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Short
Line Railroad Safety Seminar
Thanks
For Coming Law
Enforcement Officer's Grade
Crossing Collision Investigation Checklist
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| Engineer
Information |
Conductor Information |
| Name |
Name |
| Address |
Address |
| DOB |
DOB |
| Phone |
Phone |
| Time of Collision |
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| Train Speed Estimate
at Collision |
Note: Operator's
license number not required on accident report for engineer or
conductor. |
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| Train Information |
Engine Information |
| Lead engine number |
Headlight working? |
| Train ID number (from
conductor) |
Horn working? |
| Number of cars in the
train |
Bell working? |
| Railroad Co.
name/address (owns track) |
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| Name of Railroad Co.
operating train |
Miscellaneous Information |
| Additional Crew
Members |
Railroad car number
on Crossing? |
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Distance to last RR
car from POI/ |
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Witnesses |
AT THIS POINT, IF NO FURTHER
INFORMATION IS REQUIRED, CONSIDER RELEASING THE TRAIN.
<additional information nice to know>
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| Crossing Signals |
Other Crossing Characteristics |
| Light/gate/bell
combination? |
Advance warning signs
in place? |
| Light bell
combination? |
Distance from sign to
nearest rail? |
| Passive warning (crossbucks)? |
Crossing surface
(rubber, asphalt, etc.)? |
| Wig-Wag type? |
DOT/ARR crossing ID
number? |
| Lights flashing/bell
ringing on your arrival? |
Width of right-ofway
(ft.)? |
| Crossing Gates down? |
Visual obstructions
of drivers approach? |
| (if device not
working on arrival, explain) |
Citation given if
warranted (FTY,FTS. etc.)? |
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Federal Railroad
Administration |
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Always
expect a Train |
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www.fra.dot.gov |
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