Highway-Rail Grade Crossing Accident/Incident Report OMB Approval No. 2130-500
Form Template
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.
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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.
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