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railroad’s Rail Equipment Accident/Incident Report and that it will be required to be reviewed by
the railroad that issued the notice, the supplement must be made on Part II of Form FRA
F 6180.78 (titled “Notice to Railroad Employee Involved in Rail Equipment Accident/Incident
Attributed to Employee Human Factor; Employee Statement Supplementing Railroad Accident
Report”), following the instructions printed on the form. These instructions require that, within
35 days of the date that the notice was hand-delivered or sent by first-class mail to the employee
(except for good cause shown), the original of the supplement be filed with FRA and a copy be
hand-delivered or sent by first-class mail to the railroad that issued the notice. The railroad will
have to reassess its conclusions as to the cause of the accident and other circumstances, and file
corrected reports with FRA concerning the accident, when appropriate. See § 225.12(g)(2).
Information that the employee wishes to withhold from the railroad must not be included in this
supplement. If an employee wishes to provide confidential information to FRA, the employee
should not use the supplement form (Part II of Form FRA F 6180.78), but rather provide such
confidential information by other means, such as a letter to the employee’s collective
bargaining representative, or to the Federal Railroad Administration, Office of Safety
Assurance and Compliance, RRS-11, 1200 New Jersey Avenue, SE., Washington, DC 20590.
The letter should include the name of the railroad making the allegations, the date and place of
the accident, and the rail equipment accident/incident number. See § 225.12(g)(3).
If an employee chooses to submit a supplement to FRA, all of the employee’s assertions in the
supplement must be true and correct to the best of the employee’s knowledge and belief.
See § 225.12(h).
FRA Guide for Preparing Accident/Incident Reports

141
F 6180.57
10. Forms FRA F 6180.57 - Highway-Rail Grade Crossing
Accident/Incident Report & FRA F 6180.150 – Highway User Injury
Inquiry Form
10.1 Requirement
Any impact, regardless of severity, between railroad on-track equipment and a highway user at a
highway-rail grade crossing site, is to be reported on Form FRA F 6180.57. The term “highwayrail grade crossing” means: (1) a location where a public highway, road, or street, or a private
roadway, including associated sidewalks, crosses one or more railroad tracks at grade; or (2) a
location where a pathway explicitly authorized by a public authority or a railroad carrier that is
dedicated for the use of non-vehicular traffic, including pedestrians, bicyclists, and others, that is
not associated with a public highway, road, or street, or a private roadway, crosses one or more
railroad tracks at grade. The term “sidewalk” means that portion of a street between the curb
line, or the lateral line of a roadway, and the adjacent property line or, on easements of private
property, that portion of a street that is paved or improved and intended for use by pedestrians.
See § 225.5. The term “highway user” includes automobiles, buses, trucks, motorcycles,
bicycles, farm vehicles, pedestrians, or any other mode of surface transportation motorized and
un-motorized. In addition, the term highway user encompasses users of pathways explicitly
authorized by a public authority or a railroad carrier that is dedicated for the use of non-vehicular
traffic, and that is not associated with a public highway, road, or street, or a private roadway. All
crossing locations within industry and rail yards, ports and dock areas are considered highwayrail crossings within the meaning of the term.
10.2 Additional Requirements
Rail Equipment Accident/Incident Report, Form FRA F 6180.54. If a highway-rail grade
crossing accident/incident results in reportable damage greater than the current reporting
threshold used for Rail Equipment Accident/Incident reporting, the railroad must also submit to
FRA a Form FRA F 6180.54, “Rail Equipment Accident/Incident Report.” The reporting
threshold for calendar years 2002–2005 is $6,700. The reporting threshold for calendar year
2006 is $7,700. The reporting threshold for calendar year 2007 is $8,200. The reporting
threshold for calendar year 2008 is $8,900; and, for accidents that occur in calendar year 2010,
the reporting threshold is $9,200. In these situations, the type of accident is to be coded as
“Hwy-rail crossing” in Block 7 of Form FRA F 6180.54. See § 225.19(c). Refer to
http://safetydata.fra.dot.gov/OfficeofSafety and click on “Click Here for Changes in
Accident/Incident Recordkeeping and Reporting” for updated information.
Railroad Injury and Illness (Continuation Sheet), Form FRA F 6180.55a. If a highway-rail
grade crossing accident/incident results in a reportable casualty, the railroad must also file a
Form FRA F 6180.55a. See § 225.19 (d). A highway user who is involved in a highway-rail
grade crossing accident/incident and is transported from the scene of a highway-rail grade
crossing accident/incident to a medical facility via ambulance or other form of medical
conveyance is presumed to have sustained an FRA reportable injury. Absent evidence to rebut
this presumption, the railroad must report the injury to FRA on Form FRA F 6180.55a, “Railroad
FRA Guide for Preparing Accident/Incident Reports

