Reportable Incident Report form (S&S-40)

The Reportable Incident Report form (S&S-40) is designed to capture detailed information on the most severe safety and security incidents occurring in the transit environment. Detailed data, available from sources such as accident, incident, or police reports, are used to complete the Reportable Incident Report form (S&S-40). The information required on the form is intended to be of a level that can be collected at or near the time of the incident occurrence.

If your agency has had no reportable incidents for the reporting period for a particular mode and type of service (TOS), create a Report Setup screen for that mode and type of service (TOS) and check the No Reportable Incidents to Certify box.

Reporting Requirement and Thresholds

Agencies must complete one Reportable Incident Report form (S&S-40) for each reportable incident (safety or security incident) occurring during the reporting period. However, commuter rail (CR) operators are only required to report security incidents to NTD. Commuter rail (CR) operators are currently required to report safety incidents to the Federal Railroad Administration.

Reportable Incident Report forms (S&S-40) are due thirty days after the reportable incident occurred.

What Has Changed from Prior Year

Major Incident is now referred to as a Reportable Incident.

Reporting thresholds for a reportable incident now include injuries for one person and suicides.

Hazardous Material Spill and Acts of God have been added as reportable incidences.

New reporting format for the Reportable Incident Report form (S&S-40).

Both safety and security occurrences are reported on the Reportable Incident Report form (S&S-40). For an incident to be reportable on this form, it must meet the reportable incident thresholds, listed below.

Reportable Incident

A reportable incident is an event that involves a transit vehicle or occurs on transit-controlled property and meets one or more of the following conditions:

·          A fatality (including a suicide or deaths resulting from Other Safety Occurrences not Otherwise Classified), and / or

·          Injuries requiring immediate medical attention away from the scene for one or more persons, and / or

·          Property damage equal to or exceeding $25,000, and / or

·          An evacuation for life safety reasons.

Only one form is completed per incident regardless of how many of the reportable incident thresholds are met. If, for example, an incident results in a fatality, and property damage is equal to or exceeds $25,000, only one Reportable Incident Report form (S&S-40) is completed, even though two of the above criteria have been met. If an incident is being reported based upon injuries or fatalities, the property damage may be reported if it is less than $25,000.

The following paragraphs highlight the important aspects of each reportable incident threshold.

Fatality

Safety and security incidents resulting in fatalities are reported on the Reportable Incident Report form (S&S-40).

For NTD purposes a fatality is a transit-caused death, confirmed within thirty days of a transit incident, which occurs because of a collision, derailment, fire, hazardous material spill, Act of God, evacuation, security incident or other incident. A fatality now includes transit-related suicides.

There is one exception to this rule:

1.       Deaths resulting from illnesses or other natural causes, or otherwise not associated with an incident, are not reported on either incident form. For example, if a person in a rail facility sustains a fatal heart attack, this event would not be reported to NTD.

Example 5 — Fatality Reporting
Example: A passenger fires a weapon on a transit vehicle, killing one passenger.
Solution: Number of Reportable Injuries 0	Number of Reportable Fatalities 1	Property Damage Amount $0
Complete a Reportable Incident Report form (S&S-40).

One or More Injuries Requiring Medical Attention

For NTD reporting purposes an injury requires immediate medical attention away from the scene of the incident. Immediate medical attention includes transport to the hospital by ambulance. It also includes transport immediately from the incident scene to a hospital or physician’s office by another type of emergency vehicle, by passenger vehicle, or through other means of transport.

Immediate medical attention means that medical attention was sought without delay after the incident occurred. An individual seeking medical care several hours after an incident or in the days following an incident is not considered to have received immediate medical attention.

The medical attention received must be at a location other than the location at which the incident occurred. The intent of this distinction is to exclude incidents that only require minor first aid or other assistance received at the scene.

This distinction is not, however, intended to be burdensome for the transit agency. It is not a requirement that an agency follow-up on each person transported by ambulance, for example, to ensure that they actually received medical attention at the hospital. It is acceptable to count each person immediately transported by ambulance as an injury.

Both safety and security incidents (the results of accidents and homicides, for example) resulting in one or more injuries and fatalities are reported using the Reportable Incident Report form (S&S-40). As with fatalities, however, injuries resulting from illnesses should not be reported. For example, if a passenger on a demand response (DR) vehicle is transported to the hospital following a seizure on the vehicle this is not a reportable incident.

Example 6 — One or More Injuries – Is it Reportable?
Example: Transported by Ambulance An ambulance transports two passengers who were injured in a collision from the site of the accident.
Solution: Yes Number of Reportable Injuries 2	Number of Reportable Fatalities 0	Property Damage Amount $0
Complete a Reportable Incident Report form (S&S-40) since one or more passengers required immediate medical attention away from the scene.
Example: Transported by Alternate Means Three passengers are hurt in a collision. Rather than wait for an ambulance to arrive, a security guard drives them to a nearby hospital.
Solution: Yes Number of Reportable Injuries 3	Number of Reportable Fatalities 0	Property Damage Amount $0
Complete a Reportable Incident Report form (S&S-40) since one or more passengers required immediate medical attention away from the scene.
Example: Incidents not Qualifying as an Injury Three passengers are hurt in a collision. Each sees a physician the next day and subsequently submits a claim to the transit agency.
Solution: No Number of Reportable Injuries 0	Number of Reportable Fatalities 0	Property Damage Amount $0
Do not report the incident because none of the passengers sought immediate medical attention away from the scene.

