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 is 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 the incident occurred.

If your agency has had no reportable incidents for the reporting period for a particular mode and type of service (TOS), click on the File New Report link at the top of the Safety & Security tab. On the first screen of the Wizard, select the mode and TOS and the Month the reporting period covers, then check the No Reportable Incidents to Certify box. Finally, click on the Next button at the bottom of the screen.

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

Age ranges have been revised and Unknown has been added as an option.

Clarification to reporting incidents involving revenue versus non-revenue vehicles.

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.

Only one form is completed per incident regardless of how many thresholds are met. 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. If an incident is being reported based upon injuries or fatalities any resulting property damages may be reported, even if it does not meet the $25,000 threshold.

A reportable incident must be related to the operation of revenue service and not associated with unrelated tasks. The following types of incidents are not reportable to the NTD:

• Mechanical
• Industrial, or
• Administrative work orders

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

Fatality

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

There is one exception to this rule: 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 suffers a fatal heart attack it 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 (i.e., an accident or homicide) resulting in one or more injuries and or fatalities are reported using the Reportable Incident Report form (S&S-40). As with fatalities, injuries resulting from illnesses should not be reported. For example, a passenger on a demand response (DR) vehicle is transported to the hospital following a seizure 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 near the top of screen to access the reporting Wizard. As each screen is completed, click the Next button at the bottom of the screen to move to the next applicable screen. Based on the information entered on the first two screens, the reporting Wizard will determine if the incident qualifies as a reportable incident.

If the incident does not meet the reporting thresholds for a reportable incident your next screen will notify you.

If the incident meets the criteria for a reportable incident, click on the Next button saves the data entered and the reporting Wizard generates an S&S-40 form in the background that you can view at any time during the reporting process. When you reach the last screen, the reporting Wizard saves the data you have entered and returns you to the Safety & Security tab.

Once you begin entering data, should you need to exit the reporting Wizard and return to complete the report at a later time the system will save the data you have entered and file the report under Pending Reports on the Safety & Security tab. To complete the report click on the link for the report, the reporting Wizard will take you to the last screen completed and you can continue on to the end of the report.

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

To delete a report, open the report, scroll to the bottom and click the Delete Report button.

Reporting an Incident

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.

Report Set Up Screen 1

Report Set Up screen 1 lists the incident types that you might need to report. After selecting the mode and type of service, select the reporting period (month) in which you are reporting. Click the Check-Boxes for as many related incident types as apply (i.e., a fire that resulted in an evacuation, check both fire and evacuation). If you have no incidents to report for the period; select the No Reportable Incidents to Certify (for current reporting period) check-box.

A brief description of each incident type is listed below:

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.

Mainline Derailment: All derailments occurring on mainline track are considered a reportable incident. 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)).

Fire: occurring on or in transit property must meet the thresholds for a reportable incident, the fire requires the act of suppression to occur at the time of the incident. If the incident types listed do not cover the incident being reported select Other and provide a description of the incident. If the material type (fuel, battery, other electrical, cable, and smoking material) is not relevant to the event, select Not Applicable.

Fires not meeting the Reportable Incident threshold are reported on the Safety and Security Monthly Summary Report form (S&S-50).

Hazardous Material Spill: Hazardous material spills that occur on or in transit property 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. The hazardous material spill must have caused imminent danger to life, health, or the environment, and had special attention given at the time of the incident. If the hazardous material involved is not listed select Other and provide a description of the material. If material type is not relevant to the event, select Not Applicable.

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 being reported is not listed select Other to provide a description.

Bomb Threat, Bombing, Chemical, Biological, Nuclear / Radiological Releases, etc.: Security incidents that occur on or in transit property and meet the reporting thresholds for a reportable incident are any 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 select Other and provide a description of the incident type.

For NTD reporting purposes, the victim of a rape is always reported as an injury.

