Form FRA F 6180.179 FRA F 6180.179 Errors and Malfunctions Notification Form Instructions

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Overview

PRA Notice
Form Instructions
Form FRA F6180.179

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Sheet 1: PRA Notice

Form FRA F 6180.179

OMB Control No. 2130-0553

49 CFR § 236.1023, Errors and Malfunctions PRA Notice

Public reporting burden for this information collection is estimated to average 7.5 hours 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 respond 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 Office of Management and Budget (OMB) control number. The valid OMB control number for this information collection is 2130-0553. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to OMB's Office of Information and Regulatory Affairs, Attn: FRA OMB Desk Officer. In any comments, please reference OMB Control No. 2130-0553, Docket No. FRA-2019-0075, and Regulation Identifier No. 2130-AC75.

OMB Approval Granted: MM/DD/YYYY

OMB Approval Expires: MM/DD/YYYY

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Sheet 2: Form Instructions

			Form FRA F 6180.179
			OMB Control No. 2130-0553
	See 49 CFR § 236.1023 for the complete list of regulatory requirements for vendors' and railroads' reporting PTC Errors and Malfunctions (Form FRA F6180.179).
	Reporting Deadlines Under 49 CFR § 236.1023 (f) (1)
	Reporting Railroad, Supplier, or Vendor: Each notification to FRA required by this section shall be made within 15 days after the vendor, supplier, or railroad discovers the failure, malfunction, or defective condition. However, a notification that is due on a Saturday or a Sunday may be delivered on the following Monday and one that is due on a holiday may be delivered on the next business day.
	General Instructions
	1. There is one (1) sheet in this Excel file that must be populated with data for a valid submission, sheet labeled "Form FRA F6180.179". Fill out all information that you have knowledge of. If you do not know, leave blank. 2. See 49 CFR § 236.1023(a)-(k) for the complete list of regulatory requirements for railroads' 49 CFR § 236.1023, Errors and Malfunctions Notifications (Form FRA F6180.179).
	Submission Instructions
	Save the file once all fields in sheet "49 CFR § 236.1023" are populated with the proper data associated with 49 CFR § 236.1023. Send this saved Excel file via email to the following FRA email:
	FRAPart2361023Notification@dot.gov
	The grid below explains the fields in the Notification Form
		Field Name	Field Explanation
	a.	Reporting Railroad, Supplier, or Vendor	Select the Railroad, Supplier, or Vendor who is reporting the failure. If not found in dropdown, manually enter the Railroad, Supplier, or Vendor in the field below. Railroad, Supplier, or Vendor names should appear exactly as it appears in the railroad's PTC Implementation Plan.
	b.	Railroad, Supplier, or Vendor with Original Failure	Select the Railroad, Supplier, or Vendor who experienced the orignial failure. If not found in dropdown, manually enter the Railroad, Supplier, or Vendor that experienced the original failure. Railroad, Supplier, or Vendor names should appear exactly as it appears in the railroad's PTC Implementation Plan.
	c.1	Affected Railroad, Supplier, or Vendor	Select the Railroad, Supplier, or Vendor whose PTC system or interoperability was or may be affected by the reportable issue in addition to the inital railroad. If not found in dropdown, navigate to row c.2 and manually enter the Railroad, Supplier, or Vendor whose PTC system or interoperability was or may be affected by the reportable issue. Railroad, Supplier, or Vendor names should appear exactly as it appears in the railroad's PTC Implementation Plan.
	c.2	Additional Affected Railroad(s), Supplier(s), or Vendor(s)	If not listed above, manually enter the Railroad, Supplier, or Vendor whose PTC system or interoperability was or may be affected by the reportable issue. Railroad, Supplier, or Vendor names should appear exactly as it appears in the railroad's PTC Implementation Plan.
	d.	Notified Affected Railroad(s), Supplier(s), or Vendor(s)	Select Yes if all the Railroad(s), Supplier(s), and Vendor(s) affected have been notified, else select No.
	e.	Synopsis	Manually enter a brief summary of the failure. The cell grows larger as more text is written.
	f.	PTC System Type	Select the type of FRA-certified PTC system. If not listed, select N/A and fill in below.
	g.	Type of Reportable Issue	Select which type of reportable issue is being reported.
	h.	Vendor or Supplier	Select the vendor(s) which provided the PTC software and/or hardware. If multiple, use the additional cell provided below dropdown. If none listed in dropdown, select N/A and fill in the additional cell.
	i.	Date Reported to FRA	Select the date the reporting railroad, supplier, or vendor reported the failure to FRA.
	j.	Date of Reportable Issue	Select the date the vendor or railroad was informed of the reportable issue.
	k.	Software Version	Manually enter the version of software in which the reportable issue was found (e.g., 2.1).
	l.	PTC Subsystem	Select the PTC Subsystem of the reported issue. Then write the component of the subsystem in the cell below.
	m.	Track Segment	Manually enter the PTC-governed track segment (e.g., territory, subdivision, district, main line, branch, or corridor) where the reported issue occurred, as it appears in the railroad's PTC Implementation Plan. If unknown, write N/A.
	n.	Milepost	Manually enter the milepost at which the reported issue occurred at, if applicable. Only use numerical values. If unknown, write N/A.
	o.	Equipment Category	Select which equipment category the reported issue relates to.
	p.	Equipment-Specific Problem	If the error/malfunction is specific to certain equipment, manually enter which equipment.
	q.	Nature of the Failure	Select the nature of the failure.
	r.	Description of Failure	Manually enter the details for the failure that occurred and both human and technical root causes. The cell grows larger as more text is written.
	s.	Mitigation Taken	Mitigation taken to ensure the safety of train operation, railroad employees, and the public. The cell grows larger as more text is written.
	t.	Estimated Date to Correct Failure	Select the estimated date the reported issue will be resolved. This is a required cell to submit the form.
	u.	Optional	Include any external documents that may assist the FRA with understanding the reported issue.
	The grid below explains the acronyms found in the Notification Form
	Acronym		Acronym String of Words
	ACSES II		Advanced Civil Speed Enforcement System
	ASES II		Advanced Speed Enforcement System
	CBTC		Communication Based Train Control System
	E-ATC		Enhanced Automatic Train Control
	EDU		Engineer Display Unit
	GE		General Electric
	I-ETMS		Interoperable Electronic Train Management System
	ITCS		Incremental Train Control System
	OBC		Onboard Computer
	VLC		Vital Logic Controller
	WIU		Wayside Interface Unit

