United Transportation Union
Local 194 – Elkhart, Indiana
Contract Carrier Inspection Report
Railroad: Norfolk Southern Railroad Co. Date & Time:__________________
Location:__________________________ Train No.______________________
Inspected by:_______________________ Local No.______________________
Vendor Name:______________________ Vendors Phone No.______________
Unit No.______________Make/Model/Year:_____________Miles:_________________
License plate No.______________________State:____________Expires:____________
Doors:__________________________________________________________________
Windows:__________________________ Visibility & Operation:___________
Mirrors:___________________________ Horn:_________________________
Seat Belts…Font:___________________ Rear:_________________________
Headlights:______________________________________________________________
Tail lights:_________________________ Rear Brake Lights:______________
Turn Signals…Front:_________________ Rear:_________________________
Tires:
___________________________________________________________________
Spare & Jack:____________________________________________________________
Security Cargo Net or Partition in place:_______________________________________
Heated/Air conditioner:__________________________First Aid Kit:________________
Drivers License No.________________________State:___________Expires:_________
Additional Remarks:_______________________________________________________
Please give a copy to your Legislative Representative.
(For more copies call the UTU Indiana Legislative Board at 1-317-241-2442)