Report Unsafe Condition or Defective Equipment

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UTU Member: Please complete this form regarding Unsafe Working Conditions or Defective Equipment and click "send message" to have this sent to your Local Legislative Representative. With your identity protected, this information will be presented to the carrier with a request that corrective action is implemented. If corrective action is not taken by the carrier, please re-notify your local LR or Alt. LR and this information will be forwarded to your State Legislative Director for further action. 

Report Unsafe Condition or Defective Equipment Request Form

Contact Info

Name: Address:
Company: City:
Phone: State:
Email: Zip Code:

Incident Details

Date: Time:
Has the carrier been notified of this condition? Yes | No
Detailed Description: Please describe the unsafe condition or defect (MP Location, Track Number, Name of Station, Defective Equipment Identification, etc.)
Questions / Comments:
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