Form FRA F 6180.71 FRA F 6180.71 U.S. DOT Crossing Inventory Form

U.S. DOT CROSSING INVENTORY FORM

OMB No. 2130-0017

DEPARTMENT OF TRANSPORTATION

FEDERAL RAILROAD ADMINISTRATION (FRA)

Public reporting burden for this information collection is estimated to average 30 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. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with, a collection of
information unless it displays a currently valid OMB control number. The valid OMB control number for this information collection is 2130-0017. All responses to this
collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden
to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave., SE, Third Floor West, Washington, D.C. 20590.

B. Crossing Number (max. 7 char.)

A. Initiating Agency
Railroad

C. Reason for Update
Changes in
Existing Data

State

Closed Crossing
or Abandoned

New Crossing

D. Effective Date
(MM/DD/YYYY)

Part I: Location and Classification Information
1. Railroad Oper. Co. (code (max. 4 char.) or name)
4. Railroad Division or Region (max. 14 char.)
8. RR I.D. No. (max. 10 char.)

2. State (2 char.)

5. Railroad Subdivision or District (max. 14 char.)

9. Nearest RR Timetable Station (max. 15 char.)
(optional)

12. City (max. 16 char.)
(check
one)

3. County (max 20 char.)
6. Branch or Line Name (max. 15 char.)

10. Parent RR (max. 4 char.)
(if applicable)

(if applicable)

STATE SUPPLIED INFORMATION
21. HSR Corridor ID (2 char.)

Near
15. ENS Sign Installed (1-800)

14. Highway Type & No. (max. 7 char.)

Yes
17. Crossing Type

(choose one only)

At Grade

Public
Private
Pedestrian

16. Quiet Zone: No

Partial

22. County Map Ref. No. (max. 10 char.)

24 hr

Unknown

23. Latitude (max. 10 char., nn.nnnnnnn)

No
19. Type of Passenger Service
AMTRAK

18. Crossing Position

(nnnnn.nn)

11. Crossing Owner (RR or Company name)

13. Street or Road Name (max. 17 char.)

In

7. RR Milepost (max. 7 char.)

RR Under

AMTRAK & Other

RR Over

Other

20. Average Passenger Train
Count Per Day

24. Longitude (max. 11 char., nnn.nnnnnnn)
25. Lat/Long Source
Actual

None

Estimated

26. Is There an Adjacent Crossing With a Separate Number?
Yes

No

If Yes, Provide Number

(7 characters)

27. PRIVATE CROSSING INFORMATION
27.A. Category

(check one)

Recreational

27.B. Public Access
Yes

27.C. Signs/Signals
None

Farm

Industrial

No

Signs

Specify (max. 15 char.)

Residential

Commercial

Unknown

Signals

Specify (max. 15 char.)

28.A. Railroad Use (max. 20 char.)

29.A. State Use (max. 20 char.)

28.B. Railroad Use (max. 20 char.)

29.B. State Use (max. 20 char.)

28.C. Railroad Use (max. 20 char.)

29.C. State Use (max. 20 char.)

28.D. Railroad Use (max. 20 char.)

29.D. State Use (max. 20 char.)

30. Narrative (max. 100 char.)
31. Emergency Contact (Telephone No.)

32. Railroad Contact (Telephone No.)

33. State Contact (Telephone No.)

MUST COMPLETE REMAINDER OF FORM FOR PUBLIC VEHICLE CROSSINGS AT GRADE
Part II: Railroad Information
1. Number of Daily Train Movements
1.A. Total Trains

1.B. Total Switching Trains

2. Speed of Train at Crossing

1.C. Total Daylight Thru Trains (6 AM to 6 PM)

2.A. Maximum Time Table Speed (mph)
2.B. Typical Speed Range Over Crossing (mph)

3. Type and Number of Tracks

Main

Other

4. Does Another RR Operate a Separate Track at Crossing?
Yes
No

1.D. Check if Less Than One Movement Per Day

FORM FRA F 6180.71 (Rev. 11/99)

,

to

If Other, Specify (max. 10 char.)
5. Does Another RR Operate Over Your Track at Crossing?

