Orami01/Test3 · Datasets at Hugging Face

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49a. Special Study Block A
50. Latitude
FORM FRA F 6180.54 (Rev. 08/10)
52. Narrative Description (Be specific, and continue on separate sheet if necessary)
53. Typed/Printed Name &
Title of Preparer
54. Signature 55. Date
NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit
or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b).
OMB approval expires 02/28/2014
This collection of information is mandatory under 49 CFR 225, and is used by FRA to monitor national rail safety. Public reporting burden is estimated to average 2 hours per
response, including the time for reviewing instructions, searching existing databases, gathering and maintaining the data needed, and completing and reviewing the collection
of information. The information collected is a matter of public record, and no confidentiality is promised to any respondent. Please note that an agency may not conduct or
sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB control number for this
collection is 2130-0500.
(Exclude EMU, DMU, and
Cab Car Locomotives.)
(Include EMU, DMU, and
Cab Car Locomotives.)
49b. Special Study Block B
30. Type of Territory (enter code(s) that apply)
Signalization (Mandatory)
1. Signaled 2. Not Signaled
Method of Operation/Authority for Movement (Mandatory)
1. Signal Indication 2. Direct Train Control 3. Yard/Restricted Limits
4. Block Register Territory 5. Other Than Main Track
Supplemental/Adjunct Codes (Mandatory*)
* Mandatory to the extent that all applicable codes are entered
18. REPORTED CASUALTIES 19. NUMBER OF FRA FORMS ATTACHED
DEPARTMENT OF TRANSPORTATION
FEDERAL RAILROAD ADMINISTRATION (FRA)
RAILROAD INJURY AND ILLNESS SUMMARY
2. Alphabetic Code 3. Report Month & Year 4. State Alphabetic Code 5. County
7. Official Title
1. Name of Reporting Railroad
8. Address 9. Telephone (Area Code) (Number)
10.
11. Freight Train Miles
20. Remarks Section. Please describe operational, environmental, or other circumstances that account for unusual fluctuations in train miles operated, employee hours, or
passenger counts.
OPERATIONAL DATA & ACCIDENT/INCIDENT COUNTS FOR REPORT MONTH
OMB No. 2130-0500
FORM FRA F 6180.55 (Rev. 08/10)
This collection of information is mandatory under 49 CFR 225, and is used by FRA to monitor national rail safety. Public reporting burden is estimated to average
10 minutes per response, including the time for reviewing instructions, searching existing databases, gathering and maintaining the data needed, and completing
and reviewing the collection of information. The information collected is a matter of public record, and no confidentiality is promised to any respondent. Please
note that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB
control number. The OMB control number for this collection is 2130-0500.
6. Name of Reporting Officer
If executed without (i.e., outside of) the United States:
I declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that the information on this form is true and
correct.
Executed on _____________________ (date).
____________________________________________ (Signature).
If executed within the United States, its territories, possessions, or commonwealths:
I declare (or certify, verify, or state) under penalty of perjury that the information on this form is true and correct.
Executed on _____________________ (date).
____________________________________________ (Signature).
12. Passenger Train Miles
15. Railroad Worker Hours 16. Passenger Miles Operated
13. Yard Switching Train Miles 14. Other Train Miles
17. Number of Passengers Transported
Type of Person Fatal Nonfatal FRA Form Number Number Attached
Worker on duty – railroad employee
Railroad employees not on duty
Passengers on trains
Nontrespassers/ on railroad property
Trespassers
Worker on duty - contractor
Contractor - other
Worker on duty - volunteer
Volunteer - other
Nontrespassers/ off railroad property
6180.54
6180.55a
6180.56
6180.57
6180.81
Grand total
NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence
or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report. . . ." 49 U.S.C. 20903.
See 49 C.F.R. 225.7 (b).
This report is required by law (49 USC 20901). Failure to report can result in the imposition of civil penalties.
OMB approval expires 02/28/2014
DEPARTMENT OF TRANSPORTATION
FEDERAL RAILROAD ADMINISTRATION (FRA)
RAILROAD INJURY AND ILLNESS SUMMARY
(Continuation Sheet)
1. Name of Reporting Railroad 2. Alphabetic Code 3. Report Month
OMB No. 2130-0500
FORM FRA F 6180.55a (Rev. 08/10)
This collection of information is mandatory under 49 CFR 225, and is used by FRA to monitor national rail safety. Public reporting burden is estimated to average
20 minutes per response, including the time for reviewing instructions, searching existing databases, gathering and maintaining the data needed, and completing
and reviewing the collection of information. In trespasser cases and in cases of suicide/attempted suicides, the estimated average time to complete this form is 50
minutes and 65 minutes, respectively. The information collected is a matter of public record, and no confidentiality is promised to any respondent. Please note
that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control
number. The OMB control number for this collection is 2130-0500.
NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence
or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report. . . ." 49 U.S.C. 20903.
See 49 C.F.R. 225.7 (b).

