Vehicle Fault & Repair Log
LVR F 034 Version 10.0 Review Date 24/05/2021
DIESEL Locomotive Number
Please Select
4701
4702
4703
4707
4708
4716
4719
4906
4204
4464
4473
4486
STEAM Locomotive Number
Please Select
3237
3026
5367
RAIL MOTOR Number
Please Select
CPH 12
CPH 24
CPH 25
NPF 631
NTC 731
Wagon Number
Please Select
FS 2029
FS 2091
FS 2126
FS 2133
MFS 2028
MFS 2121
RBS 2160
SWT 12
ABS 2304
EHG 2409
FHG 31772
NDCF 2094
OAM 2329
Other (non LVR)
DATE
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Kilometres
Locomotive Kilometres
Fault reported by
*
Full Name Of Person Reporting
Location
*
Please record milepost, station or locality
Description of Fault
*
Fault Priority
*
Please Select
Critical
High
Medium
Low
Attach photos/files of faults
Upload a File
Cancel
of
Repairs carried out
Repair Status
*
Please Select
Outstanding
In Progress
Completed
Repairs carried out by
Date Repairs Carried Out
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature of person submitting form
Submit
Print Form
Should be Empty: