Major Incident Report form (S&S-40)

Overview

The Major Incident Report form (S&S-40) is designed to capture detailed information on the most severe safety and security incidents occurring in the transit environment. Detailed data, available from sources such as accident, incident, or police reports, are used to complete the Major Incident Report form (S&S-40). The information required on the form is intended to be of a level that can be collected at or near the time of the incident occurrence.

If your agency has had no major incidents for the reporting period for a particular mode and type of service (TOS), select the Non-Major Summary Report form (S&S-50) for that mode and type of service (TOS) and check the No Major Incident Data to Report box.

Reporting Requirement and Thresholds

Agencies must complete one Major Incident Report form (S&S-40) for each major incident (safety or security incidents) occurring during the reporting period. However, commuter rail (CR) operators are only required to report major incidents to NTD. Commuter rail (CR) operators are currently required to report safety incidents to the Federal Railroad Administration.

Major Incident Report forms (S&S-40) are due thirty days after the major incident occurred.

What Has Changed from Prior Year

There are no changes to the Major Incident Report form (S&S-40) for RY 2007. However, the definition of a fatality has been clarified.

Approach

Both safety and security occurrences are reported on the Major Incident Report form (S&S-40). For an incident to be reportable on this form, it must be a major incident.

Major Incident

A major incident is an event that involves a transit vehicle or occurring on transit-controlled property and meets one or more of the following conditions:

1.       Involves a transit vehicle or occurring on transit-controlled property

2.       Two or more injuries requiring immediate medical attention away from the scene of the incident

3.       A fatality due to an incident. This does not include suicides, deaths by natural causes, or deaths not associated with an incident.

4.       Property Damage equal to or exceeding $25,000 (equal to or exceeding $7,500 for a collision at grade crossing)

5.       An evacuation of a revenue vehicle due to life safety reasons

6.       A collision at grade crossing resulting in at least one injury requiring immediate medical attention away from the scene or property damage equal to or exceeding $7,500

7.       A mainline derailment

8.       A collision with person(s) on a rail right-of-way (ROW) resulting in at least one injury requiring immediate medical attention away from the scene for at least one person

9.       A collision involving a rail transit vehicle resulting in at least one injury requiring immediate medical attention away from the scene for at least one person

10.    Forcible rape

11.    Confirmed terrorist / security events:

·          Bombing (suicide or other)

·          Chemical / biological / radiological / other release

·          Cyber incident

·          Hijacking

·          Sabotage.

Only one form is completed per incident regardless of how many of the major incident threshold conditions are met. If, for example, an incident results in a mainline derailment, and property damage is equal to or exceeds $25,000, only one Major Incident Report form (S&S-40) is completed, even though two of the above criteria have been met.

The following paragraphs highlight the important aspects of each major incident threshold condition.

Fatality Due to an Incident

Safety and security incidents resulting in fatalities are reported on the Major Incident Report form (S&S-40).

For NTD purposes a fatality is a transit-caused death, confirmed within 30 days of a transit incident, which occurs under the collision, derailment, fire, evacuation, security incident, vehicle leaving the roadway, or not otherwise classified categories.

There are two exceptions to this rule:

1.       Suicides are not reported on this form; all suicides are reported on the Non-Major Summary Report form (S&S-50).

2.       Deaths resulting from illnesses are not reported on either incident form. For example, if a person in a rail facility sustains a fatal heart attack, this event would not be reported to NTD.

 

Example 5 — Fatality

Example: A passenger fires a weapon on a transit vehicle, killing one passenger.

Solution: Complete a Major Incident Report form (S&S-40) since a fatality occurred that was not a suicide or a death resulting from illness.

Two or More Injuries Requiring Medical Attention

For NTD reporting purposes an injury requires immediate medical attention away from the scene of the incident. Immediate medical attention includes transport to the hospital by ambulance. It also includes transport immediately from the incident scene to a hospital or physician’s office by another type of emergency vehicle, by passenger vehicle, or through other means of transport.

Immediate medical attention means that medical attention was sought without delay after the incident occurred. An individual seeking medical care several hours after an incident or in the days following an incident is not considered to have received immediate medical attention.

The medical attention received must be at a location other than the location at which the incident occurred. The intent of this distinction is to exclude incidents that only require minor first aid or other assistance received at the scene.

This distinction is not, however, intended to be burdensome for the transit agency. It is not a requirement that an agency follow-up on each person transported by ambulance, for example, to ensure that they actually received medical attention at the hospital. It is acceptable to count each person immediately transported by ambulance as an injury.

Both safety and security incidents (the results of accidents and homicides, for example) resulting in two or more injuries or at least one fatality are reported using the Major Incident Report form (S&S-40). As with fatalities, however, injuries resulting from illnesses should not be reported in any section of the NTD. For example, if a passenger on a demand response (DR) vehicle is transported to the hospital following a seizure on the demand response (DR) vehicle this is not a reportable incident.


