Report of a Safety concern


Provide as much information as you can below about the incident and then click the button to summit it to the Chairman of the Illinois State Legislative Board.

 

What railroad is this safety concern located on?

          

What railroad are you employed by?

          

What category best fits this safety report?

          Select one: 

Did you report this problem to the proper authority?

         Select one: 

If you reported this problem, what is the name and title of the person you reported it to?

         

Was any action taken by the railroad as a result of your report?

          Select one: 

Have you reported this problem to the Illinois State Legislative Board prior to this?

          Select one: 

What was the date relating to this concern?

           Month  ,  Day ,  Year

If there is a time period related to this report what is it?  Please use 24hr time.

           

Please give a description in the box below of the circumstances or conditions relevant to this report.

 

Tell us how to get in touch with you:

Name
E-mail
Tel
Div. #
Union Affiliation 

 

Please contact me as soon as possible regarding this matter.



Copyright © 2004 [Brotherhood of Locomotive Engineers & Trainmen - Illinois State Legislative Board]. All rights reserved.
Revised: 06/10/10.