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the next twelve consecutive months. Incidents reported for employees at that establishment shall be displayed in
date sequence. The listing shall contain, at a minimum, the information specified in paragraphs (h)(1) through (14)
of this section.
(1) Name and address of the establishment;
(2) Calendar year of the cases being displayed;
(3) Incident number used to report case;
(4) Date of the injury or illness;
(5) Location of incident;
(6) Regular job title of employee injured or ill;
(7) Description of the injury or condition;
(8) Number of days employee absent from work at time of posting;
(9) Number of days of work restriction for employee at time of posting;
(10) If fatality--enter date of death;
(11) Annual average number of railroad employees reporting to this establishment;
(12) Preparer's name, title, telephone number with area code, and signature (or, in lieu of signing each
establishment's list of reportable injuries and illnesses, the railroad's preparer of this monthly list may sign a
cover sheet or memorandum which contains a list of each railroad establishment for which a monthly list of
reportable injuries and illnesses has been prepared. This cover memorandum shall be signed by the preparer
and shall have attached to it a duplicate copy of each establishment's list of monthly reportable injuries and
illnesses. The preparer of the monthly lists of reportable injuries and illnesses shall mail or send by
facsimile each establishment’s list to the establishment in the time frame prescribed in paragraph (h) of this
section.); and
(13) Date the record was completed.
(14) When there are no reportable injuries or occupational illnesses associated with an establishment for
that month, the listing shall make reference to this fact.
(15) The railroad is permitted not to post information on an occupational injury or illness that is a privacy
concern case.
(i) Claimed Occupational Illnesses.
(1) Each railroad may maintain a Form FRA F 6180.107, “Alternative Records for Illnesses Claimed to be
Work-Related,” or an alternate railroad-designed record as described in paragraph (j) of this section, in
place of Form FRA F 6180.98, “Railroad Employee Injury and/or Illness Record,” only for those claimed
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occupational illnesses for which the railroad has not received information sufficient to determine whether
the occupational illness is work-related.
(2) Each railroad shall enter each illness claimed to be work-related on the appropriate record, as required
by paragraph (i)(1) of this section, as early as practicable, but no later than seven working days after
receiving information or acquiring knowledge that an employee is claiming they have incurred an
occupational illness.
(3) 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.
(4) Within 15 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, “Alternative Record for
Illnesses Claimed to be Work-Related.”
(5) Within 45 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, “Alternative Record for Illnesses Claimed to be Work-Related.”
(6) For any claimed occupational illness case determined to be accountable or reportable, each railroad
shall:
(i) Complete a Form FRA F 6180.98, “Railroad Employee Injury and/or Illness Record” or
alternative railroad-designed form within seven days of making such determination;
(ii) Retain the Form FRA F 6180.98, “Railroad Employee Injury and/or Illness Record,” in
accordance with § 225.27; and
(iii) Report the occupational illness, as applicable, in accordance with § 225.11.
(7) For any claimed occupational illness case determined not to be accountable or reportable, each railroad
shall include the following information in narrative block 19 of Form FRA F 6180.107, “Alternative
Record for Illnesses Claimed to be Work-Related” or alternative railroad-designed form:
(i) Why the case does not meet reporting criteria;
(ii) The basis upon which the railroad made this determination; and
(iii) The most authoritative information the railroad relied upon to make the determination.
(8) Although Form FRA 6180.107, “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 alternative 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.
(j) An 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 to be Work-Related, the order of the
information shall be consistent from one such record to another such record. The order chosen by the railroad shall
be consistent for all of the railroad 's reporting establishments. Railroads may list additional information in the
alternative record beyond the information required on the Alternative Record for Illnesses Claimed to be WorkRelated. The alternative record shall contain, at a minimum, the following information:
(1) Name of Reporting Railroad;
(2) Case/Incident Number;
(3) Employee’s Name (first, middle, last);
(4) Employee’s Date of Birth (mm/dd/yy);
(5) Employee’s Gender;
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(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;
(11) Location, or Last Know 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;
(19) Custodian of Documents (Name, Title, and Address);
(20) Location of Supporting Documentation;
(21) Narrative;
(22) Preparer’s Name;
(23) Preparer’s Title;
(24) Preparer’s Telephone Number (with area code); and
(25) Date the record was initially signed/completed (mm/dd/yy).
§ 225.27 Retention of records.