DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. ATK Amtrak (National Railroad Passenger Corporation) [ATK] 155431 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 0918HO043 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision HOUSTON 11. City 0 1 A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 0 PM Code TX Public 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle 10. State Abbr. 48 Private Rail Equipment Involved 13. Type F. Bus AM 1:33 CRAVENS ROAD Highway User Involved C. Truck-trailer 2018 FORT BEND 12. Highway Name or No. MISSOURI CITY year day 2 9. County GLIDDEN (if in a city) 9 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 1 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 93 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 2 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAIN # 2 2 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 3 30. Consist Speed (Recorded speed if available) R. Recorded 57 mph E. Estimated 29. Number of Cars Locomotive Units 2 7 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 1 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 4 2. Female 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $50,000 75 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 1 53b. Special Study Block TRAIN 2 OPERATING WITH LOCOMOTIVES E/113-E/168 AND 7 CARS STRUCK AN OCCUPIED TRACTOR-TRAILER AT MP 17.5, CRAVENS RD CROSSING. THERE WERE NO INJURIES TO REPORT. HIGHWAY USER AGE AND GENDER UNKNOWN. 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. KCS Kansas City Southern Railway Company [KCS] 18090402 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] XXX UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 0 4 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 0 10. State Abbr. PM Code TX Public SOUTH CRAVENS RD 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 11:19 48 Private Rail Equipment Involved 13. Type F. Bus 2018 FORT BEND Highway User Involved C. Truck-trailer year day 0 9. County GLIDDEN MISSOURI CITY 9 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 80 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 3 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) SINGLE MAIN 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code TRACK 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 29. Number of Cars Locomotive Units 2 66 30. Consist Speed (Recorded speed if available) R. Recorded 49 mph E. Estimated 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 (See reverse side for instructions and codes) Code 06 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code B 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 4 32 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $500 2 53b. Special Study Block 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 0 TRUCK ON XING BEFORE TRAIN ARRIVED. TRUCK COULDNT MOVE OFF OF XING DUE TO TRAFFIC. GATES CAME DOWN & DID NOT STRIKE THE TRUCK. TRAIN STRUCK TRUCK FOULING THE TRACK. UP TRACK COSTS $132 MP 17.62 GLIDDEN SUBDIVISION 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 0917HO029 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 0917HO029 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 0 9 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 0 10. State Abbr. PM Code TX Public CRAVENS 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 7:10 48 Private Rail Equipment Involved 13. Type F. Bus 2017 FORT BEND Highway User Involved C. Truck-trailer year day 2 9. County GLIDDEN SUB MISSOURI CITY 9 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 82 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 1 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAIN LINE 2 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 30. Consist Speed (Recorded speed if available) R. Recorded 40 mph E. Estimated 29. Number of Cars Locomotive Units 3 95 32. Type of Warning Code(s) R 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 04 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 5 51 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $5,000 3 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block TRAIN STRUCK TRACTOR TRAILER WHICH WAS STOPPED ON CROSSING. 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 0817HO021 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 0817HO021 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 0 1 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 5 10. State Abbr. PM Code TX Public SOUTH CRAVENS ROAD 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 1:10 48 Private Rail Equipment Involved 13. Type F. Bus 2017 FORT BEND Highway User Involved C. Truck-trailer year day 1 9. County GLIDDEN SUB MISSOURI CITY 8 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 3 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 86 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 2 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAIN LINE 2 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 29. Number of Cars Locomotive Units 3 106 30. Consist Speed (Recorded speed if available) R. Recorded 25 mph E. Estimated 32. Type of Warning Code(s) R 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 4 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 1 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 5 47 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $5,000 2 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block HIGHWAY USER STOPPED ON CROSSING PRIOR TO THE GATES ACTIVATING. HIGHWAY USER'S ACTIONS: STOPPED ON CROSSING (BEFORE GATES DESCENDED) 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 1116HO014 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 1116HO014 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City 1 1 D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle A. Auto 16. Position PM Code TX Public 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West 14. Vehicle Speed (est. mph at impact) 10. State Abbr. 