Example 6 — Two or More Injuries Reporting

Example: Transported by Ambulance
An ambulance transports three passengers who were hurt in a collision from the site of the accident.
Solution: Complete a Major Incident Report form (S&S-40) since two or more passengers required immediate medical attention away from the scene.
Example: Transported by Alternate Means
Three passengers are hurt in a collision. Rather than wait for an ambulance to arrive, a security guard drives them to a nearby hospital.
Solution: Complete a Major Incident Report form (S&S-40) since two or more passengers required immediate medical attention away from the scene.
Example: Incidents not Qualifying as an Injury
Three passengers are hurt in a collision. Each sees a physician the next day and subsequently submits a claim to the transit agency.
Solution: Do not report the incident on a Major Incident Report form (S&S-40) or any other NTD safety and security form (unless some other factor associated with the incident other than these injuries requires the completion of a Major Incident Report form (S&S-40) — e.g., a fatality). This is because none of the passengers sought immediate medical attention away from the scene.

$25,000 Total Incident Damage

Incidents involving property damage equal to or exceeding $25,000 require the completion of a Major Incident Report form (S&S-40). Property damage includes but is not limited to the following:

·          Transit and non-transit vehicle damage

·          Stations as well as non-transit facilities

·          Rights-of-way (ROW) and items surrounding rights-of-way (ROW), such as utility poles.

The key points regarding estimated property damage are:

·          Estimated damage does not only include transit property damage, but also damage to other vehicles and property (other than personal property) involved in the incident and not owned by the transit agency.

·          The amount paid (or an estimate made for insurance purposes) is reported for property damage. In the case where replacement is necessary, the depreciated replacement cost is reported.

·          The cost of clearing wreckage or damage to non-transit agency property is also included in the property damage value.

·          The cost of an accident or a criminal investigation is not included in the estimated property damage.

·          Damage to personal property, such as the value of laptops, cell phones, or other personal property items damaged or destroyed in an incident are not included in the estimated property damage.

 

Example 7 — Calculating Property Damage

Example: A bus collides with a passenger car. The passenger car is totaled; the bus incurred body damage. The car has an estimated value of $15,000 (transit agency uses the car’s blue book value or other reasonable estimate of present value). The cost of the body damage is estimated at $12,000.

Solution: Property damage = $27,000 ($15,000 + $12,000).


Evacuation Due to a Life Safety Event

All evacuations of revenue vehicles that result from life safety events require the completion of a Major Incident Report form (S&S-40). A life safety event is an imminent danger to people on the revenue vehicle. Examples of life safety events include fires, the presence of smoke, fuel leaks, and electrical hazards. Evacuations of vehicles, and not evacuations of facilities, are reportable to NTD. Evacuations due to operational issues are not reportable.

 


Example 8 — Evacuation

Example: A Bus (BU) is evacuated because of a compressed natural gas (CNG) leak on the vehicle. No one is injured.

Solution: Complete a Major Incident Report form (S&S-40) because the evacuation was due to a life safety event — the CNG leak.



The requirement that a reportable incident involves a life safety event is intended to capture events that pose serious threats to those in the transit environment, rather than operations related events. For example, a situation requiring that transit passengers leave a vehicle due to a flammable fuel leak or due to a passenger firing a weapon on a vehicle is reported on Major Incident Report form (S&S-40). A situation requiring that passengers be transferred from one transit vehicle to another due to a service breakdown is not reported on Major Incident Report form (S&S-40).

Collision at a Grade Crossing Resulting in Injury or Property Damage

Collisions at grade crossings resulting in at least one injury requiring immediate medical attention away from the scene or property damage equal to or exceeding $7,500 are reported on the Major Incident Report form (S&S-40).

 

Example 9 — Collision at Grade Crossing Reporting

Example: At Grade Crossing

A collision at a grade crossing involving a light rail (LR) vehicle injures one passenger who is transported to a hospital via ambulance.

Solution: Complete a Major Incident Report form (S&S-40) because the collision at grade crossing resulted in an injury requiring immediate medical attention away from the scene of the incident.

A Mainline Derailment

All derailments occurring on mainline track are reported using the Major Incident Report form (S&S-40). The mainline track is the primary rail over which rail transit vehicles travel between stations. It does not include yard and siding track. This threshold applies only to rail incidents (other than commuter rail (CR)).

Derailments occurring in yards or on other non-mainline track are reported on the Non-Major Summary Report form (S&S-50) if they meet the threshold criteria for non-major incidents. These criteria are covered in the discussion of the Non-Major Summary Report form (S&S-50).

Right-of-Way (ROW) Collision with Person

This threshold applies only to rail incidents (other than commuter rail (CR)). All rail collisions with persons occurring on mainline track (rail vehicle striking an individual) that result in injuries requiring immediate medical attention away from the scene for one or more persons are reportable as major incidents.

Right-of-Way (ROW) Collision with Transit Vehicle

This threshold applies only to rail incidents (other than commuter rail (CR)). All rail (transit) collisions with transit vehicles occurring on mainline track that result in injuries requiring immediate medical attention away from the scene for one or more persons are reportable as major incidents. This category of events includes collisions between rail transit vehicles and other transit vehicles including:

·          Revenue and non-revenue rail transit vehicles

·          Revenue and non-revenue non-rail transit vehicles.