Aggravated Assault, Robbery, Rape, Burglary, Suicide or Larceny / Theft, Vandalism, etc.: Robberies, burglaries, larcenies / thefts or vandalism, as well as other personal events such as aggravated assault, rape, suicide, attempted suicide and homicide. 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 that do not meet the reporting thresholds are reported on the Safety and Security Monthly Summary Incident Report form (S&S-50).

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.

Report Set Up Screen 2

Report Set Up screen 2 collects 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 you indicate "No" to fatalities / injuries or property damages, the incident is not reported. Hazardous Material Spills and Derailments are always reportable regardless of the number of injuries and/or fatalities and/pr the amount of property damage.

Fatalities: Enter the total number of transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others who died as a result of the incident(s) being reported.

Injuries: Enter the total number of transit passengers, transit facility occupants, transit employees, other workers, trespassers, and others who received injuries as a result of 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

An Evacuation Due to Life Safety Reasons: All evacuations of transit property for life safety reasons are reportable. 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 life safety requirement is intended to capture events that pose serious threats to those in the transit environment, rather than operations related events. For example, a situation that requires transit passengers to leave a vehicle due to a flammable fuel leak or a passenger firing a weapon on a vehicle.

Passengers transferred from one transit vehicle to another due to a service breakdown are not reported.

Transit Vehicles Involved: If transit vehicles were involved in the incident, select Yes, otherwise select No.

Basic Information Screen

Date and Time of Incident: Report the date and time the incident occurred, in a 00:00 format, using the drop-down menus.

Approximate address of Incident: Describe where the incident occurred, including sufficient information to identify the incident location.

Incident Description: Describe how the incident occurred.

Other 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. If someone other than the contact person should be contacted complete this section.

Collision Screens

Collision screens vary slightly depending on the mode involved.

Rail Collision

The rail transit collision screens collects information about the number of rail transit and other motor vehicles involved, the location of the collision, what the with they collided with, etc.

Rail Collision Event Information Screen

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 location is not listed, select Other and use the Describe box to provide a location description.

Collision With: Select the vehicle, object or person (other than the transit vehicle) involved in the collision. If the list does not contain a description that fits your needs, select Other. For Fixed Object or Other, use the Describe boxes to provide a description.

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 is completed for each rail transit train involved in the collision.
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 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. For example, 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 manufacturer is not listed, select Other and use the Describe box to provide the name of the manufacturer.

The following Rail manufacturers are provided in the Vehicle Manufacturer drop-down list:

Rail Manuafacturer Codes
ABB	Asea Brown Boveri Ltd.	GEC	General Electric Corporation	PST	Pullman-Standard
ACF	American Car and Foundry Company	GMC	General Motors Corporation	PTC	Perley Thomas Car Company
AEG	AEG Transportation Systems	GTC	Gomaco Trolley Company	RHR	Rohr Corporation
AMI	Amrail Inc.	HIT	Hitachi	SDU	Siemens Mass Transit Division
ASK	AAI/Skoda	HSC	Hawker Siddeley Canada	SFB	Societe Franco-Belge De Material
BBB	Blue Bird Corporation	KAW	Kawasaki Rail Car Inc. (formerly Kawasaki Heavy Industries)	SLC	St. Louis Car Company
BFC	Breda Transportation Inc.	MAF	Mafersa	SOF	Soferval
BOM	Bombardier Corporation	MBB	M.B.B.	SUM	Sumitomo Corporation
BUD	Budd Company	MKI	American Passenger Rail Car Company (formerly Morrison-Knudsen)	TCC	Tokyo Car Company
BVC	Boeing Vertol Company	MPT	Motive Power Industries (formerly Boise Locomotive)	UTD	UTDC Inc.
CVL	Canadian Vickers Ltd.			WAM	Westinghouse-Amrail
DWC	Duewag Corporation

Rail Collision Information Screen

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.

Weather: Select the weather conditions at the time of the collision. If the 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 collision occurred. If the lighting type 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 alignment type 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 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 ROW surface (i.e., dry, wet) on which the collision occurred. If the condition type 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.

Collision Type: Select the type of collision that is being reported.

