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49. Railroad Employees
52. Passengers on Train
Code
1. Yes 2. No
21. Temperature (Specify if minus) 22. Visibility (single entry)
1. Dawn 2. Day 3. Dusk 4. Dark
Code 23. Weather (single entry)
1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow
25. Track Type Used by Rail
Equipment Involved
1. Main 2. Yard 3. Siding 4. Industry
Code
Code
F
24. Type of Equipment
Consist
(single entry)
1. Freight Train
2. Passenger Train-Pulling
3. Commuter Train-Pulling
4. Work train
5. Single Car
6. Cut of cars
7. Yard/switching
8. Light loco(s)
9. Maint./inspect. Car
A. Spec. MoW Equip.
B. Passenger Train-Pushing
C. Commuter Train-Pushing
D. EMU
E. DMU Code
26. Track Number or Name
27. FRA Track
Class (1-9, X)
31. Time Table Direction
1. North 3. East
2. South 4. West
28. Number of Code
Locomotive Units
29. Number
of Cars
30. Consist Speed (Recorded speed, if available) R - Recorded
E - Estimated MPH
Code
* NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A
2. Name of Other Railroad or Other Entity Filing for Equipment Involved in Train Accident/Incident
3. Name of Railroad or Other Entity Responsible for Track Maintenance (single entry)
34. Roadway Conditions
A. Dry
B. Wet
C. Snow/slush
D. Ice
E. Sand, Mud, Dirt, Oil, Gravel
F. Water (Standing, Moving)
53a. Special Study Block
1. Stalled or stuck on crossing
3. Moving over crossing
4. Trapped on crossing by traffic
5. Blocked on crossing by gates
Video Taken? Yes No
Video Used? Yes No
INSTRUCTIONS FOR COMPLETING BLOCK 33
Only if Types 1 - 6, Item 32 are indicated, mark in Block 33 the status of the warning devices at the crossing at the time of the accident,
using the following codes:
1. Provided minimum 20-second warning.
2. Alleged warning time greater than 60 seconds.
3. Alleged warning time less than 20 seconds.
4. Alleged no warning.
5. Confirmed warning time greater than 60 seconds.
6. Confirmed warning time less than 20 seconds.
7. Confirmed no warning.
If status code 5, 6, or 7 was entered, also enter a letter code explanation from the list below:
A. Insulated rail vehicle.
B. Storm/lightning damage.
C. Vandalism.
D. No power/batteries dead.
E. Devices down for repair.
F. Devices out of service.
G. Warning time greater than 60 seconds attributed to accident-involved train stopping short of the crossing, but within track
circuit limits, while warning devices remain continuously active with no other in-motion train present.
H. Warning time greater than 60 seconds attributed to track circuit failure (e.g., insulated rail joint or rail bonding failure, track
or ballast fouled, etc.).
J. Warning time greater than 60 seconds attributed to other train/equipment within track circuit limits.
K. Warning time less than 20 seconds attributed to signals timing out before train’s arrival at the crossing/island circuit.
L. Warning time less than 20 seconds attributed to train operating counter to track circuit design direction.
M. Warning time less than 20 seconds attributed to train speed in excess of track circuit’s design speed.
N. Warning time less than 20 seconds attributed to signal system’s failure to detect train approach.
P. Warning time less than 20 seconds attributed to violation of special train operating instructions.
R. No warning attributed to signal system’s failure to detect the train.
S. Other cause(s). Explain in Narrative Description.
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.
Your Telephone Number Your home or mailing address
Home: ( )
Work: ( )
NOTICE TO RAILROAD EMPLOYEE INVOLVED IN RAIL EQUIPMENT ACCIDENT/INCIDENT