Screen shot of the Major Incident Report form (S&S-40) for Rail modes

 

 

Detailed Instructions

The detailed instructions are provided for the three Major Incident Report forms:

1.       Rail modes

2.       Non-rail modes (excluding Ferryboat (FB))

3.       Ferryboat (FB).

Detailed Instructions for Rail Modes

This section describes in detail how to generate and complete the Major Incident Report form (S&S-40) Rail.

At the bottom of the Safety and Security tab click on the Add Major Incident button, this will take you to the Add Major Incident screen.

From the Drop-Down list select the mode / type of service for which you would like to report a major incident.

Click on the Generate Form button one time only for each form you wish to generate.

The software will return you to the Safety and Security tab screen and the new Major Incident form (S&S-40) will be listed and highlighted.

To begin entering data, click on the new Major Incident form (S&S-40) for the appropriate mode and type of service to open the form.

As the form is being completed, changes should be saved by clicking the Save button frequently. When all data have been entered into the form and verified for accuracy, to submit the form to the Federal Transit Administration (FTA) click the Submit Report button. To close the form, click the Close button. Reports that are saved will appear in the list of current forms in the Safety and Security screen. To delete a form click the Delete Report button.

If the reporter wishes to amend a report after it has already been submitted (for example, if further data is obtained after form submission or the agency discovers an error in form content), open the Major Incident Report form (S&S-40) Rail, make changes to the form needed and click on the Submit Report button. The revised form will be designated as Revision 1. Further revisions will be designated as 2, 3, 4, etc.

Fields marked with an asterisk (*) on the screen are mandatory, indicating that the forms cannot be saved or submitted unless these fields are complete. Please complete all of the fields that apply to the incident, however, whether marked with an asterisk or not.

Some information at the top of the Major Incident Report form (S&S-40) Rail is pre-filled or captured when data are entered and saved on the form. Three data fields are pre-filled:

1.       NTD ID number — the NTD identification number (NTD ID) is the four-digit number FTA assigned to your transit agency. Review to ensure your NTD ID is correct. Contact your NTD analyst immediately if there is a problem.

2.       Agency name — legal name of the transit agency as entered in the NTD Urbanized Area Report.

3.       Mode / type of service – determined when the form was generated.

Four data fields are captured when data are entered and saved on the form:

1.       Update user — identifies the user identification of the reporter entering or modifying the data

2.       Update date — identifies the date of entry or modification

3.       Submit date — if this report has been previously submitted, identifies the date this action was performed

4.       Revision number — the revision number of a Major Incident Report form (S&S-40) will be 0 (zero) the first time it is submitted. Each time the form is revised and resubmitted, the revision number is incremented by one.

Mode and Type of Service (TOS)

The mode and type of service (TOS) are determined when form was generated. This cannot be edited.

Date and Time of Incident

Report the date and time the incident occurred using the Drop-Down menus.

AM
PM

 



  1. Atlantic
  2. Eastern
  3. Central
  4. Mountain
  5. Pacific
  6. Alaska
  7. Hawaii

Incident Location

Describe where the incident occurred, including sufficient information to identify the incident location. Enter the city where the incident occurred. Select the appropriate state from the Drop-Down menu.

Latitude and Longitude

If known, report the latitude and longitude of the incident. Use degrees (dd) and minutes (mm.m) for latitude and degrees (ddd) and minutes (mm.m) for longitude. Also select north or south (latitude) and west or east (longitude) from the Drop-Down menus.

Example 10 — Latitude and Longitude

Latitude: N 40 24.1

Longitude: W 102 23.8


Incident Categorization

Often events such as fires or derailments happen as the result of other occurrences (e.g., a collision). This section of the Major Incident Report form (S&S-40) Rail requires that the reporter enumerate each of the events involved in an incident (e.g., collision, fire, derailment, evacuation) and categorize one event as a primary event and the remaining as secondary events.

Primary Event

The primary event is the first harmful occurrence in an incident. Select only one primary event from the incidents listed on the form by clicking on the corresponding box.

When the appropriate box is selected, an incident detail screen appears. The instructions for these screens are provided at the end of this section.

  1. Collision
  2. Security incident
  3. Derailment
  4. Evacuation
  5. Fire event
  1. Facility / injury not otherwise classified (NOC)

Secondary Events

Secondary events are events that occur as a result of the primary event. Multiple secondary events may be selected by clicking on the relevant box(es). Information is completed for secondary events in the same manner as for primary events.

When the appropriate box is selected, an incident detail screen appears. The instructions for these screens are provided at the end of this section.

  1. Collision
  2. Derailment
  3. Evacuation
  4. Fire

Example 11 — Incident Categorization

Example: Incident involves One Event

A fatality occurs as a result of a homicide.

Solution:
A Major Incident Report form (S&S-40) Rail must be completed because a fatality occurred.
Homicide is a security incident and is selected as the primary event on the Major Incident Report form (S&S-40).