49a. Special Study Block A

50. Latitude

FORM FRA F 6180.54 (Rev. 08/10)

52. Narrative Description (Be specific, and continue on separate sheet if necessary)

53. Typed/Printed Name &

Title of Preparer

54. Signature 55. Date

NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit

or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b).

OMB approval expires 02/28/2014

This collection of information is mandatory under 49 CFR 225, and is used by FRA to monitor national rail safety. Public reporting burden is estimated to average 2 hours per

response, including the time for reviewing instructions, searching existing databases, gathering and maintaining the data needed, and completing and reviewing the collection

of information. The information collected is a matter of public record, and no confidentiality is promised to any respondent. Please note that an agency may not conduct or

sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB control number for this

collection is 2130-0500.

(Exclude EMU, DMU, and

Cab Car Locomotives.)

(Include EMU, DMU, and

Cab Car Locomotives.)

49b. Special Study Block B

30. Type of Territory (enter code(s) that apply)

Signalization (Mandatory)

1. Signaled 2. Not Signaled

Method of Operation/Authority for Movement (Mandatory)

1. Signal Indication 2. Direct Train Control 3. Yard/Restricted Limits

4. Block Register Territory 5. Other Than Main Track

Supplemental/Adjunct Codes (Mandatory*)

* Mandatory to the extent that all applicable codes are entered

18. REPORTED CASUALTIES 19. NUMBER OF FRA FORMS ATTACHED

DEPARTMENT OF TRANSPORTATION

FEDERAL RAILROAD ADMINISTRATION (FRA)

RAILROAD INJURY AND ILLNESS SUMMARY

2. Alphabetic Code 3. Report Month & Year 4. State Alphabetic Code 5. County

7. Official Title

1. Name of Reporting Railroad

8. Address 9. Telephone (Area Code) (Number)

10.

11. Freight Train Miles

20. Remarks Section. Please describe operational, environmental, or other circumstances that account for unusual fluctuations in train miles operated, employee hours, or

passenger counts.

OPERATIONAL DATA & ACCIDENT/INCIDENT COUNTS FOR REPORT MONTH

OMB No. 2130-0500

FORM FRA F 6180.55 (Rev. 08/10)

This collection of information is mandatory under 49 CFR 225, and is used by FRA to monitor national rail safety. Public reporting burden is estimated to average

10 minutes per response, including the time for reviewing instructions, searching existing databases, gathering and maintaining the data needed, and completing

and reviewing the collection of information. The information collected is a matter of public record, and no confidentiality is promised to any respondent. Please

note that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB

control number. The OMB control number for this collection is 2130-0500.

6. Name of Reporting Officer

If executed without (i.e., outside of) the United States:

I declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that the information on this form is true and

correct.

Executed on _____________________ (date).

____________________________________________ (Signature).

If executed within the United States, its territories, possessions, or commonwealths:

I declare (or certify, verify, or state) under penalty of perjury that the information on this form is true and correct.

Executed on _____________________ (date).

____________________________________________ (Signature).

12. Passenger Train Miles

15. Railroad Worker Hours 16. Passenger Miles Operated

13. Yard Switching Train Miles 14. Other Train Miles

17. Number of Passengers Transported

Type of Person Fatal Nonfatal FRA Form Number Number Attached

Worker on duty – railroad employee

Railroad employees not on duty

Passengers on trains

Nontrespassers/ on railroad property

Trespassers

Worker on duty - contractor

Contractor - other

Worker on duty - volunteer

Volunteer - other

Nontrespassers/ off railroad property

6180.54

6180.55a

6180.56

6180.57

6180.81

Grand total

NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence

or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report. . . ." 49 U.S.C. 20903.

See 49 C.F.R. 225.7 (b).

This report is required by law (49 USC 20901). Failure to report can result in the imposition of civil penalties.

OMB approval expires 02/28/2014

DEPARTMENT OF TRANSPORTATION

FEDERAL RAILROAD ADMINISTRATION (FRA)

RAILROAD INJURY AND ILLNESS SUMMARY

(Continuation Sheet)

1. Name of Reporting Railroad 2. Alphabetic Code 3. Report Month

OMB No. 2130-0500

FORM FRA F 6180.55a (Rev. 08/10)

This collection of information is mandatory under 49 CFR 225, and is used by FRA to monitor national rail safety. Public reporting burden is estimated to average

20 minutes per response, including the time for reviewing instructions, searching existing databases, gathering and maintaining the data needed, and completing

and reviewing the collection of information. In trespasser cases and in cases of suicide/attempted suicides, the estimated average time to complete this form is 50

minutes and 65 minutes, respectively. The information collected is a matter of public record, and no confidentiality is promised to any respondent. Please note

that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control

number. The OMB control number for this collection is 2130-0500.

NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence

or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report. . . ." 49 U.S.C. 20903.

See 49 C.F.R. 225.7 (b).