Get Fra F 6180.98 2010-2025

The FRA F 6180.98, also known as the Railroad Employee Injury and/or Illness Record, is a critical form used to report injuries or illnesses that occur within the railroad industry. This guide provides step-by-step instructions for filling out the form online to ensure accurate and thorough documentation of incidents.

Follow the steps to successfully complete the FRA F 6180.98 form.

1. Click the ‘Get Form’ button to obtain the FRA F 6180.98 and open it in the editing interface.
2. Enter the name of the railroad in the designated field. This is essential for identifying the associated organization.
3. Input the case or incident number in the appropriate section to track the report.
4. Fill out the employee's information, including their last name, first name, middle initial, date of birth, and employee ID number.
5. Provide the employee's home address, including street address, city, state, and ZIP code, as well as their home telephone number.
6. Document the establishment or facility where the employee typically reports for work, including street address, city, state, and ZIP.
7. Indicate the job title of the employee and the department they are assigned to.
8. Describe the location of the accident, ensuring to specify if it occurred on the railroad's premises.
9. Record the specifics of the incident, including the date of occurrence and the time the shift began as well as the time of occurrence.
10. Detail the date and time that the employee notified company personnel of their condition, as well as the name of the person notified.
11. Describe the general activity the employee was engaged in prior to the injury or illness.
12. Provide a thorough explanation of all relevant factors that contributed to the incident, including tools, machinery, or conditions that played a role.
13. In the injury/condition section, elaborate on the injury or condition sustained, specifying affected body parts.
14. List all individuals and organizations that evaluated or treated the injury, including their addresses.
15. Document all procedures, medications, or therapies recommended for treatment.
16. Select any applicable consequences resulting from the injury, such as hospitalization or missed work days.
17. If any consequences occurred, provide a brief explanation if the injury was not reported as necessary.
18. Confirm whether the employee was given an opportunity to review their file.
19. Complete the preparer's information, including name, title, telephone number, and date initially signed.
20. Finally, save your changes, and you have the option to download, print, or share the completed form.

Complete your FRA F 6180.98 form online today to ensure precise incident reporting.