Example: Incident Involves More than One Event

A light rail (LR) vehicle collides with a passenger car at a grade crossing and subsequently derails, then catches fire. All passengers are evacuated.

Solution:
A Major Incident Report form (S&S-40) Rail is completed because the incident occurred at a grade crossing and because it involved an evacuation.
Collision is selected as the primary event. Derailment, fire, and evacuation are all selected as secondary events.

Rail Alignment Type

If the agency has selected a rail mode at the top of the form (automated guideway (AG), cable car (CC), heavy rail (HR), inclined plane (IP), light rail (LR), or monorail (MO)), the rail alignment type must be completed. Select the rail alignment type that most closely describes the configuration and use of the track.

  1. Exclusive right-of-way (ROW): Tunnel
  2. Exclusive right-of-way (ROW): Elevated structure
  3. Exclusive right-of-way (ROW): At grade
  4. Semi-exclusive right-of-way (ROW)
  5. Non-Exclusive right-of-way (ROW): Mixed traffic / LRT
  6. Non-Exclusive right-of-way (ROW): Transit mall
  7. Non-Exclusive right-of-way (ROW): LRT / pedestrian mall
  8. Shared track / corridor (LRT / FRA): Temporal separation
  9. Shared track / corridor (LRT / FRA): Non-temporal separation
  10. Other non-exclusive (describe)*

Grade Crossing Control

Select the grade crossing control that most closely describes the traffic control or other devices present in incidents related to grade crossings. Complete only if incident occurred at a grade crossing.

  1. Active devices: Gates (median barrier)
  2. Active devices: Gates (no median barrier)
  3. Active devices: Flashing lights
  4. Active devices: Traffic signal
  5. Active devices: Train approaching sign
  6. Active devices: Quad gates
  7. Passive devices: Stop sign
  8. Passive devices: Cross bucks
  9. No control device

Intersection Controls

Select the intersection control that most closely describes the traffic control device or person controlling traffic, if any, in use at the time of the incident. Complete only if incident occurred at an intersection.

  1. Traffic signal
  2. Police officer, flagman, or other individual
  3. Stop sign
  4. Yield sign
  5. Crossing gate
  6. No control device, individual, or sign
  7. Other (describe)*

Environmental Conditions

Complete a brief description of significant environmental details.

Weather

Report weather conditions as they relate to the incident, if weather conditions are relevant to the incident. For incidents occurring indoors (e.g. in a station) select Other and explain.

  1. Clear
  2. Cloudy
  3. Fog / mist
  4. Rain
  5. Snow or sleet
  6. Other (describe)*

 

Example 12 — Weather Condition Reporting

Example: Fog / Safety Incident

A monorail vehicle (MO) leaves the station in foggy conditions.

Solution: Select Fog / Mist since weather is relevant to safety incidents outdoors.

Example: Indoors Safety Incident

A passenger is killed as a result of an incident involving an elevator in a station.

Solution: Select Other (describe) and state that theincident happened indoors.


Traffic

Report whether traffic was heavy, medium, or light at the time and location of the incident, if applicable. This classification should be on prevailing local conditions using the following guidelines:

·          Heavy traffic — similar to rush hour

·          Medium — similar to midday and early evening, or

·          Light — typical of late night.

  1. Heavy
  2. Medium
  3. Light

 

Example 13 — Traffic Condition Reporting

Example: Separate Right-of-Way (ROW) Incident

A subway vehicle in a tunnel strikes a trespasser.

Solution: Select Others sincetraffic conditions are not applicable to this situation since the train was operating on an exclusive right-of-way (ROW).

 


Right-of-Way (ROW) / Roadway Conditions

Select the condition of right-of-way (ROW) / roadway surface at the time of the incident.

  1. Dry
  2. Wet
  3. Snow / slush
  4. Ice
  5. Debris
  6. Other (describe)*

Right-of-Way (ROW) / Roadway Configuration

Select the alignment of right-of-way (ROW) / roadway in which the incident occurred. 

  1. Straight
  2. Level
  3. Downhill
  4. Curve
  5. Uphill

Right-of-Way (ROW) / Roadway Type

Select the type of right-of-way (ROW) / roadway in which the incident occurred.

  1. Divided highway
  2. Ramp
  3. Bridge
  4. Intersection / grade crossing
  5. Tunnel
  6. Private property

Environmental Conditions Description

If there is additional relevant information regarding the environmental conditions that cannot be described adequately using the Drop-Down menus, use the text field to provide details.

Vehicles Involved

This section of the Major Incident Report form (S&S-40) Rail is used to identify the vehicles involved in the major incident. For each vehicle involved in the incident, click the Add Vehicle button. When this button is clicked to input information about the transit vehicle, two fields will appear (vehicle type). This will allow the reporter to add information about their vehicle. If multiple vehicles are involved, continue to add vehicles until all vehicles have been entered into the system. The reporter will be asked to enter the vehicle type of all other vehicles involved in the incident.

If there are no vehicles involved in the incident (for example, in the case of a fire on a rail station platform), do not click the Add Vehicle button. No vehicle information is required.

