PLEASE READ THE FOLLOWING
NASA, through agreements with the Federal Railroad Administration, is managing, operating, and accepting reports for the Railroad Confidential Close Call Reporting System (C3RS). The C3RS is expected to identify
issues in the railroad system that could be addressed to provide improvements in safety. Your assistance in informing us about such issues is essential to the success of the project. Please fill out this form as completely as possible.
The FRA has agreed through MOU's with rail carriers that the reports filed with NASA are prohibited from being used for FRA enforcement purposes. This report will not be made available to the FRA for disciplinary actions for violations.
Your identification strip, date stamped by NASA, is proof that you have submitted a report to the C3RS. We can only return the ID strip to you if you have provided a mailing address. The information you provide on the identification strip
will be used only by NASA to contact you for further information. We can often obtain additional useful information if our safety analysts can talk with you directly by telephone. For this reason, we have requested telephone numbers where
we may reach you. THIS IDENTIFICATION STRIP WILL BE RETURNED BY MAIL DIRECTLY TO YOU. The return of the identification strip assures your anonymity.
NOTE: Train Accidents and/or criminal acts should not be reported on this form. Such events should be filed through appropriate authorities.
Thank you for your contribution to railroad safety!
