SWP 2.5 - PLAN REQUEST SWP 2.5 - PLAN REQUEST Note: All SWP Requests Must Be Submitted by MIDDAY on the Friday, ONE WEEK prior to Works Commencing Go to top Name of Person Making The Request: * Name of Person Making The Request: First First Last Last Contact Phone Number * DESCRIBE - WHAT, WHERE, WHEN & HOW ARE WE GETTING ON/OFF THE RAILWAY Nature Of Work / PPS Number * Location (At, or From & To) * When (Give Date To / From or During a Week) * Track Access Point (Name & Mileage) * How to Get From Access Point to Where The Work Is * Track Exit Point (Name & Mileage) * How To Get From Work Finish To Off Track * Name & Address of Nearest Hospital With Telephone Number * Name of PICC * WHAT ARE THE FULL MILEAGES THAT THE PLAN NEEDS TO COVER? State ELR(s) * Mileage From * Mileage To * State ELR(s) * Mileage From * Mileage To * WHAT ARE SUGGESTED SAFE SYSTEM OF WORK ARRANGEMENTS DURING THE FULL PLAN? Safe System Is a (Choose) * WorkingWalkingParallel ComponentOther Safe System Is a (Choose) For How Long? * ON ELR(s) * Mileage From * Mileage To * ON ELR(s) * Mileage From * Mileage To * Suggested Safe System Level Is? * Safe GuardedGZ Lines Blocked & Site WardensFencedSeparated With Site WardensRZ With Lines Blocked & WarningsATWSTOWSLookouts Or IWA Lines At Site i.e.. D/F, D/S, U/F, U/S etc * Lines At Site * Uni Directional Bi Directional Line Speed * Lines Open / Blocked * OpenBlocked Block Type * Sigs From * Sigs To * Electric * Lookout / Site Warden Requirements (State) * Fence Type (State) * Seperation Distance (State) * plus1 Add Another minus1 Remove INPUT BY: Plan Input By (Name): * Plan Input By (Name): First First Last Last Date Input: * SWP 2.5 Reference Number * If you are human, leave this field blank. Submit