Click the Delete Vehicle button to remove any excess vehicles that you may have selected.

Complete the information for each field as described below. For rail vehicles, treat multi-car trains as one vehicle. That is, for a six-car train, do not enter six separate vehicles. Click the Add Vehicle button once and describe the train as one vehicle.

Vehicle Type

For each vehicle, select the type of vehicle involved from the Drop-Down menu.

The transit vehicle is always entered as the first vehicle. If multiple transit vehicles are involved in the incident, transit vehicles may be entered as other using the Add Vehicle button. Click the Delete Vehicle button to remove any excess vehicles that you may have selected.

Note that on the Major Incident Report form (S&S-40) Rail, only rail modes will be listed in the Drop-Down menu for Vehicle 1. For any subsequent vehicles that are added, the Drop-Down menu will include all modes.

  1. Transit: Aerial tramways (TR)
  2. Transit: Automated guideway vehicles (AG)
  3. Transit: Cable cars (CC)
  4. Transit: Heavy rail passenger cars (HR)
  5. Transit: Inclined plane vehicles (IP)
  6. Transit: Light rail vehicles (Streetcars) (LR)
  7. Transit: Monorail vehicles (MO)
  8. Transit: Commuter rail locomotives (RL)
  9. Transit: Commuter rail passenger coaches (RP)
  10. Transit: Commuter rail self-propelled passenger cars (RS)
  11. Transit: Non-revenue
  12. Commercial: Rail
  13. Other (describe)*

Vehicle Action

For each vehicle, select the action of the vehicle involved from the Drop-Down menu.

  1. Going straight
  2. Proceeding through switch
  3. Stopping / starting
  4. Negotiating a curve
  5. Other (describe)*

Vehicle Manufacturer

If a transit vehicle was selected as the Vehicle Type, the Vehicle Manufacturer drop-down will appear. For each transit vehicle involved, select a vehicle manufacturer from the Drop-Down menu.

Pedestrians Involved

This section of the Major Incident Report form (S&S-40) Rail is used to describe the pedestrians involved in the major incident. Pedestrians include individuals on skateboards or scooters.

For each pedestrian involved in the incident, click the Add Pedestrian button. Each time this button is clicked, one field will appear (pedestrian description) that allows the reporter to add information about that pedestrian from a Drop-Down menu. If, for example, there were three pedestrians involved in the incident, click the Add Pedestrian button three times.

If there are no pedestrians involved in the incident (for example, in the case of a transit vehicle colliding with a passenger vehicle), do not click the Add Pedestrian button. No pedestrian information is required.

Click on the Delete Pedestrian button to remove any excess pedestrians that you may have selected.

Gender

For each pedestrian, select the gender of the person involved from the Drop-Down menu.

Male
Female

Age Range

For each pedestrian, select the age range of the person involved from the Drop-Down menu.

1 - 5
6 - 12
13 - 17
18 - 25
26 - 35
36 - 35
46 - 60
over 60

Pedestrian Action

For each pedestrian, select the action of the person involved from the Drop-Down menu.

  1. Not Applicable
  2. Crossing / entering track
  3. On track
  4. Other (describe)*

Other Relevant Incident Information not Provided Elsewhere on this Form

Provide a brief description of significant incident details not captured in other fields.

Incident Primary and Secondary Event Summary

This section automatically totals key data reported in the incident detail forms for the primary and secondary events. The key data are:

·          Fatalities by type of individual involved

·          Injuries by type of individual involved, and

·          Total estimated property damage.

The instructions for the incident detail forms are provided at the end of this section.

Contact Information for Person Reporting Incident

FTA may need to contact the individual completing the form or another agency-designated contact concerning details that may not be clear, or to further clarify data. Provide the following information for an agency contact for the Major Incident Report form (S&S-40) Rail: name, title, phone number, and e-mail address.

Primary and Secondary Incident Detail Screens

This section describes the screens that appear when the Detail buttons are clicked under either primary event or secondary event. The screens include:

·          Collision detail

·          Security incident detail

·          Derailment detail

·          Evacuation detail

·          Fire event detail

·          Facility / injury not otherwise classified (NOC) detail.

 

Screen shot of the Collision Detail screen


Primary and Secondary Collision Detail Screen

When the Collision box is clicked under primary event, a Collision Detail screen appears. The following information must be completed.

Collision Impact Type

Collision impact type describes the orientation of the vehicles involved in a collision. If the transit vehicle is involved in a collision with another vehicle, select the orientation — front, back, angle, sideswipe — that is most appropriate for the collision in the Drop-Down menu.

Each choice is from the point of view of the transit vehicle. That is, back means that another vehicle hit the back of the transit vehicle.

 

  1. Front
  2. Back
  3. Angle
  4. Sideswipe
  5. Other (describe)*

Graphic detailing the the orientation of the vehicles involved in a collision

Example 14 — Collision Impact Type Reporting

Example: Rear-End Collision

A transit vehicle is rear-ended.

Solution: Select Back

Example: Head On Collision

A streetcar (LR) strikes a motor vehicle head on (i.e., with the front of the vehicle).

