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the information required on the Railroad Employee Injury and/or Illness Record. Although this
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information may be displayed in a different order from that on the Railroad Employee Injury
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and/or Illness Record, the order of the information shall be consistent from one such record to
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another such record. The order chosen by the railroad shall be consistent for each of the
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railroad’s reporting establishments. Railroads may list additional information on the alternative
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record, beyond the information required on the Railroad Employee Injury and/or Illness Record.
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Furthermore, railroads may use their alternative record to collect information on conditions that
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do not meet the “accountable” or “reportable” definitions, or to make entries for individuals
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other than employees of the railroad. (See question Q4 and corresponding answer in Chapter 1
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for additional guidance.)
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It would be difficult, if not impossible, for a railroad to monitor self-treatment of minor injuries.
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Thus, the type of injuries that are generally expected to be recorded on the Railroad Employee
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Injury and/or Illness Record (Form FRA F 6180.98) are those that create a “documentation trail.”
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This documentation could include records such as incident reports, healthcare provider records,
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or any other records that may identify the fact that an employee has sustained physical harm
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while in the work environment that required examination or treatment by a qualified healthcare
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professional. See § 225.5, definition of “accountable injury or illness.” This broad scope is
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necessary since all conditions, regardless of severity, must be evaluated to determine if the
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requirements necessary for reporting the injury/illness have been met.
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FRA Guide for Preparing Accident/Incident Reports
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36
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F 6180.98
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A primary purpose for the recording of accountable cases is to establish a standardized set of
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data that the reporting officer will use in deciding whether to report a case. It also serves as a
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tool for FRA Safety Assurance and Compliance officers to use during reviews to determine if
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proper reporting decisions are being made. Once it has been determined that a particular case is
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reportable and has been forwarded on Form FRA F 6180.55a, it is no longer necessary to
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continue to update this record; however, the railroad should update “Was the case reported?” on
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Form FRA F 6180.98 (or update, in the alternative railroad-designed record, if a Form FRA
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F 6180.55a has been filed with FRA). Changes to counts of days absent or restricted duty are to
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be made on Form FRA F 6180.55a, not Form FRA F 6180.98.
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Each railroad shall enter each reportable and each accountable injury and illness on the
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appropriate record as early as practicable, but no later than 7 working days after receiving
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information or acquiring knowledge that an injury or illness has occurred. See § 225.25(f).
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Railroads must create a Form FRA F 6180.98 for employee fatalities and injuries due to suicides
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and attempted suicides that are accountable or reportable.
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The records described above may be maintained at the local establishment or, alternatively, at a
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centralized location. If the records are maintained at a centralized location, but not through
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electronic means, then a paper copy of the records that is current within 35 days of the month to
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which it applies shall be available for that establishment. If the records are maintained at a
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centralized location through electronic means, then the records for that establishment shall be
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available for review in a hardcopy format within 4 business hours of FRA’s request. FRA
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recognizes that circumstances outside the railroad’s control may preclude it from fulfilling the
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4 business-hour time limit. In these circumstances, FRA will not assess a monetary penalty
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against the railroad for its failure to provide the requested documentation provided the railroad
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makes a reasonable effort to correct the problem. See § 225.25(g).
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Do not submit this form or an alternate railroad-designed record. If a case is determined to be
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reportable, it must be recorded on Form FRA F 6180.55a and included with the reports filed for
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that month.
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The information required to be recorded on Form FRA F 6180.98 is self-explanatory; therefore,
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specific instructions for completion are not needed. However, it is important to note that the
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“Case/Incident Number” identified in Block 2 must be used on Form FRA F 6180.55a for any
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case determined to be reportable.
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The alternative record shall contain, at a minimum, the following information:
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1. Name of railroad.
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2. Case/incident number.
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3. Full name of railroad employee.
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FRA Guide for Preparing Accident/Incident Reports
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37
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F 6180.98
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4. Date of birth of railroad employee.
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5. Gender of railroad employee.
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6. Railroad employee identification (ID) number.
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7. Date the railroad employee was hired.
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8. Home address of railroad employee, including the street address, city, State, zip code, and
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home telephone number with area code.
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9. Name of facility where railroad employee normally reports to work.
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10. Address of facility where railroad employee normally reports to work, including the
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street address, city, State, and zip code.
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11. Job title of railroad employee.
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12. Department assigned.
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13. Specific site where accident/incident/exposure occurred, including the city, county, State,
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and zip code.
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14. Date and time of occurrence, indicated using military time or a.m./p.m..
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15. Time employee’s shift began, indicated using military time or a.m./p.m..
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16. Whether employee was on premises when injury occurred.
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17. Whether employee was on or off duty.
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18. Date and time when employee notified company personnel of condition, indicated using
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military time or a.m./p.m..
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19. Name and title of railroad official notified.
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20. Description of the general activity this employee was engaged in prior to the
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injury/illness/condition.
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21. Description of all factors associated with the case that are pertinent to an understanding
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of how it occurred. Include a discussion of the sequence of events leading up to it, and
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the tools, machinery, processes, material, environmental conditions, etc., involved (When
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appropriate, a railroad must indicate that an employee fatality or injury is considered
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“suicide data” in this the narrative section).
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22. Description, in detail, of the injury/illness/condition that the employee sustained,
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including the body parts affected. If a recurrence, list the date of the last occurrence.
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23. Identification of all persons and organizations used to evaluate or treat the condition, or
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both. Include the facility, provider, and complete address.
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24. Description of all procedures, medications, therapy, etc., used or recommended for the
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treatment of the condition.
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25. Extent and outcome of injury or illness to show the following, as applicable:
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FRA Guide for Preparing Accident/Incident Reports
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38
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F 6180.98
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a. Fatality–enter date of death.
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b. Restricted work, number of days, beginning date.
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c. Occupational illness, date of initial diagnosis.
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