Property Damage

Incidents involving property damage equal to or exceeding $25,000 require the completion of a Reportable Incident Report form (S&S-40). Property damage includes but is not limited to the following:

·          Transit and non-transit vehicle damage

·          Stations as well as non-transit facilities

·          Rights-of-way (ROW) and items surrounding rights-of-way (ROW), such as utility poles.

The key points regarding estimated property damage are:

·          Estimated damage does not only include transit property damage, but also damage to other vehicles and property (other than personal property) involved in the incident and not owned by the transit agency.

·          The amount paid (or an estimate made for insurance purposes) is reported for property damage. In the case where replacement is necessary, the depreciated replacement cost is reported.

·          The cost of clearing wreckage or damage to non-transit agency property is also included in the property damage value.

·          The cost of an accident or a criminal investigation is not included in the estimated property damage.

·          Damage to personal property, such as the value of laptops, cell phones, or other personal property items damaged or destroyed in an incident are not included in the estimated property damage.

 

Example 7 — Calculating Property Damage
Example: A bus collides with a passenger car. The passenger car is totaled; the bus incurred body damage. The car has an estimated value of $15,000 (transit agency uses the car’s blue book value or other reasonable estimate of present value). The cost of the body damage is estimated at $12,000.
Solution: Number of Reportable Injuries 0	Number of Reportable Fatalities 0	Property Damage Amount $27,000.00
Property damage = $27,000 ($15,000 + $12,000).

This section describes in detail how to complete each element of the Reportable Incident Report form (S&S-40).

To generate a new Reportable Incident Report form (S&S-40), click on the File New Report link to access Report Set Up screens. As each screen is completed, click the Next button at the bottom of the screen and the system will bring up the next applicable screen. Based on the information entered on the first two screens, Internet reporting will determine if the incident qualifies as a reportable incident. If the incident meets the criteria for a reportable incident, the user is taken to the Basic Information screen. From this point forward, each click on the Next button will save the data entered.

When all data have been entered  for all applicable screens generated by Internet reporting, the user will be directed to the Background form, from here the users should click on the Save button at the bottom of the form.

After saving the Background form several buttons will appear on the form (Edit, Delete, etc.) allowing the user to review and edit data. After verifying for accuracy, click the Submit Report button to submit the form to the NTD To close the form, click the Close button. Saved reports that are saved will be listed under the Safety and Security tab for access at any time in the future. To delete a form click the Delete Report button.

If further data is obtained after form submission or the agency discovers an error in form content, from the Safety and Security tab, open the applicable Reportable Incident Report form (S&S-40), make changes to the form needed, save the form and click on the Submit Report button. The revised form will be designated as Revision 1. Further revisions will be designated as 2, 3, 4, etc.

To generate a new Reportable Incident Report form (S&S-40), click on the File New Report link to access the Report Set Up screens.

The first Report Set Up screen lists the types of incidents that the agency might need to report. After selecting the mode and type of service, please select the reporting period (month) in which you are reporting. Click the Check-Box for as many related incidents that apply (i.e., if there was a fire that resulted in an evacuation, click both fire and evacuation). If none of the listed incidents occurred during the period, click the No Reportable Incidents to Certify (for current reporting period) check-box.

A brief description of each type of incident is listed below. More detail about these incidents can be found in the individual sections for each type of incident.

A Collision

All collisions involving at least one transit vehicle, or taking place on transit property, are reported using the Reportable Incident Report form (S&S-40). Collisions are subject to the thresholds for a reportable incident.

A Mainline Derailment

All derailments occurring on mainline track are reported using the Reportable Incident Report form (S&S-40). The mainline track is the primary rail over which rail transit vehicles travel between stations. It does not include yard and siding track. This threshold applies only to rail incidents (other than commuter rail (CR)). Derailments are reported solely upon occurrence.

A Fire

Fire incident types include fires caused by fuel, battery, other electrical, cable, and smoking material. To constitute as a reportable incident, the fire will require the act of suppression to occur at the time of the incident. If the incident types listed do not include the needed incident type, please select Other to provide a description of the incident type. If the material type is not relevant to the event, select Not Applicable.

Fires occurring on or in transit property must meet the thresholds for a reportable incident to be reported on the Reportable Incident form (S&S-40). Those fires not meeting the Reportable Incident threshold are reported on the Safety and Security Monthly Summary Report form (S&S-50).

A Hazardous Material Spill

Hazardous material spill types include bunker fuel, diesel, electric battery, ethanol, hybrid diesel, grain additive, liquefied natural gas, methanol, bio-diesel, compressed natural gas, dual fuel, electric propulsion, gasoline, hybrid gasoline, kerosene, and liquefied petroleum gas. To constitute as a reportable incident, the hazardous material spill must have caused an imminent danger to life, health, or the environment, and had special attention given at the time of the incident. If the hazardous material spill types listed do not include the needed material type, please select Other to provide a description of the material. If the material type is not relevant to the event, select Not Applicable.