Solution: Select Front because the incident involved the front of the streetcar striking the motor vehicle.

 
 

 

 

 

 

 

  1. Person
  2. Animal
  3. Fixed object (describe)
  4. Motor vehicle
  5. Rail vehicle
  6. Other (describe)*

Collision With

Use this Drop-Down menu is to specify the object or person (other than the transit vehicle) that is involved in the collision.

Collision Location

Select the collision location that most closely describes the site at which the collision took place. If a situation occurs that cannot be described adequately using one of these Drop-Down menu options, use the Other (describe)* field to provide details.

  1. Revenue facility: Transit center
  2. Revenue facility: Platform
  3. Revenue facility: Other (describe)*
  4. Non-revenue facility
  5. Right-of-way (ROW) / roadway: Grade crossing
  6. Right-of-way (ROW) / roadway: Intersection
  7. Right-of-way (ROW) / roadway: Other (describe)*
  8. Commercial property
  9. Other (describe)*

Collision Description

Use this box to provide details of the collision, including any information that offers further specification not provided in the Drop-Down menus.

Fatalities and Injuries

Enter the numbers of transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others killed or receiving injuries due to a collision.

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

Property damage includes but is not limited to the following:

·          Transit and non-transit vehicle damage

·          Stations as well as non-transit facilities

·          Rights-of-way (ROW) and items surrounding rights-of-way (ROW), such as utility poles

·          Bus stops

·          Maintenance facilities and other private property.

The key points regarding estimated property damage are:

·          Estimated damage does not only include transit property damage but also damage to other vehicles and property (other than personal property) involved in the incident and not owned by the transit agency.

·          The amount paid (or an estimate made for insurance purposes) is reported for property damage. In the case where replacement is necessary, the depreciated replacement cost is reported.

·          The cost of clearing wreckage or damage to non-transit agency property is also included in the property damage value.

·          The cost of an accident investigation is not included the estimated property damage.

·          Damage to personal property, such as the value of laptops, cell phones, or other personal property items damaged or destroyed in an incident are not included estimated property damage.

 

Example 15 — Collision Property Damage

Example: A heavy rail (HR) vehicle collides with a passenger car at a grade crossing. The passenger car is totaled; the train will require a new coupler and some bodywork. The car has an estimated value of $8,000 (transit agency uses the car’s blue book value or other reasonable estimate of present value). The cost of the coupler is $30,000; other bodywork to the train is estimated at $10,000

Solution: This incident is reported on the Major Incident Report form (S&S-40) because it is a grade crossing collision. For property damage enter $48,000 ($8,000 + $30,000 + $10,000).



Screen shot of the Security Incident Detail screen

 

Primary Security Incident Detail Screen

Security incidents resulting in fatalities, forcible rape, confirmed terrorist / security events: bombings, chemical / biological / radiological / other release, cyber, hijacking, sabotage, major injuries, or property damage equal to or exceeding $25,000 are reported on the Major Incident Report form (S&S-40) Rail. When the Security Incident button is clicked under primary event, the Security Detail screen appears.

Any security incidents not meeting the thresholds described above are to be reported within the Non-Major Summary Report form (S&S-50).

The consequences of security incidents (i.e., crimes) should not be reported as safety statistics. For example, injuries or deaths resulting from assaults, arsons, and homicides are not safety related; they are security incidents.

Security Incident Type

Select the security incident type from the Drop-Down menu. The list includes security incident types that can produce the threshold values for major incident reporting — a fatality related to the incident, two or more injuries, or property damage equal to or exceeding $25,000.

Care should be exercised in choosing the homicide selection. Homicide involves the willful killing of one or more human beings by another. It excludes deaths caused by negligence, suicides, accidental deaths and traffic fatalities. It also excludes attempts to kill and assaults to kill (i.e., assault to murder and attempted murder); these incidents are reported as aggravated assaults.

  1. Aggravated assault
  2. Arson
  3. Bombing
  4. Bomb threat
  5. Burglary
  6. Chemical / biological / radiological / other release
  7. Cyber incident
  8. Forcible rape
  9. Hijacking
  10. Homicide
  11. Larceny / theft
  12. Motor vehicle theft
  13. Robbery
  14. Sabotage
  15. Vandalism

Security Incident Location

The security location is a description of where the incident took place. Select the appropriate security location from the Drop-Down menu.

  1. Revenue facility: Transit center
  2. Revenue facility: Platform
  3. Revenue facility: Other (describe)*
  4. Non-revenue facility
  5. Right-of-way (ROW) / roadway: Grade crossing
  6. Right-of-way (ROW) / roadway: Intersection
  7. Right-of-way (ROW) / roadway: Other (describe)*
  8. Commercial property
  9. Other (describe)*

Security Description

Use this box to provide details of the security incident, including any information that offers further specification not provided in the Drop-Down menus.

Fatalities and Injuries

Enter the numbers of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others killed or receiving injuries in a security incident.

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

Screen shot of the Derailment Detail screen

 

Primary and Secondary Derailment Detail Screen

When the Derailment button is clicked under primary or secondary event, the Derailment Detail screen appears. The following information must be completed.

