FRA F 6180.178 Railroad Trespasser Form

Expires XX/XX/XXXX OMB Control No. 2130-XXXX

REPORT OF RAILROAD TRESPASSER FORM

INFORMATION BELOW TO BE PROVIDED BY LAW ENFORCEMENT REGARDING RAIL TRESPASSING/ENFORCEMENT ACTIVITIES

This form will be used only by law enforcement agencies (LEOs) that perform rail trespassing enforcement activities to report those activities to the Federal Railroad Administration (FRA). LEOs receiving FRA grant funding are required to fill out FRA F 6180.178. Other LEOs not receiving grant funding may voluntarily provide this data to 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 non- grantees (Will auto-populate for grantees based on user name and password)
Email Address	Required for grantees, but voluntary for non- grantees (Will auto-populate for grantees based on user name and password)
City & State of Reporting Agency	Required for grantees, but voluntary for non- grantees (Will auto-populate for grantees based on user name and password)
Date of Incident	Dropdown with a date format
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 (Trespasser to self-identify. If the trespasser does not self-identify, “Unknown/Not Gathered” should be entered by the LEOs.)	Required field for grantees, but voluntary for non-grantees Dropdown with: Male

	Female Other Unknown/Not Gathered
Age of Trespasser	Required field for grantees, but voluntary for non-grantees (Unknown/Not Gathered is also an option.)
Ethnicity of Trespasser (Trespasser to self-identify. If the trespasser does not self-identify, “Unknown/Not Gathered” should be entered by the LEOs.)	Required for grantees, but voluntary for non- grantees Dropdown with: Hispanic or Latino Not Hispanic or Latino Unknown/Not Gathered
Race of Trespasser (Trespasser to self-identify. If the trespasser does not self-identify, “Unknown/Not Gathered” should be entered by the LEOs.)	Required for grantees, but voluntary for non- grantees (select all that apply): American Indian or Alaska Native Asian Black or African American White Native Hawaiian or Other Pacific Islander Other Unknown/Not Gathered
Can the trespasser communicate in English?	Dropdown with: Yes No Unknown/Not Gathered

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., walking across the tracks, walking along the tracks, recreation activities, or other etc. under “Trespasser Actions”).

Does the trespasser appear to be intoxicated?	Voluntary for grantees and non-grantees Dropdown with: Yes No Unknown/ Not Gathered
Frequency of Trespassing (Based on trespasser’s statements or LEO Internal database.) How often?	Dropdown with: Rarely Hourly Daily Weekly Monthly Unknown/ Not Gathered
Trespasser Actions (1st actions of trespasser)	(select all that apply) Walking across the tracks Walking along the tracks Recreation activities Other (This option will allow for respondent to manually enter an answer) Unknown/ Not Gathered
Trespassing Reason	Criminal activity Homeless/encampment Contemplating suicide Short cut Other (This option will allow for respondent to manually enter an answer) Unknown/ Not Gathered
How did the Trespasser Access the Right- of-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 Highly unlikely Unsure

Enforcement Action Taken

(select 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

FRA F 6180.178 (03/2021)

1 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.