Information
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Location
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Conducted on
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Prepared by
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Personnel
Switch Crew
SWITCHING COMPLIANCE
Locomotive
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Daily inspection complete on locomotives in use?
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Headlights front and rear on?
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Proper horn signals?
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Bell ringing in required areas?
Train Movement
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Shoving movements properly protected?
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Does the engineer stop if additional instructions are not received?
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Operating at a safe speed?
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Safety Stop made before entering the ramp or locomotive servicing tracks?
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Good car counts?
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Safety Stop before making a coupling?
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Good coupling speed?
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Stretched each coupling?
Switching Rules
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Proper radio procedures?
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Proper red-zone protection requested and applied?
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Getting on/off equipment properly?
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Riding equipment correctly?
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Handling switches/derails?
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Leaving equipment in the clear while switching?
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Proper feet placement while lacing air hoses?
Switch Crew Member
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Crew Member
Employee
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Team member name
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Position
PPE
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5-point tear away safety vest?
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Safety glasses?
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Gloves?
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Ear plugs (in accordance to rules)?
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Boots in good condition?
Identification
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Certification for position working on person and current?
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E-railsafe badge on person and current?
Securement / Unnattended Equipment
UNATTENDED LOCOMOTIVES
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Locomotives
Locomotive
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Locomotive #
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Locomotive Picture
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Clear of adjacent tracks?
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Clear of adjacent tracks
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Independent Brake cut-in and fully applied
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Automatic Brake cut-in and in Full Service position
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Throttle is in idle
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Reverser removed and stored in proper holder
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Generator Field switch in the off position
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Isolation switch in the Start/Stop position
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Hand brake applied
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Door and window shut
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Add media
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Comments:
RAIL CARS
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Rail Cars
Track
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Track #
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Hand brakes set?
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Equipment in the clear?
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Orange flag in place?
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Comments:
Switches and Derails
SWITCHES
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Switch Pins in Place?
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Switch not in compliance
Switch
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Switch #
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Add media
CROSSOVER SWITCHES
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Crossovers in corresponding position?
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Crossover not in compliance?
Crossover
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Crossover #
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Add media
DERAILS
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Derails properly secured (used and not used?
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Derail not in compliance?
Derail
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Derail #
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Add media
Facility Maintenance
FIRE EXTINGUISHERS & FIRST-AID KITS
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Locomotive
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Locomotive #
Fire Extinguishers
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Annual inspection current?
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Monthly sign-off current?
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Secured?
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Labeled?
First-aid Kit
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Present?
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Adequate supplies?
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Labeled?
Vehicle
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Vehicle #
Fire Extinguishers
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Annual inspection current?
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Monthly sign-off current?
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Secured?
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Labeled?
First-aid Kit
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Present?
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Adequate supplies?
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Labeled?
CLEARANCE LINES AND CONES
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Clearance lines and cones in place?
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Track not properly marked?
Track
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Track #
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Add media
Paperwork
HOURS OF SERVICE RECORDS
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Last 2 years on file?
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Current months up to date and filled out correctly by employees?
MONTHLY TRACK INSPECTIONS
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Are they inspections easily accessible?
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Every month accounted for the last year?
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Is heavy track maintenance (HTM) kept separate for auditing and reviewing?
SAFETY RULE OF THE DAY
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Last 1 year on file?
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Current months up to date and filled out correctly?
LOCOMOTIVE INSPECTION REPORTS
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Locomotive inspected
Locomotive
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Locomotive #:
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Last 1 year on file?
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Work orders on file?
TRAINING RECORDS FOR CURRENT TRAINEES
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Trainee
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Employee Name
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Are the Trainee Progress Reports current and properly recorded?
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One-on-one weekly meeting notes?