Form FRA F 6180.178 FRA F 6180.178 Railroad Trespasser Form

Report of Railroad Trespasser Form

2130-0635_RR Trespasser Form 178_Nonsub Changes

Report of Railroad Trespasser--Law Enforcement Agencies Not Receiving Grants

OMB: 2130-0635

Document [docx]
Download: docx | pdf

Shape1 Expires 10/31/2024 OMB Control No. 2130-0635












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/ Not Gathered

Awareness of Trespasser that Trespassing is Illegal

Dropdown with:


Fully Aware

Somewhat Aware

Not Aware

Unknown/ Not Gathered



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/ Not Gathered

FRA F 6180.178 (10/2021)

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.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleREPORT OF RAILROAD TRESPASSER DEATH
AuthorUMPS1
File Modified0000-00-00
File Created2022-03-18

© 2024 OMB.report | Privacy Policy