Train Level Crossing Safety Inspection Checklist Template

Ensure passenger safety and regulatory compliance with our comprehensive Train Level Crossing Safety Inspection Checklist. This template guides thorough evaluations of signals, barriers, and surrounding infrastructure - vital for preventing accidents and maintaining public trust. Download now and prioritize safety on your rail network!

This Template was installed 4 times.

General Information

1 of 10

Details about the crossing location and inspection date.

Inspection Date

Inspection Time

Crossing Location (GPS Coordinates)

Crossing Type

Crossing Identifier (e.g., milepost)

Inspector Name

Agency/Company

Crossing Signals and Lights

2 of 10

Inspection of the functionality and visibility of crossing signals and lights.

Last Signal Test Time

Signal Head Brightness (Lumens)

Flashing Rate (Flashes Per Minute)

Signal Alignment

Light Functionality

Last Bulb Replacement Date

Notes on Signal Performance

Gates and Barriers

3 of 10

Assessment of gate/barrier operation, condition, and security.

Gate Opening Speed (seconds)

Barrier Closing Speed (seconds)

Gate/Barrier Material

Gate/Barrier Operation Mode

Description of any unusual noises during operation

Condition of Barrier Chain/Link (if applicable)

Date of last gate/barrier maintenance

Warning Signs and Markings

4 of 10

Verification of sign placement, condition, and clarity.

Sign Condition (Overall)

Sign Reflectivity

Sign Type (e.g., Advance Warning, Crossbucks)

Sign Size (Width in inches)

Sign Size (Height in inches)

Sign Legibility (Distance)

Notes on Sign Damage (Rust, Fading, etc.)

Track Geometry and Alignment

5 of 10

Examination of track condition near the crossing to ensure proper alignment.

Track Superlevation (mm)

Track Alignment Variance (mm)

Curve Radius (meters)

Track Condition

Detailed Observations (e.g., visible cracks, dips)

Exact Location of Geometry Deviation

Approach Road Visibility

6 of 10

Assessment of visibility for motorists approaching the crossing.

Distance to Crossing Visible (meters)

Road Grade (%)

Road Surface Condition

Presence of Obstructions (e.g., trees, signs)

Detailed Observations regarding Visibility

GPS Coordinates of Obstruction (if applicable)

Vegetation Clearance

7 of 10

Verification of vegetation that may obstruct visibility of signals or track.

Distance to Trackside Vegetation (meters)

Vegetation Types Observed

Description of Vegetation Conditions

Height of Vegetation at Obstruction Point (meters)

Visibility of Crossing Lights/Signs

Photo Evidence of Vegetation

Emergency Equipment

8 of 10

Check availability and functionality of emergency communication devices.

Emergency Call Volume (Last 24 Hours)

Communication System Status

Last Battery Replacement (Emergency Phone)

Last System Test Time

Backup Power Status

Notes on Emergency Equipment Condition

Maintenance Records

9 of 10

Review of recent maintenance performed on the crossing components.

Last Signal Maintenance Date

Last Gate/Barrier Maintenance Date

Gate Cycle Count (Since Last Maintenance)

Maintenance Performed (Select All That Apply)

Detailed Description of Maintenance Activities

Attach Maintenance Reports/Photos

Signal Voltage (During Test)

Deficiencies and Recommendations

10 of 10

Documentation of any identified issues and suggested corrective actions.

Detailed Description of Deficiency

Severity Rating (1-10)

Immediate Action Required?

Target Completion Date

Estimated Repair Cost

Assigned Responsibility

Additional Notes/Comments

Inspector Signature

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