All hazardous material spill incidents that occur on or in transit property are reported using the Reportable Incident form (S&S-40) and are reported solely upon occurrence.

An Act of God

An Act of God is a natural and unavoidable catastrophe that interrupts the expected course of events, such as earthquakes, floods, hurricanes, tornados, other high winds, lightning, snow and ice storms. If the Act of God incident type list does not include the needed incident type, select Other to provide a description of the incident type.

Act of God incidents are reported using the Reportable Incident form (S&S-40) and must meet the thresholds for a reportable incident.

A Bomb Threat, Bombing, Chemical, Biological, Nuclear / Radiological Releases, etc.

Security incidents include all terrorism-related events such as bomb threats, bombings, chemical, biological, nuclear / radiological releases. Security incidents also include other system security events, such as arson, sabotage, hijacking and cyber security events. If the incident type being reported is not listed, please select Other to provide a description of the incident type.

Security incidents that occur on or in transit property and meet the reporting thresholds for a reportable incident are reported as a Reportable Incident Report form (S&S-40). For NTD reporting purposes, the victim of a rape is always reported as an injury.

An Aggravated Assault, Robbery, Rape, Burglary, Suicide or Larceny / Theft, Vandalism, etc.

Robberies, burglaries, larcenies / thefts or vandalism, as well as other personal events like aggravated assault, rape, suicide, attempted suicide and homicide are reported using either the Reportable Incident form (S&S-40) or the Safety and Security Monthly Summary Incident Report form (S&S-50). Because each of these incidents has the potential to be either a reportable incident or a Safety and Security Monthly Summary incident, only the incidents meeting the thresholds are reported on the Reportable Incident form (S&S-40). All other occurrences of these incidents; those that do not meet the reporting thresholds for an S&S-40, are reported on the Safety and Security Monthly Summary Incident Report form (S&S-50).

An Arrest or Citation for Other Assault, Trespassing, Non-Violent Civil Disturbance, or Fare Evasion

All arrests or citations for other assault, trespassing, non-violent civil disturbance, vandalism or fare evasion are reported on the Safety and Security Monthly Summary Incident Report form (S&S-50). An arrest or citation is required to report any of above incidents.

Other Safety Occurrences not Otherwise Classified Incidents (Slip and Fall, Electric Shock, etc.)

Other safety occurrences not otherwise classified may include slip and fall accidents and electric shock incidents. Other safety occurrence not otherwise classified resulting in one or more injuries are reported using the Safety and Security Monthly Summary Report form (S&S-50) as Other Safety Occurrences not Otherwise Classified while incidents resulting in one or more fatalities are reported using the Reportable Incident form (S&S-40).

Example 8 — Other Incidents
Example: A Demand Response (DR) vehicle is crushed by a falling tree which resulted in the death of 1 transit employee, 2 transit passengers requiring immediate medical attention away from the scene, and $20,000.00 in estimated property damage.
Solution: Number of Reportable Injuries 2	Number of Reportable Fatalities 1	Property Damage Amount $20,000
Complete a Reportable Incident Report form (S&S-40), choosing Other, because a fatality related to the incident occurred – the death of the transit employee.

 

The second Report Set Up screen asks the reporter to indicate the number of injuries and/or fatalities, and the amount of property damage associated with the event(s) indicated on the Report Set Up  Screen 1. For all events, excluding Hazardous Material Spills and Derailments, if the user indicates “No” to fatalities / injuries or property damages, they need not report the incident.

A brief description of each type of consequence is listed below.

Fatalities

Enter the total number of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others who were killed due to the incident(s) being reported.

Injuries

Enter the total number of those transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others who received injuries due to the incident(s) being reported.

Example 9 —Injury Reporting
Example: A motor vehicle rear-ends a transit bus which results in 2 transit passengers and 1 motor vehicle operator requiring immediate medical attention away from the scene. The estimated property damage is $2,000.00.
Solution: Number of Reportable Injuries 3	Number of Reportable Fatalities 0	Property Damage Amount $2,000.00
This incident is reported on the Reportable Incident Report form (S&S-40) because of the number of injuries that resulted from the incident.

Estimated Property Damage

Enter the estimated dollar amount required to repair or replace all vehicles (including transit revenue and non-revenue and non-transit vehicles) or public or private property / facilities (including track, signals, buildings, and private facilities damaged) involved in the incident to a state equivalent to that which existed prior to the incident.

Property damage includes but is not limited to the following:

·          Transit and non-transit vehicle damage

·          Stations as well as non-transit facilities

·          Rights-of-way (ROW) and items surrounding rights-of-way (ROW), such as utility poles

·          Bus stops

·          Maintenance facilities and other private property.

The key points regarding estimated property damage are:

·          Estimated damage does not only include transit property damage but also damage to other vehicles and property (other than personal property) involved in the incident and not owned by the transit agency.

·          The amount paid (or an estimate made for insurance purposes) is reported for property damage. In the case where replacement is necessary, the depreciated replacement cost is reported.

·          The cost of clearing wreckage or damage to non-transit agency property is also included in the property damage value.

·          The cost of an accident investigation is not included in the estimated property damage.

·          Damage to personal property, such as the value of laptops, cell phones, or other personal property items damaged or destroyed in an incident are not included in the estimated property damage.

