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Highway-Rail Grade Crossing Accident/Incident Report OMB Approval No. 2130-500 Mobile App

This is the official Highway-Rail Grade Crossing Accident/Incident Report for Federal Railroad Administration and records railroad accident information such as: the Name of Reporting Railroad, U.S. Dot Grade Identification Number, Type of Highway User involved, Estimated Vehicle Speed at Time of Impact, and more. This digital form also qualifies for OMB Approval No. 2130-500.

  • Lendlease
  • The Cooperative
  • PG&E
  • Toys R Us
  • Red Bull
  • Mirvac

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Take a peek inside the Highway-Rail Grade Crossing Accident/Incident Report OMB Approval No. 2130-500 Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    1. Name of Reporting Railroad

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    a.

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    b.

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    2. Name of Other Railroad Involved in Train Accident/Incident

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    a.

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    b.

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    3. Name of Railroad Responsible for Track Maintenance (single entry)

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    a.

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    b.

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    U.

  • Ico date

    5. Date of Accident/Incident

  • Ico time

    6. Time of Accident/Incident

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    7. Nearest Railroad Station

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    8. Division

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    9. Country

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    State Abbr.

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    11. City (if in a city)

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    12. Highway Name or Number

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    a.

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    Highway User Involved

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    13. Type

  • Ico textbox

    a.

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    Vehcile Speed (est.

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    15. Direction (geographical)

  • Ico dropdown

    16. Position

  • Ico statictext

    Rail Equipment Involved

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    17. Equipment

  • ...and More!

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