Orami01/Test3 · Datasets at Hugging Face

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decisions are being made.
13.2 Provision
Each railroad may maintain a Form FRA F 6180.107, or alternate railroad-designed record in
place of a Form FRA F 6180.98, only for those claimed occupational illnesses for which the
railroad has not received, from the employee or their representative, information sufficient to
determine whether the occupational illness is work-related.
When a railroad does not receive information sufficient to determine whether a claimed
occupational illness case is accountable or reportable, the railroad shall make a good faith effort
to obtain the necessary information by December 1 of the next calendar year.
The alternative railroad-designed record may be used in lieu of the Alternative Record for
Illnesses Claimed to Be Work-Related (Form FRA F 6180.107). Any such alternative record
shall contain all of the information required on the Alternative Record for Illnesses Claimed to
Be Work-Related. Although this information may be displayed in a different order from that on
the Alternative Record for Illnesses Claimed to Be Work-Related, the order of the information
shall be consistent from one such record to another, and the order chosen by the railroad shall be
consistent for each of the railroad’s reporting establishments. Railroads may list additional
information on the alternative record beyond the information required on the Alternative Record
for Illnesses Claimed to Be Work-Related.
Time limit to record initial claim of occupational illness. Each railroad shall enter each illness
claimed to be work-related on Form FRA F 6180.107 (or alternative record) as early as
practicable, but no later than 7 working days after receiving information or acquiring knowledge
that an employee is claiming they have incurred an occupational illness.
FRA Guide for Preparing Accident/Incident Reports

172
F 6180.107
Time limit to record additional information regarding a claim of occupational illness. Within
fifteen calendar days of receiving additional information regarding a claimed occupational illness
case, each railroad shall document receipt of the information, including date received and type of
document/information received, in narrative block 19 of Form FRA F 6180.107.
Time limit to re-evaluate record initial claim of occupational illness after receiving additional
information. Within forty-five calendar days of receiving additional information regarding a
claimed occupational illness, each railroad shall re-evaluate the claimed occupational illness to
determine work-relatedness, taking into account the new information, and document any findings
resulting from the re-evaluation in narrative block 19 of Form FRA F 6180.107.
Cases determined to be reportable. Once it has been determined that a particular case is
accountable or reportable, the railroad must record the information on Form FRA F 6180.98
within 7 days of the date the determination is made; retain the Railroad Employee Injury and/or
Illness Record in accordance with § 225.27; and report the occupational illness, as applicable, in
accordance with § 225.11. Once a case is reported on Form FRA F 6180.55a, it is no longer
necessary to continue to update the Form FRA F 6180.107 or the Form FRA 6180.98. If the case
is reported, changes to counts of days absent or restricted are to be made on Form FRA
F 6180.55a, not on Form FRA F 6180.107 or Form FRA F 6180.98.
Cases determined NOT to be reportable. Once it has been determined that a particular case is
not accountable or reportable, the railroad shall include the following information in narrative
block 19 of Form FRA F 6180.107: 1) why the case does not meet reporting criteria; 2) the basis
upon which the railroad made this determination; and 3) the most authoritative information the
railroad relied upon to make the determination.
Alternative record. The alternative record shall contain all of the following information, to the
extent that it is reasonably available:
1. Name of Reporting Railroad
2. Case/Incident Number (The Case/Incident Number identified in block 2 must be used
on Form FRA F 6180.98 and Form FRA F 6180.55a for any case determined to be
accountable or reportable)
3. Employee’s Name (first, middle, last)
4. Employee’s Date of Birth (mm/dd/yy)
5. Employee’s Gender
6. Employee Identification Number
7. Date Employee was Hired (mm/dd/yy)
8. Employee’s Home Address (Include street address, city, State and Zip code)
9. Employee’s Home Telephone Number (with area code)
10. Name of Facility Where Railroad Employee Normally Reports to Work
FRA Guide for Preparing Accident/Incident Reports

173
F 6180.107
11. Location, or Last Known Facility, Where Employee Reports to Work
12. Job Title of Railroad Employee
13. Department to Which Employee is Assigned
14. Date on Which Employee or Representative Notified Company Personnel of Condition
(mm/dd/yy)
15. Name of Railroad Official Notified
16. Title of Railroad Official Notified
17. Nature of Claimed Illness
18. Supporting Documentation
18a. Custodian of Documents (Name, Title, and Address)
18b. Location of Supporting Documentation (Although the Alternative Record for Illnesses
Claimed to be Work-Related, or the alternate railroad-designed form, may not include
all supporting documentation, such as medical records, the record shall note the
custodian of those documents and where the supporting documents are located so that
they are readily accessible to FRA upon request)
19. Narrative
20. Preparer’s Name
21. Preparer’s Title
22. Preparer’s Telephone Number (with area code)
23. Date the record was initially signed/completed (mm/dd/yy)
13.3 Questions and Answers
Q1. The only information provided to the railroad was the employee’s name and
Employee ID Number. Further attempts to complete the other data elements
were rejected by the employee and/or his or her attorney. Does this meet
FRA requirements?
A1. Yes. The railroad should continue to complete all the data elements when the
information becomes available and should make a good faith effort to obtain the
information. However, the railroad is not expected to continue this effort past
December 1 of the year that follows the date on which the railroad first received a
claim of the illness.
Q2. The employee reported that he/she has some pain in hand/arm area due to
carpal tunnel syndrome and that the job environment caused and/or
aggravated the condition. The company’s PLHCP has determined the
employee does not have carpal tunnel, and that the employee’s condition was

decisions are being made.

