Safety Issues
Date of Report *
Date of report
Last Name *
Enter your last name
First Name *
Enter your first name
Employee ID *
Enter your employee ID number
Craft *
Switchman
Conductor
Other
Station *
Other
Albuquerque
Belen
SubDivision *
Glorieta
El Paso
Clovis
Gallup
Email address *
Phone *
Issue Description *
Enter the decription of the problem.
Was a SIRP filed? *
Yes
No
Was equipment red tagged? *
Yes
No
Was a Company Officer Informed of problem? *
Yes
No
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