Brotherhood of Locomotive Engineers Division 781

To whom it may concern:

I have tested this engine for cleanliness and sanitation. This inspection is being done by BLE division 781 at Erwin, TN for the safety of our members.

Name_____________________________________________

Date & Time________________________________________

Location___________________________________________

Engine #___________________________________________

Using 1-5 to determine the cleanliness of these locomotive

(1 being clean and 5 being unacceptable)

	1	2	3	4	5
Control Stand
Water Cooler
Trash
Wash Basins
Air Vents
Bathroom
Floors

Notes___________________________________________________________________________________________

________________________________________________________________________________________________