tender, the previous times he worked as a brakeman. Before this, investigators found out that a number of trains were missing from his logbook. The signals and braking systems on the Amtrak train were tested, and were operating correctly.NTSB Report
The NTSB report was finalized on April 3, 1980, and released on May 20, 1980. The report stated that, if the electrically locked switches had not been removed in 1971, then the train would have passed the signal and kept going straight to Chicago, without the interference of the switch-tender, going on to explain how even an experienced switch-tender would make the same mistake. Removal of these switches, thus resulted in removing the only "positive safety feature to prevent switches being operated immediately in front of an approaching train". Aside from the removal of the switches, the ICG was criticized for the lack of proper training given to switch-tenders. It was considered that "at no time is the new employee provided with adequate information on the switch-tender's position, nor does he receive student training before taking up this job". Train crews in and out of Harvey yard at the time reported improperly aligned switches, including the train that left track 6. It was determined that one of the factors into this crash was the short period of instruction, which could not allow him to become familiar with the physical layout of the switches, tracks, etc. The period of two months between his assignments did not help either. Another factor was the communication done from the train director to the switch-tender, through the yardmaster. This resulted due to the weak signal that resulted from the Motorola radio units, which were smaller than the original ones used by ICG at Harvey yard. This meant that the train director had to instruct the switch-tender indirectly, through the yardmaster, even for mainline instructions, which was against ICG rules. The instructions for the train leaving Harvey yard and trains 392 and 51 were also relayed together, had the yardmaster relayed only the instructions to prepare the switch only for the train leaving the yard, he would have ignored the passing Amtrak train and would have also avoided the accident. Also during communications, the yardmaster mentioned a passenger train, but since the switch-tender could not tell the difference between a commuter train and intercity train, he misunderstood the information given to him. Even giving out the locomotive number would have, at least, helped the switch-tender. Finally, the switch-tender most likely did not switch onto channel 1 of the radio, which made him not hear the crew of train 51 shouting for help (channel 1 was used for mainline traffic, channel 2 was used for yard traffic).Findings and conclusion
* Electrically locked switches would have prevented the switch-tender from operating the switch immediately in front of train 392. * Neither the hand thrown switches, nor the ICG rules prevent switches being operated immediately in front of an oncoming train, therefore, adequate protection does not exist at the Harvey crossovers area. * Even if signal 2056 showed green, it did not prevent the switch being changed after the train went past it. Same goes for switch targets. * Except for signal 2056 and the switch targets, there is no other indicator available for the engineer to determine the position of the switches. The "safe speed" of passing through the area is also not specified, and the ICG relied on the discretion of the engineer when passing through this area. * The train director at Kensington was forced to relay to the switch-tender through the yardmaster at Harvey, against ICG regulations, due to poor capabilities of the mobile radio units they were issued. * The switch-tender at Harvey was not supervised, so he was supposed to be given out information and tasks through the radio, assuming he had gained enough knowledge for his tasks. The training program failed to train him sufficiently for this task. * The Amtrak personnel were not used, nor instructed in the new features of the Amtrak cars, making the evacuation slightly difficult. The NTSB determines that the probable cause of the accident was the switch-tender's manual misalignment of a switch, immediately in advance of a train, which caused train 392 to be directed into a crossover and collide with a standing freight train on the adjacent track. The misalignment was possible due to a lack of interlock or other positive means to prevent this movement. Contributing to the accident was the lack of training and limited experience of the employee assigned as switch-tender, and an inadequate communications system to give directions to the switch-tender.Recommendations
The first recommendations were issued on December 18, 1979, and it contained the following: * Provide at the Harvey Yard location an interlocking system or other positive means to prevent the inadvertent misalignment of switches in advance of a train operating within the signal block. * Until positive safeguards can be provided for the operation of switches, restrict speeds through the area of the Harvey crossover so that trains can be stopped short of a switch which is improperly aligned, but not exceeding 20 mph. * Immediately qualify all switchmen/brakemen who function as switch-tenders by providing sufficient training in the specific rules that apply to switch-tenders, in the physical layout of tracks and switches, and in train operations in the area of their responsibility. Later another set of recommendations were made: * Installation of a system that will ensure that the switch-tender at Harvey and train director can have direct communication when necessary for the movement of trains in the Harvey area. * When radios with multiple channels are used in train operations by employees who must use several channels, issue instructions that identify the channel the employee must monitor for receiving instructions. * Instruct supervisors to monitor the activities of the employees performing the switch-tender duties at Harvey for fitness and ability to perform those duties of the assignment. * The NPRC (Amtrak) must ensure that all crew members on Amtrak passenger trains are trained to identify and operate all pertinent features of the equipment.Aftermath
After the report, the crossovers that connected tracks 3 and 4 were removed. The leading GP40 of the ICG and the P30CH of Amtrak were scrapped, being damaged beyond repair. GP40 3029 of the ICG was repaired, but after another accident later in 1984, it was cannibalized for spare parts. There is no memorial plaque at the site of the accident, as this accident was almost forgotten among many people, but it showed grave deficiencies in railroad operations in the US in the late 1970s.References
* :File:NTSB-RAR-80-3.pdf {{1979 railway accidents Accidents and incidents involving Illinois Central Railroad Accidents and incidents involving Amtrak Railway accidents in 1979 Railway accidents and incidents in Illinois