RT3187 Form PDF Details

In the realm of signal engineering within the rail industry, meticulous coordination and documentation are vital, particularly when it comes to alterations in signal equipment. The RT3187 form, updated in December 2013 and replacing its predecessor form, is at the heart of this process, providing a structured framework for communication and agreement between signallers and signalling technicians. This document is critical for orchestrating changes such as disconnections, restrictions, or taking equipment out of use, ensuring that all adjustments are systematically recorded. The form is divided into parts, covering everything from initial agreements, details of the equipment affected, and the anticipated impacts on train operations to the authorization of changes and eventual restoration or removal of equipment. Its comprehensive structure not only facilitates smooth operations during signal engineering works but also ensures safety and efficiency within rail operations. Importantly, the form acts as a record of changes made, serving as a vital tool for future reference and accountability.

QuestionAnswer
Form Name RT3187 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names rail form rn 3180 printable, rt3180 form, rt3189 form, 2013 uk form signal engineering pdf

Form Preview Example

Uncontrolled When Printed

Document comes into force 07/12/2013

Supersedes Form RT3187 06-07 on 07/12/2013

 

 

RT3187

 

 

December2013(side1of2)

 

SIGNAL ENGINEERING WORK

ForusebySignallersandSignallingTechnicians

Rule Book ModuleTS11 and Handbook 19

 

 

PART 1 Agreement about the arrangements

 

Date

 

Signalling technician’s name

employed by

Signalling technician’s telephone number

 

Signaller at

signal box

panel/workstation

 

 

 

PART 2

Details of equipment affected

 

The following signals or equipment are to be:

disconnected....................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

restricted..........................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

taken out of use

 

 

Estimated length of time signalling technician requires to make disconnections

................................................

hours

minutes

Agreed time disconnections/restrictions may start to be made

time

date

Estimated length of time equipment will remain disconnected/restricted

days

hours

minutes

 

 

 

 

 

 

if unknown, tick box

 

 

 

 

 

 

 

 

 

 

 

Signallingtechnicianandsignallermustagree:

 

 

 

How the disconnection/restriction will affect train running once they have been made:

.........................................................................................................................................................................................................................................

.........................................................................................................................................................................................................................................

Confirmation with other signallers

Anyothersignalleraffectedmustbegivendetailsaboutwhatistohappen

Signaller at

signal box

panel/workstation

told at

time

date

Signaller at

signal box

panel/workstation

told at

time

date

Authorisation

Authority to disconnect/restrict/take equipment out of use, given to

signalling technician’s name

.......................................................................... at

time

date

by signaller at

signal box name

panel/workstation

Signalling technician must read back the authority details to the signaller

 

 

 

 

 

Signalling technician confirms the equipment has been disconnected/restricted/taken out of use at

time

date

Signalling technician’s name

............................................................... Signaller’s name

 

If there are any alterations to the above arrangements, the signaller and signalling technician must complete an

additional RT3187 form with regard to any other disconnections/restrictions.

Uncontrolled When Printed

Document comes into force 07/12/2013

Supersedes Form RT3187 06-07 on 07/12/2013

RT3187

December2013(side2of2)

PART 3 Changes of signaller or signalling technician

Changes of signaller

Signaller

Time on

Duty

Date

Signaller

Time on

Duty

Date

Changes of signalling technician (during time disconnections/restrictions are being made)

Signalling technician

Time signaller

advised

Date

Employed by

Contact details

PART 4 When the disconnection/restriction is no longer needed or equipment is removed

Signalling technician’s name

................................................. employed by

..........................................................................................................

tells signaller at

signal box

panel/workstation

that the following signalling equipment can be restored to normal working

........................................................................................................................................................................................................................................

........................................................................................................................................................................................................................................

that the following signalling equipment has been removed............................................................................................................................................

........................................................................................................................................................................................................................................

........................................................................................................................................................................................................................................

The details of any signalling equipment shown in part 2 that will remain

disconnected/restricted must be entered on a new RT3187 form.

Signaller at

signal box name

 

panel/workstation

authorises signalling technician

name

employed by

 

to restore the equipment shown above to normal working at

time

date

 

 

 

Signalling technician confirms the equipment shown above has been restored to normal working at

time

............................date

Signalling technician

name

Signaller

name