NOTICE SHEET
of the accident/incident on the railway
1. Number, date, time of notification/Number of confirmation of receipt of notification.......................................... .............................................. ......................................
2. Service auditor of the territorial structure/Service auditor of the central structure administrator/manager/territorial state inspector of service from ASFR:....................... .. ......................../......................../..........................
3. Date ............................ time ................. .. upon receipt of the notice
4. Approval of the economic operators involved................................................................................................... ................................................ ..........................................
5. Place of occurrence of the accident/incident (current line, km, station, etc.):.......................................................... ..........................................................
6. Date ..................... time ......................... of the occurrence of the accident/incident
7. Preliminary classification of the accident/incident: art. ................ group ................. point .............
8. Description:
9. Damaged locomotives ............................ no. place. ................................
10. Locomotive mechanic ...................................................., assistant mechanic ........................................ ..................................................................................................
The depot I belong to................................................................................................................................................ ........................................ ..................................................................................................
11. Head of shunting (Head of train).......................................................................................................................... ..........................................................................................................................................
Wagon driver (train driver)......................................................................................................................................... ..............................................................................................................................
The subunit I belong to............................................................................................................................................. ............................................................................................................................................
12. Damaged wagons ................................................ condition (loaded/empty)....................................................... ................................................ .......................................................................
13. Wagon number ......................................................................................................
14. Lines closed ............................. from time ................... at Class .........................................
15. Dead ................ wounded .................
16. Aid requested (date, time of request)................................................................................................................... ................................................ .............................................................
17. Aids Guided (date, time of Guidance).................................................................................................................. ................................................ ................................................ .........
18. Approval of the territorial representatives of the bodies within the prosecutor's offices, the police, the county inspectorate for emergency situations, rescues, environmental protection, etc........................................................... ...................................................................................................................................
Signature
................................

APPENDIX No. II B to the regulation

NOTICE SHEET of the accident/incident occurring on the metro transport network

[_] Accident

[_] Incident

[_] Accident at work

[_] Started by fire; floods

[_] Major disturbances in TEM circulation (over 15 minutes)

(The deed will be ticked in the square.)

No. of approval ......................../................................ ........ (date and time of transmission), central dispatcher ................................. ............................ (name and surname) The approval of the representatives of the Romanian Railway Safety Authority, the Romanian Railway Investigation Organisation, the Prosecutor's Office, the territorial inspectorate for labor protection, the firemen, the county inspectorate for emergency situations, etc. ................................................ ................................................ .......................................... ................................................ ................................................ .......................................... Date, time of production:................................................... ................................................ .............. Place (station, current line, connection, shunting line, depot):................................. ............ ...................................... ................................................ ................................................ .... Thread ................................................ ................................................ ...................................... Mechanic................................................. ...................,mechanic help ............................ ....... Train no. .................................... drawn............. ................................................ ..................... Exceeding the circulation interval:................................................ ...................................... Preliminary classification of the accident/incident:............................................. .................. ................................................ ................................................ .......................................... The description: ................................................ ................................................ ........................ Material damage: YES/NO Material casualties: YES/NO Affected rolling stock:................................................ ................................................ ......... Closed Lines: .............................................. ................................................ ........................ Affected macaques:. ................................................ ................................................ ........... Decommissioned installations: ............................................. .............................................. Personnel from the management of the economic operator that carries out transport operations with the approved metro: ................... time ................ . Staff from the department responsible for traffic safety approved:.............................. ................................time........................Aids requested:.......................................................................................... ................................................ .. ................................................ ................................................ ................. central dispatcher, ............................