Derailment Type

From the Drop-Down menu select the derailment type that best describes the incident.

  1. Going straight
  2. Proceeding through switch
  3. Stopping / starting
  4. Negotiating a curve
  5. Other (describe)*

Derailment Location

Derailment location describes the type of track on which the derailment took place, including switch, curve, and tangent track. Select the appropriate location from the Drop-Down menu.

  1. Switch
  2. Curve
  3. Tangent track

Derailment Description

Use this box to provide details of the derailment incident, including any information that offers further specification not provided in the Drop-Down menus.

Fatalities and Injuries

Enter the numbers of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others killed or receiving injuries due to a derailment..

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

Screen shot of the Evacuation Detail screen

Primary and Secondary Evacuation Detail Screen

When the Evacuation button is clicked under primary or secondary event, the Evacuation Detail screen appears. The following information must be completed.

Evacuation Type

Select the event from the Drop-Down menu that caused the evacuation. If multiple events prompted an evacuation (e.g., smoke and a flammable fuel leak) select one evacuation type and note the others in the Evacuation Description box.

If a vehicle was evacuated because one of the situations in the Drop-Down menu was suspected (e.g., fuel leak was suspected), but later investigation shows did not occur (e.g., fluid turned out to be water), the event is not reported.

  1. Bombing
  2. Chemical / biological / radiological / other release
  3. Hijacking
  4. Sabotage
  5. Fire / smoke
  6. Hazardous material
  7. Other (describe)*

 

Example 16 — Evacuation Type Reporting

Example: Train Fills with Smoke

A train begins to fill with smoke and is evacuated.

Solution: Select: Fire / smoke.

Example: Train Breakdown

A train breaks down between stations and passengers must be evacuated onto the right-of-way (ROW) to reach the nearest station. There are no overriding safety concerns.

Solution: This is not a major incident. No NTD safety or security reporting is required. Reporting of evacuations must be due to life safety reasons — not operational issues.

Evacuation Location

The evacuation location is a description of where the evacuation took place. Select the appropriate evacuation location from the Drop-Down menu.

  1. Revenue facility: Transit center
  2. Revenue facility: Platform
  3. Revenue facility: Other (describe)*
  4. Non-revenue facility
  5. Right-of-way (ROW) / roadway: Grade crossing
  6. Right-of-way (ROW) / roadway: Intersection
  7. Commercial property
  8. Other (describe)*

Evacuation Description

Use this box to provide details of the evacuation incident, including any information that offers further specification not provided in the Drop-Down menus.

Fuel Type

If the evacuation was related to fuel, select the appropriate fuel type from the Drop-Down menu.

  1. Not applicable
  2. Bio-diesel (BD)
  3. Bunker fuel (BF)
  4. Compressed natural gas (CNG)
  5. Diesel (DF)
  6. Dual fuel (DU)
  7. Electric battery (EB)
  8. Electric propulsion (EP)
  9. Ethanol (ET)
  10. Gasoline (GA)
  11. Hybrid diesel (HD)
  12. Hybrid gasoline (HG)
  13. Grain additive (GR)
  14. Kerosene (KE)
  15. Liquefied natural gas (LNG)
  16. Liquefied petroleum gas (LPG)
  17. Methanol (MT)
  18. Other (OR) (describe)*

Fatalities and Injuries

Enter the numbers of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others killed or receiving injuries due to an evacuation incident.

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

 

Screen shot of the Fire Detail screen

Primary and Secondary Fire Event Detail Screen

When the Fire Event button is clicked under primary or secondary event, the Fire Detail screen appears. The following information must be completed.

Fire Event Details

Provide information, using the Drop-Down menu, on the nature of the fire. The definition of fires requires that fire suppression personnel (e.g., fire fighters or in-house personnel) or equipment (e.g., fire extinguishers or hoses) be involved for the incident to be considered reportable. Arsons are not reported as fires, but as security incidents.

  1. Fuel
  2. Cable
  3. Other electrical (describe)*
  4. Smoking materials (i.e., cigarettes)
  5. Battery
  6. Other (describe)*

 

Example 17 — Fire Details

Example: A passenger drops a lit cigarette in a station. The fire causes extensive damage and requires fire suppression equipment to put out.

Solution: Select: Smoking materials (i.e., cigarettes)

Fire Location

The fire location is a description of where the incident took place. Select the appropriate location from the Drop-Down menu.

  1. In vehicle
  2. Revenue facility: Transit center
  3. Revenue facility: Platform
  4. Revenue facility: Other (describe)*
  5. Non-revenue facility
  6. Right-of-way (ROW) / roadway: Grade crossing
  7. Right-of-way (ROW) / roadway: Intersection
  8. Right-of-way (ROW) / roadway: Other (describe)*
  9. Commercial property
  10. Other (describe)*

Fire Description

Use this box to provide details of the fire incident, including any information that offers further specification not provided in the Drop-Down menus.

Fuel Type

If the fire was related to fuel, select the appropriate fuel type from the Drop-Down menu.

