Line Blockage Form PDF Details

Do you need insight into how to resolve line blockage in your industrial environment? Line blockages are one of the most common problems affecting production lines, which can prevent quality output and increase total downtime. By understanding the causes and types of line blockages associated with different industries, you’ll be able to create a tailored plan of action for properly managing any situation that may arise. This blog post is here to provide deep analysis on various scenarios regarding line blockage – including overviews on forms used by leading organizations as well as tips on how to best utilize them in such strategic environments.

QuestionAnswer
Form NameLine Blockage Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform t12, what is t12 in real estate, t 12 form, t12 tax form

Form Preview Example

Uncontrolled When Printed

Document to be withdrawn as of 04/12/2010

To be superseded by Form RT3181 12-10 published on 04/12/2010

Line Blockage Form (T12/T2)

RT3181 June 2006: page 1

Section

1

General arrangements

WON/GZAC No.

(if applicable)

Name of

IWA/COSS/PC

Phone Number

Employer

Circle the type

T12

T2A

T2D

T2H

T2T

T2X

of line blockage

 

 

 

 

 

 

 

 

 

 

 

 

 

Circle your role

IWA

COSS

PC

signaller

 

 

 

 

 

Name of signaller

Panel/workstation

Signalbox

Phone Number

Time needed

hrs

mins

for the work

 

 

 

 

 

Line to be blocked

Between (signal/points)

And (signal/points)

Protecting signal(s)

If a T2 is being taken, go to page 2 and complete -

Appendix

A

if the T2 includes any level crossings

Appendix

B

if protection has been placed on a stabled train

Appendix

C

if a T2A (signaller only), T2D or T2T is being taken

Section

2

Authority number

1

Authority number

Blockage taken at

Time

Date

 

 

Call back time

Blockage given up at

Time

Date

 

 

Rows 2-10 are for use with a T2 only

2

3

4

5

6

7

8

9

10

Go to page 2 and complete -

Appendix if a T2 is to be shared by two or more

DCOSSs (PC only)

Appendix

E

if there is a change of COSS/PC in a T2

Appendix

F

if there is a change of signaller (signaller only)

Uncontrolled When Printed

Document to be withdrawn as of 04/12/2010

To be superseded by Form RT3181 12-10 published on 04/12/2010

Line Blockage Form (Appendices)

RT3181 June 2006: page 2

AppendiA x Level crossing arrangements

Level crossing

Supervising signal box

 

Method

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

In the method column, circle -

A

if an attendant is required

 

Q

if an attendant is required some

throughout the T2 (at AHBC,

 

of the time (at AHBC, CCTV or

CCTV or RC crossings)

RC crossings)

 

 

 

 

 

 

 

 

E

if the signals/siren/bells are

 

N

if there is normal working at the

switched off (at ABCL or AOCL

 

 

crossing

crossings)

 

 

 

 

 

AppendiB x Trains stabled on platform lines

Protection placed on trains stabled on these platform lines

AppendiC x T2A, T2D or T2T

T2A (signaller only)

These track circuits are occupied by TCODs

T2D

Name of signalling technician

Disconnected signalling equipment

T2T

Time token

 

Time token

 

issued

 

returned

 

 

 

 

 

Appendix

D

Permission to share the T2 (PC only)

Name of COSS

Phone number

Employer

Authority given at

Time

Date

 

 

Work completed at

Time

Date

Appendix

E

Change of COSS/PC

Name of new COSS/PC

Phone number

Employer

Time

Date

Appendix

F

Change of signaller (signaller only) (if required by signal box instructions)

Name of new signaller

Time

Date

Name of new signaller

Time

Date