Access no. UX85B-2011-nnn
Date of submission of request
Page 1 of 3
LHCb Access Request
Intervention in UX85B
General informationObjective of intervention / Visit
Short description of work / Visit / filming / Interview
Date of intervention
(indicate if by or at a certain date or whenever possible)
Expected duration of intervention
Location of work / Visitor Passerelle, if possible RICH1 and Velo (A side) = VIP
Visitor Passerelle for Institutes and groups
Number of people participating / Visitors + escorts + CERN accompanying persons
Specific information
Person responsible for the intervention
(with mobile phone number) / = Escort
Minimum warning time before start of access / Not relevant
Excluded days of time ranges for intervention / Not relevant
Urgency / Not relevant
Name of persons expected to participate in the intervention
(you can give a wider list out of which a subset will participate)
Radiological information
you can contact the LHCb-RSO or RPEs for help in filling this part
Radiological type of area / Supervised
Expected individual and collective dose / Negligible
Material to be removed
(indicate if bulky and would not fit in buffer zone, also indicate if coming from ZDN) / Negligible
Specific Risks
other than radiation
Electrical risks / None
Working at heights, on top the beam pipe / No
Other risks (e.g. ODH... ) / None
Impact on data
possible changes on data collected after the intervention
List if and how the data could be affected (e.g. new alignment needed...)
Other information
that may be relevant to plan for both LHCb and LHC centralized access planning
After the intervention you will need to fill the "Access Report" available from the same web page (
How to fill the form:
Reference : ID nr on the left side of the Twiki table on
In red = captions to be chosen