Part 1: To Be Completed In The Field

Reporting Broken:

For known Defect, Defect No.

Rail Section Size

If other, describe

Rail Type
Date of break




If other, describe:


If other, describe


Rail Head Height on Running Face Either Side of Break Left (mm)

Rail Head Height on Running Face Either Side of Break Right (mm)

Rail Width on Either Side of Break Left (mm)

Rail Width on Either Side of Break Right (mm)

Fastening Type:
Sleeper Type: Select multiple if mixed

Sleeper Condition:

Sleeper support condition each side of break:

Ballast Degradation:

Rail Surface:

Vertical Geometry of nearest welds both sides of break (1m straight edge)

Weld 1 (mm)

Weld 1

Weld 2 (mm)

Weld 2

Estimated Air Temperature at Time of Break °C:

Gap at Break (mm):

If broken rail:
Advise of manufacturer, month & year rolled, heat number and ingot letter (usually on other side of rail standard and month & year rolled) and should be a letter from A to F etc.


Heat Number:

Ingot Letter:

If broken weld, weld type

Welder's Identification Mark, Name or Weld Number:

If the rail or weld was previously marked, details of weld and defect numbers:

View of Track Condition Show location of break in relation to a curve/straight, turnouts, welds, joints, other structures or show evidence of top, twist, misalignment and mud holes/bog holes
View of Top of Rail
View of Field Side of Rail Break
View of Gauge Side of Rail Break
View of each face of the break's cross-section Cross Section 1 & 2

If broken insulated joint: Describe break (eg. pull apart, broken fishplates) and if available, manufacturer and insulated joint number

Method of finding break:

If other, describe:

Break Found By (name):

Date and Time Found:

TCR No. if applicable:

Describe the defect and the cause if known:



Part 2: To Be Completed In The Office

Date of last Continuous Ultrasonic Rail Inspection:

Was a defect at break reported on last continuous ultrasonic rail inspection?

Stress Free Temperature at Break Location (if known) °C

Verse Measurement °C

If cause or break is immediately apparent, no further investigation is required.
For breaks of an unusual or complex nature, or the cause is not apparent from visual inspection or a pattern of breaks on a particular line section is becoming apparent, further investigation is required.

Results of investigation, including metallurgical tests, if required. Link to reports

Cause of break:


Additional Photos

Note: Attach or insert more detailed photographs of break if it is considered that the defect may have been detectable during the last continuous ultrasonic rail inspection, or for forwarding details of complex or unusual broken rails to continuous ultrasonic inspection Contractor.

Break details entered onto database and form filed by (name):


Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.