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Railway Accident / Incident Report Form - Ship Shape Consulting Mobile App

Document and record incident details with this Railway Accident / Incident Report Form - Ship Shape Consulting app. Includes railway operator details, accident information, operation details, damages, dangerous goods, causes, corrective actions and more. Also includes signature capture for the person submitting the report.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Railway Accident / Incident Report Form - Ship Shape Consulting Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Reporting Railway or Track Operator

  • Ico textbox

    Address of Railway or Track Operator

  • Ico textbox

    Telephone #

  • Ico textbox

    Cell #

  • Ico textbox

    Fax #

  • Ico textbox

    E-Mail Address

  • Ico date

    Date

  • Ico textbox

    Date and Time of Accident

  • Ico date

    Date Reported

  • Ico textbox

    Weather conditions and Temperature

  • Ico dropdown

    This Report is for

  • Ico multiline

    Event Location: (Mileage, sub-division, track designation, track section, nearest station, etc.

  • Ico multiline

    Train Designation or Identification: (Train Number or Movement Number)

  • Ico multiline

    General Description of Accident/Incident: (Use additional sheets if necessary)

  • Ico dropdown

    Type of Railway Operation

  • Ico textbox

    Other (describe)

  • Ico dropdown

    Type of Rolling Stock Operation

  • Ico dropdown

    Type of railway Activity

  • Ico textbox

    Other (describe)

  • Ico statictext

    Direction of Travel

  • Ico checkbox

    North

  • Ico checkbox

    South

  • Ico checkbox

    East

  • Ico checkbox

    West

  • Ico checkbox

    Inbound

  • Ico checkbox

    Outbound

  • Ico checkbox

    Yard

  • Ico checkbox

    Stopped

  • ...and More!

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