HEALTH/SAFETY REPORT FORM
Please submit a copy to our UTU office to be entered in our database with all support
data and/or
Handling by this office. A copy should be retained in local records.
Defective/Unsafe/Unsanitary conditions.
FRA (Code of Federal Regulations – Violations/Patterns of abuse (example “Limbo
Time”awaiting transportation after tour of duty,
etc.)
Railroad Retirement Board
Political Issues
Recommendations/Suggestions to your legislative department so we may better
serve the membership.
DATE:
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REPORIED TO:
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ADDRESS:
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PHONE NUMBER:
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A member of Local______reported that the following exists:
Item:
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LOCATION:
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