ntsb highway investigations: process and strategies...•take over the investigation...

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NTSB Highway Investigations: Process and Strategies 1 Dennis Collins Senior Accident Investigator Human Performance

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Page 1: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

NTSB Highway Investigations:

Process and Strategies

1

Dennis Collins

Senior Accident Investigator

Human Performance

Page 2: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Office of Highway Safety

• Total staff of 30 managers, investigators, writers, and support staff

• Headquartered in Washington, DC

• Some regional teleworkers

• Crashes of national interest are monitored 24-7 from the NTSB’s Response Operations Center located at HQ

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Page 3: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Types of Highway Crash Investigations

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Miriam, NV 6/14/12 Gray Summit, MO 8/5/10

Minneapolis, MN 8/1/07New York, NY 3/12/11

Page 4: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

The Launch• Staff travel from HQ and

regional telework locations to crash scenes anywhere in the U.S.

• Typically on-scene

~ 5 to 14 days

• Parties typically include

• Law enforcement

• Motor carriers

• State highway organizations

• Vehicle and component manufacturers

Osseo, WI 10/16/05

Page 5: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Not there to…

• Take over the investigation

• “Oversee” the investigation

• Slow the process

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Page 6: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

The Team

6

Motor Carrier

Operations

Highway Factors

Human

Performance

Survival Factors

Vehicle FactorsEvent Data Recorders

Scene

Mapping/Diagramming

Investigator-in-Charge (IIC)

Page 7: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Highway Group

• Looks at:

• Initial Design of roadway

• Modifications

• Maintenance

• Accident history

• ADT

• Roadway evidence

• Traffic Control Devices

• Information from:

• DOT

• Law enforcement

• MUTCD

• Roadside Design Guide

• AASHTO Geometric Design Guide

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Page 8: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Motor Carrier Group

• Looks at:

• Logbooks

• DVIRs

• DQ file(s)

• DOT D&A testing

• Company policies

• FMCSA rating

• Information from:

• Company staff

• Company records

• FMCSA

• Driver licensing

• Law enforcement

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Page 9: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Vehicle

• Looks at:

• Crash damage

• Pre-crash condition

• Maintenance

• Recalls

• Information from:

• Vehicle inspection

• Owner records

• Law enforcement

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Page 10: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Survival Factors

• Looks at:

• Injuries

• Injury causes

• Emergency

response

• Information from:

• Responders

• CAD

• Run sheets

• Hospital records

• Autopsies

• Law enforcement

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Page 11: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Human Performance

• Looks at:

• Fatigue

• Distraction

• Psychology

• Meds/Drugs

• Medical conditions

• Weather

• Illumination

• Information from:

• Driver

• Family/Friends

• Witnesses

• Doctors

• Toxicology

• Cell records

• USNO

• Law enforcement

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Page 12: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Investigating Distraction

• Is there a source of distraction?

• AM/FM/XM/CB radio

• Personal electronics (cell phone)

• GPS/Maps

• Dispatch

• Passengers

• Billboards/signs

• Crashes/other cars

• What kind of distraction?

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Page 13: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Questions to ask

• What’s installed in vehicle?

• What was brought in?

• Who was in the vehicle?

• What was going on outside?

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Page 14: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic

Challenges & Techniques

• No independent record• Interviews - early

• Cell activity – meaning? Recorded?• Physical phone

• Related to driving?• Programming, area of interest

• Recreating conditions• Other agencies, news, locals

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Page 15: NTSB Highway Investigations: Process and Strategies...•Take over the investigation •“Oversee” the investigation •Slow the process 5. The Team 6 Motor Carrier ... •Traffic