Information
NETWORK RAIL RS 5.1
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INCIDENT REFERENCE
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INCIDENT DATE
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NAME OF ATTENDEE
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JOB TITLE
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PHONE NUMBER
ADD INFORMATION ABOUT INCIDENT WHERE APPLICABLE
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Shift pattern
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Attending person
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Control advise time
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Type of incident
- Tresspass
- Failed Train
- Points failure
- Traction gel Applicator
- Sucidle person
- Fatality
- Poor adhesion / Rail head
- Category SPADS
- Other
- Smoke / Fire
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Location
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On site time
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Attended as
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Incidents attended / Actions performed
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Main Cause?
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Remarks: Observations made during incident(factors that did / did not help)
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Photos from incidents if applicable
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Incident closed time
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RT9909 completed
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RT3181 Completed
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Enter Name
