Title Page

  • Station Name

  • Conducted on

  • Prepared by

  • Location

Station Overview

  • General Station Overview

  • Inbound Parking Lot Overview

  • Outbound Parking Lot Overview

  • Inbound Platform Overview

  • Outbound Platform Overview

Parking Lots

  • Inbound Parking Lot Issues/Repairs

  • Outbound Parking Lot Issues/Repairs

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Garage

  • Exterior Overview/Condition

  • Ground Line Markings

  • Lighting

  • Doors

  • Stairs/Stairwells

  • Signage

  • Elevator

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Station Building

  • Exterior Overview/Condition

  • Waiting Area

  • Restrooms

  • Ticket Agent Area

  • Tenant Area

  • Basement

  • 2nd Floor/Attic

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Station Shelters

  • Inbound Structure Overview/Condition

  • Inbound Benches and Waiting Areas

  • Inbound Glass

  • Outbound Structure Overview/Condition

  • Outbound Benches and Waiting Areas

  • Outbound Glass

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Platforms

  • Inbound Tactile, Step-Ups, Watch the Gap, Edge Striping, General Repairs

  • Inbound Canopies

  • Outbound Tactile, Step-Ups, Watch the Gap, Edge Striping, General Repairs

  • Outbound Canopies

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Walkways, Steps and Stairwells

  • Inbound Walking Surfaces

  • Inbound Steps or Stairs, Railings

  • Outbound Walking Surfaces

  • Outbound Steps or Stairs, Railings

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Crosswalks, Overpasses, Inter Track Fencing, and Underpasses

  • Crosswalk

  • Overpass

  • Underpass (Include Condition of Lighting, If Applicable)

  • Inter Track Fencing

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Pedestrian Tunnel

  • Structural Defects

  • Spalling Concrete

  • Paint

  • Graffiti

  • Lighting

  • Corner Mirrors

  • Drains

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Station Signage

  • Inbound Platform

  • Outbound Platform

  • System Map

  • Safety, Suicide, Septa Police Signs, Etc.

Bike Racks

  • Amount of Bike Racks and Condition

  • Provide additional photos here:

ADA Compliance

  • Inbound Mini High

  • Outbound Mini High

  • Bridge Plates

  • Bridge Plate Frames

  • Accessible Curb Cuts

  • Please provide a brief description of issues in this section:

  • Provide additional photos here:

Craft-Specific Issues (This Section Is Provided For Anything That Requires Additional Explanation)

  • Electrical

  • Welding

  • Carpentry

  • Masonry

  • Painting

  • Locksmith

  • HVAC

  • Plumbing

  • Millwrights

Please Document Any High Priority Safety Issues Here

  • Safety Concerns

  • Provide additional photos here:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.