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Trimet Safety Final Report

Trimet Safety Final Report

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Published by Sarah Mirk
Portland public transit agency TriMet's final report on its top-to-bottom safety evaluation.
Portland public transit agency TriMet's final report on its top-to-bottom safety evaluation.

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Categories:Types, Research
Published by: Sarah Mirk on Oct 21, 2010
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10/21/2010

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Final Report 
TriMet Safety & Service Excellence Task Force
10/20/2010
 
SSETF Final Report Page 2
TASK FORCE ON SAFETY & SERVICE EXCELLENCEOctober 19, 2010Mr. Neil McFarlane, General ManagerTriMet4012 SE 17
th
AvePortland, OR 97202Re: Final ReportDear Neil:Enclosed please find the final report from the task force you appointed shortly after becominggeneral manager in July of this year.The tragedy of April 24, 2010, drove the direction and intensity of the task f 
orce’s work. This
fateful occasion was clearly the dark
est night in TriMet’s history. T
he focus of ourrecommendations is to help you migrate TriMet to the highest level of safety performance, sothat such an event never happens again.Your staff, K&J Consultants, members of the public and TriMet employees contributed greatlyin shaping our views. Ultimately, the attitudes, ethics and input of your operators are the mostimportant. Together with your leadership, these dedicated individuals will be instrumental inelevating safety as a cultural value at TriMet.Please accept our appreciation for the opportunity to serve you with these recommendations,and our willingness to provide further assistance.Sincerely,Tom WalshChair, Task Force on Safety & Service Excellence
 
SSETF Final Report Page 3
Table of Contents
Page
1.
 
Introduction
……………………………………………………………………………………………….........
4i.
 
Charge .
…………………………………………………………………………………………………
..4ii.
 
Process .
……………….…………………………………………………………………………………
4iii.
 
Direction ..
……………………..………………………………………………………………………..
4iv.
 
Purpose .
…………………………………………………………………………………………………
5v.
 
Problem Statement ..
……………………………………………………………………………….
5vi.
 
Principal Recommendations .
………………………………………………………………….
52.
 
Detailed Recommendations and Observations .
………………………………………………….
6i.
 
TriMet Culture .
……………………………………………………..………………………………..
6ii.
 
Communications and Engagement .
………………………………………………………..
6iii.
 
Accountability, Empowerment and Support .
………………………………………….
7iv.
 
Tools, Systems and Processes .
………………………………………………………………..
93.
 
Concluding Remarks
………………………………………………………………………………………….
104.
 
Appendices and Attachments .
…………………………………………………………………………
.11i.
 
Appendix A: Task Force Members
………………………………………………………
..12ii.
 
Appendix B: Summary of Meetings
………………………………………………………
14iii.
 
K&J Phase I: System Safety Review and Evaluation of Policies,Procedures and Training (Attachment)iv.
 
K&J Phase II: System Safety On‐Site Assessment (Attachment)

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