Orami01/Test3 · Datasets at Hugging Face

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for the use of non-vehicular traffic, not associated with a public highway, road, or street, or a
private roadway, that cross one or more railroad tracks at grade.)
[Railroad’s Name] is required by the Federal Railroad Administration (“FRA”) to send a
Highway User Injury Inquiry Form to every person potentially injured in a highway-rail grade
crossing accident/incident. However, you are not required to complete the Highway User Injury
Inquiry Form (your response is completely voluntary and not required by law). Your response
will be retained by [Railroad’s Name] as part of its accident/incident records pursuant to 49
C.F.R. § 225.27.
As background, railroads are required by Federal law to provide the FRA with information about
certain accidents and incidents occurring as a result of railroad operations. Information collected
from Highway User Injury Inquiry Forms will enable railroads to provide FRA with more
accurate information about such accidents/incidents. FRA uses this information to understand
and eliminate railroad safety hazards. You may learn more about FRA’s reporting regulations
by visiting www.fra.dot.gov.
If you decide to complete the Highway User Injury Inquiry Form, please review and complete
Part II of Highway User Injury Inquiry Form. [Railroad’s Name] has completed Part I; however,
if you have any corrections, please mark them directly on the Highway User Injury Inquiry
Form. When completing the narrative sections in 15(b) and 16(b) of the Highway User Injury
FRA Guide for Preparing Accident/Incident Reports
Sample Letter to Accompany Appendix N - 2 Highway User Injury Inquiry Form
Inquiry Form, please describe the events that gave rise to your injury or injuries, discuss the
medical treatment, if any, you received as a result of your injury or injuries, and provide any
additional information about the box or boxes you checked in 16(a). For example, please
describe your location and activities at the time of the accident/incident, the type of injury or
injuries that you sustained and the medical care that you received following the
accident/incident. Once you have completed Part II, please sign and date the Highway User
Injury Inquiry Form, and return it to [Railroad’s Name] in the enclosed prepaid and preaddressed
return envelope.
If you have any questions, please contact me, [Railroad’s Name]’s Reporting Officer. I may be
reached at (___) ___-____.
Thank you,
[Reporting Officer’s Name]






FEDERAL RAILROAD ADMINISTRATION
GUIDE FOR PREPARING
U.S. DOT CROSSING INVENTORY FORMS





U.S. Department of Transportation Federal Railroad Administration
Office of Railroad Safety



July 2016








DOT/FRA/RRS-23
Initial Publication: January 6, 2015
Second Revision: July 19, 2016





Revision Index

• Insertion of OMB-approved Inventory Form (Appendix A, U.S. DOT Crossing Inventory Form) - Insertion date: March 5, 2015.
• Updated e-mail address for the submission of scanned Inventory Forms. (Appendix E, Question 10) - Revision date: March 5, 2015.
• Updated e-mail address for Inventory Number requests. (Appendix A, U.S. DOT Crossing Inventory Form) – Insertion date: July 19, 2016.
• Updated e-mail address for Inventory Number requests. (Appendix E, Question 4) – Revision date: July 19, 2016.








Table of Contents

I. INTRODUCTION ..............................................................................................................1
II. INSTRUCTIONS FOR COMPLETING THE U.S. DOT CROSSING INVENTORY
FORM .................................................................................................................................3
1. Header Information ........................................................................................................3
2. Part I – Location and Classification Information ...........................................................8
3. Part II – Railroad Information ......................................................................................23
4. Part III – Highway or Pathway Traffic Control Device Information ...........................28
5. Part IV – Physical Characteristics ................................................................................40
6. Part V – Public Highway Information .........................................................................46
APPENDIX A – U.S. DOT Crossing Inventory Form ...................................................... A-1
APPENDIX B – Responsibility Table for Periodic Updates to the Crossing Inventory ....B-1
APPENDIX C – Reporting Crossings That Have Multiple Operating Railroads ..............C-1
APPENDIX D – Definitions .............................................................................................. D-1
APPENDIX E – Frequently Asked Questions (FAQs) ...................................................... E-1
APPENDIX F – High-Speed Rail ID Corridor Designations and Codes ........................... F-1

for the use of non-vehicular traffic, not associated with a public highway, road, or street, or a

private roadway, that cross one or more railroad tracks at grade.)

