DISCIPLINE-VEHICLE ACCIDENT
____Copy of Proposed
Personnel Action
____Copy of disciplinary
action
____Carrier statement of
accident (Form 91)
____Vehicle Accident
Investigation Worksheet (Form 1700)
____Street Observation Master
Form (Form 4582A)
____Accident Report (Form
1769)
____Street Observation (Form
4584)
____Grievant’s Statement
about accident
____Police Report (if
applicable)
____Investigators/s/witnesses
notes taken at the accident scene
____Grievant’s prior job
related accident record
DENIAL OF LIGHT DUTY
____Employee’s written
request for light duty
____Medical documentation of
physician that supports request
____Management’s letter
stating reasons for denial
____Management’s statement
detailing what jobs were considered and why they were rejected
____Carrier Form 1571
____Carrier Form 3997
DENIAL OF SPECIAL ROUTE INSPECTION
____ Carrier Form l62l
____ Carrier Form 3996
____ Proof of employees
inspection request
____Time cards/Employee
Activity Report
____Supervisors notes of any
discussions with employee regarding performance
LETTERS OF DEMAND
____ Copy of the Letter of
Demand
____Form 3294 for Grievant
____Form 3368 for Grievant
____Form 3369 for Grievant