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HMCRP Report 1: Hazardous Materials Transportation Incident Data for Root Cause Analysis (2009)
Hazardous Material Cooperative Research Program (HMCRP)

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Transportation Research Board. "4.3 Fatality Analysis Reporting System (FARS)." HMCRP Report 1: Hazardous Materials Transportation Incident Data for Root Cause Analysis. Washington, DC: The National Academies Press, 2009.

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Page
61
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Page
61
Front Matter (R1-R11)
Summary (1-8)
1.1 Project Purpose (9-9)
1.2.1 Literature Review (10-10)
1.2.3 Analysis of Databases (11-11)
1.3 Effective Methods to Ensure High-Quality Data (12-12)
1.4 Potential Measures to Enhance the Ability of Databases to Identify the Root Causes of Hazmat Crashes (13-13)
2.2.1 Rail Equipment - Train Accident Data (14-14)
2.2.2 Project 5 Overview - Developing Common Data on Accident Circumstances (15-15)
2.2.4 Transportation Research Circular 231: Truck Accident Data Systems: State-of-the-Art Report (16-16)
2.2.6 The Human Factors Analysis and Classification System - HFACS (17-17)
2.2.9 Highway Safety: Further Opportunities Exist to Improve Data on Crashes Involving Commercial Motor Vehicles (18-18)
2.2.11 Comprehensive Safety Analysis 2010: 2006 Listening Session (19-19)
2.2.16 Hazardous Materials Serious Crash Analysis: Phase 2 (20-20)
2.3 Summary of Findings and Implications (21-21)
2.3.2 Solutions Being Implemented or Under Consideration (22-22)
3.1 Introduction (23-23)
3.2 Summary of Responses from Carriers (24-24)
3.2.1 Carrier Satisfaction with HMIRS (25-25)
3.3.1 Shipper 1 (26-26)
3.3.2 Shipper 2 (27-27)
3.4.1 Interviews with Agencies Maintaining Databases (PHMSA) (28-28)
3.4.2 Interviews with Agencies Maintaining Databases (FMCSA) (29-29)
3.4.3 Interviews with Agencies Maintaining Databases (FRA) (30-30)
3.5 Summary of Findings from Interviews (31-31)
4.1.1 MCMIS Database Description (32-32)
4.1.3 Database Format (33-33)
4.1.6 Types of Fields Covered (34-34)
4.1.7 Database Purpose and Function (35-35)
4.1.10 Accuracy and Completeness of Data (36-36)
4.1.11 Identification of Hazmat Incidents in MCMIS (37-41)
4.1.12 Quality Control Process (42-42)
4.1.13 Interconnectivity with Other Databases (43-43)
4.1.14 Analyses Using Database (44-44)
4.1.15 Summary and Potential Measures for Improving Root Cause Analysis (45-45)
4.2 Hazardous Materials Incident Reporting System (HMIRS) (46-46)
4.2.1 Database Description (47-48)
4.2.3 Data Collection (49-49)
4.2.5 Accuracy and Completeness of Data (50-53)
4.2.8 Analyses Using Database (54-59)
4.2.9 Summary and Potential Measures for Improving Root Cause Analysis (60-60)
4.3 Fatality Analysis Reporting System (FARS) (61-61)
4.3.4 Types of Hazmat Data Included (62-62)
4.3.6 Data Quality (63-63)
4.3.7 Additional Fields (64-64)
4.3.9 Compatibility with Other Databases (65-65)
4.4.4 Types of Hazmat Data Included (66-66)
4.4.5 Usefulness of the Data for Determining Root Causes (67-70)
4.4.7 Additional Fields (71-71)
4.4.10 Data Uses (72-72)
4.5.1 Database Description (73-73)
4.5.3 Data Collection (74-74)
4.5.7 Interconnectivity with Other Databases (75-75)
4.5.8 Analyses Using Database (76-77)
4.5.9 Summary and Potential Measures to Improve Root Cause Analysis (78-78)
4.6 Railroad Accident/Incident Reporting System (RAIRS) (79-79)
4.6.1 Track, Roadbed, and Structures (80-80)
4.6.3 Mechanical and Electrical Failures (81-81)
4.6.5 Summary of Causes and Impact (82-83)
4.7.3 Data Collection (84-84)
4.7.5 Accuracy and Completeness (85-85)
4.8.1 Scope of Investigations (86-86)
4.8.2 Approach to Identifying Root Causes (87-87)
4.8.4 Data Quality (88-88)
4.8.5 Probable Cause Findings (89-89)
4.8.6 Summary (90-90)
4.9.1 Introduction (91-91)
4.9.4 Populating Records and Improving Data Quality (92-92)
4.9.6 Database Enhancements and Limitations (93-93)
4.9.7 Summary (94-94)
5.2 Information System Development (95-95)
5.2.1 Develop Framework for Identifying Contributing Causes and Root Causes of Hazardous Material Accidents (96-96)
5.2.3 Add or Modify Inventory Data in Databases (97-97)
5.2.5 Develop a System for Each Database That Will Target About 5% of Hazmat Crashes for More Detailed Investigation (98-98)
5.3.2 Complete Values for All Parameters (99-102)
5.4.1 Potential Measures for MCMIS (103-104)
5.4.2 Potential Measures for HMIRS (105-106)
5.4.3 Potential Measures for TIFA (107-107)
5.4.4 Potential Measures for RAIRS (108-108)
5.6 Follow-On Project (109-109)
References (110-111)
Appendices (112-112)
Abbreviations used without definitions in TRB publications (113-113)

