Form FRA F 6180.178 FRA F 6180.178 Railroad Trespasser Form (Digital Version)

Report of Railroad Trespasser Form

6180.178 Railroad Trespasser Form

Report of Railroad Trespasser--Law Enforcement Agencies Receiving Grants

OMB: 2130-0635

Document [pdf]
Download: pdf | pdf
Expires XX/XX/XXXX
OMB Control No. 2130-XXXX
Public reporting burden for this information collection is estimated to average 10 minutes per response, including
the time for reading, 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 and its
implementing regulations, a respondent is not required to respond to, conduct, or sponsor a collection of
information that does not display a currently valid OMB control number. FRA intends to obtain such OMB
approval for all activities within this collection of information. All responses to this collection of information are
mandatory for the grantees and voluntary for all others. Send comments regarding this burden estimate or any
other aspect of this collection, including suggestions for reducing this burden to: Information Collection Clearance
Officer, Federal Railroad Administration, Office of Railroad Safety, Regulatory Analysis Division, 1200 New
Jersey Ave S.E., Washington D.C. 20590.

REPORT OF RAILROAD TRESPASSER FORM
INFORMATION BELOW TO BE PROVIDED BY LAW ENFORCEMENT REGARDING
RAIL TRESPASSING/ENFORCEMENT ACTIVITIES
This form will be used by law enforcement agencies that perform rail trespassing enforcement
activities to report those activities to the Federal Railroad Administration (FRA). The activities
undertaken will help to reduce the number of trespasser incidents and also help FRA target and
determine the effectiveness of various rail trespass prevention activities. 1 Please complete and
submit one form per trespassing incident regardless of the number of trespassers observed during
the incident.
To protect your privacy and the privacy of others, no Personally Identifiable Information is
required, asked for, or retained.
Reporting Agency
Required for grantees, but voluntary for nongrantees
(Will auto-populate for grantees based on user
name and password)
Email Address

Required for grantees, but voluntary for nongrantees
(Will auto-populate for grantees based on user
name and password)

City & State of Reporting Agency

Required for grantees, but voluntary for nongrantees
(Will auto-populate for grantees based on user
name and password)

Date of Incident

Dropdown with a date format

Please be advised that completing this form does not fulfill a railroad’s accident/incident reporting requirements
under Title 49 of the Code of Federal Regulations Part 225 (Part 225). A railroad must still submit any and all forms
for an accident/incident that are required under Part 225.

1

Time of Incident

Dropdown with 24-hour time format

Location of Incident

Dropdown with: (will auto-populate for grantees
based on user name and password)
County
City
State

Latitude and Longitude
Railroad Name

Dropdown with:
Amtrak (ATK)
BNSF Railway (BNSF)
CSX Transportation (CSX)
Canadian National (CN)
Canadian Pacific (CP)
Kansas City Southern (KCS)
Norfolk Southern (NS)
Union Pacific (UP)
Other (This option will allow for
respondent to manually enter an answer)

Railroad Division/Subdivision
Nearest Milepost
Nearest Grade Crossing (U.S. DOT
Crossing Inventory # or Street Name)

If more than one, will auto populate additional
fields below

Number of Trespassers Observed
Number of Trespassers Interviewed
Gender of Trespasser

Required field for grantees, but voluntary for
non-grantees
Dropdown with:
Male

Female
Other
Unknown
Age of Trespasser

Required field for grantees, but voluntary for
non-grantees
(Unknown is also an option.)

Race/Ethnicity of Trespasser

Required for grantees, but voluntary for nongrantees
Dropdown with:
American Indian or Alaska Native
Asian
Black or African American
White
Hispanic or Latino
Native Hawaiian or Other Pacific
Islander
Other
Unknown

Does the trespasser appear to be
intoxicated?

Voluntary for grantees and non-grantees
Dropdown with:
Yes
No
Unknown

Incident description. Please provide any information about what the trespasser(s) was/were
doing or trying to do at the time of the incident in the space provided below (e.g., getting on or
off train, sleeping, walking, etc.).
Frequency of Trespassing

Dropdown with:
Rarely

Hourly
Daily
Weekly
Monthly
Unknown
Trespasser Actions

Dropdown with:
Walking across the tracks
Walking along the tracks
Recreation
Criminal activity
Homeless/encampment
Contemplating suicide
Other (This option will allow for
respondent to manually enter an answer)
Unknown

How did the Trespasser Access the Rightof-Way?

Dropdown with:
No barrier to prevent access
Accessed at a legal grade crossing
Went over or through barrier
Other
Unknown

Awareness of Trespasser that Trespassing is
Illegal

Dropdown with:
Highly likely
Likely
Unlikely

Unknown
Enforcement Action Taken

(check all that apply)
Warning
Issued summons/citation and release
Arrested for trespassing
Arrested for non-trespassing crime
discovered while interviewing subject
Referred for mental health evaluation
Referred to social services
Other (This option will allow for
respondent to manually enter an answer)
None
Unknown

Repeat Offender

Dropdown with:
Yes
No
Unknown

FRA F 6180.178 (03/2021)


File Typeapplication/pdf
File TitleREPORT OF RAILROAD TRESPASSER DEATH
AuthorUMPS1
File Modified2021-06-10
File Created2021-06-10

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