Rail Vehicle Inspection Form printable pdf download

Version 3.0 09/26/14

Rail Vehicle Inspection Form

Excursion _______________________ Location __________________

Date __________________

Operator Name __________________ Vehicle Make _____________ Railroad # (if available) _______

NARCOA Rule Book Certificate Number ______

NARCOA Current Insurance Number ______

Motorcar Items

Hi-rail Items

Satisfactory

On Board

Charged Fire Extinguisher (ABC)

Charged Fire Extinguisher 2 lb (ABC)

First Aid Kit

Twp Orange or Red Flags 16” sq)

Two Orange or Red Flags (16” sq)

Current NARCOA Rule Book

NARCOA Rule Book

Operable Flashlight

Compatible Tow Bar with Pins

Horn or Bell

Proper Brake Lever Travel

Front of Car

Operable Front Headlight

Secure Front Hitch with 3/4” to 1” Hole

Rear of Car

Safety Glass of Polycarbonate Windshields

Operable Rear Red Tail Light

Left Side of Car

Lever or Pedal Actuated Red Stop Light

Left Brake Shoe thickness - Front/Rear

Secure Rear Hitch with 3/4” to 1” Hole

Brakes Properly Adjusted

Optional - May not be required

Brake Cotter Pins Installed Properly

Mobile Radio

Front Wheel Thickness and Profile

Spare fuel secured properly

Rear Wheel Thickness and Profile

Chock or Chain

Axle Cotter Pins Installed - Front/Rear

Safety Vest/Shirt - Safety Glasses

Rear of Car

FRA § 214.523 Hi-rail vehicles

Working Rear Red Tail Light

(a) The hi-rail gear of all hi-rail vehicles shall be inspected for safety at least

Lever or Pedal Actuated Red Stop Light

annually and with no more than 14 months between inspections. Tram, wheel

wear, and gage shall be measured and, if necessary, adjusted to allow the

Secure Rear Hitch with 3/4” to 1” Hole

vehicle to be safely operated.

Right Side of Car

(b) Each employer shall keep records pertaining to compliance with paragraph

Right Brake Shoe thickness - Front/Rear

(a) of this section. Records may be kept on forms provided by the employer or by

electronic means. The employer shall retain the record of each inspection until

Brakes Properly Adjusted

the next required inspection is performed. The records shall be made available

Brake Cotter Pins Installed Properly

for inspection and copying during normal business hours by representatives of

Front Wheel Thickness and Profile

FRA and States participating under part 212 of this chapter. The records may be

kept on the hi-rail vehicle or at a location designated by the employer.

Rear Wheel Thickness and Profile

Axle Cotter Pins Installed - Front/Rear

(1) An automatic change-of-direction alarm or backup alarm that provides

Turn Table - If Installed

an audible signal at least three seconds long and distinguishable from the

surrounding noise; and

Safety Lock on Hydraulic Turn Table

(2) An operable 360-degree intermittent warning light or beacon mounted on

Audible Warning Device

the outside of the vehicle.

Table Retracts min of 2.5” above Railhead

(d)(1) The operator of a hi-rail vehicle shall check the vehicle for compliance with

this subpart, prior to using the vehicle at the start of the operator’s work shift.

Optional - May not be required

(2) A non-complying condition that cannot be repaired immediately shall be

Mobile Radio

tagged and dated in a manner prescribed by the employer and reported to the

USFS Approved Spark Arrestor

designated official.

(3) Non-complying automatic change-of-direction alarms, backup alarms,

Spare Fuel Secured Properly

and 360-degree intermittent warning lights or beacons shall be repaired or

Chock or Chain

replaced as soon as practicable within seven calendar days.

Front & Rear Lift handles

I have inspected this Hi-rail on the date indicated and

Safety Vest/Shirt - Safety Glasses

found it to meet all NARCOA and applicable affiliate stan-

I certify that I have inspected this motorcar on the date

dards and have determined that it is in a safe condition

indicated and found it to meet all NARCOA and applicable

to operate and that it meets Federal Rail Administration

affiliate standards and have determined that it is in a safe

Rule § 214.523 standards and has a current inspection as

condition to operate.

prescribed in this regulation.

_________________________

_______________

_________________________

_______________

Operators Signature

Date

Operators Signature

Date

Rail Vehicle Inspection Form

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