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 |
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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 |
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Nearest Milepost |
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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 |
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Number of Trespassers Interviewed |
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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: |
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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”).
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 Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | REPORT OF RAILROAD TRESPASSER DEATH |
Author | UMPS1 |
File Modified | 0000-00-00 |
File Created | 2024-07-20 |