The conductor was on the ground directing a shoving movement when he fouled the track and went between two railcars to align the mismatched couplers. The conductor had not communicated with the engineer that he was fouling the track, and became pinned between two railcars that the switching crew was attempting to couple and was subsequently found dead.

The NTSB is an independent federal agency which determines the probable causes of civil aviation, railroad, transit, highway, marine, pipeline, and commercial space accidents.