Safety Issue Reporting Form (SIRF)
Utilize this form when reporting a safety issue to the BLET-WSLB, so that we may catalog it in our records. The BLET-WSLB will then submit this safety issue to the corresponding railroad, BNSF Railway Co.(SIRP), Union Pacific Railroad (Safety Hotline), Amtrak - Manager of Safety, Tacoma Rail - Manager of Safety. I will reissue the safety concern under my name, title, and as the point of contact by the carrier safety manager or safety committee.
Date *
Your answer
Reporting By:
Name *
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Division *
Your answer
Employee Number *
Your answer
Phone #
Your answer
Address
Your answer
Email *
Your answer
Craft *
Your answer
Who did you notify of the issue *
Your answer
Location *
Your answer
Issue *
Your answer
How is the issue protected *
Recommended Solution *
Your answer
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