Rt3181 Form PDF Details

In the realm of railway maintenance and safety, few documents are as pivotal as the Rt3181 form, a comprehensive tool devised to ensure the smooth operation of line blockages. This form, becoming effective on December 5, 2015, took over from its predecessor, signaling a step forward in the detailed accounting for various safety and operational procedures linked to railway line management. It lays down the groundwork for how individuals in roles such as IWA (Individual Working Alone), COSS (Controller of Site Safety), PC (Person in Charge), and SWL (Safe Work Leader) plan and communicate line blockages. This involves specifying the nature and timings of the activities to be undertaken, assessing their impact on line safety, and detailing the required safety measures, ranging from signaling adjustments to the deployment of detonators for additional protection. Additionally, the form meticulously guides the user through granting authority for blockages, managing level crossings, and coordinating with various safety roles, all to ensure that the line blockage does not compromise the safety and efficiency of railway operations. By encompassing a vast array of considerations—from general arrangements and blocking the line to granular details on protection measures and permissions for shared blockage—the Rt3181 form serves as a critical instrument in maintaining the integrity and safety of railway operations.

QuestionAnswer
Form NameRt3181 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCOSS, CCTV, RT3181, EPR

Form Preview Example

Uncontrolled When Printed

Document comes into force on 05/12/2015

Supersedes Form RT3181 Iss 12-14 on 05/12/2015

IWA/COSS/PC/SWL Line Blockage Form

 

 

RT3181

 

 

 

 

 

December 2015 (Side 1 of 2)

 

 

 

 

 

 

 

 

 

 

Section1

General arrangements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WON/GZAC No.

 

 

IWA

COSS

PC

SWL

 

 

 

Circle your role

 

 

 

 

 

 

(if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your name

 

Name of signaller

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Panel/workstation

 

 

Phone number

 

Signal box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer

 

Time needed for the

 

hrs

 

mins

 

 

 

activity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will the work affect the safety of the line?

Yes/No

 

Circle the type of additional

T-COD

Token

Signalling

EPR

Detonator

Not required

 

 

protection

 

disconnection

protection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section2

 

Blocking the line

 

 

 

 

 

 

Line to be blocked

Between (signal/block

marker/points)

and (signal/block

marker/points)

Protecting signal(s)/block

marker(s)

Go to page 2 and complete -

Appendix

if the line blockage includes

Appendix

if additional protection

Appendix

if sharing protection

Appendix

if there is a change of

A

any level crossings

 

B

is required

 

C

D

COSS/PC/SWL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tick the box when agreed that details are correct

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section3

Granting authority

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Blockage

Authority number

 

 

Blockage taken at

 

Call back time

 

Blockage given up at

number

 

 

Time

 

Date

 

Time

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

7

8

9

10

Uncontrolled When Printed

Document comes into force on 05/12/2015

Supersedes Form RT3181 Iss 12-14 on 05/12/2015

IWA/COSS/PC/SWL Line Blockage Form

RT3181

 

 

December 2015 (Side 2 of 2)

 

 

 

 

AppendixA

Level crossing arrangements

 

 

Level crossing

Supervising signal box

 

Method

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

In the method column, circle -

Level crossing

Supervising signal box

 

Method

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

 

 

A

Q

E

N

 

 

 

 

 

 

A

if an attendant is required throughout the blockage (atAHBC, CCTV, OD or RC crossings)

Q

if an attendant is required some of the time (atAHBC, CCTV, OD or RC crossings)

E

if the signals/sirens/bells are switched off (atABCL orAOCL crossings)

N

if there is normal working at the crossing

AppendixB Additional protection

Detonator Protection

Detonators placed at signal or beyond points

Signalling Disconnection

Name of signalling technician

Disconnected signalling equipment

Token

Time token issued

Time token returned

EPR

Has the signaller applied EPR?

Yes/No

 

 

T-COD

These track circuits are occupied by T-CODs

 

AppendixC

Permission to share blockage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of

 

Signature

 

 

IWA/COSS/SWL confirms

Signature

 

IWA/COSS/SWL

Phone number

IWA/COSS/SWL

Authority given to share

work is completed and Line

IWA/COSS/SWL

 

and Employer

 

(if present)

 

Line Blockage

Blockage protection is no

(if present)

 

 

 

 

 

 

 

 

longer needed

 

 

 

 

 

 

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time

 

Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time

 

Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time

 

Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time

 

Time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AppendixD

Change of COSS/PC/SWL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of new COSS/PC/SWL

Phone number

Employer

Time Date