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United States Department of Transportation United States Department of Transportation

Confidential Close Call Reporting System (C3RS) Lessons Learned Evaluation – Final Report

Document Series
Technical Reports
Federal Railroad Administration
Report Number
Subject Human Factors
Close calls, continuous improvement, employee involvement, freight rail, human factors, passenger rail, risk reduction, safety culture, Confidential Close Call Reporting System, C3RS
The Federal Railroad Administration (FRA) established the Confidential Close Call Reporting System (C3RS) program through which “close calls” can be reported confidentially and addressed by Peer Review Teams (PRT) containing representatives from labor, management, and FRA. Close call programs have shown to work in other industries, but their effectiveness in the railroad industry was an open question. To address this question, FRA implemented a rigorous lessons learned evaluation over a 12 year duration across four demonstration pilot sites. The C3RS evaluation is designed to answer three major questions: (1) What conditions are necessary to implement C3RS as planned in a demonstration? (2) What is the impact of C3RS on safety and safety culture? (3) What factors help to sustain C3RS long-term, beyond the demonstration? This report describes the final answers to the evaluation questions. In summary, implementing C3RS as planned is possible within transportation departments in the railroad industry. Bottom-line impacts were achieved in the presence of C3RS in areas such as reduced derailments (3 sites), injuries (1 site), discipline hearings (two sites) and improved safety culture (4 sites). C3RS can be sustainable in railroad transportation when enlisting the support of local labor, management, national labor, and FRA.
Download C3RS Lessons Learned rev.pdf
Last updated: Tuesday, February 5, 2019
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