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

U.S. DOT Crossing Inventory Form

DOT Crossing Inventorry Form 3-20-15

U.S. DOT Crossing Inventory Form

OMB: 2130-0017

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DEPARTMENT OF TRANSPORTATION

U. S. DOT CROSSING INVENTORY FORM
OMB No. 2130-0017

FEDERAL RAILROAD ADMINISTRATION

Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway-rail grade crossings, complete the entire inventory
Form. For private highway-rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including
pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header,
Parts I and II, and the Submission Information section. For grade-separated highway-rail or pathway crossings (including pedestrian station crossings), complete the Header, Part
I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the
updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted.
An asterisk * denotes an optional field.
A. Revision Date
B. Reporting Agency
C. Reason for Update (Select only one)
D. DOT Crossing
(MM/DD/YYYY)
Inventory Number
 Railroad
 Transit
 Change in
 New
 Closed
 No Train
 Quiet
_____/_____/_________
Data
Crossing
Traffic
Zone Update
 State
 Other
 Re-Open
 Date
 Change in Primary
 Admin.
Change Only
Operating RR
Correction

Part I: Location and Classification Information

1. Primary Operating Railroad
2. State
3. County
_____________________________________________________
________________________________
____________________________________
4. City / Municipality
5. Street/Road Name & Block Number
6. Highway Type & No.
 In
________________________________| __________________
 Near
__________________________
(Street/Road Name)
|* (Block Number)
_______________________________________
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  No
8. Do Other Railroads Operate Over Your Track at Crossing?  Yes  No
If Yes, Specify RR
If Yes, Specify RR
____________, ____________, ____________, _____________
____________, ____________, ____________, _____________
9. Railroad Division or Region
10. Railroad Subdivision or District
11. Branch or Line Name
12. RR Milepost
_______|____________|____________
 None
_______________________
 None
_______________________
 None
_______________________
(prefix) | (nnnn.nnn)
| (suffix)
13. Line Segment
14. Nearest RR Timetable
15. Parent RR (if applicable)
16. Crossing Owner (if applicable)
*
Station
*
_________________________
__________________________
 N/A
_____________________________
 N/A
_________________________________
17. Crossing Type
18. Crossing Purpose
19. Crossing Position
20. Public Access
21. Type of Train
22. Average Passenger
 Highway
 At Grade
(if Private Crossing)
 Freight
 Transit
Train Count Per Day
 Less Than One Per Day
 Public
 Pathway, Ped.
 RR Under
 Yes
 Intercity Passenger
 Shared Use Transit
 Private
 Station, Ped.
 RR Over
 No
 Commuter
 Tourist/Other
 Number Per Day_____
23. Type of Land Use
 Open Space
 Farm
 Residential
 Commercial
 Industrial
 Institutional
 Recreational
 RR Yard
24. Is there an Adjacent Crossing with a Separate Number?
25. Quiet Zone (FRA provided)
 Yes  No
If Yes, Provide Crossing Number __________________
26. HSR Corridor ID
27. Latitude in decimal degrees
__________________ N/A
30.A. Railroad Use *

(WGS84 std: nn.nnnnnnn)

 No

 24 Hr  Partial  Chicago Excused
28. Longitude in decimal degrees
(WGS84 std: -nnn.nnnnnnn)
31.A. State Use *

30.B. Railroad Use *

31.B. State Use *

30.C. Railroad Use *

31.C. State Use *

30.D. Railroad Use *

31.D. State Use *

32.A. Narrative (Railroad Use) *

32.B. Narrative (State Use) *

Date Established _________________
29. Lat/Long Source
 Actual

 Estimated

33. Emergency Notification Telephone No. (posted)

34. Railroad Contact (Telephone No.)

35. State Contact (Telephone No.)

_________________________________

______________________________________

_________________________________

Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains
1.B. Total Night Thru Trains
1.C. Total Switching Trains
1.D. Total Transit Trains
1.E. Check if Less Than
(6 AM to 6 PM)
(6 PM to 6 AM)
One Movement Per Day

__________
__________
__________
__________
How many trains per week? ______
2. Year of Train Count Data (YYYY)
3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
__________
3.B. Typical Speed Range Over Crossing (mph) From __________ to __________
4. Type and Count of Tracks
Main __________ Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  None
6. Is Track Signaled?
7.A. Event Recorder
 Yes  No
 Yes  No

FORM FRA F 6180.71 (Rev. 3/15)

OMB approval expires 3/31/2018

7.B. Remote Health Monitoring
 Yes  No

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U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY)

D. Crossing Inventory Number (7 char.)

PAGE 2

Part III: Highway or Pathway Traffic Control Device Information
1. Are there
Signs or Signals?
 Yes  No