Example 10 — Collision Property Damage
Example: A heavy rail (HR) vehicle collides with a passenger car at a grade crossing. The passenger car is totaled; the train will require a new coupler and some bodywork. The car has an estimated value of $8,000 (transit agency uses the car’s blue book value or other reasonable estimate of present value). The cost of the coupler is $30,000; other bodywork to the train is estimated at $10,000.
Solution: Number of Reportable Injuries 0	Number of Reportable Fatalities 0	Property Damage Amount $48,000.00
This incident is reported on the Reportable Incident Report form (S&S-40) because it is a grade crossing collision. Enter $48,000 ($8,000 + $30,000 + $10,000) for the total property damage.

 

Example 11 — Non - Reportable Collision
Example: A transit passenger alights a transit bus, crosses the street in front of the bus, and is struck and killed by a passing motor vehicle.
Solution: Number of Reportable Injuries 0	Number of Reportable Fatalities 0	Property Damage Amount $0
This incident is not reportable because the transit passenger had left transit property and was struck in the right-of-way.

An Evacuation Due to Life Safety Reasons

All evacuations of transit property related to life safety reasons require the completion of a Reportable Incident Report form (S&S-40). A life safety event is an imminent danger to people in or on transit property. Examples of life safety events include fires, the presence of smoke, hazardous material spills and electrical hazards. Evacuations due to operational issues are not reportable.

Example 12 — Evacuation
Example: A Bus (BU) is evacuated because of a compressed natural gas (CNG) leak on the vehicle. No one is injured. Solution: Complete a Reportable Incident Report form (S&S-40) because the evacuation was due to a life safety event — the CNG leak.

The requirement that a reportable incident involves a life safety event is intended to capture events that pose serious threats to those in the transit environment, rather than operations related events. For example, a situation requiring that transit passengers leave a vehicle due to a flammable fuel leak or due to a passenger firing a weapon on a vehicle is reported on Reportable Incident Report form (S&S-40). A situation requiring that passengers be transferred from one transit vehicle to another due to a service breakdown is not reported on the Reportable Incident Report form (S&S-40).

 

If an evacuation for life safety reasons occurred, please indicate on Report Set-up Screen 2.

Transit Vehicles Involved

If transit vehicles were involved, please indicate on Report Set-up Screen 2.

If the information entered on the Report Set Up screens indicate that the incident(s) meet the criteria for reportable incidents, you will be taken to Basic Information screen. This screen asks the reporter for specific information about the date, time, and location of the incident(s).

Date and Time of Incident

Report the date and time the incident occurred using the Drop-Down menus.

Address of Incident

Describe where the incident occurred, including sufficient information to identify the incident location.

Incident Description

Describe how the incident occurred.

Contact Person Information

FTA may need to contact the individual completing the form or another agency-designated contact concerning details that may not be clear, or to further clarify data. Provide the following information for the Safety and Security contact on the Reportable Incident Report form (S&S-40): first name, last name, and phone number.

Collision screens vary slightly depending on the mode being operated at the time of the collision. Detailed information is below.

The rail transit collision screens ask the reporter to provide information about the number of rail transit and other motor vehicles involved, with what the collision occurred, as well as other collision information. Detailed information is below.

Rail Collision Event Information Screen

This screen asks the reporter for specific information about the number of rail transit trains and/or other motor vehicles involved in the collision, as well as what the collision was with.

Number of Rail Transit Trains Involved

Enter the number of rail transit trains involved in the collision.

Location

Select the location (i.e., revenue facility, grade crossing) at which the collision occurred. If the needed location is not listed, select Other and use the Describe box to provide a description of the location.

Collision With

Select the vehicle, object or person (other than the transit vehicle) that was involved in the collision. If the needed item is not listed, select Other. For Fixed Object or Other, use the Describe box to provide a description of the item.

Number of Other Motor Vehicles Involved

Enter the number of other motor vehicles (i.e., automobiles, buses) involved in the collision.

 

Rail Collision Rail Transit Train Involved Screen

This screen will need to be completed for each rail transit train involved in the collision (indicated on the Rail Collision Event Information screen). The screen asks the reporter for specific information about the number of cars in rail transit train, how many were derailed, train speed, vehicle manufacturer, collision type and train action.

Number of Cars in Rail Transit Train

Enter the total number of cars in the rail transit train.

Number of Cars Derailed

Of the total number of cars in the rail transit train, enter the number of cars that derailed as a result of the collision.

Train Action

Select the action that the train was involved in when the collision occurred (i.e., going straight, making a stop). If the needed action is not listed, select Other and use the Describe box to provide a description of the action.

Collision Type

Select the orientation of the vehicle(s) when the collision occurred (i.e., rear-ended, angle, sideswipe). Each choice is from the point of view of the transit vehicle. That is, rear-ended means that another vehicle hit the back of the rail transit train, while rear-ending means the rail transit train hit the back of another vehicle.

Example 13 — Collision Impact Type Reporting Example: Rear-End Collision A transit vehicle is rear-ended. Solution: Select Rear-ended Example: Rear-End Collision A transit vehicle strikes a motor vehicle from behind. Solution: Select Rear-ending because the transit vehicle rear-ended the other motor vehicle.

