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rail equipment form by the railroad responsible for track maintenance.
4. U.S. DOT Grade Crossing Identification Number
Enter the U.S. DOT National Highway-Rail Crossing Identification Number
assigned to the crossing involved. The U.S. DOT Grade Crossing Identification
Number means and is referring to the U.S. DOT Grade Crossing Inventory
Number. This field must contain this number before submitting the incident
report. This number must be provided by the reporting railroad, regardless of
who actually owns or maintains the track or the crossing site. This is also
required for a crossing location within industries and rail yards, ports and dock
areas, such as in a plant area owned by a private corporation or a railroad.
Contact the operating railroad to obtain the number. (It is strongly recommended
that the Accident/Incident Report be compared with the U.S. DOT Inventory
Report on FRA’s Web site to ensure that the correct crossing number has been
identified and that the other data elements match.) Entering the term “NOT
ASSIGNED” is not acceptable and the Form will be returned for completion with
the correct information.
In the event that the subject crossing was never assigned a number, a new valid
crossing number must be obtained from FRA. If an identification number has not
been assigned to the crossing, a completed Inventory Report Form must be filed
with the incident report. The new U.S. DOT Crossing Inventory Form can be
obtained from FRA’s Office of Safety Web site (http://safetydata.fra.dot.gov/
OfficeofSafety) or by calling (202) 493-6299. (For updated information refer to
http://safetydata.fra.dot.gov/OfficeofSafety and click on the “Crossing” tab to
query inventory. Existing crossing numbers can be obtained by contacting the
FRA Washington Headquarters or searching FRA’s Web site.
There is only one exception for which an incident report will be accepted without
an assigned number in this field. This is where the crossing was created to serve
specific temporary activities for less than 6 months (such as for construction). In
this case, enter “TEMP.”
5. Date of Accident/Incident
FRA Guide for Preparing Accident/Incident Reports
146
F 6180.57
Enter the date the accident/incident occurred.
6. Time of Accident/Incident
Enter the time the accident/incident occurred, in the local time of the location
where the accident/incident occurred, and check the appropriate “a.m.” or “p.m.”
box. Do not use military time.
7. Nearest Railroad Station
Enter the name of the nearest timetable station. In event of accidents involving
Amtrak, the host railroad’s nearest station will apply.
8. Subdivision
Enter the full name of the subdivision on which the accident occurred, i.e. the
track owner’s subdivision name. If the railroad is not so divided, enter the word
“System.” In the event of a joint accident involving Amtrak, the host railroad’s
subdivision will apply.
Note: If the accident occurred in a major terminal and subdivision is not
applicable, enter “terminal/yard name”
9. County
Enter the full name of the county or parish in which the accident/incident
occurred.
10. State Abbr. Code
Enter the appropriate State code, found in Appendix B, for the State in which the
accident occurred.
11. City
If the accident occurred within the jurisdiction of a city, town or hamlet, enter the
full name of this location; otherwise, enter “N/A.”
12. Highway Name or Number
Enter the name or number of the highway or street involved. If the impact
occurred at a public crossing, place an “X” or checkmark in the block titled
“Public.” If at a private crossing, place an “X” or checkmark in the block titled
“Private.”
13. Type [of Highway User Involved]
Select the code that best identifies the type of highway user involved in the
accident/incident.
Note: If a pedestrian is identified in this item, then Items 14, 42, 44, 45,
and 47 are to be coded “N/A.”
14. Vehicle Speed [of Highway User Involved]
FRA Guide for Preparing Accident/Incident Reports
147
F 6180.57
List the estimated speed (mph) that the highway user was traveling at the time of
impact. If the highway user was not a vehicle, enter “N/A”. If the vehicle was
stopped on the crossing at the time of impact, enter “0.” The inclusion of a
vehicle speed of 0 mph when the form elsewhere indicates that the vehicle was
moving over the crossing or around the gate is prohibited.
15. Direction [of Highway User Involved]
Select the code that best describes the geographical direction in which the
highway user was moving, and enter it in the box provided. If the highway user
was stopped, identify the intended direction of travel.
Note: It is possible in some circumstances for the geographical direction
of the highway user to be the same as the timetable direction of the
railroad consist given in Item 31.
16. Position [of the Highway User Involved]
Select the code that best describes the position of the highway user at the time of
impact, and enter in the code box. The codes are as follows: (1) Stalled or stuck
on crossing; (2) Stopped on Crossing; (3) Moving over crossing; (4) Trapped on
crossing by traffic; and (5) Blocked on crossing by gates. The fifth option, (5)
“Blocked on crossing by gates,” applies to those situations in which a highwayuser is prevented from leaving the crossing because the highway user is blockedin by crossing gates.
Note: If the highway vehicle was stopped or stalled on the crossing at the
time of impact, the speed given in Item 14 must be “0.”
17. Equipment [Rail Equipment Involved]
Select the code that best identifies the railroad equipment consist involved in the
accident/incident and enter it in the box provided. (See definitions of types of rail
equipment given in Chapter 2.) Note that on-track work equipment such as
ballast tampers are classified as cars and, therefore, should be identified by using
code “4” or “5.”
When completing this item, pay particular attention to its relationship to other