Form FRA-F-6180.14 False Proceed Signal Report

OMB No. 2130-0006
DATE (month/day/year)

Department of Transportation
Federal Railroad Administration
FALSE PROCEED SIGNAL REPORT
All railroads subject to Regulations of the Federal Railroad Administration shall submit a false
proceed signal report, original only, to the Federal Railroad Administration within fifteen days after a
false proceed occurs.
Copies of this form can be obtained from the Department of Transportation, Federal Railroad
Administration, Office of Safety, Washington, D.C. 20590, or available at
http://safetydata.fra.dot.gov/OfficeofSafety/Forms/Default.asp

REPORTING RAILROAD (railroad & region or division)

MAIL TO:

REPORTING OFFICER (signature & title)

(FRA Regional headquarters where the railroad’s reporting office is located)

A failure should not be counted more than one time in items 1, 2, 3, and 4; the failure
should be classified under the basic system or appliance of which it forms an essential
part. E.g.: assume grounds cause a block signal to indicate a false proceed causing
corresponding indications of a cab signal system on each train approaching this point, such
failures should be included in item 1, Block System.

A false proceed failure is a failure of an appliance, device, method, or system to function or
indicate as required by Title 49 CFR Part 236, that results in a more favorable aspect than
intended or other condition hazardous to the movement of a train.

DATE

TYPE OF SYSTEM

LOCOMOTIVE
NUMBER

The following abbreviations may be used in the report.
A – Automatic
AB – Automatic block
ACS – Automatic cab signal
APB – Absolute permissive block
ATC – Automatic train control
ATS – Automatic train stop
CL – Color light
CPL – Color position light
E - Electric

DEVICE THAT
FAILED

EM – Electro-mechanical
EP – Electro-pneumatic
FP – False proceed
MB – Manual block
M – Mechanical
P – Pneumatic
PL – Position light
PTC – Positive train control
SA – Semi automatic
TC – Traffic control

LOCATION (city and state)

1 - BLOCK SYSTEMS
AB

TC

APB

2 - INTERLOCKING
Automatic

Remote

Manual

3 - AUTOMATIC SYSTEMS
ATS

ATC

ACS

PTC

4 - OTHER (specify)

NATURE AND CAUSE OF FAILURE AND CORRECTIVE ACTION TAKEN:

(If more space is required, continue on reverse)
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. All responses to this collection of information are
mandatory. A federal agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of
information unless that collection of information displays a currently valid OMB Number. The OMB Control Number for this information collection is 2130-0006. Anyone with
comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, may send them to: Information
Clearance Officer, Federal Railroad Administration, 1120 Vermont Ave., N.W., MS-25, Washington, D.C. 20590.

FORM FRA F 6180.14 (Rev. 6/03)

OMB approval expires 10/31/2006