 

Train Speed

Enter the speed (in miles per hour) at which the rail transit train was traveling when the collision occurred. If you do not know the exact speed, you may estimate.

Vehicle Manufacturer

Use the Vehicle manufacturer drop-down to select the manufacturer of the rail transit train. If the needed manufacturer is not listed, select Other and use the Describe box to provide the name of the manufacturer.

Rail Collision Information Screen

This screen asks the reporter for specific information about the surroundings of the collision, including location, rail alignment, grade crossing control, right-of-way conditions, weather and lighting.

The non-rail transit collision screens ask the reporter to provide information about the number of rail transit and other motor vehicles involved, with what the collision occurred, as well as other collision information. Detailed information is below.

Weather

Select the weather conditions at the time of the collision. If the needed weather condition is not listed, or if the incident occurred indoors, select Other and use the Describe box to provide a description of the weather condition, or explain that the incident occurred indoors.

Example 14 — Weather Condition Reporting
Example: Fog / Safety Incident A monorail vehicle (MO) leaves the station in foggy conditions. Solution: Select Foggy / Misting Example: Indoors Safety Incident A passenger is killed as a result of an incident involving an elevator in a station. Solution: Select Other and state that the incident happened indoors.

Lighting

Select the lighting condition that best describes the lighting (i.e., daylight, night) under which the collision occurred. If the needed lighting is not listed, select Other and use the Describe box to provide a description of the lighting.

Rail Alignment

Select the rail alignment of the right-of-way (ROW) on which the collision occurred. If the needed alignment is not listed, select Other and use the Describe box to provide a description of the alignment.

Grade Crossing Control

Select the grade crossing control that most closely describes the traffic control or other devices present during the collision. Complete only if collision occurred at a grade crossing. If the needed grade crossing control is not listed, select Other and use the Describe box to provide a description of the grade crossing control.

Right-of-Way Conditions

Select the condition of the right-of-way (ROW) surface (i.e., dry, wet) on which the collision occurred. If the needed condition is not listed, select Other and use the Describe box to provide a description of the condition.

Collision Non-Transit Vehicle Involved Screen

This screen asks the reporter for basic information regarding collisions involving non-transit vehicles.

Location

Select the location (i.e., parking facility, other) at which the collision occurred. If Other is selected, use the Describe box to provide a description of the location.

Number of Other Motor Vehicles Involved

Enter the number of other motor vehicles involved in the collision.

Collision Type

Select the type of collision that is being reported.

 

Rail Collision Other Motor Vehicle Involved Screen

This screen will need to be completed for each other motor vehicle involved in the collision (indicated on the Rail Collision Event Information screen). The screen asks the reporter for specific information about the vehicle type, vehicle action and collision type.

Other Motor Vehicle Type

Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the needed vehicle type is not listed, select Other and use the Describe box to describe the vehicle type.

Other Motor Vehicle Action

Select the action that the other motor vehicle was involved in when the collision occurred (i.e., going straight, making a turn). If the needed action is not listed, select Other and use the Describe box to provide a description of the action.

Collision Type

Select the orientation of the vehicle(s) when the collision occurred (i.e., rear-ended, angle, sideswipe). Each choice is from the point of view of the motor vehicle. That is, rear-ended means that another vehicle hit the back of the motor vehicle, while rear-ending means the motor vehicle hit the back of another vehicle.

The non-rail transit collision screens ask the reporter to provide information about the number of transit vehicles and other motor vehicles involved, with what the collision occurred, as well as other collision information. Detailed information is below.

Non-Rail Collision Event Information Screen

This screen asks the reporter for specific information about the number of non-rail transit vehicles and/or other motor vehicles involved in the collision, as well as what the collision was with.

Number of Non-Rail Transit Trains Involved

Enter the number of non-rail transit vehicles involved in the collision.

Location

Select the location (i.e., revenue facility, grade crossing) at which the collision occurred. If the needed location is not listed, select Other and use the Describe box to provide a description of the location.

Collision With

Select the vehicle, object or person (other than the transit vehicle) that was involved in the collision. If the needed item is not listed, select Other. For Fixed Object or Other, use the Describe box to provide a description of the item.

Example 15 — Reporting Collision With

Example: Collision with a Fire Hydrant A demand response (DR) vehicle hits a fire hydrant. As a result, the operator and two passengers are injured seriously enough as to require immediate transport to a nearby hospital. Select Fixed object and note in the describe box that the object struck was a fire hydrant. Example: Collision with a Motorcycle A trolleybus (TB) strikes a motorcyclist, who dies three days after transport to hospital due to injuries sustained in this incident. Select Motor vehicle.

Number of Other Motor Vehicles Involved

Enter the number of other motor vehicles (i.e., automobiles, motorcycles) involved in the collision.

Non-Rail Collision Transit Vehicle Involved Screen

This screen will need to be completed for each non-rail transit vehicle type involved the collision (indicated on the Non-Rail Collision Event Information screen). The screen asks the reporter for specific information about the type of transit vehicle involved, vehicle action, vehicle speed, vehicle manufacturer and collision type.