142
F 6180.57
Injury and Illness Summary (Continuation Sheet),” and show the injury on Block 46 on Form
FRA F 6180.57. If the railroad later discovers that the highway user did not sustain a reportable
injury, the railroad must notify FRA in accordance with the late reporting instructions. See
§ 225.13.
Suicide. If the impact between the railroad on-track equipment and a highway user occurred
because the highway user committed or attempted to commit suicide (as determined by a
coroner, public police officer, or other public authority) the highway-rail grade crossing
accident/incident must be reported on Form FRA F 6180.57 and the death of or injury to, if
reportable, that highway user must be reported to FRA on FRA Form F 6180.55a. See
instructions for completing Blocks 41, 46, 49, and 52 under Section 10.4 below.
Determination of Nature and Severity of a Highway-Rail Crossing Injuries: In order to fulfill its
responsibilities in determining the nature and severity of a highway-rail grade crossing injury
and to accurately report such injury, a railroad must try to contact any potentially injured
highway user involved in a highway-rail grade crossing accident/incident, or their representative,
in writing and, if unsuccessful in obtaining the needed information, by telephone. If a highway
user died as a result of the highway-rail grade crossing accident/incident, a railroad must not
send this form to any person. In addition, the letter must be accompanied by a cover letter and
prepaid/preaddressed envelope. See 10.7 below for complete instructions and Appendix N for a
sample cover letter.
10.3 General Instructions and Interpretations
Any impact (including an impact due to the commission or attempted commission of a suicide,
as determined by a coroner, public police officer, or other public authority), regardless of
severity, between railroad on-track equipment and any highway user of a highway-rail grade
crossing, is to be reported on Form FRA F 6180.57. Highway users include, but are not limited
to, automobiles, buses, trucks, motorcycles, bicycles, recreational vehicles, farm vehicles,
construction vehicles, roadway maintenance vehicles, pedestrians, and any other mode of surface
transportation motorized or un-motorized.
Location of Actual Impact. Incidents involving highway users who have unsuccessfully
attempted to avoid striking or being struck by railroad on-track equipment at a crossing site are
to be reported, regardless of where the actual impact between the consist and the highway user
occurred.
U.S. DOT Grade Crossing Identification Numbers. A Form FRA F 6180.57 must be completed
for collisions/impacts between on-track equipment and users of highway-rail grade crossing

railroad’s Rail Equipment Accident/Incident Report and that it will be required to be reviewed by

the railroad that issued the notice, the supplement must be made on Part II of Form FRA

F 6180.78 (titled “Notice to Railroad Employee Involved in Rail Equipment Accident/Incident

Attributed to Employee Human Factor; Employee Statement Supplementing Railroad Accident

Report”), following the instructions printed on the form. These instructions require that, within

35 days of the date that the notice was hand-delivered or sent by first-class mail to the employee

(except for good cause shown), the original of the supplement be filed with FRA and a copy be

hand-delivered or sent by first-class mail to the railroad that issued the notice. The railroad will

have to reassess its conclusions as to the cause of the accident and other circumstances, and file

corrected reports with FRA concerning the accident, when appropriate. See § 225.12(g)(2).

Information that the employee wishes to withhold from the railroad must not be included in this

supplement. If an employee wishes to provide confidential information to FRA, the employee

should not use the supplement form (Part II of Form FRA F 6180.78), but rather provide such

confidential information by other means, such as a letter to the employee’s collective

bargaining representative, or to the Federal Railroad Administration, Office of Safety

Assurance and Compliance, RRS-11, 1200 New Jersey Avenue, SE., Washington, DC 20590.

The letter should include the name of the railroad making the allegations, the date and place of

the accident, and the rail equipment accident/incident number. See § 225.12(g)(3).

If an employee chooses to submit a supplement to FRA, all of the employee’s assertions in the

supplement must be true and correct to the best of the employee’s knowledge and belief.

See § 225.12(h).

FRA Guide for Preparing Accident/Incident Reports

141

F 6180.57

10. Forms FRA F 6180.57 - Highway-Rail Grade Crossing

Accident/Incident Report & FRA F 6180.150 – Highway User Injury

Inquiry Form

10.1 Requirement

Any impact, regardless of severity, between railroad on-track equipment and a highway user at a

highway-rail grade crossing site, is to be reported on Form FRA F 6180.57. The term “highwayrail grade crossing” means: (1) a location where a public highway, road, or street, or a private

roadway, including associated sidewalks, crosses one or more railroad tracks at grade; or (2) a

location where a pathway explicitly authorized by a public authority or a railroad carrier that is

dedicated for the use of non-vehicular traffic, including pedestrians, bicyclists, and others, that is

not associated with a public highway, road, or street, or a private roadway, crosses one or more

railroad tracks at grade. The term “sidewalk” means that portion of a street between the curb

line, or the lateral line of a roadway, and the adjacent property line or, on easements of private

property, that portion of a street that is paved or improved and intended for use by pedestrians.

