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pdfU. S. DOT CROSSING INVENTORY FORM (Draft as of 12/11/2014)
DEPARTMENT OF TRANSPORTATION
FEDERAL RAILROAD ADMINISTRATION
OMB No. 2130‐0017
Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway‐rail grade crossings, complete the entire inventory
Form. For private highway‐rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including
pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header,
Parts I and II, and the Submission Information section. For grade‐separated highway‐rail or pathway crossings (including pedestrian station crossings), complete the Header, Part
I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1‐3, and the Submission Information section, in addition to the
updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted. An asterisk * denotes an optional field.
A. Revision Date
B. Reporting Agency
C. Reason for Update (Select only one)
D. DOT Crossing
(MM/DD/YYYY)
Inventory Number
Railroad
Transit Change in New
Closed
No Train
Quiet
_____/_____/_________
Data
Crossing
Traffic
Zone Update
State
Other Re‐Open
Date
Change in Primary Admin.
Change Only Operating RR
Correction
Part I: Location and Classification Information
1. Primary Operating Railroad
2. State
3. County
_____________________________________________________
________________________________
____________________________________
4. City / Municipality
5. Street/Road Name & Block Number
6. Highway Type & No.
In
________________________________| __________________
Near __________________________
(Street/Road Name) |* (Block Number)
_______________________________________
7. Do Other Railroads Operate a Separate Track at Crossing? Yes No
8. Do Other Railroads Operate Over Your Track at Crossing? Yes No
If Yes, Specify RR
If Yes, Specify RR
____________, ____________, ____________, _____________ ____________, ____________, ____________, _____________
9. Railroad Division or Region
10. Railroad Subdivision or District
11. Branch or Line Name
12. RR Milepost
_______|____________|____________
None _______________________ None _______________________
None _______________________
(prefix) | (nnnn.nnn) | (suffix)
13. Line Segment
14. Nearest RR Timetable
15. Parent RR (if applicable)
16. Crossing Owner (if applicable)
*
Station *
N/A _________________________________
_________________________
__________________________
N/A _____________________________
17. Crossing Type
22. Average Passenger
18. Crossing Purpose 19. Crossing Position
20. Public Access
21. Type of Train
Train Count Per Day
Highway
At Grade
(if Private Crossing)
Freight
Transit
Public
Pathway, Ped.
RR Under
Yes
Intercity Passenger Shared Use Transit Less Than One Per Day
Tourist/Other
Private
Number Per Day_____
Station, Ped.
RR Over
No
Commuter
23. Type of Land Use
Open Space Farm Residential Commercial Industrial Institutional Recreational RR Yard
24. Is there an Adjacent Crossing with a Separate Number?
25. Quiet Zone (FRA provided)
Yes No If Yes, Provide Crossing Number __________________
No 24 Hr Partial Chicago Excused Date Established _________________
26. HSR Corridor ID
27. Latitude in decimal degrees
28. Longitude in decimal degrees
29. Lat/Long Source
__________________ N/A
(WGS84 std: nn.nnnnnnn)
(WGS84 std: ‐nnn.nnnnnnn)
Actual Estimated
30.A. Railroad Use *
31.A. State Use *
30.B. Railroad Use *
31.B. State Use *
30.C. Railroad Use *
31.C. State Use *
30.D. Railroad Use *
31.D. State Use *
32.A. Narrative (Railroad Use) *
32.B. Narrative (State Use) *
33. Emergency Notification Telephone No. (posted)
35. State Contact (Telephone No.)
34. Railroad Contact (Telephone No.)
______________________________________
_________________________________
_________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains
1.B. Total Night Thru Trains 1.C. Total Switching Trains
1.D. Total Transit Trains
1.E. Check if Less Than
(6 AM to 6 PM)
(6 PM to 6 AM)
One Movement Per Day
__________
__________
__________
__________
How many trains per week? ______
2. Year of Train Count Data (YYYY)
3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
__________
3.B. Typical Speed Range Over Crossing (mph) From __________ to __________
4. Type and Count of Tracks
Main __________ Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
Constant Warning Time Motion Detection AFO PTC DC Other None
6. Is Track Signaled?
7.A. Event Recorder
7.B. Remote Health Monitoring
Yes No
Yes No
Yes No
FORM FRA F 6180.71 (Rev. 9/14)
OMB approval expires 9/30/2015 Page 1 OF 2
U. S. DOT CROSSING INVENTORY FORM (Draft as of 12/11/2014)
A. Revision Date (MM/DD/YYYY)
D. Crossing Inventory Number (7 char.)
PAGE 2
Part III: Highway or Pathway Traffic Control Device Information
1. Are there
Signs or Signals?