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Database Analysis 61 and indicate that the carriers have done enough accident investigation to identify some changes that would decrease the frequency of similar accidents in the future. The usefulness of this infor- mation would be greatly improved if a cause table, similar to the WHAT FAILED Table, was devel- oped so the carrier could list some contributory causes from a pick list. Although there might be some resistance to adding that field because of liability issues, moving toward being able to rou- tinely list contributing causes would be helpful. 4.2.9.2 Potential Measures for Improving Root Cause Analysis The following potential measures would enhance the ability of HMIRS to identify the root causes of hazmat accidents. 1. Require that the DOT number be a mandatory input for all reports filed with PHMSA for en route incidents. 2. Perform an additional Q/A check on carrier names to verify that the name being entered cor- responds to the name provided on the annual PHMSA Registration form. 3. Require PKGFAIL entries to be filled out for all reports submitted to PHMSA. 4. Continue to emphasize the new requirement that carriers must file a 5800.1 form following an accident if there was damage to lading and lading protection systems on cargo tanks of 1,000 gal- lons or greater, even though there is no loss of hazardous material. This is the new requirement to report Class C accidents. Such a notice might be given to carriers when PHMSA notifies them that it has received and approved their annual hazmat registration application. 5. Capture driver condition information without compromising the confidentiality of the driver. The following design option from MCMIS can be enhanced for use in HMIRS. Based on analysis of the data, the list of options can be enhanced by using the following driver con- dition categories: 1 = Appeared Normal, 2 = Had Been Drinking, 3 = Illegal Drug Use, 4 = Sick, 5 = Fatigue, 6 = Asleep, 7 = Medication, and 8 = Unknown. The project team believes that adopting the potential measures above would decrease errors in data entry and make it easier to query the database for potential causes of accidents. 4.3 Fatality Analysis Reporting System (FARS) This section briefly describes the FARS file. Since the TIFA database incorporates the FARS records for trucks involved in fatal accidents, to avoid a fragmented analysis, much of the detailed evaluation is covered in Section 4.4, which describes TIFA. The FARS file is the primary national crash data file for fatal traffic accidents. It is a census of all fatal motor vehicle traffic crashes. The TIFA file covers all medium and heavy trucks involved in a fatal crash, and includes virtually all FARS variables for the crash, vehicle, and driver. TIFA survey data supplements FARS data for trucks (hereafter the word "trucks" will be used to refer to medium and heavy trucks, i.e., trucks with a gross vehicle weight rating [GVWR] over 10,000 lbs). The TIFA data include a more accurate identification and descrip- tion of trucks in fatal crashes, along with details about the cargo, configuration, motor carrier operating the vehicle, and crash type.