Transit Vehicle Type Select the type of transit vehicle involved in the collision. If the needed vehicle type is not listed, select Other and use the Describe box to provide a description of the transit vehicle type. Vehicle Action Select the action that the vehicle was involved in when the collision occurred (i.e., going straight, making a stop). If the needed action is not listed, select Other and use the Describe box to provide a description of the action. Collision Type Select the orientation of the vehicle(s) when the collision occurred (i.e., rear-ended, angle, sideswipe). Each choice is from the point of view of the transit vehicle. That is, rear-ended means that another vehicle hit the back of the transit vehicle, while rear-ending means the transit vehicle hit the back of another vehicle.

Example 16 — Collision Impact Type Reporting

Example: Rear-End Collision A trolleybus (TB) is rear-ended. Solution: Select Rear-ended Example: Head On Collision A Bus (BU) strikes a utility pole head on (i.e., with the front of the bus). Solution: Select Head-on because the incident involved the front of the bus striking a stationary object

Vehicle Speed

Enter the speed (in miles per hour) at which the transit vehicle was traveling when the collision occurred. If you do not know the exact speed, you may estimate.

Vehicle Manufacturer

Use the Vehicle manufacturer drop-down to select the manufacturer of the vehicle. If the needed manufacturer is not listed, select Other and use the Describe box to provide the name of the manufacturer.

 

Non-Rail Collision Information Screen

This screen asks the reporter for specific information about the surroundings of the collision, including location, roadway configuration, intersection, grade crossing control, road conditions, weather and lighting.

Weather

Select the weather conditions at the time of the collision. If the needed weather condition is not listed, or if the incident occurred indoors, select Other and use the Describe box to provide a description of the weather condition, or explain that the incident occurred indoors.

Example 17 — Weather Condition Reporting

Example: Clear Weather / Safety Incident A paratransit van leaves the roadway in clear weather conditions. Solution: Select Clear Example: Fog / Safety Incident A paratransit van leaves the roadway in foggy conditions. Solution: Select Foggy / Misting Example: Indoors Safety Incident A passenger is killed as a result of an incident involving an elevator in a station. Solution: Select Other and state that the incident happened indoors.

Lighting

Select the lighting condition that best describes the lighting (i.e., daylight, night) under which the collision occurred. If the needed lighting is not listed, select Other and use the Describe box to provide a description of the lighting.

Roadway Configuration

Select the configuration of the roadway (i.e., bridge, highway) on which the collision occurred. If the needed configuration is not listed, select Other and use the Describe box to provide a description of the roadway configuration.

Intersection

Select the intersection control that most closely describes the traffic control or other devices present during the collision. Complete only if collision occurred at an intersection. If the needed intersection control is not listed, select Other and use the Describe box to provide a description of the intersection. If the incident did not happen at an intersection, select Not applicable.

Grade Crossing Control

Select the grade crossing control that most closely describes the traffic control or other devices present during the collision. Complete only if collision occurred at a grade crossing. If the needed grade crossing control is not listed, select Other and use the Describe box to provide a description of the grade crossing control. If the incident did not happen at a grade crossing, select Not applicable.

Road Conditions

Select the condition of the road surface (i.e., dry, wet) on which the collision occurred. If the needed condition is not listed, select Other and use the Describe box to provide a description of the road conditions.

Collision Non-Transit Vehicle Involved Screen

This screen asks the reporter for basic information regarding collisions involving non-transit vehicles.

Location

Select the location (i.e., parking facility, other) at which the collision occurred. If Other is selected, use the Describe box to provide a description of the location.

Number of Other Motor Vehicles Involved

Enter the number of other motor vehicles involved in the collision.

Collision Type

Select the type of collision that is being reported.

 

Non-Rail Collision Other Motor Vehicle Involved Screen

This screen will need to be completed for each other motor vehicle involved in the collision (indicated on the Non-Rail Collision Event Information screen). The screen asks the reporter for specific information about the vehicle type, vehicle action and collision type.

Other Motor Vehicle Type

Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the needed vehicle type is not listed, select Other and use the Describe box to describe the vehicle type.

Other Motor Vehicle Action

Select the action that the other motor vehicle was involved in when the collision occurred (i.e., going straight, making a turn). If the needed action is not listed, select Other and use the Describe box to provide a description of the action.

Collision Type

Select the orientation of the vehicle(s) when the collision occurred (i.e., rear-ended, angle, sideswipe). Each choice is from the point of view of the motor vehicle. That is, rear-ended means that another vehicle hit the back of the motor vehicle, while rear-ending means the motor vehicle hit the back of another vehicle.

The ferryboat collision screens ask the reporter to provide information about the number of water transit vehicles involved, with what the collision occurred, as well as other collision information. Detailed information is below.

 

Ferryboat Collision Event Information Screen

This screen asks the reporter for specific information about the number of water transit vehicles involved in the collision, as well as what the collision was with.

Number of Transit Ferries Involved

Enter the number of transit ferries involved in the collision.

Location

Select the location (i.e., in vessel, revenue facility) at which the collision occurred. If the needed location is not listed, select Other. For Revenue facility: Other, Non-revenue facility, or Other, use the Describe box to provide a description of the location.

Collision With

Select the vessel, object or person (other than the transit vehicle) that was involved in the collision. If the needed item is not listed, select Other and use the Describe box to provide a description of the item.