Yes No
2. Types of Passive Traffic Control Devices associated with the Crossing
2.A. Crossbuck
Assemblies (count)
2.E. Low Ground Clearance Sign
(W10‐5)
Yes (count_______)
No
2.B. STOP Signs (R1‐1)
(count)
2.C. YIELD Signs (R1‐2)
(count)
2.F. Pavement Markings
Stop Lines
RR Xing Symbols
Dynamic Envelope
None
2.J. Other MUTCD Signs Yes No
Specify Type _______________
Specify Type _______________
Specify Type _______________
2.D. Advance Warning Signs (Check all that apply; include count) None
W10‐1 ________
W10‐3 ________ W10‐11 __________
W10‐2 ________
W10‐4 ________ W10‐12 __________
2.G. Channelization
2.H. EXEMPT Sign
2.I. ENS Sign (I‐13)
Devices/Medians
(R15‐3)
Displayed
Yes
Yes
All Approaches
Median
No
No
One Approach
None
2.K. Private Crossing
Signs (if private)
Yes No
Count __________
Count __________
Count __________
2.L. LED Enhanced Signs (List types)
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms
3.B. Gate Configuration
3.C. Cantilevered (or Bridged) Flashing Light
3.D. Mast Mounted Flashing Lights
(count)
Structures (count)
(count of masts) _________
2 Quad
Full (Barrier)
Over Traffic Lane _____
Incandescent
Incandescent
LED
Roadway _____ 3 Quad
Resistance
Back Lights Included
Side Lights
Pedestrian _____ 4 Quad
Median Gates
Not Over Traffic Lane _____ LED
Included
3.F. Installation Date of Current
Active Warning Devices: (MM/YYYY)
______/___________ Not Required
3.G. Wayside Horn
Yes
No
Installed on (MM/YYYY) ______/__________
3.J. Non‐Train Active Warning
Flagging/Flagman Manually Operated Signals Watchman Floodlighting None
4.A. Does nearby Hwy
Intersection have
Traffic Signals?
Yes No
4.B. Hwy Traffic Signal
Interconnection
Not Interconnected
For Traffic Signals
For Warning Signs
3.H. Highway Traffic Signals Controlling
Crossing
Yes No
4.C. Hwy Traffic Signal Preemption
Simultaneous
Advance
3.E. Total Count of
Flashing Light Pairs
3.I. Bells
(count)
3.K. Other Flashing Lights or Warning Devices
Count ___________ Specify type ______________________
5. Highway Traffic Pre‐Signals
Yes No
Storage Distance * ____________
Stop Line Distance * ____________
6. Highway Monitoring Devices
(Check all that apply)
Yes ‐ Photo/Video Recording
Yes – Vehicle Presence Detection
None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad One‐way Traffic
2. Is Roadway/Pathway
3. Does Track Run Down a Street?
4. Is Crossing Illuminated? (Street
Two‐way Traffic
Paved?
lights within approx. 50 feet from
Number of Lanes _______ Divided Traffic
Yes No
nearest rail) Yes No
Yes No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
1 Timber 2 Asphalt 3 Asphalt and Timber 4 Concrete 5 Concrete and Rubber 6 Rubber 7 Metal
8 Unconsolidated 9 Composite 10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet?
Yes No If Yes, Approximate Distance (feet) _________________
7. Smallest Crossing Angle
0° – 29° 30° – 59° 60° ‐ 90°
8. Is Commercial Power Available? *
Yes No
Part V: Public Highway Information
3. Is Crossing on State Highway
4. Highway Speed Limit
1. Highway System
2. Functional Classification of Road at Crossing
System?
___________ MPH
(0) Rural (1) Urban
Yes No
Posted Statutory
(01) Interstate Highway System
(1) Interstate (5) Major Collector
(02) Other Nat Hwy System (NHS)
(2) Other Freeways and Expressways
5. Linear Referencing System (LRS Route ID) *
(3) Other Principal Arterial (6) Minor Collector
(03) Federal AID, Not NHS
6. LRS Milepost *
(4) Minor Arterial (7) Local
(08) Non‐Federal Aid
7. Annual Average Daily Traffic (AADT)
8. Estimated Percent Trucks
9. Regularly Used by School Buses?
10. Emergency Services Route
Year _______ AADT _____________
___________________ %
Yes No Average Number per Day ___________
Yes No
Submission Information ‐ This information is used for administrative purposes and is not available on the public website.
Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________
Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130‐0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS‐25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 9/14)
OMB approval expires 9/30/2015 Page 2 OF 2
File Type | application/pdf |
File Title | Microsoft Word - 141211 edit BFG New Inv Form.docx |
Author | brian.gilleran |
File Modified | 2014-12-15 |
File Created | 2014-12-11 |