Are you trying to figure out the process and requirements for completing the RT3187 Form? You’ve come to the right place! In this blog post, we will provide an overview of this important document, explain everything you need to know about filling it out correctly, and discuss what happens once it is submitted. We'll help take away any confusion or uncertainties surrounding this form so that you can get back on track!
| Question | Answer |
|---|---|
| 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 |
Uncontrolled When Printed
Document comes into force 07/12/2013
Supersedes Form RT3187
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RT3187 |
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December2013(side1of2) |
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SIGNAL ENGINEERING WORK |
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ForusebySignallersandSignallingTechnicians |
Rule Book ModuleTS11 and Handbook 19 |
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PART 1 Agreement about the arrangements |
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Date |
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Signalling technician’s name |
employed by |
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Signalling technician’s telephone number |
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Signaller at |
signal box |
panel/workstation |
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PART 2 |
Details of equipment affected |
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The following signals or equipment are to be:
disconnected....................................................................................................................................................................................................................
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restricted..........................................................................................................................................................................................................................
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taken out of use |
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Estimated length of time signalling technician requires to make disconnections |
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hours |
minutes |
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Agreed time disconnections/restrictions may start to be made |
time |
date |
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Estimated length of time equipment will remain disconnected/restricted |
days |
hours |
minutes |
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if unknown, tick box |
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Signallingtechnicianandsignallermustagree: |
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How the disconnection/restriction will affect train running once they have been made:
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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 |
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Signalling technician must read back the authority details to the signaller |
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Signalling technician confirms the equipment has been disconnected/restricted/taken out of use at |
time |
date |
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Signalling technician’s name |
............................................................... Signaller’s name |
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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
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 |
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tells signaller at |
signal box |
panel/workstation |
that the following signalling equipment can be restored to normal working |
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that the following signalling equipment has been removed............................................................................................................................................
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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 |
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panel/workstation |
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authorises signalling technician |
name |
employed by |
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to restore the equipment shown above to normal working at |
time |
date |
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Signalling technician confirms the equipment shown above has been restored to normal working at |
time |
............................date |
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Signalling technician |
name |
Signaller |
name |
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