[Railroad’s Name] is required by the Federal Railroad Administration (“FRA”) to send a

Highway User Injury Inquiry Form to every person potentially injured in a highway-rail grade

crossing accident/incident. However, you are not required to complete the Highway User Injury

Inquiry Form (your response is completely voluntary and not required by law). Your response

will be retained by [Railroad’s Name] as part of its accident/incident records pursuant to 49

C.F.R. § 225.27.

As background, railroads are required by Federal law to provide the FRA with information about

certain accidents and incidents occurring as a result of railroad operations. Information collected

from Highway User Injury Inquiry Forms will enable railroads to provide FRA with more

accurate information about such accidents/incidents. FRA uses this information to understand

and eliminate railroad safety hazards. You may learn more about FRA’s reporting regulations

by visiting www.fra.dot.gov.

If you decide to complete the Highway User Injury Inquiry Form, please review and complete

Part II of Highway User Injury Inquiry Form. [Railroad’s Name] has completed Part I; however,

if you have any corrections, please mark them directly on the Highway User Injury Inquiry

Form. When completing the narrative sections in 15(b) and 16(b) of the Highway User Injury

FRA Guide for Preparing Accident/Incident Reports

Sample Letter to Accompany Appendix N - 2 Highway User Injury Inquiry Form

Inquiry Form, please describe the events that gave rise to your injury or injuries, discuss the

medical treatment, if any, you received as a result of your injury or injuries, and provide any

additional information about the box or boxes you checked in 16(a). For example, please

describe your location and activities at the time of the accident/incident, the type of injury or

injuries that you sustained and the medical care that you received following the

accident/incident. Once you have completed Part II, please sign and date the Highway User

Injury Inquiry Form, and return it to [Railroad’s Name] in the enclosed prepaid and preaddressed

return envelope.

If you have any questions, please contact me, [Railroad’s Name]’s Reporting Officer. I may be

reached at (___) ___-____.

Thank you,

[Reporting Officer’s Name]

FEDERAL RAILROAD ADMINISTRATION

GUIDE FOR PREPARING

U.S. DOT CROSSING INVENTORY FORMS

U.S. Department of Transportation Federal Railroad Administration

Office of Railroad Safety

July 2016

DOT/FRA/RRS-23

Initial Publication: January 6, 2015

Second Revision: July 19, 2016

Revision Index

• Insertion of OMB-approved Inventory Form (Appendix A, U.S. DOT Crossing Inventory Form) - Insertion date: March 5, 2015.

• Updated e-mail address for the submission of scanned Inventory Forms. (Appendix E, Question 10) - Revision date: March 5, 2015.

• Updated e-mail address for Inventory Number requests. (Appendix A, U.S. DOT Crossing Inventory Form) – Insertion date: July 19, 2016.

• Updated e-mail address for Inventory Number requests. (Appendix E, Question 4) – Revision date: July 19, 2016.

Table of Contents

I. INTRODUCTION ..............................................................................................................1

II. INSTRUCTIONS FOR COMPLETING THE U.S. DOT CROSSING INVENTORY

FORM .................................................................................................................................3

1. Header Information ........................................................................................................3

2. Part I – Location and Classification Information ...........................................................8

3. Part II – Railroad Information ......................................................................................23

4. Part III – Highway or Pathway Traffic Control Device Information ...........................28

5. Part IV – Physical Characteristics ................................................................................40

6. Part V – Public Highway Information .........................................................................46

APPENDIX A – U.S. DOT Crossing Inventory Form ...................................................... A-1

APPENDIX B – Responsibility Table for Periodic Updates to the Crossing Inventory ....B-1

APPENDIX C – Reporting Crossings That Have Multiple Operating Railroads ..............C-1

APPENDIX D – Definitions .............................................................................................. D-1

APPENDIX E – Frequently Asked Questions (FAQs) ...................................................... E-1

APPENDIX F – High-Speed Rail ID Corridor Designations and Codes ........................... F-1