Southwest Safety Resolution Process Form
Unsafe Condition Report
Name *
Employee #: *
E-Mail Address: *
Phone #: *
Craft: *
Division: *
SubDivision: *
Industry / Yard / Mail Line Track *
Mile Post / Click #:
Describe Safety Issue (BE SPECIFIC, Provide MP, Track Name, Signal #, Locomotive #, etc.)
Suggested Corrective Action(s)
Submit
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