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3. I/We hereby certify that on ………… 20…………. I/We have carefully inspected and tested
the above work and that I/We have satisfied myself/ourselves that it has been properly
completed and is in good working ‘order’ *and that the work can be opened for Public
carriage of passengers without endangering the safety of the travelling public, or of the
employees of the Railway, subject to the following speed restrictions:
@ Temporary………………..Kmph ………………… due to …………………………………….
………………………………………………………………………………………………………..…
@Permanent………………………..Kmph ………………….. due to………………………….…
………………………………………………………………………………………………………….
4. The work is being opened on………………………….…………………………….……….….
*Necessary in case of signaling and interlocking works only.
@To be scored out if not applicable.
Signature #Countersigned by:
Name Signature …………………………….
Assistant Engineer/ Name …………………………………
Dated……………… Dated………………..
Signature #Countersigned by:
Name Signature …………………………….
Assistant Signal & Telecommunication Engineer Name …….……………………………
Dated……………… Dated………………..
Other officers concerned #Countersigned by:
Signature Signature ……………………………….
Name Name ….…………………………………
Designation Dated………………..
No…………………………………………………………………………………..Dated……..……..
#To be Countersigned by the officers who had applied for sanction and forwarded to
Commissioner of Railway Safety for information:
Forwarded by
Divisional Railway Manager/
Chief Engineer (Construction)
Chapter 9: Procedure for Commissioning of Signalling Installations Page 196 of 535