Number of Other Motor Vehicles Involved: Enter the number of other motor vehicles involved in the collision.

Rail Collision Other Motor Vehicle Involved Screen

This screen is completed for each other motor vehicle involved in the collision (indicated on the Rail Collision Event Information screen).

Other Motor Vehicle Type: Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the 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 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.

Non-Rail Collision

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.

Non-Rail Collision Event Information Screen

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.

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 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 list does not contain a description that fits your needs, 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. Solution: 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. Solution: 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 manufacturer is not listed, select Other and use the Describe box to provide the name of the manufacturer.

The following Non-Rail manufacturers are provided in the Vehicle Manufacturer drop-down list:

 

Non-Rail Manufacturer Codes
AAI	Allen Ashley Inc.	EDN	ElDorado National (formerly El Dorado/EBC/National Coach/NCC	NFA	New Flyer of America
ACF	American Car and Foundry   Company	EII	Eagle Bus Manufacturing	NOV	NOVA Bus Corporation
ACI	American Coastal Industries	FDC	Federal Coach	OBI	Orion Bus Industries Ltd. (formerly Ontario Bus Industries)
AEG	AEG Transportation Systems	FIL	Flyer Industries Ltd (aka: New Flyer Industries)	OCC	Overland Custom Coach Inc.
AII	American Ikarus Inc.	FLT	Flxette Corporation	OTC	Oshkosh Truck Corporation
AMG	AM General Corporation	FLX	Flexible Corporation	PCI	Prevost Car Inc.
AMT	AmTran Corporation	FRC	Freightliner Corporation	PLY	Plymouth Division-Chrysler Corporation
ASK	AAI/Skoda	FRD	Ford Motor Corporation	PST	Pullman-Standard
ATC	American Transportation Corporation	FSC	Ferrostaal Corporation	RIC	Rico Industries
BBB	Blue Bird Corporation	GCC	Goshen Coach	SBI	SuperBus Inc.
BFC	Breda Transportation Inc.	GIL	Gillig Corporation	SCC	Sabre Bus and Coach Corporation (formerly Sabre Carriage Comp.)
BIA	Bus Industries of America	GIR	Girardin Corporation	SHI	Shepard Brothers Inc.
BOM	Bombardier Corporation	GLV	Glaval Bus	SPC	Startrans (Supreme Corporation)
BOY	Boyertown Auto Body Works	GMC	General Motors Corporation	SPC	Supreme Corporation
BRA	Braun	GML	General Motors of Canada Ltd.	SPR	Spartan Motors Inc.
CBC	Collins Bus Corporation (formerly Collins Industries Inc./COL)	GOM	Gomaco	SSI	Stewart Stevenson Services Inc.
CBW	Carpenter Industries LLC (formerly Carpenter Manufacturing Inc.)	HSC	Hawker Siddeley Canada IKU - Ikarus USA Inc.	STR	Starcraft
CCC	Cable Car Concepts Inc.	INT	International	SVM	Specialty Vehicle Manufacturing Corporation
CCI	Chance Bus Inc. (formerly Chance Manufacturing Company/CHI)	KKI	Krystal Koach Inc.	TBB	Thomas Built Buses
CEQ	Coach and Equipment Manufacturing Company	MAN	American MAN Corporation	TEI	Trolley Enterprises Inc.
CHA	Chance Manufacturing Company	MBZ	Mercedes Benz	TMC	Transportation Manufacturing Company
CMC	Champion Motor Coach Inc.	MCI	Motor Coach Industries International (DINA)	TOU	Tourstar
CMD	Chevrolet Motor Division - GMC	MDI	Mid Bus Inc.	TRN	Transcoach
CVL	Canadian Vickers Ltd.	MTC	Metrotrans Corporation	TTR	Terra Transit
DIA	Diamond Coach Corporation (formerly Coons Manufacturing Inc./CMI)	NAB	North American Bus Industries Inc. (formerly Ikarus USA Inc./IKU)	TTT	Turtle Top
DMC	Dina/Motor Coach Industries (MCI)	NAT	North American Transit Inc.	VAN	Van Hool N.V.
DTD	Dodge Division - Chrysler Corporation	NAV	Navistar International Corporation (aka: International/INT)	VOL	Volvo
DUC	Dutcher Corporation	NBC	National Mobility Corporation	WCI	Wheeled Coach Industries Inc.
EBC	ElDorado Bus (EBC Inc.)	NCC	National Coach Corporation NEO    Neoplan - USA Corporation	WOC	Wide One Corporation
				WTI	World Trans Inc. (aka: Mobile-Tech Corporation)
				WYC	Wayne Corporation (formerly Wayne Manufacturing Company/WAY)