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Sheet 3: Form FRA F6180.179

		Form FRA F 6180.179
49 CFR § 236.1023, Errors and Malfunctions Notification Form
Office of Railroad Safety
Please refer to Form Instructions sheet to complete the following fields:
a.	Reporting Railroad, Supplier, or Vendor **as it appears in PTCIP	Select a value from the dropdown on the right
		Enter railroad, supplier, or vendor if not listed above
b.	Railroad, Supplier, or Vendor with Original Failure **as it appears in PTCIP	Select a value from the dropdown on the right
		Enter railroad, supplier, or vendor if not listed above
c.1	Affected Railroad, Supplier, or Vendor	Select a value from the dropdown on the right
		Select a value from the dropdown on the right
		Select a value from the dropdown on the right
		Select a value from the dropdown on the right
		Select a value from the dropdown on the right
c.2	Additional Affected Railroad(s), Supplier(s), or Vendor(s) **as it appears in PTCIP	Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
		Enter if not listed above and/or enter any additional affected railroad(s), supplier(s), or vendor(s)
d.	Notified Affected Railroad(s), Supplier(s), or Vendor(s)	Select a value from the dropdown on the right
e.	Synopsis	Enter a synopsis of the reportable issue
f.	PTC System Type	Select a value from the dropdown on the right
		Enter any FRA Certified PTC System Type not listed above
g.	Type of Reportable Issue	Select a value from the dropdown on the right
h.	Vendor or Supplier	Select a value from the dropdown on the right
		Enter any Vendor or supplier not listed above
i.	Date Reported to FRA (MM/DD/YYYY)
j.	Date of Reportable Issue (MM/DD/YYYY)
k.	Software Version	Enter the Software Version
l.	PTC Subsystem	Select a value from the dropdown on the right
		Enter the component of the PTC Subsystem selected above
m.	Track Segment	Enter the Track Segment, or N/A if unknown
n.	Milepost	Enter the Milepost, or N/A if unknown
o.	Equipment Category	Select a value from the dropdown on the right
p.	Equipment-Specific Problem	Enter the Equipment-Specific Problem
q.	Nature of Failure	Select a value from the dropdown on the right
		If selected Other above, fill in brief description of Nature of Failure.
r.	Description of Failure	Enter the Description of Failure
s.	Mitigation Taken	Enter the Mitigation Taken
t.	Estimated Date to Correct Failure (MM/DD/YYYY)
u.	Optional	Include any external documents that may assist the FRA with understanding the reported issue