Form FRA-1 21 and 92 Service Day Inspection Report

OMB No. 2130-0505

Form No. 1

31 and 92 Service Day Inspection Report

Date of
Owner __________________________
Inspection ____________ Operator ________________________

Locomotive Initials ______________
Locomotive No. ________________

31 and 92 Service Day Requirements
Instructions: Non-complying conditions shall be repaired and this report approved before locomotive is returned to service. Where condition is called for, enter either: (1) Good – No defects which
could be discovered by a reasonable inspection; (2) Fair – Functioning less than optimally but safe and suitable and not in violation of the regulations; or (3) Poor – Not in compliance with the
regulations. In any case N/A means – not applicable.

Was boiler washed? __________
Were water gauge and valve passages cleaned? _________
Were gauge cock passages cleaned? __________
Were all washout plugs removed and inspected? __________
Were arch tubes, circulators, siphons and water bar tubes
cleaned and inspected? __________
Were fusible plugs removed, cleaned & inspected? __________
Were staybolts hammer tested? __________
Were all broken staybolts replaced? __________

Were steam leaks repaired? __________
Condition of draft system and draw gear. _________
Condition of running gear. __________
Condition of driving gear. __________
Condition of spring/equalizing system. __________
Condition of tender running gear. __________
Condition of brake equipment. __________
Were injectors tested and in good condition? __________
Was feedwater pump tested and in good condition? ________

92 Service Day Requirements
Date of previous 92 Service Day Inspection __________
Were tubular water glasses renewed? __________
Safety relief valves pop at _____ psi _____ psi _____ psi
Were air compressor(s) orifice tested? __________
Were all steam gauges tested? __________
Was main reservoir tested for leakage? __________
Were all air brake gauges tested? __________
Were brake cylinders tested for leakage? __________
Were steam gauge siphon pipe(s) cleaned? __________
Was tender tank entered and inspected? __________
If no 92 Service Day Inspection is done, enter number of service days used since last 92 Service Day Insp. __________
_______________________________________________
INSPECTOR

The above work has been performed and the report is
approved. ___________________________________
OFFICER IN CHARGE

_______________________________________________
INSPECTOR

Public reporting burden for this information collection is estimated to average 20 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. 1

(01/09)

Expires