48 Private Rail Equipment Involved 13. Type H. Motorcycle AM 10:50 CRAVENS RD Highway User Involved F. Bus 2016 FORT BEND 12. Highway Name or No. C. Truck-trailer year day 1 9. County GLIDDEN SUB (if in a city) 1 6. Time of Accident/Incident Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 4 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 80 Code 23. Weather (single entry) 4 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 1 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAIN 2 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 29. Number of Cars Locomotive Units 1 102 30. Consist Speed (Recorded speed if available) R. Recorded 43 mph E. Estimated 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 03 9. Watchman 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 1 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 5 68 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 1 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $25,000 2 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 2 Code 1 53b. Special Study Block FED EX TRUCK WAS FOULING THE CROSSING AS IT WAS WAITING FOR THE TRAFFIC TO CLEAR UP ON THE SOUTH MAIN STREET. THE DRIVER AND PASSENGER IN THIS TRUCK WERE NOT INJURED BUT A PERSON SITTING IN A NEARBY VEHICLE ON THE HIGHWAY WAS INJURED WHEN A PACKAGE FROM THE FED EX TRUCK STRUCK HER VEHICLE AFTER THE TRAIN STRUCK THE FED EX TRUCK. INJURED PERSON WAS NOT ON THE CROSSING AT THE TIME OF THE INCIDENT. 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 0816HO015 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 0816HO015 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 0 5 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 0 10. State Abbr. PM Code TX Public CRAVENS ROAD 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 10:05 48 Private Rail Equipment Involved 13. Type F. Bus 2016 FORT BEND Highway User Involved C. Truck-trailer year day 0 9. County GILIDDEN SUB MISSOURI CITY 8 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 92 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 1 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) GLIDDEN SUB 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 30. Consist Speed (Recorded speed if available) R. Recorded 27 mph E. Estimated 29. Number of Cars Locomotive Units 5 105 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 4 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 3 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 5 30 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $11,000 3 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block SEMI TRUCK WAS STOPPED ON THE CROSSING PRIOR TO THE ACTIVATED GATES DESCENDING. 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 1015HO014 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 1015HO014 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 1 4 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 4 10. State Abbr. PM Code TX Public CRAVEN RD 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 12:40 48 Private Rail Equipment Involved 13. Type F. Bus 2015 FORT BEND Highway User Involved C. Truck-trailer year day 1 9. County GLIDDEN SUB MISSOURI CITY 0 6. Time of Accident/Incident Code (specify) A 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 3 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 4 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 80 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 1 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAINLINE 2 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 29. Number of Cars Locomotive Units 2 63 30. Consist Speed (Recorded speed if available) R. Recorded 41 mph E. Estimated 32. Type of Warning Code(s) R 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 1 47 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 2 1 1 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $10,000 2 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 2 Code 1 53b. Special Study Block DRIVER DROVE AROUND THE ACTIVATED CROSSING GATE. 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 1214HO016 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 1214HO016 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 1 8 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 0 10. State Abbr. PM Code TX Public CRAVENS ROAD 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 12:59 48 Private Rail Equipment Involved 13. Type F. Bus 2014 FORT BEND Highway User Involved C. Truck-trailer year day 0 9. County GLIDDEN SUB MISSOURI CITY 2 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 72 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 2 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code NO. 2 MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 30. Consist Speed (Recorded speed if available) R. Recorded 21 mph E. Estimated 29. Number of Cars Locomotive Units 3 54 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 1 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 4 49 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $0 2 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block HIGHWAY USER'S ACTIONS: STOPPED ON CROSSING (BEFORE GATES DESCENDED). 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 1012HO019 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 1012HO019 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 8. Subdivision MISSOURI CITY 11. City (if in a city) 1 0 12. Highway Name or No. