Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
HIGHWAY GRADE CROSSING SIGNAL (HGCS) SUB-UNIT COUNT
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Flashing Light Units (Each pair located on a mast or cantilever)
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Strobe Light, Variable Message Light, or any Special Lighting Arrangement...
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Gate Mechanism (includes Gate Arm and Gate Lights)
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Track Detection Circuit (Includes all Track Wire, Bonding, Insulated Rail Joints...)
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Audible Warning Device (BELL)
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Timing Relay or Timing Device
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Cut-Out Device, Pushbutton, or Key Operated Device
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Highway Traffic Signal Interconnect Circuit, Traffic Signal Pre-Emption Equipment...
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Any Additional Approved Equipment...
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SUB-UNITS TOTAL COUNT
ROADWAY WORKER PROTECTION (RWP)
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Was a complete and thorough RWP job briefing provided, detailing the prescribed method of track protection to be used in the event of fouling a live track?
EMERGENCY NOTIFICATION SYSTEM SIGN (ENSS)
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Are ENS Signs displayed at location?
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Is there an ENS Sign for each approach to crossing?
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Is ENS Sign legible and visible to highway user?
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Does ENS Sign emergency telephone number route to proper location?
201 - PLANS
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(A1) Plans are kept at the location?
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(A2) Plans are legible? {Plans that are torn, faded, or consisting of more than one change in colored pencil are not considered to be legible or correct.}
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(A3) Plans are correct?
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(A3) Plans contain all required site information; track layout, warning devices, control circuits, gates, battery type, ampere hour rating, number of cells, approach circuits, approach lengths?
203 - CONTROL CIRCUITS
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(A1) Control circuit that affects the safe operation of a highway-rail grade crossing warning system operates on the fail safe principle?
205 - OPERATING CHARACTERISTICS
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(A1) Pick-Up value of electromechanical device in accordance with the limits within which it is designated to operate?
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(A2) Drop Away value of electromechanical device in accordance with the limits within which it is designated to operate?
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(A3) Working value of electromechanical, electronic, or electrical device in accordance with the limits within which the apparatus is designated to operate?
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(A4) Operating characteristics of other electromechanical, electronic, or electrical device within prescribed limits?
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(A5) Operating characteristics of electromechanical, electronic, or electrical device maintained in proper operation?
207 - ADJUST AND REPAIR COMPONENT
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(A1) Prompt action taken to determine the cause of active warning system failure, malfunction, or defective condition affecting the proper operation and or ability of the system to warn highway users of an approaching train?
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(A2) Component causing active warning system failure, malfunction, or defective condition affecting the proper operation and or ability of the system to warn highway users of an approaching train properly adjusted, without undue delay?
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(A3) Component causing active warning system failure, malfunction, or defective condition affecting the proper operation and or ability of the system to warn highway users of an approaching train repaired, without undue delay?
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(A4) Component causing active warning system failure, malfunction, or defective condition affecting the proper operation and or ability of the system to warn highway users of an approaching train replaced, without undue delay?
209 - INTERFERENCE
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(A1) There was no interference with normal functioning of warning system taking measures to provide for the safety of highway users and train traffic?
211 - SECURITY
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(A1) Warning system instrument case secured against unauthorized entry?
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(A2) Other component housing secured against unauthorized entry?
213 - GROUNDS
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(A1) Circuit was free from grounds sufficient to permit flow of current equal to or in excess of 75 percent of release value of relay or other electromechanical device in the circuit?
215 - STANDBY POWER
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(A1) Standby power source provided?
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(A2) Standby power source sufficient to operate highway-rail grade crossing warning system during an interruption of the primary source of power?
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(A3) Standby power maintained to provide capacity to operate highway-rail grade crossing warning system during an interruption of primary source of power?
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(A4) Designated capacity of the standby power source specified on the plans?
217 - FLASHING LIGHT UNITS
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(A1) Flashing light units visible to highway users and properly aligned?
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(B1) Light units are properly sealed to prevent dust and moisture from entering?
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(B2) Roundels and reflectors are in good condition?
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(C1) Lights flash alternately as designed?
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(C2) Flash rate is greater than 35 per minute?
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(C3) Flash rate is less than 65 per minute?
219 - GATE ARM LIGHTS
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(A1) Gate arm lights flashing and not missing?
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(A2) Gate arm lights visible and present?
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(A3) Gate arm lights securely fastened to the gate arm?
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(A4) Light wires securely fastened to the gate arm?
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(A5) Gate arm light units maintained per design specifications?
221 - LAMP VOLTAGE
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(A1) Lamp voltage on primary power source (AC) greater than 85 percent of prescribed lamp rating?
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(A2) Lamp voltage on standby power source (DC) greater than 85 percent of prescribed lamp rating?
223 - GATE ARM
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(A1) When horizontal, gate arm sufficiently extends across each lane of approaching highway traffic?
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(A2) Gate arm maintained in condition to be clearly viewed by approaching highway users?
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(A3) Gate arm starts downward motion at least three seconds after the flashing lights begin to operate?
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(A4) Gate arms in horizontal position at least 5 seconds prior to arrival of train at the crossing?
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(A5) Gate arms in horizontal position to road?
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(A6) Gates unbroken and not missing?
225 - ACTIVATION
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(A1) Crossing warning time in accordance with the design of the warning system?
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(A2) Crossing warning system provides at least 20 seconds of warning time?
227 - TRAIN DETECTION
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(A1) Warning system detects train movement?
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(B1) Adequate measures taken to safeguard highway users and train operations when it is known that a condition of sand, dirt, grease, or other foreign matter exists that has prevented effective shunting of a train detection circuit when occupied by a train, locomotive, or car?
229 - SHUNTING
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(A1) Train detection circuit detects the application of a shunt .06 ohms resistance when the shunt is connected across the track rails of the circuit?
231 - FOULING WIRES
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(A1) Fouling wires consist of at least two discreet conductors?
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(A2) Fouling wires are of sufficient conductivity to detect occupancy when the train detection circuit is shunted?
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(A3) Fouling wires maintained in such a condition to detect occupancy when train detection circuit is shunted?
233 - RAIL JOINTS (BONDS)
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(A1) Non-insulated rail joints within the limits of highway grade crossing train detection circuit bonded to ensure electrical conductivity?
235 - INSULATED RAIL JOINTS
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(A1) Insulated rail joints maintained in condition to prevent current from flowing between rails separated by the insulation, in an amount sufficient to cause a failure of any train detection circuit?
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(A2) Insulated rail joints in good condition?
237 - SWITCH REVERSE CUT-OUT
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(A1) Switch circuit controller contacts on hand operated switch adjusted to cut-out warning system when reverse point is open more than 1/2 inch?
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(A2) Contact opening more than 1/16 of an inch?
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(A3) Switch circuit controller securely fastened in place?
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(A4) Switch circuit controller connections securely fastened?
239 - TAGGING
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(A1) Wires tagged or otherwise marked so that they can be identified at terminal?
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(A2) Nomenclature of tags or wire identification correspond to that of the circuit plan?
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(A3) Tags are out of the way of moving parts?
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(A4) Wires are out of the way of moving parts?
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(A5) Tags or markers of identification in instrument case or apparatus housing are made of insulating material?
241 - INSULATED WIRE
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(A1) Wires protected from mechanical injury?
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(A2) Wires properly insulated, not punctured for tests?
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(A3) Splice in underground cable has insulation resistance value equal to that of the wire spliced?
245 - SIGNS
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(A1) Signs clearly visible to highway users?
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(A2) Signs reflective and in good condition?
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(A3) Signs not missing and secured?
