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Accident Report Form for Federal Railroad Administration Mobile App

This mobile application is for a railway that has experienced an accident. This application has every detailed information about the accident. This form has fifty-seven (57) pieces of information. The information ranges from name of railway to highway user involved, casualties and signatures. This mobile application is be completed by the reporting railroad and is equipped with signature capture.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Accident Report Form for Federal Railroad Administration Mobile App

Included Features

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  • {{data.title}}

Included Fields

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

  • Ico textbox

    1. Name of Reporting Railroad

  • Ico textbox

    a.

  • Ico textbox

    b.

  • Ico textbox

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

  • Ico textbox

    a.

  • Ico textbox

    b.

  • Ico textbox

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

  • Ico textbox

    a.

  • Ico textbox

    b.

  • Ico textbox

    U.

  • Ico date

    5. Date of Accident/Incident

  • Ico time

    6. Time of Accident/Incident

  • Ico textbox

    7. Nearest Railroad Station

  • Ico textbox

    8. Division

  • Ico textbox

    9. County

  • Ico textbox

    State Abbr.

  • Ico textbox

    Code

  • Ico textbox

    11. City (if in a city)

  • Ico textbox

    12. Highway Name or Number

  • Ico checkbox

    Public

  • Ico checkbox

    Private

  • Ico statictext

    A.

  • Ico textbox

    Code

  • Ico textbox

    Vehicle Speed (est.

  • Ico statictext

    1.

  • Ico textbox

    Code

  • Ico statictext

    1.

  • Ico textbox

    Code

  • ...and More!

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