Example 18 — Reporting Collision With
Example: Collision with a Dock A ferryboat (FB) hits a dock. As a result, the operator and two passengers are injured seriously enough as to require immediate transport to a nearby hospital. Select Fixed Object and note in the field that the object struck was a dock.

Ferryboat Collision Water Transit Vehicle Involved Screen

This screen will need to be completed for each water transit vehicle involved in the collision (indicated on the Ferryboat Collision Event Information screen). The screen asks the reporter for specific information about the type of transit vehicle involved, vehicle action, vehicle speed, vehicle manufacturer and collision type.

Transit Vehicle Type

Select the type of transit vehicle type involved in the collision. If the needed vehicle type is not listed, select Other and use the Describe box to provide a description of the transit vehicle type.

Transit Vehicle Action

Select the action that the transit vehicle was involved in when the collision occurred (i.e., going straight, leaving dock). If the needed action is not listed, select Other and use the Describe box to provide a description of the action.

Collision Type

Select the orientation of the vehicle(s) when the collision occurred (i.e., rear-ended, angle, sideswipe). Each choice is from the point of view of the transit vehicle. That is, rear-ended means that another vehicle hit the back of the transit vehicle, while rear-ending means the transit vehicle hit the back of another vehicle.

Example 19 — Collision Impact Type Reporting Example: Head On Collision A ferryboat (FB) strikes a dock head on (i.e., with the front of the boat). Solution: Select Head-on because the incident involved the front of the ferryboat striking the stationary object.

Vehicle Speed

Enter the speed (in miles per hour) at which the water transit vehicle was traveling when the collision occurred. If you do not know the exact speed, you may estimate.

Vehicle Manufacturer

Use the Vehicle manufacturer drop-down to select the manufacturer of the water transit vehicle. If the needed manufacturer is not listed, select Other and use the Describe box to provide the name of the manufacturer.

 

Ferryboat Collision Information Screen

This screen asks the reporter for specific information about the surroundings of the collision, including location, tide conditions, current conditions, weather and lighting.

Weather

Select the weather conditions at the time of the collision. If the needed weather condition is not listed, or if the incident occurred indoors, select Other and use the Describe box to provide a description of the weather condition, or explain that the incident occurred indoors.

Example 20 — Weather Condition Reporting
Example: Clear Weather / Safety Incident A ferryboat (FB) leaves the dock in clear weather conditions. Solution: Select Clear Example: Indoors Safety Incident A passenger is killed as a result of an incident involving an elevator in a terminal center. Solution: Select Other and state that the incident happened indoors.

Lighting

Select the lighting condition that best describes the lighting (i.e., daylight, night) under which the collision occurred. If the needed lighting is not listed, select Other and use the Describe box to provide a description of the lighting.

Tide Conditions

Select condition of the tide (i.e., low, non-tidal waters) at the time of the collision. If the needed conditions are not listed, select Other and use the Describe box to provide a description of the tide conditions.

Current Conditions

Select condition of the current (i.e., slow, fast) at the time of the collision. If the needed conditions are not listed, select Other and use the Describe box to provide a description of the current conditions.

Collision Non-Transit Vehicle Involved Screen

This screen asks the reporter for basic information regarding collisions involving non-transit vehicles.

Location

Select the location (i.e., parking facility, other) at which the collision occurred. If Other is selected, use the Describe box to provide a description of the location.

Number of Other Motor Vehicles Involved

Enter the number of other motor vehicles involved in the collision.

 

Collision Type

Select the type of collision that is being reported.

Ferryboat Collision Other Motor Vehicle Involved Screen

This screen will need to be completed for each other motor vehicle involved in the collision (indicated on the Ferryboat Collision Event Information screen). The screen asks the reporter for specific information about the vehicle type, vehicle action and collision type.

Other Motor Vehicle Type

Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the needed vehicle type is not listed, select Other and use the Describe box to describe the vehicle type.

Other Motor Vehicle Action

Select the action that the other motor vehicle was involved in when the collision occurred (i.e., going straight, making a turn). If the needed action is not listed, select Other and use the Describe box to provide a description of the action.

Collision Type

Select the orientation of the vehicle(s) when the collision occurred (i.e., rear-ended, angle, sideswipe). Each choice is from the point of view of the motor vehicle. That is, rear-ended means that another vehicle hit the back of the motor vehicle, while rear-ending means the motor vehicle hit the back of another vehicle.

The Mainline Derailment screens are only available for rail modes. Note that Mainline Derailment screens are only used if the derailment did not occur as a result of a collision – if the derailment was a consequence of a collision, report the incident as a collision. Detailed information is below.

Mainline Derailment Event Information Screen

This screen asks the reporter for specific information about the number of rail transit trains involved in the mainline derailment and the configuration of the track.

Number of Rail Transit Trains Involved

Enter the number of rail transit trains involved in the mainline derailment.

Location

Select the location (i.e., revenue facility, grade crossing) at which the derailment occurred. If the needed location is not listed, select Other and use the Describe box to provide a description of the location.

Configuration

Select the type of track on which the derailment took place (i.e., switch, curve, tangent track).

Derailment Rail Transit Train Involved Screen

This screen will need to be completed for each rail transit train involved in the derailment (indicated on the Mainline Derailment Event Information screen). The screen asks the reporter for specific information about the number of cars in the rail transit train, how many were derailed, train action and speed, and vehicle manufacturer.

