Rail Transit Accident Form

When the report is submitted, it will be transmitted to RTSB Staff and you will receive a confirmation e-mail containing the submitted information.

If you would like to send us a photo of the incident, hit Reply to All on the confirmation email or email RTSBAccidentShared@cpuc.ca.gov, attach the photo to it, and send it.


Link to CPUC Staff Guidance on Reporting Events

Please fill in the required fields below and then click Submit.
* Denotes required field to be answered.

* First Name

* Last Name

* Your Email

* RTA Name

-Select-Americana on Brand Angel's Flight BART BART (e-BART) BART (Oakland Airport Connector) Getty Center APM Grove Trolley LACMTA LAX APM NCTD Sprinter OC Streetcar Sacramento Airport APM San Francisco International Airport AirTrain APM SDTI SFMTA SRTD VTA Other

* Position Title

* Phone Number

* Reasons for Reporting

FTA Reportable

Fatality
Fatality means a death confirmed within 30 days of a safety event. Fatalities include suicides, but do not include deaths in or on transit property that are a result of drug overdose, exposure to the elements, illness, or natural causes.

Two or more injuries
Injury means any harm to persons as a result of a safety event that requires immediate medical attention away from the scene. Does not include harm resulting from a drug overdose, exposure to the elements, illness, natural causes, or occupational safety events occurring in administrative buildings.

Collision w/ injuries
Collision resulting in one or more injuries.

Collision between RTVs
Collision between two rail transit vehicles

Collision-Disabling Damage to RTV
Disabling damage means damage to a rail transit vehicle resulting from a collision and preventing the vehicle from operating under its own power.

Derailment
Derailment means a safety event in which one or more wheels of a rail transit vehicle unintentionally leaves the rails.

Evacuation for L/S reasons
Evacuation for life safety reasons means a condition that occurs when persons depart from transit vehicles or facilities for life safety reasons, including self-evacuation. A life safety reason may include a situation such as a fire, the presence of smoke or noxious fumes, a fuel leak from any source, an electrical hazard, or other hazard to any person. An evacuation of passengers into the rail right of way (not at a platform or station) for any reason is presumed to be an evacuation for life safety reasons.

Unintended train movement
Unintended train movement means any instance where a revenue vehicle is moving and is not under the control of a driver (whether or not the operator is physically on the vehicle at the time). This applies regardless of whether the event occurred in revenue service.

Non-FTA Reportable

Other Collision
A collision involving a rail transit vehicle and any object or individual, not resulting in an injury, fatality, or disabling damage.

Hazard that's PTASP reportable
Hazard means any real or potential condition that can cause injury, illness, or death; damage to or loss of the facilities, equipment, rolling stock or infrastructure of a RTA; or damage to the environment.

Courtesy Notice
Does not meet required CPUC reporting criteria, however may generate attention from media/elected officials. This category also includes:

• Evacuation NOT for life-safety reasons.
• Service Impacts due to Natural Events, including ones due to heavy rains, high heat events (including electric outage due to high heat), wildfires, earthquakes, flooding, etc., EXCLUDING cautionary speed restrictions.

Accident Details

* Accident Date

* Accident Time

* Location, including CPUC crossing number if applicable

* Number of fatalities

* Number of Injuries

Rail transit vehicle numbers involved in the accident, if any

* Brief Narrative of Accident and what occurred

Name of emergency response agency(ies) at the scene, if any

Was anyone on CPUC Staff notified by telephone?

• Yes
• No

If yes, was actual contact made or was a voicemail left?

Actual Contact Made

Voicemail

If the accident occurred within a FRA jurisdictional joint corridor or on shared track, has FRA been notified?

• Yes
• Not yet, but FRA will be notified telephonically or through proper forms submittals
• No, accident in FRA jurisdiction, but does not meet FRA reporting requirements
• No, accident location not within FRA jurisdiction

* Is this an original report or a revision/update to a previously submitted report?

• Original
• Revised

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