upcoming train operations, and distribute those criteria to your members. (R-16-38)
To the Philadelphia Police Department, the Philadelphia Fire Department, and the Philadelphia Office of Emergency Management:
Collaborate and develop a plan that effectively integrates rapid police transport of patients into the emergency medical response plans for large mass casualty incidents, including a means of coordinating hospital destinations regardless of the method of transport. (R-16-39)
Once the plan specified in Safety Recommendation R-16-39 is developed, practice the plan periodically, including at least one full-scale drill every 3 years, to ensure that it functions as intended. (R-16-40)
To the mayor of the city of Philadelphia:
Facilitate the collaboration among the Philadelphia Police Department, the Philadelphia Fire Department, and the Office of Emergency Management to develop a plan that effectively integrates police transport of patients into the emergency medical response plans for large mass casualty incidents and to practice the plan periodically, including at least one full-scale drill every 3 years. (R-16-41)
To the National Association of State EMS Officials, the National Volunteer Fire Council, the National Emergency Management Association, the National Association of EMS Physicians, the International Association of Chiefs of Police, and the International Association of Fire Chiefs:
Educate your members regarding the details of this accident, including the lessons learned from the emergency medical response, and the potential utility of integrating police transport of victims into mass casualty incident response plans. (R-16-42)
4.2 Previously Issued Recommendations Arising from this Accident
On July 8, 2015, the NTSB issued the following recommendations to Amtrak:
Install, in all controlling locomotive cabs and cab car operating compartments, crash- and fire-protected inward- and outward-facing audio and image recorders capable of providing recordings to verify that train crew actions are in accordance with rules and procedures that are essential to safety as well as train operating conditions. The devices should have a minimum 12-hour continuous recording capability with recordings that are easily accessible for review, with appropriate limitations on public release, for the investigation of accidents or for use by management in carrying out efficiency testing and systemwide performance monitoring programs. (R-15-28)
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