Teamster Canada Rail Conference
Railway Declared Emergency Report

 Form results will be sent to the TCRC National Legislative Board
Name of Railway Declaring Emergency:   Name of Manager / RTC Declaring Emergency:
 
Date of Occurrence:                 
Time of Occurrence:  
Train Number:   Engine Number:  
   
Subdivision:   Mileage:  
   
Terminal Name (If Applicable):   Name of Locomotive Engineer:  
   
Name of Conductor: Name of Trainperson:
   
Time Crew on Duty:   Time Crew Relieved:  
   
Time Crew off Duty:    
   
Management Description of Nature of Declared Emergency:
 
Nature of Work Performed During Declared Emergency:
 
Did a Violation of the Work / Rest Rules Result?  
Please Explain:
Other Information:
Form Filed By (Your Name):   Phone Number:  
   
Should you have additional information please contact the National Legislative Board at
(613) - 235-1828