#103 LOCOMOTIVE PRE-OPERATION SHIFT REPORT OF INSPECTION

#103 LOCOMOTIVE PRE-OPERATION SHIFT REPORT OF INSPECTION

This Check List is intended for your safety and the safety of the employees working in your area & must be completed at the start of each work shift.
Locomotive #103
HOURMETER*
Shift:*
Date*

MonthDayYear
Date

PRE-OPERATIONAL CHECKS*

	Satisf	Unsat
1. Is the coolant level adequate? PRE-MIX GREEN gallons added:
2. Are the fire extinguishers (2) secured properly?
3. Do all of the lights work properly?
4. Are the walkways free of obstructions?
5. Are the brake shoes & linkages in good working order?
6. Do the couplers move freely?
7. NEW DAMAGE is not present?

	gallons
1.
9.

OPERATIONAL CHECKS*

	Satisf	Unsat
8. Does the electronic bell alarm while under power when using the Catron remote?
9. Engine oil in normal operating range at idle? Caprinus XR40 gal added:
10. Is the engine oil pressure in the operating range?
11. Is the coolant temperature in the operating range?
12. Are the instruments reading within normal range?
13. Do the brakes work properly?
14. The locomotive works properly using the remote control system?
15. Fluid leaks are not present?

Report below any defect or condition that needs attention:
Supervisor Signature

First NameLast Name
Operator Name*

First NameLast Name
Reminders:

1. Mobile equipment is not to be operated at night without proper lighting.

2. Seat belts shall always be used when operating mobile equipment.

3. Any [NO] boxes checked, LOCO must NOT be operated (Pre-Operation check OR during operation) until condition has been corrected & documented by 2nd Pro-Operation InspectionReport. NOTIFY your Supervisor immediately.
Unsat
Get Unsat response
used only for conditional email settings if an Unsat is recorded.
Should be Empty: