text
stringlengths
0
1.03k
d. Instructions to obtain prescription medication, or receipt of prescription medication.
e. If missed 1 or more days of work or next shift, provide number of work days and
beginning date.
f. Medical treatment beyond “first aid”.
g. Hospitalization for treatment as an inpatient.
h. Multiple treatments or therapy sessions.
i. Loss of consciousness.
j. Transfer to another job or termination of employment.
k. Significant injury/illness, one meeting specific case criteria, or a covered data case.
26. Each railroad shall indicate if the Railroad Injury and Illness Summary (Continuation
Sheet) (FRA Form F 6180.55a) has been filed with FRA for the injury or illness. If FRA
Form F 6180.55a was not filed with FRA, then the railroad shall provide an explanation
of the basis for its decision.
27. The railroad shall indicate if the injured or ill railroad employee was provided an
opportunity to review his or her file.
28. The railroad shall identify the preparer’s name, title, telephone number with area code,
and the date the record was initially signed/completed.
FRA Guide for Preparing Accident/Incident Reports
39
F 6180.97
5. Form FRA F 6180.97 - Initial Rail Equipment Accident/Incident Record
5.1 Requirement
Each railroad shall maintain an Initial Rail Equipment Accident/Incident Record (Form FRA
F 6180.97) or an alternative railroad-designed record as described in the following section, of all
reportable and accountable rail equipment accidents/incidents. An accountable rail equipment
accident/incident means (1) any derailment regardless of whether it causes any damage or
(2) any collision, highway-rail grade crossing accident/incident, obstruction accident, other
impact, fire or violent rupture, explosion-detonation, act of God, or other accident/incident
involving the operation of railroad on-track equipment (standing or moving) that results in
damage to the railroad on-track equipment (standing or moving), signals, track, track structures
or roadbed and that damage impairs the functioning or safety of the railroad on-track equipment
(standing or moving), signals, track, track structures or roadbed. See §§ 225.21(i) and
225.25(d)–(g). See also § 225.3 regarding certain railroads exempted from recording
“accountables.”
The alternative railroad-designed record may be used in lieu of the Initial Rail Equipment
Accident/Incident Record (Form FRA F 6180.97). Any such alternative record shall contain all
of the information required on the Initial Rail Equipment Accident/Incident Record. Although
this information may be displayed in a different order from that on the Initial Rail Equipment
Accident/Incident Record, 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 each of the
railroad’s reporting establishments. Railroads may list additional information in the alternative
record beyond the information required on the Initial Rail Equipment Accident/Incident Record.
Where there are joint operations, each railroad involved must contact all parties involved to
determine the extent of the damages for determining reportability. If the property of more than
one railroad is involved in an accident/incident, the reporting threshold is calculated by
including the damages sustained by all of the railroads involved. When total reportable damage
to all railroads directly involved in an accident/incident exceeds the reporting threshold, the
railroad must make a report even though its damages were below the threshold.
Any railroad indicating the involvement of another railroad in the accident on its Initial Rail
Equipment Accident/Incident Record must promptly notify the other carrier (FRA may be
contacted to obtain telephone numbers) and exchange information concerning the accident and
obtain the other carriers’ reportable damage.
FRA Guide for Preparing Accident/Incident Reports
40
F 6180.97
The alternative record shall contain, at a minimum, the following information:
1. Date and time of accident.
2. Reporting railroad, and accident/incident number.
3. Other railroad, if applicable, and other railroad’s accident/incident number.
4. Railroad responsible for track maintenance, and that railroad’s incident number.
5. The classification of a rail equipment accident/incident by type, which is
determined by the first event in the accident/incident sequence. For example, if,
following a derailment, a derailed car or locomotive strikes a consist on an
adjacent track, the accident/incident would be classified as a derailment, not a
collision or other impact. The valid classification of accidents/incidents are as
follows:
Derailment Highway-rail crossing collision
Head-on collision Railroad grade crossing collision
Rear-end collision Obstruction
Side collision Explosion-detonation
Raking collision Fire/violent rupture
Broken train collision Other impacts
Other (describe in narrative)
6. Number of cars carrying hazardous materials that derailed or were damaged, and
number of cars carrying hazardous materials that released product.
7. Subdivision:
The full name of the subdivision on which the accident occurred, i.e. the track
owner’s subdivision name. If the railroad is not so divided, enter the word
“system.” In the event of a joint accident involving Amtrak, the host railroad’s
subdivision will apply.
Note: If the accident occurred in a major terminal and subdivision is not
applicable, enter “Terminal/Yard Name.”
8. Nearest city or town.
9. County (added in 2003).
10. State.
FRA Guide for Preparing Accident/Incident Reports
41
F 6180.97
11. Milepost (to the nearest tenth).
12. Specific site.
13. Speed (indicate if actual or estimate).
14. Train number or job number.
15. Type of equipment (freight, passenger, yard switching, etc.).
16. Type of track (main, yard, siding, industry).
17. Total number of locomotives in train.
18. Total number of locomotives that derailed.
19. Total number of cars in train.
20. Total number of cars that derailed.
21. Total amount of damage in dollars to equipment for this accident/incident-based