Form FRA F 6180.49A FRA F 6180.49A Locomotive Inspection and Repair Record

LOCOMOTIVE INSPECTION AND REPAIR RECORD

U.S. Department
of Transportation
Federal Railroad
Administration

Reporting year 20_____

If loco. renumbered
give previous no.

Check if new loco.

1. OPERATED BY

OMB No. 2130-0004

RR CODE

4. LOCO. NO.

3. MODEL NO.

5. YR. BUILT

RR CODE

2. OWNED BY (Railroad)

6. PROPELLED BY

7. HORSEPOWER

8. TYPE OF SERVICE:
ROAD

9. STEAM GEN.

GEN. #1

Working Pressure

10. MAXIMUM PISTON TRAVEL

GEN. #2

TYPE OF AIR BRAKE

PASSENGER

YARD

OTHER

Working Pressure

11. OUT OF USE CREDIT

Inches
PLACE

12. LAST PERIODIC INSPECTION DATE

PERIODIC INSPECTIONS
13.

*

DATE
MO DAY YR

14.

15. ITEM CODE:

1

15.

PLACE

BRAKES

2

ITEMS *

RUNNING GEAR

3

16.

CAB EQUIP.

18. H&H TEST PRESSURE

TESTS

TYPE

INTERVAL NOT
MORE THAN

METER

368 calendar days

HAMMER
AND
HYDRO

736 calendar days

AIRBRAKE
229.27

368 calendar days

AIRBRAKE
229.29

NUMBER OF
CALENDAR
DAYS _________

21.

PERSON
CONDUCTING

PERSON
CONDUCTING

4

15.

ITEMS *

MECH. EQUIP.

5

16.

PERSON
CONDUCTING

ELECT. EQUIP.

19. WAIVER PART - 229

22.

TEST DATE
AND PLACE

23.

6

17.

STEAM GEN.

CERTIFIED BY

7

SAFETY APPL.

20. WAIVER - OTHER

CERTIFIED BY

24.

PREVIOUS TEST
DATE AND PLACE

In accordance with the Locomotive Inspection Act, 36 State, 913, as amended and the regulations issued pursuant to that Act, the parts and
appurtenances of the locomotive unit have been inspected and all defects disclosed by the inspection have been properly repaired.

Certification of true copy.
I certify that this is a true copy of the inspection and repair record of locomotive no. ___________________
ATTENTION: A false entry on this form is punishable by fine or imprisonment (U.S. Code. Title 18. Sec. 1001).

_____________________________________________
(Officer-in-charge)
DATE
FORM FRA F6180-49A (3-85)

GOVERNMENT PROPERTY DO NOT REMOVE