Accident/Incident Reporting and Recordkeeping

OMB 2130-0500

OMB 2130-0500

FRA uses the information obtained through its accident/incident regulations to maintain a current and historical databased so that it can monitor the safety and operational practices of the nation's railroads; to identify and promptly ameliorate hazardous conditions associated with rail transportation; and to assure compliance with Federal railroad safety laws.

The latest form for Accident/Incident Reporting and Recordkeeping expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Supplementary Document
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Supporting Statement A
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All Historical Document Collections
Approved with change
Extension without change of a currently approved collection 2023-07-24
Approved without change
No material or nonsubstantive change to a currently approved collection 2021-11-29
Approved with change
Extension without change of a currently approved collection 2021-05-18
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-06-11
Approved without change
Revision of a currently approved collection 2018-04-17
Approved without change
Extension without change of a currently approved collection 2017-03-16
Approved without change
Extension without change of a currently approved collection 2017-02-28
Approved with change
Revision of a currently approved collection 2015-11-30
Approved without change
No material or nonsubstantive change to a currently approved collection 2014-06-16
Approved with change
Revision of a currently approved collection 2014-01-30
Approved without change
Revision of a currently approved collection 2010-11-10
Comment filed on proposed rule and continue
Revision of a currently approved collection 2008-09-30
Approved without change
Revision of a currently approved collection 2007-12-21
Approved without change
Extension without change of a currently approved collection 2006-02-27
Approved without change
Revision of a currently approved collection 2003-03-03
Approved without change
Revision of a currently approved collection 2002-10-09
Approved without change
Extension without change of a currently approved collection 2000-04-27
Approved without change
Revision of a currently approved collection 1997-04-01
Approved without change
Revision of a currently approved collection 1996-06-17
Approved without change
Revision of a currently approved collection 1994-09-20
Approved without change
Revision of a currently approved collection 1993-12-17
Approved without change
Revision of a currently approved collection 1990-12-17
Approved without change
Reinstatement with change of a previously approved collection 1988-05-25
Approved without change
Revision of a currently approved collection 1985-05-23
Approved without change
Revision of a currently approved collection 1983-11-25
Approved without change
New collection (Request for a new OMB Control Number) 1981-12-21
OMB Details

Accident/Incident Reporting and Recordkeeping

Federal Enterprise Architecture: Transportation - Ground Transportation

Form FRA F 6180.54Rail Equipment Accident/Incident Report/safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx Form
Form FRA F 6180.107Alternate Record for Illness Claimed to Be Work Relatedsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.55Railroad Injury and Illness Summarysafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.98Railroad Employee Injury and/or Illness Recordsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.150Highway User Injury Inquiry Formsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.97Initial Rail Equipment Accident/Incident Recordsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.81Employee Human Factor Attachmentsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.78Notice to Railroad Employee Involved in Rail Equipment Accident/Incident Attributed to Employee Human Factorsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.57Highway Rail-Grade Crossing Accident/Incident Reportsafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.56Annual Railroad Report of Employee Hours and Casualties by Statesafetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm
Form FRA F 6180.55aRailroad Injury and Illness Summary (Continuation Sheet)safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspxForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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