Hi Marc
If the Alt switch lamp is powered regardless of any external switching taking place, it would probably mean that the Alt switch is a 2 pole version with the SSL supplying power to the lamp on one pole and just the 2 external contacts on the other pole.
To have these Alt contacts on DL59 would seem unusual as, to use them, a user would need another DL (which is expensive) just to use 2 pins for this function. Again, look at DL's 31, 32 and 33 which should have the 2 pins on there in most cases.
Red light switching: This was designed so that, when the console is in record mode, an external relay could light up a sign by the recording area live rooms to warn people NOT to enter in case they interfere with the recording process. I think that this is automatically activated when the console is in record mode so, you should just need 2 wires from these Z01 contacts wired out to an external relay to power some illuminated signs in the right places.