 

Non-Rail Collision Information Screen

 

Weather: Select the weather conditions at the time of the collision. If the 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 collision occurred. If the lighting type 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 configuration type 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 intersection control type 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 grade crossing control type 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 condition is not listed, select Other and use the Describe box to provide a description of the road conditions.

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.

Collision Non-Transit Vehicle Involved Screen

This screen will only appear if you are reporting a non-transit collision that occurred on a transit owned or occupied property.

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.

Collision Type: Select the type of collision that is being reported.

Number of Other Motor Vehicles Involved: Enter the number of other motor vehicles involved in the collision.

Non-Rail Collision Other Motor Vehicle Involved Screen

This screen is completed for each other motor vehicle involved in the collision (indicated on the Non-Rail Collision Event Information screen).

Other Motor Vehicle Type: Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the 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 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.

Ferryboat Collision

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.

Ferryboat Collision Event Information Screen

This screen is completed for each other motor vehicle involved in the collision (indicated on the Non-Rail Collision Event Information screen).

Other Motor Vehicle Type: Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the 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 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.

Ferryboat Collision Water Transit Vehicle Involved Screen

This screen is completed for each water transit vehicle involved in the collision (indicated on the Ferryboat Collision Event Information screen).

Transit Vehicle Type: Select the type of transit vehicle type involved in the collision. If the 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 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 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.

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.

The following Ferryboat manufacturers are provided in the Vehicle Manufacturer drop-down list:

Ferryboat Manufacturer Codes
ALM - Allen Marine EQS - Equitable Shipyard FPS - Freeport Shipyard GLF - Gulfcraft	LSC - Livingston Shipbuilding Corporation MMR - Millers Marine Railway MTM - Marinette Marine	NBB - Nicholas Brothers Boatbuilders RDC - Robert E. Director and Company TDS - Todd Shipyards NA - Not Specified

Ferryboat Collision Information Screen

Weather: Select the weather conditions at the time of the collision. If the 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 collision occurred. If the 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 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 conditions are not listed, select Other and use the Describe box to provide a description of the current condition

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.

Collision Non-Transit Vehicle Involved Screen

This screen will only appear if you are reporting a non-transit collision that occurred on a transit owned or occupied property.

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.

Collision Type: Select the type of collision that is being reported.

Number of Other Motor Vehicles Involved: Enter the number of other motor vehicles involved in the collision.

Ferryboat Collision Other Motor Vehicle Involved Screen

This screen is completed for each other motor vehicle involved in the collision (indicated on the Ferryboat Collision Event Information screen).

Other Motor Vehicle Type: Select the type of other motor vehicle (i.e., automobile, motorcycle) that was involved in the collision. If the 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 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.

Mainline Derailment

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

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 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

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

Fire screens vary slightly depending on the mode being operated at the time of the fire.

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.

Rail Fire Event Details Screen

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.

 

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.

 

 

 

 

Type of Fire:Select the type of fire (i.e., fuel, other electrical). If the 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

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

Non-Rail Fire Event Details Screen

Location: Select the location (i.e., in vehicle, revenue facility) in which the fire took place. If the 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.

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

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

Ferryboat Fire Event Details Screen

Location: Select the location (i.e., in vehicle, revenue facility) in which the fire took place. If the 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.

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

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