1. C3RS User Group Presentation
Aug 9-10, 2016

2. Agenda
Outreach
Summary
Case Distribution
Case Statistics
Discussion of Corrective Action Recommendations
Feedback & Challenges
Lessons Learned
Suggested Improvements

3. Employee Outreach June 8, 2016

4. Summary - Aug 2015 – Present
70+ cases received
16 non-workable cases, however close calls and useful information
Approx. 50 unknown events with potential for injury, damage, and/or fatality
Remaining either duplicates or not classified as close-call
4 major rules violations YTD 2016 inclusive of C3RS
Several recommended corrective actions
Identifiable trends such as poor or rushed job briefings, poor communication, lack of experience and situational awareness, task overload, distractions, and self-induced time pressure

5. The first 2 Causes cover 42.25% of the Total Defects

6. 61% of cases occurred on the road, 39% in the yard or terminal
Case Statistics
Speed restrictions and switch handling cover approx 42% of the close calls
61% of cases occurred on the road, 39% in the yard or terminal
15 cases resulted in an occurrence – physical or near-miss
79% of cases had successful callbacks
Most notable cases involve train sliding through crossing w/ Line 12 in effect, trains (2 cases) entering through Track Foreman’s working limits, failure to blow the horn at a grade crossing due to fatigue, and Mechanical employee under a train w/o Blue Flag protection
18 cases involved T&E employees w/ <10 years of experience, 18 cases involved T&E employees w/ years of experience, 16 cases involved T&E employees w/ 20+ years of experience
Engineers submitted narrative and accepted callback most frequently (87% of cases), followed by dispatchers, and then conductors

8. Increase Situational Awareness
Recommendations
Increase Situational Awareness
Install signs for all temporary and permanent speed restrictions
Perform targeted tests and observations – speed, dispatch, shoving & yard moves, pre-departure procedures
Address Crew Member Contributed, Poor Job Briefings, & Distraction
Revise job briefing form, increase awareness of importance, and monitor for completion
Amend promotion training to incorporate targeted field experience and institute more frequent physical characteristics “refreshers”
Evaluate crew resource management for fatigue, time management, spare boards, and familiarization with physical characteristics
Rulebook insert for C3RS overview and incorporation into block training and new-hire orientation

9. Feedback and Challenges
Many employees still unfamiliar – either new, on weekend or night shift, or haven’t used it yet
Some don’t trust, but consensus is improving
“Just Another Red Block” mentality
Manpower and contractual ability to carry out
corrective actions
OTP and Customer Service vs Railroading
Business case to address close-call trends

10. Lessons Learned
Start incrementally on corrective actions
Biggest advocates are those who have benefited from program
Need to showcase what PRT has accomplished to improve employee recognition
Tracking matrix facilitates future case reviews and data analysis, helps business case
Increase in report quality, applicability, and number indicates heading in right direction
Employees need to be reminded of program – visuals, newsletters, Conductor iPhones, rulebook insert

11. Suggested Improvements
Further description of Full Form Analysis vs. Abbreviated Review
Submit all reports to railroad, regardless of content
Review current callback questions against what PRTs have recommended (additional info that can help MCIA)
Federal grants for C3RS participating railroads
PRT quarterly teleconference
Further develop C3RSPRT website

13. Recommendations Discussed w/ Support Team – Other Railroads

14. Recommendations – Other Railroads

15. Recommendations – Other Railroads

16. Recommendations – Other Railroads

17. Recommendations – Other Railroads

18. Recommendations – Other Railroads

19. Thank you