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Get UK RT3199 2011

Uncontrolled When Printed Document to be superseded as of 01/12/2012 Superseded by Form RT3199 12-12 published on 01/09/2012 Engineering Supervisor s Certificate RT3199 June 2011 Side 1 of 2 This certificate is in addition to any required in connection with the isolation or re-energisation of the traction current. A separate certificate must be completed for each line affected by the work. Section Possession and work site details Name of ES Employer WON item No* Possession limits mileage Line affected Work site limits Start End Details of level crossings within the work site Level Crossing Arranged Withdrawn Time Date In the column enter If an attendant is required throughout at AHBC CCTV or RC crossings N If there is normal working at the crossing W If wrong direction movements must be cautioned at crossings worked by the signaller/crossing keeper or those with white lights or stop before crossing at crossings with red/green lights A Authority given by PICOP to set up work site E Signature or name of PICOP If the road signals/sirens/bells are switched off at ABCL or AOCL crossings C Q If an attendant is required some of the time at AHBC If all movements must be cautioned at crossings worked by the signaller/crossing keeper or where red/green lights have been Work site set up PICOP advised PICOP phone number PICOPs authority to allow work to start at PICOPs initials If you are also acting as COSS you must additionally complete an entry in Appendix A. Change of ES Changeover at Giving up the work site Signature of ES Work completed portion of line clear and safe for trains to pass Certificate to be handed to PICOP or Appendix IWA/COSS details IWA/COSS Phone if necessary Authority to start work given to confirms work completed or work site protection no longer needed. A separate certificate must be completed for each line affected by the work. Section Possession and work site details Name of ES Employer WON item No* Possession limits mileage Line affected Work site limits Start End Details of level crossings within the work site Level Crossing Arranged Withdrawn Time Date In the column enter If an attendant is required throughout at AHBC CCTV or RC crossings N If there is normal working at the crossing W If wrong direction movements must be cautioned at crossings worked by the signaller/crossing keeper or those with white lights or stop before crossing at crossings with red/green lights A Authority given by PICOP to set up work site E Signature or name of PICOP If the road signals/sirens/bells are switched off at ABCL or AOCL crossings C Q If an attendant is required some of the time at AHBC If all movements must be cautioned at crossings worked by the signaller/crossing keeper or where red/green lights have been Work site set up PICOP advised PICOP phone number PICOPs authority to allow work to start at PICOPs initials If you are also acting as COSS you must additionally complete an entry in Appendix A. Change of ES Changeover at Giving up the work site Signature of ES Work completed portion of line clear and safe for trains to pass Certificate to be handed to PICOP or Appendix IWA/COSS details IWA/COSS Phone if necessary Authority to start work given to confirms work completed or work site protection no longer needed. .

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