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pdfOMB No. 2130-0505
Form No. 2
Daily Locomotive Inspection Report
Date of
Owner __________________________
Inspection ____________ Operator ________________________
Locomotive Initials ______________
Locomotive No. ________________
Instructions: Non-complying conditions shall be repaired and this report approved before locomotive is returned to service. This report
shall be filed even if no non-complying conditions are reported, however it does not have to be approved before the locomotive is returned
to service if no non-complying conditions are reported. Locomotive, including its tender and appurtenances, shall be inspected each day
it is offered for use.
Repairs needed:
Repairs done by:
CONDITION OF WATER GLASSES: __________
COMPRESSOR: __________________________
C
__________
O
N
D
I
T
I
O
N
O
F
A
I
R
CONDITION OF GAUGE COCKS: ________________________
MAIN RESERVOIR PRESS: HP ________ psi, LP _______ psi
CONDITION OF INJECTORS / PUMPS: ___________________
BRAKE PIPE PRESSURE: ___________________________ psi
BOILER SAFETY VALVE
LOCOMOTIVE BRAKE PIPE LEAKAGE: _______ lbs. per minute
LIFTS AT: __________________ psi
SEATS AT: _________________ psi
C
O
N
D
I
T
I
O
N
O
F
C
O
N
D
I
T
I
O
N
O
F
BRAKES: ________________________________
CONDITION OF PISTON ROD AND VALVE STEM PACKING _____
SANDERS: _____________________________________
Where condition is called for enter:
Good – No defects which could be discovered by a reasonable inspection.
Fair – Functioning less than optimally but is in safe and suitable condition, and not in violation of the rules.
Poor – Not in compliance.
N/A – Not applicable.
Inspector’s signature: ______________________________
Occupation: _______________________________
The above work has been performed, except as noted, and the report is approved by: ____________________________
___________________ Occupation
FRA Form No. 2
(01/09)
Expires XX/XX/XXXX
____________________
Date Approved
Note: Additional items may be added to this form if desired.
Public reporting burden for this information collection is estimated to average 2 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. According to the Paperwork
Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for
failure to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for this
information collection is 2130-0505. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or any other
aspect of this collection, including suggestions for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey
Ave., S.E., Washington D.C. 20590.
FRA Form No. 2
(01/09)
Expires XX/XX/XXXX
File Type | application/pdf |
File Title | Visio-Form2.vsd |
Author | sbolak |
File Modified | 2009-01-30 |
File Created | 2009-01-29 |