FRA F 6180.14 False Proceed Signal Report

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

Department Of Transportation
Federal Railroad Administration
FALSE PROCEED SIGNAL REPORT

REPORTING RAILROAD (railroad & region or division)

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

MAIL TO: (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.

TYPE OF SYSTEM

DATE

LOCOMOTIVE
NUMBER

REPORTING OFFICER (signature & title)

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

1 - BLOCK SYSTEMS
AB

APB

TC

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)

FORM FRA F 6180.14 (Rev. 6/03)

OMB approval expires 9/30/2015

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)