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 14. Vehicle Speed (est. mph at impact) 16. Position 0 10. State Abbr. PM Code TX Public CRAVENS ROAD 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle AM 6:05 48 Private Rail Equipment Involved 13. Type F. Bus 2012 FORT BEND Highway User Involved C. Truck-trailer year day 2 9. County GLIDDEN SUB MISSOURI CITY 0 6. Time of Accident/Incident Code (specify) A 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 1 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 70 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 2 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code SINGLE MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 30. Consist Speed (Recorded speed if available) R. Recorded 5 mph E. Estimated 29. Number of Cars Locomotive Units 3 97 32. Type of Warning Code(s) R 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 4 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 4 26 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $3,000 2 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 2 0 Code 2 53b. Special Study Block HIGHWAY USER'S ACTIONS: DID NOT STOP. 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 0102HO038 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. 0102HO038 (single entry) Union Pacific Railroad Company [UP] 0102HO038 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 0 8. Subdivision (if in a city) 1 12. Highway Name or No. 10. State Abbr. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 40 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle Code TX Public 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment F. Bus PM 48 Private Rail Equipment Involved 13. Type C. Truck-trailer AM 5:26 CRAVENS ROAD Highway User Involved 16. Position 2002 FORT BEND MISSOURI CITY 14. Vehicle Speed (est. mph at impact) year day 3 9. County MISSOURI CITY 11. City 1 6. Time of Accident/Incident Code (specify) B 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 3 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 1 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 2 2. Rail Equipment 1 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 45 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 2 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code SINGLE MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 30. Consist Speed (Recorded speed if available) R. Recorded 56 mph E. Estimated 29. Number of Cars Locomotive Units 4 20 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 4 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 1 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 1 38 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 1 2 1 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $25,000 2 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 3 Code 2 53b. Special Study Block 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. UP Union Pacific Railroad Company [UP] 0697HO033 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Union Pacific Railroad Company [UP] 0697HO033 UP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 0 8. Subdivision (if in a city) 7 12. Highway Name or No. 10. State Abbr. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 20 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle Code TX Public 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment F. Bus PM 48 Private Rail Equipment Involved 13. Type C. Truck-trailer AM 12:44 CRAVENS & ALT 90 Highway User Involved 16. Position 1997 FORT BEND MISSOURI CITY 14. Vehicle Speed (est. mph at impact) year day 0 9. County MISSOURI CITY 11. City 6 6. Time of Accident/Incident Code (specify) D 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 3 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 1 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 2 3. Both 4 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 80 Code 23. Weather (single entry) 4 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 3 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code SINGLE MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 30. Consist Speed (Recorded speed if available) R. Recorded 40 mph E. Estimated 29. Number of Cars Locomotive Units 2 29 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 02 9. Watchman 03 06 (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 1 3 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 1 30 2. Female 1 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $8,000 3 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. SP Southern Pacific Transportation Company [SP] H2015 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Southern Pacific Transportation Company [SP] H2015 SP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 0 8. Subdivision (if in a city) 4 12. Highway Name or No. 10. State Abbr. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 0 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle Code TX Public 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment F. Bus PM 48 Private Rail Equipment Involved 13. Type C. Truck-trailer AM 3:05 CRAVENS RD. Highway User Involved 16. Position 1995 FORT BEND MISSOURI CITY 14. Vehicle Speed (est. mph at impact) year day 2 9. County MISSOURI CITY 11. City 7 6. Time of Accident/Incident Code (specify) C 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 2 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 1 3. Both 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 96 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 1 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code GLIDDEN MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 29. Number of Cars Locomotive Units 4 34 30. Consist Speed (Recorded speed if available) R. Recorded 18 mph E. Estimated 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 9. Watchman (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 4 2. Female 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $15,000 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. SP Southern Pacific Transportation Company [SP] H0932 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Southern Pacific Transportation Company [SP] H0932 SP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 0 8. Subdivision (if in a city) 3 12. Highway Name or No. 10. State Abbr. A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 2 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle Code TX Public 