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