Fillable fra form 618078

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NOTICE TO RAILROAD EMPLOYEE INVOLVED IN RAIL EQUIPMENT ACCIDENT/INCIDENT ATTRIBUTED TO EMPLOYEE HUMAN FACTOR EMPLOYEE STATEMENT SUPPLEMENTING RAILROAD ACCIDENT REPORT DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) OMB Approval No.: 2130-0500 PART I - NOTICE TO RAILROAD EMPLOYEE (To be completed by reporting railroad) Name of Reporting Railroad Date of Accident/Incident Accident/Incident No. / /...
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fra form 618078
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