Time Return And Hos Record
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TIME RETURN AND DELAY REPORT OF TRAIN EMPLOYEES
49CFR228.11 HOS RECORD DATE:
TRAIN ID/JOB #
EMPLOYEE NAME
OCC.
(first int. & last name)
PRIOR TIME (OFF DUTY) (hrs mins)
LOCOMOTIVES:
HOS ON DUTY LOCATION
DATE
TIME
HOS OFF DUTY (RELIEVED)
HOS TOTAL TIME
LOCATION
TIME
(12 HRS MAX) LOCATION
TIME
TOTAL TIME
LOADS
TIME
TOTAL TIME
TRANSPORTATION MODE
DATE
OFF DUTY (RELEASED) DATE
TIME
TOTAL DUTY TOUR TIME
ACTIVITY AND DELAY REPORT ACTIVITY/DELAY (show any limbo time under Deadhead Detail
CODE
PRIOR TIME (OFF DUTY)
BEGINNING LOCATION
DATE
ENDING TIME
LOCATION
DATE
EMPTIES TONS
FEET
DEADHEAD DETAIL REPORT BEGINNING ENDING REMARKS
CODE
LOCATION
DATE
TIME
LOCATION
DATE
TOTAL TIME WAITING AND DEADHEAD
EMPLOYEE SIGNATURE
CONSECUTIVE MONTHLY DAYS HOURS
MONTHLY D/H
NOTE: TOTAL TOUR DUTY TIME = TOTAL HOS TIME CODES NOTE: C=covered service, N=non-covered + NON-COVERED TIME (comingled) + DH servece, DH= waiting for & deadheading
REMARKS
49CFR228.11 HOS RECORD DATE:
TRAIN ID/JOB #
EMPLOYEE NAME
OCC.
(first int. & last name)
PRIOR TIME (OFF DUTY) (hrs mins)
LOCOMOTIVES:
HOS ON DUTY LOCATION
DATE
TIME
HOS OFF DUTY (RELIEVED)
HOS TOTAL TIME
LOCATION
TIME
(12 HRS MAX) LOCATION
TIME
TOTAL TIME
LOADS
TIME
TOTAL TIME
TRANSPORTATION MODE
DATE
OFF DUTY (RELEASED) DATE
TIME
TOTAL DUTY TOUR TIME
ACTIVITY AND DELAY REPORT ACTIVITY/DELAY (show any limbo time under Deadhead Detail
CODE
PRIOR TIME (OFF DUTY)
BEGINNING LOCATION
DATE
ENDING TIME
LOCATION
DATE
EMPTIES TONS
FEET
DEADHEAD DETAIL REPORT BEGINNING ENDING REMARKS
CODE
LOCATION
DATE
TIME
LOCATION
DATE
TOTAL TIME WAITING AND DEADHEAD
EMPLOYEE SIGNATURE
CONSECUTIVE MONTHLY DAYS HOURS
MONTHLY D/H
NOTE: TOTAL TOUR DUTY TIME = TOTAL HOS TIME CODES NOTE: C=covered service, N=non-covered + NON-COVERED TIME (comingled) + DH servece, DH= waiting for & deadheading
REMARKS
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