  1. Not applicable
  2. Bio-diesel (BD)
  3. Bunker fuel (BF)
  4. Compressed natural gas (CNG)
  5. Diesel (DF)
  6. Dual fuel (DU)
  7. Electric battery (EB)
  8. Electric propulsion (EP)
  9. Ethanol (ET)
  10. Gasoline (GA)
  11. Hybrid diesel (HD)
  12. Hybrid gasoline (HG)
  13. Grain additive (GR)
  14. Kerosene (KE)
  15. Liquefied natural gas (LNG)
  16. Liquefied petroleum gas (LPG)
  17. Methanol (MT)
  18. Other (OR) (describe)*

Fatalities and Injuries

Enter the numbers of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others killed or
receiving injuries due to a fire.

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

Screen shot of the Fatalities and Injuries Not Otherwise Classified Detail screen

Primary Not Otherwise Classified (NOC) Detail Screen

When the Not Otherwise Classified (NOC) button is clicked under primary event, the Not Otherwise Classified (NOC) Detail screen appears. The following information must be completed.

Incident Type

One of the types of not otherwise classified (NOC) incidents is selected from the Drop-Down menu. If a situation occurs that cannot be described adequately using one of these Drop-Down menu selections, use the Fatalities and Injuries Not Otherwise Classified Description field to provide details.

  1. Slip and fall
  2. Electric shock
  3. Other (describe)*

 

Example 18 — Incident Type Reporting

Example: Electrocution

A passenger in a light rail (LR) station enters the right-of-way (ROW), makes contact with the live third rail, and is killed.

Solution: Select: Electric shock for not otherwise classified (NOC) type.


NOC Location

The not otherwise classified (NOC) location is a description of where the incident took place.

If a situation occurs that cannot be described adequately using one of these Drop-Down menu options, use the Fatalities and Injuries Not Otherwise Classified (NOC) Description field to provide details.

  1. Boarding / alighting
  2. In revenue facility: Associated with elevators
  3. In revenue facility: Associated with escalators
  4. In revenue facility: Ramps
  5. In revenue facility: Stairways
  6. In revenue facility: Platform / stop / waiting areas
  7. In revenue facility: Other (describe)*
  8. In non-revenue facility: Parking facility
  9. In non-revenue facility: In yard or other non-revenue area
  10. Other (describe)*


Example 19 — Incident Location

Example: In Revenue Facility

A passenger is killed on an escalator.

Solution: Select In revenue facility: Associated with escalator for not otherwise classified (NOC) location.


NOC Description

Use this box to provide details of the not otherwise classified (NOC) incident, including any information that offers further specification not provided in the Drop-Down menus.

Fatalities and Injuries

Enter the numbers of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others killed or receiving injuries due to the incident(s).

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

Line by Line Instructions for Rail Modes

Completing the Major Incident Report form (S&S-40) Rail

No Major Incidents to Report for the Period
If there are no major incidents for the reporting period for a particular mode and type of service (TOS), select the Non-Major Summary Report form (S&S-50) for that mode and type of service (TOS) and check the No Major Incident Data to Report box.

Form Level Help: Click on the Help tab at the top of the screen for form level help. A form note can be attached to any form. Use the Add Form Note link for relevant information to a specific field, to the entire form or to multiple forms. Click on the Add Form Note link at the top of the screen and enter your note on the Notes screen. You can review and / or edit a form note from the Notes tab.

Saving or Closing the Form
Click on the Save button prior to exiting the form and continuing with the report. Click the Submit Report button to submit the form. Click on the Close button at the bottom of the screen to close the form without saving.

Submitting the Form
When all data have been entered into the form and verified for accuracy, click the Submit Report button to report the information to NTD. Click on the Close button to return to the Safety and Security tab.

Deleting a Major Incident Report form (S&S-40)

If a Major Incident Report form (S&S-40) is created in error, the form may be deleted by the Safety and Security Contact person. Open the unneeded form and scroll to the bottom. Click the Delete button. A prompt will appear, asking if you want to delete the form. Click the OK button, a second prompt will appear, asking for the reason for the deletion. Once the user enters a reason and clicks the Save button the form will be deleted and the user will be returned to the Safety and Security tab.

 

Completing the Form

Line 01: Mode / Type of  Service. Pre-filled and cannot be edited, review for accuracy.

Line 02: Date and Time of Incident. Report the month, day, year, and time that the incident occurred from the Drop-Down menus.

Line 03: Incident Location. Report the city and state where the incident occurred from the Drop-Down menus. Latitude and longitude of the incident: if known, report the latitude and longitude of the incident. Use degrees (dd) and minutes (mm.m) for latitude and degrees (ddd) and minutes (mm.m) for longitude. Also select north or south (latitude) and west or east (longitude) from the Drop-Down menus.

Line 04: Incident Categorization — Primary Event. Select the appropriate Incident Detail checkbox (Select only one). Once a selection is made the appropriate data entry lines will open on the form. Complete each primary event Incident Detail screen following the instructions below.

a.  Collision

b.  Security incident