If Yes, Specify RR (max. 16 char.)
,

from

_,

Yes
No

OMB approval expires 9/30/2015

If Yes, Specify RR (max. 16 char.)
,

,

,

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U.S. DOT CROSSING INVENTORY FORM

OMB No. 2130-0017

DEPARTMENT OF TRANSPORTATION

FEDERAL RAILROAD ADMINISTRATION (FRA)

D. Effective Date
(MM/DD/YYYY)

B. Crossing Number (max. 7 char.)

PAGE 2
Part III: Traffic Control Device Information
2. Type of Warning Device at Crossing – Signs (specify number of each)
2.B. Highway Stop Signs (R1-1)
2.A. Crossbucks
2.C. RR Advance Warning
Signs (W10-1)

1. No Signs or Signals
Check if Correct

Yes

RR Xing Symbols

Yes

No

No

Unknown

2.F. Other Signs (specify MUTCD type)
Number
Specify Type (max. 10 char.)

2.E. Pavement Markings
Stoplines

2.D. Hump Crossing Sign (W10-5)

None

Number

Specify Type (max. 10 char.)

3. Type of Warning Device at Crossing – Train Activated Devices (specify number of each)
3.A. Gates

3.C. Cantilevered (or Bridged) Flashing Lights

3.B. Four-quadrant (or
full barrier) Gates
Yes

3.D. Mast Mounted
Flashing Lights (number)

Over Traffic Lane (number)
No

3.E. Number of Flashing
Light Pairs

Not Over Traffic Lane (number)
3.G. Highway Traffic Signals

3.F. Other Flashing Lights
Number
Specify Type (max. 9 char.)

3.H. Wigwags (number)

(number)

3.J. Bells (number)

3.K. Other Train Activated Warning Devices: (specify)
(max. 9 char.)
5. Channelization Devices With Gates

4. Specify Special Warning Device NOT Train Activated (max. 20 char.)

All Aproaches
6. Train Detection
DC/AFO

Motion Detectors

Other

Yes

None

No

9. Reserved For Future Use

None

8. Traffic Light Interconnection/Preemption

7. Signalling for Train Operation:
Is Track Equipped with Train Signals?

Constant Warning Time

One Approach

N/A

Not Interconnected
Simultaneous Preemption
Advance Preemption

11. Reserved For Future Use

10. Reserved For Future Use

12. Reserved For Future Use

Part IV: Physical Characteristics
1. Type of Development

2. Smallest Crossing Angle (Degrees)

Open Space

Residential

Commercial

3. Number of Traffic Lanes
Crossing Railroad

Industrial

Institutional

0 - 29

30 - 59

60 - 90

5. Is Highway Paved?

4. Are Truck Pullout Lanes Present?
Yes
No

Yes

No

6. Crossing Surface (on main line)
1. Timber

2. Asphalt

3. Asphalt and Flange

4. Concrete

6. Rubber

7. Metal

8. Unconsolidated

9. Other (Specify)

8. Nearby Intersecting Highway?

7. Does Track Run Down a Street?
Yes

No

Less than 75 feet

9. Is Crossing Illuminated? (street lights
within approx. 50 feet from nearest rail)
Yes
No

75 to 200 feet

10. Is Commercial Power Available?
Yes

5. Concrete and Rubber

Is it Signalized?
200 to 500 feet

N/A

Yes
No

11. Space Reserved For Future Use

No
Part V: Highway Information

1. Highway System
Interstate

Federal Aid, Not NHS

Nat. Hwy System (NHS)

Non Federal Aid

5. Annual Average Daily Traffic (AADT)
Year

AADT

FORM FRA F 6180.71 (Rev. 11/99)

2. Is Crossing on State Highway System? 3. Functional Classification
of Road at Crossing
Yes
No
6. Estimate Percent Trucks

4. Posted Highway Speed

7. Average Number of School Buses
Over Crossing per School Day

OMB approval expires 9/30/2015

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