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HIGHWAY-RAIL GRADE CROSSI, DEPARTMENT OF TRANSPORTATION ACCIDENT/INCIDENT REPORT FEDERAL RAILROAD ADMINISTRATION(FRA) OMB Approval No.2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1.Reporting Railroad Union Pacific RR Co. ]UP ] la UP 1b 0107RS022 2.Other Railroad Involved in Train Accident/incident 2a. 2b. 3.Railroad Responsible for Track Maintenance Union Pacific RR Co.[UP ] 3a. Up 3b.0107RS022 4.U.S.DOT-AAR Grade Crossing ID No. 7527756 15.Date of Accident/Incident 01/23/07 6.Time of Accident/incident 10:50 AM 7.Nearest Railroad Station 8.Division 9.County 10.State Code STOCKTON ROSEVILLE I SAN JOAQUIN Abbr. 06 1 CA 11.City (ifin a city) STOCKTON 12.Highway Name or No. MCKINLEY AVE 2✓ Public ❑Private Highway User Involved Rail Equipment Involved 13,Type C.Truck-trailer F.Bus J.Other Motor Vehicle Code 17.Equipment 4.Car(s)(moving) 8.Other (specify) Code 1.Train (units pulling) 5.Car(s) (standing) A.Train pulling-RCL A.Auto D.Pick-up truck G.School Bus K.Pedestrian C 2.Train (units pushing)6.Light loco(s) (moving) B.Train pushing-RCL 1 B.Truck E.Van H.Motorcycle M.Other (specify) 3.Train (standing) 7.Light loco(s) (standing) C.Train standing-RCL 14.Vehicle Speed 15.Direction (geographical) Code 18.Position of Car Unit in Train (est mph at impact) 3 1 1.North 2.South 3.East 4.West 3 1 16.Position 1.Stalled on crossing 3.Moving over crossing Code 19.Circumstance 1.Rail equipment struck highway user Code 2.Stopped on Crossing 4.Trapped 3 2.Rail equipment struck by highway user j 20a.Was the highway user and/or rail equipment involved Code 20b.Was there a hazardous materials release by Code in the impact transporting hazardous materials? 4 1.Highway User 2.Rail Equipment 3.Both 4.Neither 4 1.Highway User 2.Rail Equipment 3.Both 4.Neither 20c.Stale the name and quantity of the hazardous materials released,if any 21.Temperature 22.Visibility (single entry) Code 23.Weather (single entry) Code (specify If minus) 59'F 1.Dawn 2.Day 3.Dusk 4.Dark 1 2 1.Clear 2.Cloudy 3.Rain 4.Fog 5.Sleet 6.Snow 1 24.Type of Equipment A.Spec.MoW 25.Track Type Used by Rail Code 26.Track Number or Name Consist 1.Freight train 4.Work train 7.Yard/Switching Equipment Involved (single entry)2.Passenger train 5.Single car 8.Light loco(s) Code 3.Commuter train 6.Cut of cars 9.Main./inspect. I 1 1.Main 2.Yard 3.Siding 4.Industry I 1 NO.1 MAIN 27.FRA Track 28.Number of 29.Number of 30.Consist Speed (Recorded if available) Code 31.Time Table Direction Code Class Locomotive Cars R.Recorded 4 Units 4 89 E.Estimated 35 mph E 1.North 2.South 3.East 4.West 2 32.Type of 1.Gates 4.Wig wags 7.Crossbucks 10.Flagged by crew 33.Signaled Crossing 34.Whistle Ban Code Crossing 2.Cantilever FLS 5.Hwy.traffic signals 8.Stop signs 11.Other (specify) Warning 1.Yes Warning 3.Standard FLS 6.Audible 9.Watchman 12.None 2.No Code(s) 1 01 1 03 1 06 07 1 20 sec warn min(1); 3.Unknown 2 35.Location of Warning Code 36.Crossing Warning Code 37,Crossing Illuminated by Street Code 1.Both Sides with Highway Signals Lights or Special Lights 2.Side of Vehicle Approach1 3.O osite Side of Vehicle A roach 1 1.Yes 2.No 3.Unknown 1 1.Yes 2.No 3.Unknown 38.Driver's 9.Driver's Code 40.Driver Drove Behind or in Front of Train aode4l. river Code Age Gender and Struck or was Struck by Second TrainDrove around or thru the gate 4.Stopped on crossing 27 1.Male 1.Yes 2.No 3.Unknown Stopped and then proceeded 5.Other (spe2.Female .Did not stop 42.Driver Passed Standing Code 43.View of Track Obscured by (primary obstruction) Code Highway Vehicle 1.Permanent Structure 3.Passing Train 5.Vegetation 7.Other (specify) 1.Yes 2.No 3.Unknown 2 2.Standing railroad equipment 4.Topography 6.Highway Vehicles 8.Not Obstructed 8 44.Driver was Code 45.Was Driver in the Vehicle? Code Casualties to: Killed Injured 1.Killed 2.Injured 3.Uninjured 2 1.Yes 2.No 1 47 Highway Vehicle Property Damage 48.Total Number of Highway-Rall Crossing Users 46.Highway-Rail Crossing Users 0 1 (est.dollar damage) 530,000 (include driver) 1 49.Railroad Employees 0 1 50.Total Number of People on Train 51.Is a Rail Equipment Accident/ Code (include passengers and crew) Incident Report Being Filed 52.Passengers on Train 0 0 2 1.Yes 2.No 2 53a.Special Study Block 53b.Special Study Block 54.Narrative Description 55.Typed Name and Title 56.Signature 57.Date FORM FRA F 6180.57 NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A