See § 225.5. The term “highway user” includes automobiles, buses, trucks, motorcycles,

bicycles, farm vehicles, pedestrians, or any other mode of surface transportation motorized and

un-motorized. In addition, the term highway user encompasses users of pathways explicitly

authorized by a public authority or a railroad carrier that is dedicated for the use of non-vehicular

traffic, and that is not associated with a public highway, road, or street, or a private roadway. All

crossing locations within industry and rail yards, ports and dock areas are considered highwayrail crossings within the meaning of the term.

10.2 Additional Requirements

Rail Equipment Accident/Incident Report, Form FRA F 6180.54. If a highway-rail grade

crossing accident/incident results in reportable damage greater than the current reporting

threshold used for Rail Equipment Accident/Incident reporting, the railroad must also submit to

FRA a Form FRA F 6180.54, “Rail Equipment Accident/Incident Report.” The reporting

threshold for calendar years 2002–2005 is $6,700. The reporting threshold for calendar year

2006 is $7,700. The reporting threshold for calendar year 2007 is $8,200. The reporting

threshold for calendar year 2008 is $8,900; and, for accidents that occur in calendar year 2010,

the reporting threshold is $9,200. In these situations, the type of accident is to be coded as

“Hwy-rail crossing” in Block 7 of Form FRA F 6180.54. See § 225.19(c). Refer to

http://safetydata.fra.dot.gov/OfficeofSafety and click on “Click Here for Changes in

Accident/Incident Recordkeeping and Reporting” for updated information.

Railroad Injury and Illness (Continuation Sheet), Form FRA F 6180.55a. If a highway-rail

grade crossing accident/incident results in a reportable casualty, the railroad must also file a

Form FRA F 6180.55a. See § 225.19 (d). A highway user who is involved in a highway-rail

grade crossing accident/incident and is transported from the scene of a highway-rail grade

crossing accident/incident to a medical facility via ambulance or other form of medical

conveyance is presumed to have sustained an FRA reportable injury. Absent evidence to rebut

this presumption, the railroad must report the injury to FRA on Form FRA F 6180.55a, “Railroad

FRA Guide for Preparing Accident/Incident Reports

142

F 6180.57

Injury and Illness Summary (Continuation Sheet),” and show the injury on Block 46 on Form

FRA F 6180.57. If the railroad later discovers that the highway user did not sustain a reportable

injury, the railroad must notify FRA in accordance with the late reporting instructions. See

§ 225.13.

Suicide. If the impact between the railroad on-track equipment and a highway user occurred

because the highway user committed or attempted to commit suicide (as determined by a

coroner, public police officer, or other public authority) the highway-rail grade crossing

accident/incident must be reported on Form FRA F 6180.57 and the death of or injury to, if

reportable, that highway user must be reported to FRA on FRA Form F 6180.55a. See

instructions for completing Blocks 41, 46, 49, and 52 under Section 10.4 below.

Determination of Nature and Severity of a Highway-Rail Crossing Injuries: In order to fulfill its

responsibilities in determining the nature and severity of a highway-rail grade crossing injury

and to accurately report such injury, a railroad must try to contact any potentially injured

highway user involved in a highway-rail grade crossing accident/incident, or their representative,

in writing and, if unsuccessful in obtaining the needed information, by telephone. If a highway

user died as a result of the highway-rail grade crossing accident/incident, a railroad must not

send this form to any person. In addition, the letter must be accompanied by a cover letter and

prepaid/preaddressed envelope. See 10.7 below for complete instructions and Appendix N for a

sample cover letter.

10.3 General Instructions and Interpretations

Any impact (including an impact due to the commission or attempted commission of a suicide,

as determined by a coroner, public police officer, or other public authority), regardless of

severity, between railroad on-track equipment and any highway user of a highway-rail grade

crossing, is to be reported on Form FRA F 6180.57. Highway users include, but are not limited

to, automobiles, buses, trucks, motorcycles, bicycles, recreational vehicles, farm vehicles,

construction vehicles, roadway maintenance vehicles, pedestrians, and any other mode of surface

transportation motorized or un-motorized.

Location of Actual Impact. Incidents involving highway users who have unsuccessfully

attempted to avoid striking or being struck by railroad on-track equipment at a crossing site are

to be reported, regardless of where the actual impact between the consist and the highway user

occurred.

U.S. DOT Grade Crossing Identification Numbers. A Form FRA F 6180.57 must be completed

for collisions/impacts between on-track equipment and users of highway-rail grade crossing