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NTSB SAFETY RECOMMENDATION
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National Transportation Safety Board
Washington, DC 20594
April 10, 2009
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NTSB Safety Recommendations R-09-4 and -5
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The National Transportation Safety Board makes the following
recommendations to Amtrak:
Identify engineers and engineer trainees who have not
consistently demonstrated competency in interpreting signals
and provide them with enhanced training, supervision,
testing, and evaluation necessary to determine that signal
proficiency has been achieved and maintained. (R-09-4)
Use the circumstances of the November 30, 2007, accident in
Chicago, Illinois, during crew resource management training
to reemphasize the necessity of any qualified person on the
leading locomotive or car to immediately communicate any
disagreement on a called signal and to immediately take
action necessary to ensure that the train is operated
safely. (R-09-5)
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http://www.ntsb.gov/recs/letters/2009/R09_4_5.pdf
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The complete recommendation letter is available on the Web
at the URL indicated above.
The letter is in the Portable Document Format (PDF) and can
be read using the Acrobat Reader 5.0 or later from Adobe
(http://www.adobe.com/prodindex/acrobat/readstep.html).
An archive of recommendation letters is available at
http://www.ntsb.gov/recs/letters/letters.htm.
Electronic versions of letters may or may not include
enclosures; however, related publications, accident
briefs, and aviation accident synopses may be found
on the NTSB website.
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