Number of Cars in Rail Transit Train

Enter the total number of cars in the rail transit train.

Number of Cars Derailed

Of the total number of cars in the rail transit train, enter the number of cars that were derailed.

Train Action

Select the action that the train was involved in when the derailment occurred (i.e., going straight, making a stop). If the needed action is not listed, select Other and use the Describe box to provide a description of the action.

Train Speed

Enter the speed (in miles per hour) at which the rail transit train was traveling when the derailment occurred. If you do not know the exact speed, you may estimate.

Vehicle Manufacturer

Use the Vehicle manufacturer drop-down to select the manufacturer of the rail transit train. If the needed manufacturer is not listed, select Other and use the Describe box to provide the name of the manufacturer.

Derailment Information Screen

This screen asks the reporter for specific information about the surroundings of the derailment, including location, rail alignment, right-of-way conditions, weather and lighting.

Weather

Select the weather conditions at the time of the derailment. If the needed weather condition is not listed, or if the incident occurred indoors, select Other and use the Describe box to provide a description of the weather condition, or explain that the incident occurred indoors.

Lighting

Select the lighting condition that best describes the lighting (i.e., daylight, night) under which the derailment occurred. If the needed lighting is not listed, select Other and use the Describe box to provide a description of the lighting.

Rail Alignment

Select the rail alignment of the right-of-way (ROW) on which the derailment occurred. If the needed alignment is not listed, select Other and use the Describe box to provide a description of the alignment.

Right-of-Way Conditions

Select the condition of the right-of-way (ROW) surface (i.e., dry, wet) on which the derailment occurred. If the needed condition is not listed, select Other and use the Describe box to provide a description of the condition.

Fire screens vary slightly depending on the mode being operated at the time of the fire. Detailed information is below.

Example 21 — Fire Incident Type Reporting
Example: A fire at a transit-owned bus shelter occurs and results in $ 15,000.00 of estimated property damage. There are no injuries.
Solution: Number of Reportable Injuries 0	Number of Reportable Fatalities 0	Property Damage Amount $15,000
The form required to report this incident is the Safety and Security Monthly Summary Report (S&S-50) form, as there were no injuries and property damages did not meet or exceed $25,000.

The definition of fire event requires that fire suppression personnel (e.g., fire fighters or in-house personnel) or equipment (e.g., fire extinguishers or hoses) be involved and meet the thresholds for a reportable incident in order to be considered reportable. Arsons are not reported as fires, but as security incidents.

The screen asks the reporter for specific information about the location, type of fire, and fuel type (if applicable). Detailed information is below.

Type of Fire

Select the type of fire (i.e., fuel, other electrical). If the needed type of fire is not listed, select Other and use the Describe box to provide a description of the fire.

Example 22 — Fire Details
Example: A passenger drops a lit cigarette in a station. The fire causes extensive damage, requires fire suppression equipment to put out, and the passenger requires immediate medical attention away from the scene. Solution: Select: Smoking (e.g., tobacco) materials

Location

Select the location (i.e., in vehicle, revenue facility) in which the fire took place. If the needed location is not listed, select Other. For Revenue facility: Other, Non-revenue facility, or Other, use the Describe box to provide a description of the location.

Fuel Type

If the fire was related to fuel, select the appropriate fuel type. If the needed type of fuel is not listed, select Other and use the Describe box to provide a description of the fuel.

The definition of fire event requires that fire suppression personnel (e.g., fire fighters or in-house personnel) or equipment (e.g., fire extinguishers or hoses) be involved and meet the thresholds for a reportable incident in order to be considered reportable. Arsons are not reported as fires, but as security incidents.

The screen asks the reporter for specific information about the location, type of fire, and fuel type (if applicable). Detailed information is below.

Type of Fire

Select the type of fire (i.e., fuel, other electrical). If the needed type of fire is not listed, select Other and use the Describe box to provide a description of the fire.

Location

Select the location (i.e., in vehicle, revenue facility) in which the fire took place. If the needed location is not listed, select Other. For Revenue facility: Other, Non-revenue facility, or Other, use the Describe box to provide a description of the location.

Fuel Type

If the fire was related to fuel, select the appropriate fuel type. If the needed type of fuel is not listed, select Other and use the Describe box to provide a description of the fuel.

The definition of fire event requires that fire suppression personnel (e.g., fire fighters or in-house personnel) or equipment (e.g., fire extinguishers or hoses) be involved and meet the thresholds for a reportable incident in order to be considered reportable. Arsons are not reported as fires, but as security incidents.

The screen asks the reporter for specific information about the location, type of fire, and fuel type (if applicable). Detailed information is below.

Type of Fire

Select the type of fire (i.e., fuel, other electrical). If the needed type of fire is not listed, select Other and use the Describe box to provide a description of the fire.

Location

Select the location (i.e., in vehicle, revenue facility) in which the fire took place. If the needed location is not listed, select Other. For Revenue facility: Other, Non-revenue facility, or Other, use the Describe box to provide a description of the location.

Fuel Type

If the fire was related to fuel, select the appropriate fuel type. If the needed type of fuel is not listed, select Other and use the Describe box to provide a description of the fuel.