Engine Shutdown Time Plausibility Check Form
Use this form to document and assess the plausibility of a reported engine shutdown time. Please provide complete and accurate information for each section.
Engine/Equipment Identifier
*
Date and Time of Reported Shutdown
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Shutdown
*
Engine Type or Category
*
Please Select
Diesel
Gasoline
Electric
Hybrid
Other
Operating State Before Shutdown
*
Please Select
Idle
Under Load
Starting
Stopping
Other
Reported Shutdown Duration or Elapsed Running Time (minutes)
*
Observed Shutdown Symptoms or Conditions
*
Ambient/Environmental Conditions
Source of Report
*
Please Select
Operator
Maintenance Crew
Automated System
Other
Reviewer Assessment/Comments
Submit Review
Should be Empty: