Information

  • Location
  • Conducted on

  • Prepared by

  • Personnel

Switch Crew

SWITCHING COMPLIANCE

Locomotive

  • Daily inspection complete on locomotives in use?

  • Headlights front and rear on?

  • Proper horn signals?

  • Bell ringing in required areas?

Train Movement

  • Shoving movements properly protected?

  • Does the engineer stop if additional instructions are not received?

  • Operating at a safe speed?

  • Safety Stop made before entering the ramp or locomotive servicing tracks?

  • Good car counts?

  • Safety Stop before making a coupling?

  • Good coupling speed?

  • Stretched each coupling?

Switching Rules

  • Proper radio procedures?

  • Proper red-zone protection requested and applied?

  • Getting on/off equipment properly?

  • Riding equipment correctly?

  • Handling switches/derails?

  • Leaving equipment in the clear while switching?

  • Proper feet placement while lacing air hoses?

Switch Crew Member

  • Crew Member

  • Employee
  • Team member name

  • Position

PPE

  • 5-point tear away safety vest?

  • Safety glasses?

  • Gloves?

  • Ear plugs (in accordance to rules)?

  • Boots in good condition?

Identification

  • Certification for position working on person and current?

  • E-railsafe badge on person and current?

Securement / Unnattended Equipment

UNATTENDED LOCOMOTIVES

  • Locomotives

  • Locomotive
  • Locomotive #

  • Locomotive Picture

  • Clear of adjacent tracks?

  • Clear of adjacent tracks

  • Independent Brake cut-in and fully applied

  • Automatic Brake cut-in and in Full Service position

  • Throttle is in idle

  • Reverser removed and stored in proper holder

  • Generator Field switch in the off position

  • Isolation switch in the Start/Stop position

  • Hand brake applied

  • Door and window shut

  • Add media

  • Comments:

RAIL CARS

  • Rail Cars

  • Track
  • Track #

  • Hand brakes set?

  • Equipment in the clear?

  • Orange flag in place?

  • Comments:

Switches and Derails

SWITCHES

  • Switch Pins in Place?

  • Switch not in compliance

  • Switch
  • Switch #

  • Add media

CROSSOVER SWITCHES

  • Crossovers in corresponding position?

  • Crossover not in compliance?

  • Crossover
  • Crossover #

  • Add media

DERAILS

  • Derails properly secured (used and not used?

  • Derail not in compliance?

  • Derail
  • Derail #

  • Add media

Facility Maintenance

FIRE EXTINGUISHERS & FIRST-AID KITS

    Locomotive
  • Locomotive #

Fire Extinguishers

  • Annual inspection current?

  • Monthly sign-off current?

  • Secured?

  • Labeled?

First-aid Kit

  • Present?

  • Adequate supplies?

  • Labeled?

  • Vehicle
  • Vehicle #

Fire Extinguishers

  • Annual inspection current?

  • Monthly sign-off current?

  • Secured?

  • Labeled?

First-aid Kit

  • Present?

  • Adequate supplies?

  • Labeled?

CLEARANCE LINES AND CONES

  • Clearance lines and cones in place?

  • Track not properly marked?

  • Track
  • Track #

  • Add media

Paperwork

HOURS OF SERVICE RECORDS

  • Last 2 years on file?

  • Current months up to date and filled out correctly by employees?

MONTHLY TRACK INSPECTIONS

  • Are they inspections easily accessible?

  • Every month accounted for the last year?

  • Is heavy track maintenance (HTM) kept separate for auditing and reviewing?

SAFETY RULE OF THE DAY

  • Last 1 year on file?

  • Current months up to date and filled out correctly?

LOCOMOTIVE INSPECTION REPORTS

  • Locomotive inspected

  • Locomotive
  • Locomotive #:

  • Last 1 year on file?

  • Work orders on file?

TRAINING RECORDS FOR CURRENT TRAINEES

    Trainee
  • Employee Name

  • Are the Trainee Progress Reports current and properly recorded?

  • One-on-one weekly meeting notes?

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.