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HI(;HWAY-RAII C;RAnF-C;RnSt;INr. <br /> nFPARTKAFNT nF TRANSPnRTATinN ACCIDENT/INCIDENT REPORT EXHIBIT 2 <br /> FEDERAL RAILROAD ADMINISTRATION(FRA) OMB Approval No.2130-0500 <br /> Name Of Alphabetic Code RR Accident/incident No. <br /> 1.Reporting Railroad Amtrak IATK I la. ATK 1b.010579A <br /> 2.Other Railroad Involved in Train Accident/Incident Atchison Topeka&Santa Fe Rw,Co. ATSF 2a. ATSF 2b. 31019102 <br /> 3.Railroad Responsible for Track Maintenance Atchison Topeka&Santa Fe Rwy Co.IATSFI 3a. ATSF 3b.31019102 <br /> 4.U.S.DOT-AAR Grade Crossing ID No. 026702V 15.Date of Accident/incident 01/05/79 6.Time of AccidenUlncident 09.18 AM <br /> 7.Nearest Railroad Station 8.Division 9.County 10.State Code <br /> SANTA ANNA ORANGE Abbr. 06 1 CA <br /> 11.City (if in a city) SANTA ANNA 12.Highway Name or No. SANTA ANNA BLVD ❑✓ Public ❑Private <br /> Highway User Involved Rail Equipment Involved <br /> 13.Type C.Truck-trailer F.Bus J.Other Motor Vehicle Code 17.Equipment 4.Car(s) (moving) 8.Other (specify) Code <br /> 1.Train (units pulling) 5.Car(s) (standing) A.Train pulling-RCL <br /> A.Auto D.Pick-up truck G.School Bus K.Pedestrian A 2.Train (units pushing)6.Light loco(s) (moving) B.Train pushing-RCL 1 <br /> B.Truck E.Van H.Motorcycle M.Other (specify) 3.Train (standing) 7.Light loco(s) (standing) C.Train standing-RCL <br /> 14.Vehicle Speed 15.Direction (geographical) Code 18.Position of Car Unit in Train <br /> (est.mph at impact) 25 1.North 2.South 3.East 4.West 1 2 <br /> 16.Position 1.Stalled on crossing 3.Moving over crossing Code 19.Circumstance 1.Rail equipment struck highway user Code <br /> 2.Stopped on Crossing 4.Trapped 3 2.Rail equipment struck by highway user 2 <br /> 20a.Was the highway user and/or rail equipment involved Code 20b.Was there a hazardous materials release by Code <br /> in the impact transporting hazardous materials? <br /> 1.Highway User 2.Rail Equipment 3.Both 4.Neither 4 1.Highway User 2.Rail Equipment 3.Both 4.Neither <br /> 20c.State the name and quantity of the hazardous materials released,if any <br /> 21.Temperature 22.Visibility (single entry) Code 23.Weather (single entry) Code <br /> (specify if minus) 49 �F 1.Dawn 2.Day 3.Dusk 4.Dark 1 2 1.Clear 2.Cloudy 3.Rain 4.Fog 5.Sleet 6.Snow 2 <br /> 24.Type of Equipment A.Spec.MoW Equip 25.Track Type Used by Rail Code 26.Track Number or Name <br /> Consist 1.Freight train 4.Work train 7.Yard/Switching Equipment Involved <br /> (single entry) 2.Passenger train 5.Single car 8.Light loco(s) Code <br /> 3.Commuter train 6.Cut of cars 9.Maindinspect.car 2 1.Main 2.Yard 3.Siding 4.Industry l MAIN <br /> 27.FRA Track 28.Number of 29.Number of 30.Consist Speed (Recorded if available) Code 31.Time Table Direction Cade <br /> Class Locomotive Cars R.Recorded <br /> 2 Units 1 4 E.Estimated 40 mph E 1.North 2.South 3.East 4.West 3 <br /> 32.Type of 1.Gates 4.Wig wags 7.Crossbucks 10.Flagged by crew 33.Signaled Crossing 34.Whistle Ban Code <br /> Crossing 2.Cantilever FLS 5.Hwy.traffic signals 8.Stop signs 11.Other (specify) Warning 1.Yes <br /> Warning 3.Standard FLS 6.Audible 9.Watchman 12.None 2.No <br /> Code(s) 1 01 1 1 1 1 120 sec warn min(1); 3.Unknown <br /> 35.Location of Warning Code 36.Crossing Warning Interconnected Code 37.Crossing Illuminated by Street Code <br /> 1.Both Sides with Highway Signals Lights or Special Lights <br /> 2.Side of Vehicle Approach <br /> 3.O osite Side of Vehicle A roach 1 1.Yes 2.No 3.Unknown 2 1.Yes 2.No 3.Unknown 2 <br /> 38.Driver's 39.Driver's Code 40.Driver Drove Behind or in Front of Train Code 41.Driver Code <br /> Age Gender and Struck or was Struck by Second Train 1.Drove around or thru the gate 4.Stopped on crossing <br /> 1.Male 1.Yes 2.No 3.Unknown 2 2.Stopped and then proceeded 5.Other (specify) 1 <br /> 2.Female 1 3.Did not stop <br /> 42.Driver Passed Standing Code 43.View of Track Obscured by (primary obstruction) Code <br /> Highway Vehicle 1.Permanent Structure 3.Passing Train 5.Vegetation 7.Other (specify) <br /> 1.Yes 2.No 3.Unknown 2 2.Standing railroad equipment 4.Topography 6.Highway Vehicles 8.Not Obstructed 8 <br /> 44.Driver was Code 45.Was Driver in the Vehicle? Code <br /> Casualties to: Killed Injured 1.Killed 2.Injured 3.Uninjured ; 1.Yes 2.No 1 <br /> 47.Highway Vehicle Property Damage 48.Total Number of Highway-Rail Crossing Users <br /> 46.Highway-Rail Crossing Users 0 0 <br /> (est.dollar damage) $900 (include driver) 1 <br /> 49.Railroad Employees 0 0 50.Total Number of People on Train 51.Is a Rail Equipment Accident/ Code <br /> (include passengers and crew) Incident Report Being Filed <br /> 52.Passengers on Train 0 0 1.Yes 2.No 1 <br /> 53a.Special Study Block 153b.Special Study Block <br /> 54.Narrative Description <br /> 55.Typed Name and Title 56.Signature 57.Date <br /> FORM FRA F 6180.57 NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A <br />