Master Safety Audit Form

Business Unit
- Field Operations
- Omaha Track Equipment
- WECO Yard
- La Crosse Yard
- Hazen Yard
- Omaha Track Chicago
- TM Track
- Ribbonweld
- Kennecott
- Track Construction
- Pueblo Yard
- Contractors
- SS&P
Observer Name TM Track*
Observer Name Track Construction*
Observer Name Hazen*
Observer Name Kennecott*
Observer Name La Crosse*
Observer Name Ribbonweld*
Observer Name Field Operations*
Observers Name OTE*
Observers Name WECO*
Observers Contractors*
Observers Happs Yard*
Observers Pueblo Yard*
Observer Name SS&P*
Joint Test
- Check Here to Select Additional Observer
Additional Observer Name*
Date*
MM slash DD slash YYYY
Time*

: Hours

Minutes

AM/PM
Employee Name Field Crews*
Employee Name OTE*
Employee Name Kennecott*
Employee Name Hazen*
Employee Name TM Track*
Employee Name Ribbonweld*
Employee Name Weco Yard*
Employee Name Happs Yard*
Employee Name Track Construction*
Employee Name La Crosse*
Employee Name Contractors*
Employee Name Pueblo Yard*
Employee Name SS&P*
Location*
Address*
City State
Testing Location
City State Mile Post
219 Rule G Observaton
- 219 Rule G Observation
Rules
- Mechanical
- OT Rule Book
Rules Kennecott
- General
- Operating
- Radio/Communicaton
Rules SS&P Efficiency Testing 1
Omaha Track Rulebook
- Safety
- General Responsibilites
- Fire Prevention
- Vehicles/Equipment
- Operations
- Track Protection
- Radio/Electronics
General Rules- Kennecott 1st Test
Operating Rules - Kennecott 1st Test
Radio/Communication - Kennecott 1st Test
OT Safety Rules 1st Test
OT General Responsibilites 1st Test
OT Fire Prevention 1st Test
OT Vehicles/Equipment 1st Test
OT Operations 1st Test
OT Track Protection 1st Test
OT Radio/Electronics 1st Test
Mechanical 1st Rule
1st Rule Observed Results*
- Pass
- Exception Noted
1st Rule Observed Comments
Radio/Communication - Kennecott 2nd Test
Operating Rules - Kennecott 2nd Test
General Rules- Kennecott 2nd Test
Rules SS&P Efficiency Testing 2
OT Safety Rules 2nd Test
OT General Responsibilites 2nd Test
OT Vehicles/Equipment 2nd Test
OT Track Protection 2nd Test
OT Fire Prevention 2nd Test
OT Radio/Electronics 2nd Test
OT Operations 2nd Test
Mechanical 2nd Rule
2nd Rule Observed Results
- Pass
- Exception Noted
2nd Rule Observed Comments
General Rules- Kennecott 3rd Test
Radio/Communication - Kennecott 3rd Test
Operating Rules - Kennecott 3rd Test
OT Safety Rules 3rd Test
Rules SS&P Efficiency Testing 3
OT Vehicles/Equipment 3rd Test
OT Operations 3rd Test
OT Fire Prevention 3rd Test
OT General Responsibilites 3rd Test
OT Radio/Electronics 3rd Test
OT Track Protection 3rd Test
Mechanical 3rd Rule
3rd Rule Observed Results
- Pass
- Exception Noted
3rd Rule Observed Comments
Employee Signature (required)*
Employee Signature (optional)
Supervisor/Manager Signature (optional)*

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OMAHA TRACK - 12930 I Street, Omaha, NE 68137 - 800.554.6218