Does this report concern an unsafe:

Switch Track Equipment Person Facility Operating practice Other

What carrier do you WORK for?:

Amtrak BN IC/CN KCS NS UP Other

What carrier's property is the problem located on?:

My Carrier Amtrak BN IC/CN KCS NS UP Other

Location of problem; MP location, terminal, station, etc..:

Please describe the problem:

What do you think would resolve this problem?

Who did you report the problem to, name/title?

When did you report the problem?

-- mm/dd/yy

Is this a recurring problem at this location?

No, this is the first report of this problem at this location Yes, this problem is fixed one day and shows up again

Please provide the following contact information, this is not a required field, but may be
helpful if further info is needed. Your name will be kept confidential:

First Name
Last Name
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Street Address
City
State/Province
Zip/Postal Code
Home Phone
E-mail