What Railroad did this incident take place on?

What Railroad are you employed by?

What was the date that this incident occurred?

           Month  Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Dec. ,  Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ,  Year 2004 2005 2006 2007 2008 2009 2010

About what time did this incident occur? Please use 24hr time.

Were any hazardous materials involved in this incident?

           Select one:  Yes No

What County did this occur in?

If this incident occurred within a city, town or village please enter the name of the community below:

Did this incident occur near a public crossing?

          Select one: Yes No

Are signs warning the public of the dangers of Remote Control Locomotive operating in the area present?

          Select one: Yes No

Do you have any photographs of this incident?

          Select one: Yes No

Enter your comments concerning this incident in the space provided below. You may want to read the  FRA Notice of Safety Advisory 2001-01 (Remote Control) - PDF before you fill out your comments to see if you notice any recommendations made by the FRA that were not followed.  If you do not have Adobe Acrobat reader installed on your computer you will need to do this before you can read a PDF file.

Tell us how to get in touch with you:

Name
E-mail
Tel
Div. #
Union Affiliation

 

Please contact me as soon as possible regarding this matter.