Form FRA F 19 FRA F 19 Report of Alteration or Welded or Riveted Repair

Form No. 2

OMB No. 2130-0505

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instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
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required to respond to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a
currently valid OMB control number. The valid OMB control number for this information collection is 2130-0505. All responses to this
collection of information are mandatory. Send comments regarding this burden estimate or any other aspect of this collection, including
suggestions for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave., S.E.,
Washington D.C. 20590.

Daily Locomotive Inspection Report
Date of
Inspection

Owner
Operator

Locomotive Initials
Locomotive No.

Instructions: Non-complying conditions shall be repaired and this report approved before locomotive is returned to service.
This report shall be filed even if no non-complying conditions are reported, however it does not have to be approved before the
locomotive is returned to service if no non-complying conditions are reported. Locomotive, including its tender and
appurtenances, shall be inspected each day it is offered for use.
.

Repairs needed:

Repairs done by:

CONDITION OF WATER GLASSES:
CONDITION OF AIR COMPRESSOR:
CONDITION OF GAUGE COCKS:
MAIN RESERVOIR PRESS:

HP

psi,

LP

psi

CONDITION OF INJECTORS / PUMPS:
BRAKE PIPE PRESSURE:
BOILER SAFETY VALVE

psi
LIFTS AT:
SEATS AT:

LOCOMOTIVE BRAKE PIPE LEAKAGE:

psi
psi
lbs. per minute

CONDITION OF BRAKES:
CONDITON OF PISTION ROD AND VALVE STEM PACKING:
CONDITON OF SANDERS:

Where condition is called for enter:
Good – No defects which could be discovered by a reasonable inspection.
Fair – Functioning less than optimally but is in safe and suitable condition, and not in violation of the rules.
Poor – Not in compliance.
N/A – Not applicable.

FRA Form No. 2

Expires 11/30/2024

Form No. 2

OMB No. 2130-0505

Inspector’s signature:

Occupation:

The above work has been performed, expect as noted, and the report is approved by:
Occupation
Date Approved

Note: Additional items may be added to this form if desired.

FRA Form No. 2

Expires 11/30/2024