Track, Structures, Signals and Electrical Examination System Inspection/Defects Found Report Form XXXNNNNN
Track, Structures, Signals and Electrical Examination System Inspection/Defects Found Report Form XXXNNNNN
Track, Structures, Signals and Electrical Examination System Inspection/Defects Found Report Form XXXNNNNN
XXXNNNNN
(Optional for use when printing books)
Defects Found
!ork Re"uired
!eek Ending(
!ork Done
T)*E(
T* + Track *atrol
E , Engine
T)*E
E23I*&ENT INS*E4TED
E23I*&ENT IDENTIFI46TI-N
5& FR-&
DEFE4T IDENTIFI46TI-N Date "epairedTar#et Date or
D6TE
SI'N6T3RE
Component
Size/ !M
Modifier
Km From
Km To
Date Found
Defect Type
,ist of materials( sizes( labour( no% of staff and ot-er resources required to complete *or'
Priority
)ES
N-
If )ES please list on Defect Report form a$o8e i0e0 Rock fall, slips, etc0
&y signature confirms t.at I .a8e examined t.e infrastructure as stated a$o8e to t.e $est of my a$ility in accordance 9it. 6ustralian Rail Track 4orporation Standards0 6t any location 9.ere t.ere 9as found to $e correcti8e 9ork re"uired, appropriate correcti8e action .as $een taken or necessary protection applied, and t.e 9ork re"uired .as $een recorded on t.is Report0
Form number:EGP1001F-01 0 !ul 1 " #ersion 1$0 %his &o'ument is un'ontrolle& when printe&
Signature(
Date(
Track, Structures, Signals and Electrical Examination System Inspection/Defects Found Report Form
XXXNNNNN
(Optional for use when printing books)
Note( 6ll structures defects must $e for9arded onto t.e local Structures Representati8e0
)ES
N-
If )ES please list on Defect Report form a$o8e i0e0 Rock fall, slips, etc0
&y signature confirms t.at I .a8e examined t.e infrastructure as stated a$o8e to t.e $est of my a$ility in accordance 9it. 6ustralian Rail Track 4orporation Standards0 6t any location 9.ere t.ere 9as found to $e correcti8e 9ork re"uired, appropriate correcti8e action .as $een taken or necessary protection applied, and t.e 9ork re"uired .as $een recorded on t.is Report0
Form number:EGP1001F-01 0 !ul 1 " #ersion 1$0 %his &o'ument is un'ontrolle& when printe&
Signature(
Date(