FRA F 6180.178 Report of Railroad Trespasser Form

Expires 10/31/2024

OMB Control No. 2130-0635

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 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 duringthe
incident.
To protect your privacy and the privacy of others, no Personally Identifiable Information is
required, asked for, or retained.
Reporting Agency
Email Address
City & State of
Reporting Agency

City:
State:

Date of Incident
Time of Incident

Hour

Minute

AM

PM

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.

FRA F 6180.178 (10/21)

OPI: Office of Railroad Safety

Location of Incident
Latitude and Longitude

County:
City:

State:

Railroad Name
SELECT ITEM

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

SELECT ITEM

Age of Trespasser

Ethnicity of Trespasser

(Trespasser to self-identify. If the
trespasser does not self-identify,
“Unknown/Not Gathered” should be
entered by the LEOs.)
Race of Trespasser (Trespasser
to self-identify. If the trespasser does
not self-identify, “Unknown/Not
Gathered” should be entered by the
LEOs.)

Can the trespasser
communicate in English?

FRA F 6180.178 (10/21)

SELECT ITEM

SELECT ITEM

Yes

No

OPI: Office of Railroad Safety

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?

Yes

No

Unknown/
Not Gathered

Frequency of Trespassing (Based
on trespasser’s statements or LEO
Internal database.) How often?

SELECT ITEM

Trespasser Actions (1st actions of

trespasser)

SELECT ITEM

Trespassing Reason
SELECT ITEM

How did the Trespasser
Access the Right-of-Way?
Awareness of Trespasser that
Trespassing isIllegal

SELECT ITEM

SELECT ITEM

Enforcement Action Taken
SELECT ITEM

FRA F 6180.178 (10/21)

OPI: Office of Railroad Safety