Annual Hi-Rail Safety Inspection Checklist Template

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Annual Hi-Rail Safety Inspection Checklist
FRA § 214.523
Owner: ____________________________________________________
Date: ___________________________
Vehicle Make: _______________________________ Model: _____________________ Year: _________________
VIN: __________________________ License Tag - State & Number: _____________ Mileage: _______________
Hi-Rail gear installed (Make & Model)
Front
______________________
Rear
______________________
Manufacturers Installation and/or Maintenance Manual (as applicable) Available
Sat
Unsat
Inspect Hi-Rail Assemblies for loose or missing parts.
____
____
Inspect guide wheels wear per manufacturer’s limits
____
____
Inspect Tram or Alignment in accordance with manufacturer’s limits & procedures
____
____
Guide wheel gage within manufacturer’s limits
____
____
Gage Front Axle: __________ Gage Rear Axle: ____________
REQUIRED ON NEW HI-RAIL VEHICLES
FRA § 214.7 Definitions
Hi-Rail vehicle, new means a hi-rail vehicle that is ordered after December 26, 2003 or that is completed after
September 26, 2004.
Back up alarm meeting FRA § 214.523 (c)(1) Installed.
Warning light or Beacon meeting FRA § 214.523 (c)(1) Installed
Comments:
Sigature: ____________________________________________________________________
1. A copy of this inspection report shall be kept on the hi-rail vehicle.
2. The hi-rail gear of this vehicle shall be inspected for safety at least annually and with no more than 14 months between
inspections.
Annual Hi-Rail Safety Inspection Checklist
FRA § 214.523
Owner: ____________________________________________________
Date: ___________________________
Vehicle Make: _______________________________ Model: _____________________ Year: _________________
VIN: __________________________ License Tag - State & Number: _____________ Mileage: _______________
Hi-Rail gear installed (Make & Model)
Front
______________________
Rear
______________________
Manufacturers Installation and/or Maintenance Manual (as applicable) Available
Sat
Unsat
Inspect Hi-Rail Assemblies for loose or missing parts.
____
____
Inspect guide wheels wear per manufacturer’s limits
____
____
Inspect Tram or Alignment in accordance with manufacturer’s limits & procedures
____
____
Guide wheel gage within manufacturer’s limits
____
____
Gage Front Axle: __________ Gage Rear Axle: ____________
REQUIRED ON NEW HI-RAIL VEHICLES
FRA § 214.7 Definitions
Hi-Rail vehicle, new means a hi-rail vehicle that is ordered after December 26, 2003 or that is completed after
September 26, 2004.
Back up alarm meeting FRA § 214.523 (c)(1) Installed.
Warning light or Beacon meeting FRA § 214.523 (c)(1) Installed
Comments:
Sigature: ____________________________________________________________________
1. A copy of this inspection report shall be kept on the hi-rail vehicle.
2. The hi-rail gear of this vehicle shall be inspected for safety at least annually and with no more than 14 months between
inspections.

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