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment F. Bus PM 48 Private Rail Equipment Involved 13. Type C. Truck-trailer AM 9:24 CRAVENS RD Highway User Involved 16. Position 1992 FORT BEND MISSOURI CITY 14. Vehicle Speed (est. mph at impact) year day 2 9. County MISSOURI CITY 11. City 3 6. Time of Accident/Incident Code (specify) B 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 3 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 1 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 1 3. Both 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 60 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 1 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code GH&SA MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 4 29. Number of Cars Locomotive Units 3 19 30. Consist Speed (Recorded speed if available) R. Recorded 30 mph E. Estimated 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 03 9. Watchman (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 4 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 2 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 1 2. Female 1 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 2 0 1 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $25,000 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 1 53b. Special Study Block 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014 DEPARTMENT OF TRANSPORTATION HIGHWAY-RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad OMB Approval No. 2130-0500 1a. Alphabetic Code 1b. Railroad Accident/Incident No. SP Southern Pacific Transportation Company [SP] X0153 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance 3a. Alphabetic Code 3b. Railroad Accident/Incident No. (single entry) Southern Pacific Transportation Company [SP] X0153 SP 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident month 743688E 7. Nearest Railroad Station 0 8. Subdivision (if in a city) 1 12. Highway Name or No. 4. Car(s) (moving) 5. Car(s) (standing) 6. Light loco(s) (moving) 17. Equipment F. Bus A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van M. Other 0 2. Train (units pulling) (units pushing) 3. Train (standing) 1. Train J. Other Motor Vehicle H. Motorcycle Code TX Public CRAVEN ROAD PM 48 Private Rail Equipment Involved 13. Type C. Truck-trailer AM 7:21 10. State Abbr. Highway User Involved 16. Position 1983 HARRIS MISSOURI CITY 14. Vehicle Speed (est. mph at impact) year day 1 9. County MISSOURI CITY 11. City 8 6. Time of Accident/Incident Code (specify) B 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 7. Light loco(s) (standing) E. DMU Locomotive(s) 8. Other (specify) 1 1 19. Circumstance Code Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 2 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 18. Position of Car Unit in Train 3 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing A. Train pulling- RCL B. Train pushing- RCL C. Train standing- RCL D. EMU Locomotive(s) 20b. Was there a hazardous materials release by Code Code 1. Highway User 4 2. Rail Equipment 1 3. Both 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 22. Visibility (single entry) 21. Temperature °F (specify if minus) 85 Code 23. Weather (single entry) 2 1. Dawn 2. Day 3. Dusk 4. Dark Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 2 6. Snow 24. Type of Equipment 1. Freight Train 5. Single Car D. EMU 9. Maint./inspect. car 25. Track Type Used by Rail Code 26. Track Number or Name Consist E. DMU 2. Passenger Train-Pulling 6. Cut of cars A. Spec. MoW Equip. Equipment Involved (single entry) 3. Commuter Train-Pulling 7. Yard/Switching B. Passenger Train-Pushing Code MAIN 1 1. Main 2. Yard 3. Siding 4. Industry 1 4. Work Train 8. Light loco(s) C. Commuter Train-Pushing 27. FRA Track 28. Number of Class (1-9,X) 3 29. Number of Cars Locomotive Units 1 77 30. Consist Speed (Recorded speed if available) R. Recorded 35 mph E. Estimated 32. Type of Warning Code(s) E 33. Signaled Crossing Warning 1. Gates Crossing Code 4. Wig wags 7. Crossbucks 10. Flagged by crew 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) 3. Standard FLS 6. Audible 12. None 01 9. Watchman (See reverse side for instructions and codes) Code 07 1 31. Time Table Direction 1. North 3. East 2. South 4. West Code 3 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 35. Location of Warning 1. Both Sides Lights or Special Lights with Highway Signals Code Code Code 2. Side of Vehicle Approach 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 1 2 1 3. Opposite Side of Vehicle Approach 5. Other (specify) 41. Highway User 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 6. Went around/thru temporary barricade 1. Went around the gate and Struck or was Struck by Second Train User's (if yes, see instructions) 2. Stopped and then proceeded Age Code Code 1. Male Code 3. Did not stop 7. Went thru the gate 1. Yes 3. Unknown 2. No 4 2. Female 2 8. Suicide/Attempted suicide 4. Stopped on crossing 42. Driver Passed Standing (primary obstruction) 43. View of Track Obscured by Code Code Highway Vehicle 1. Yes 2. No 2 3. Unknown Killed Casualties to: 46. Highway-Rail Crossing Users 49. Railroad Employees 52. Passengers on Train 53a. Special Study Block 54. Narrative Description Injured 1. Permanent Structure 7. Other (specify) 3. Passing Train 5. Vegetation 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 44. Driver was 45. Was Driver in the Vehicle? 1. Yes 2. No 1. Killed 2. Injured 3. Uninjured 3 0 0 47. Highway Vehicle Property Damage (est. dollar damage) 0 0 0 0 50. Total Number of People on Train (include passengers and train crew) Yes No Video Taken? Yes No Video Used? (Be specific, and continue on separate sheet if necessary) $1,500 48. Total Number of Vehicle Occupants (including driver) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No 8 Code 1 1 Code 2 53b. Special Study Block 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not “be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approval expires 02/28/2014