13.2 Provision

Each railroad may maintain a Form FRA F 6180.107, or alternate railroad-designed record in

place of a Form FRA F 6180.98, only for those claimed occupational illnesses for which the

railroad has not received, from the employee or their representative, information sufficient to

determine whether the occupational illness is work-related.

When a railroad does not receive information sufficient to determine whether a claimed

occupational illness case is accountable or reportable, the railroad shall make a good faith effort

to obtain the necessary information by December 1 of the next calendar year.

The alternative railroad-designed record may be used in lieu of the Alternative Record for

Illnesses Claimed to Be Work-Related (Form FRA F 6180.107). Any such alternative record

shall contain all of the information required on the Alternative Record for Illnesses Claimed to

Be Work-Related. Although this information may be displayed in a different order from that on

the Alternative Record for Illnesses Claimed to Be Work-Related, the order of the information

shall be consistent from one such record to another, and the order chosen by the railroad shall be

consistent for each of the railroad’s reporting establishments. Railroads may list additional

information on the alternative record beyond the information required on the Alternative Record

for Illnesses Claimed to Be Work-Related.

Time limit to record initial claim of occupational illness. Each railroad shall enter each illness

claimed to be work-related on Form FRA F 6180.107 (or alternative record) as early as

practicable, but no later than 7 working days after receiving information or acquiring knowledge

that an employee is claiming they have incurred an occupational illness.

FRA Guide for Preparing Accident/Incident Reports

172

F 6180.107

Time limit to record additional information regarding a claim of occupational illness. Within

fifteen calendar days of receiving additional information regarding a claimed occupational illness

case, each railroad shall document receipt of the information, including date received and type of

document/information received, in narrative block 19 of Form FRA F 6180.107.

Time limit to re-evaluate record initial claim of occupational illness after receiving additional

information. Within forty-five calendar days of receiving additional information regarding a

claimed occupational illness, each railroad shall re-evaluate the claimed occupational illness to

determine work-relatedness, taking into account the new information, and document any findings

resulting from the re-evaluation in narrative block 19 of Form FRA F 6180.107.

Cases determined to be reportable. Once it has been determined that a particular case is

accountable or reportable, the railroad must record the information on Form FRA F 6180.98

within 7 days of the date the determination is made; retain the Railroad Employee Injury and/or

Illness Record in accordance with § 225.27; and report the occupational illness, as applicable, in

accordance with § 225.11. Once a case is reported on Form FRA F 6180.55a, it is no longer

necessary to continue to update the Form FRA F 6180.107 or the Form FRA 6180.98. If the case

is reported, changes to counts of days absent or restricted are to be made on Form FRA

F 6180.55a, not on Form FRA F 6180.107 or Form FRA F 6180.98.

Cases determined NOT to be reportable. Once it has been determined that a particular case is

not accountable or reportable, the railroad shall include the following information in narrative

block 19 of Form FRA F 6180.107: 1) why the case does not meet reporting criteria; 2) the basis

upon which the railroad made this determination; and 3) the most authoritative information the

railroad relied upon to make the determination.

Alternative record. The alternative record shall contain all of the following information, to the

extent that it is reasonably available:

1. Name of Reporting Railroad

2. Case/Incident Number (The Case/Incident Number identified in block 2 must be used

on Form FRA F 6180.98 and Form FRA F 6180.55a for any case determined to be

accountable or reportable)

3. Employee’s Name (first, middle, last)

4. Employee’s Date of Birth (mm/dd/yy)

5. Employee’s Gender

6. Employee Identification Number

7. Date Employee was Hired (mm/dd/yy)

8. Employee’s Home Address (Include street address, city, State and Zip code)

9. Employee’s Home Telephone Number (with area code)

10. Name of Facility Where Railroad Employee Normally Reports to Work

FRA Guide for Preparing Accident/Incident Reports

173

F 6180.107

11. Location, or Last Known Facility, Where Employee Reports to Work

12. Job Title of Railroad Employee

13. Department to Which Employee is Assigned

14. Date on Which Employee or Representative Notified Company Personnel of Condition

(mm/dd/yy)

15. Name of Railroad Official Notified

16. Title of Railroad Official Notified

17. Nature of Claimed Illness

18. Supporting Documentation

18a. Custodian of Documents (Name, Title, and Address)

18b. Location of Supporting Documentation (Although the Alternative Record for Illnesses

Claimed to be Work-Related, or the alternate railroad-designed form, may not include

all supporting documentation, such as medical records, the record shall note the

custodian of those documents and where the supporting documents are located so that

they are readily accessible to FRA upon request)

19. Narrative

20. Preparer’s Name

21. Preparer’s Title

22. Preparer’s Telephone Number (with area code)

23. Date the record was initially signed/completed (mm/dd/yy)

13.3 Questions and Answers

Q1. The only information provided to the railroad was the employee’s name and

Employee ID Number. Further attempts to complete the other data elements

were rejected by the employee and/or his or her attorney. Does this meet

FRA requirements?

A1. Yes. The railroad should continue to complete all the data elements when the

information becomes available and should make a good faith effort to obtain the

information. However, the railroad is not expected to continue this effort past

December 1 of the year that follows the date on which the railroad first received a

claim of the illness.

Q2. The employee reported that he/she has some pain in hand/arm area due to

carpal tunnel syndrome and that the job environment caused and/or

aggravated the condition. The company’s PLHCP has determined the

employee does not have carpal tunnel, and that the employee’s condition was