Report: HTD/EOT Failure

Your Name(Required)

First Last

Your Phone(Required)

Your Email(Required)

Your Job Title(Required)

Other Crewmember Name

First Last

Other Crewmember Phone

Other Crewmember Email

Other Crewmember Job Title

Crew's Railroad(Required)

Crew's Train ID(Required)

Crew's On Duty Date(Required)

Crew's On Duty Time(Required)

Crew's On Duty Location (City and State)(Required)

Crew's Timetable Division and Subdivision

Crew's Pool or Extraboard

Lead locomotive Initials and Number (Example: CSXT 4002)(Required)

HTD Number

EOT Number

Describe the nature of the HTD/EOT failure:(Required)

Where did the failure occur?(Required)

Who was notified of the improperly funtioning EOT or HTD?(Required)

Select all that apply.

Yardmaster

Dispatcher

Trainmaster/MTO

Mechanical

Other

Radio Channel or Phone Number Used to Report EOT or HTD Failure.(Required)

Date of Report(Required)

Time of Report(Required)

Were you ordered to operate without a properly funtioning EOT or HTD?(Required)

If yes, please answer the next question.

Yes

Specify the name of the person who ordered you to operate without a properly funtioning EOT or HTD.

Upload Supporting Documentation

Screenshots, photos, etc.

Drop files here or

Max. file size: 10 MB.

Would you like this report to remain anonymous?(Required)

Yes