2. Types of Passive Traffic Control Devices associated with the Crossing
2.A. Crossbuck
Assemblies (count)

2.E. Low Ground Clearance Sign
(W10-5)
 Yes (count_______)
 No
2.J. Other MUTCD Signs
Specify Type _______________
Specify Type _______________
Specify Type _______________

2.B. STOP Signs (R1-1)
(count)

2.C. YIELD Signs (R1-2)
(count)

2.F. Pavement Markings
 Stop Lines
 RR Xing Symbols
 Yes  No

Dynamic Envelope
 None

2.D. Advance Warning Signs (Check all that apply; include count)
 None
 W10-1 ________
 W10-3 ________  W10-11 __________
 W10-2 ________
 W10-4 ________  W10-12 __________
2.G. Channelization
2.H. EXEMPT Sign
2.I. ENS Sign (I-13)
Devices/Medians
(R15-3)
Displayed
 Yes
 Yes
 All Approaches
 Median
 No
 No
 One Approach
 None
2.K. Private Crossing
Signs (if private)

Count __________
Count __________
Count __________

2.L. LED Enhanced Signs (List types)

 Yes  No

3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms
3.B. Gate Configuration
3.C. Cantilevered (or Bridged) Flashing Light
3.D. Mast Mounted Flashing Lights
(count)
Structures (count)
(count of masts) _________
 2 Quad
 Full (Barrier)
Over Traffic Lane
_____
 Incandescent
 Incandescent
 LED
Roadway _____
 3 Quad
Resistance
 Back Lights Included
 Side Lights
Pedestrian _____  4 Quad
 Median Gates
Not Over Traffic Lane _____
 LED
Included
3.F. Installation Date of Current
Active Warning Devices: (MM/YYYY)
______/___________
 Not Required

3.G. Wayside Horn
 Yes
 No

4.A. Does nearby Hwy
Intersection have
Traffic Signals?
 Yes  No

4.B. Hwy Traffic Signal
Interconnection
 Not Interconnected
 For Traffic Signals
 For Warning Signs

3.H. Highway Traffic Signals Controlling
Crossing
 Yes  No

Installed on (MM/YYYY) ______/__________

3.J. Non-Train Active Warning
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None

3.E. Total Count of
Flashing Light Pairs

3.I. Bells
(count)

3.K. Other Flashing Lights or Warning Devices
Count ___________ Specify type ______________________

4.C. Hwy Traffic Signal Preemption

5. Highway Traffic Pre-Signals
 Yes  No

 Simultaneous
 Advance

Storage Distance * ____________
Stop Line Distance * ____________

6. Highway Monitoring Devices
(Check all that apply)
 Yes - Photo/Video Recording
 Yes – Vehicle Presence Detection
 None

Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic
2. Is Roadway/Pathway
3. Does Track Run Down a Street?
4. Is Crossing Illuminated? (Street
 Two-way Traffic
Paved?
lights within approx. 50 feet from
Number of Lanes _______
 Divided Traffic
 Yes
 No
 Yes
 No
nearest rail)  Yes
 No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet?
 Yes

 No

8. Is Commercial Power Available? *

7. Smallest Crossing Angle

If Yes, Approximate Distance (feet) _________________

 0° – 29°

 30° – 59°

Part V: Public Highway Information

 60° - 90°

 Yes

 No

1. Highway System

2. Functional Classification of Road at Crossing
3. Is Crossing on State Highway
4. Highway Speed Limit
 (0) Rural  (1) Urban
System?
___________ MPH
 Yes  No
 (01) Interstate Highway System
 (1) Interstate
 (5) Major Collector
 Posted  Statutory
 (02) Other Nat Hwy System (NHS)
 (2) Other Freeways and Expressways
5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS
 (3) Other Principal Arterial  (6) Minor Collector
6. LRS Milepost *
 (08) Non-Federal Aid
 (4) Minor Arterial
 (7) Local
7. Annual Average Daily Traffic (AADT)
8. Estimated Percent Trucks
9. Regularly Used by School Buses?
10. Emergency Services Route
Year _______ AADT _____________
___________________ %
 Yes
 No Average Number per Day ___________
 Yes
 No

Submission Information - This information is used for administrative purposes and is not available on the public website.
Submitted by __________________________________

Organization _______________________________________

Phone _______________

Date _____________

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, 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 information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.

FORM FRA F 6180.71 (Rev. 3/15)

OMB approval expires 3/31/2018

Page 2 OF 2


File Typeapplication/pdf
AuthorGilleran, Brian (FRA)
File Modified2015-03-20
File Created2015-03-05

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