TS 10765 F1 : 2014

Request for concession to ASA requirement

Version 1.0
Effective Dte: 01 !rc" 2014
Request for concession to ASA requirement
General details
#ontrct $ %ro&ect 'me Rene() of #entr) 627* 62+* 6,1
#rossovers* 627$62+ Dimon- n-
6,, Turnout
#oncession -escri.tion / 0ener)
T"e c)ernces to 6271 234 su..ort 51 6. Si-e n- 62+A 234 su..ort 54 6.si-e require (iver.
Disci.)ine (e.g. signal, electrical, safety etc.)
Trc7
Concession request details
Re)evnt ASA -ocument (number and title) Section or c)use
ES# 215 8 Trnsit S.ce 9Version 4.+: ;nfrstructure service
requirements 8 Seciton ,.2
Trnsit S.ce 4Aivers 8 Section
5.,
Asset $ s<stem to ("ic" concession ..)ies (e.g. rolling stock, substation etc. with specific identification
details such as geographical location, kilometrage, line, asset name, item number).
6271 234 Su..ort 51 6. Si-e.
62+A 234 Su..ort 54 6. Si-e
#oncession t<.e requeste-
%ermnent
Tem.orr< Strt Dte E=.ir< -te
;nterim 9v)i- for 10 (or7in> -<s on)< from t"e -te of issue:
S.ecific requirement t"t cnnot ?e met
Su?8stn-r- c)ernces infrin>in> on @EA200.
Refer Section 5.4 of Desi>n re.ort for c)ernce v)ues .ertinin> to ut"orise- ro))in>stoc7 out)ines.
Bustifiction ("< t"e requirement is not reson?)< .rctic?)e to ?e met
Desi>n >eometr< t 6271 234 Su..ort 51 on 6. Si-e "s ?een s)e(e- ?< 6mm ("ere s 1+mm s)e( is
o?serve- on t"e 62+A 234 Su..ort 54 on 6. Si-e. CCCCCCCCCC..
%ro.ose- )terntive non8stn-r- so)ution
;t is ssume- t"t )) c)ernces >reter t"n @EA200 -o not require (iver* (ivers (i)) ?e
require- for t"ose su?8stn-r- c)ernces infrin>in> on @EA200. 4ivers re require- for
c)ernce to 6271 234 Su..ort 51 6. Si-e n- 62+A 234 Su..ort 54 6. Si-e structures.
#ost im.)ictions to Tf'S4 -ue to non8com.)ince inc)u-in> on>oin> mintennce of --ition) ris7 contro)s
Su?stn-r- c)ernces .re8e=ists t ?ot" structures. !inor >eometr< mo-ifictions re ..rent)<
im.rovin> t"e c)ernces ?< n mount t"e trc7 "s ?een s)e(e-. T"erefore )t"ou>" .re8e=istin>
con-itions re not im.rove- no furt"er -eteriortion is o?serve-. T"is im.)ies no --ition) -verse effect on
D Stte of 'S4 t"rou>" Trns.ort for 'S4 %>e 1 of ,
TS 10765 F1 : 2014
Request for concession to ASA requirement
Version 1.0
Effective Dte: 01 !rc" 2014
Concession request details
e=istin> mintennce n- ris7 s.ects t"ere?< c"ievin> non )tertion to t"e cost im.)iction.
Risk assessment details
Ris7 ssessment E 4"ere t"e current ris7 is Fver< "i>"F or F"i>"F t"is s")) ?e se.rte -eti)e- re.ort
n- s")) inc)u-e:
3Gr-s
Ris7 contro)s to miti>te ris7 to so fr s is reson?)< .rctic?)e 9SFA;R%: (Risk control owners
must be clearly identified)
Resi-u) ris7s

Fctors ("ic" ?er on t"e ris7* ?ot" .ositive n- ne>tive

;m.)ictions of t"e non8com.)ince on non sfet< re)te- s.ects suc" s re)i?i)it<* mintennce
requirements* -ur?i)it<* trc7 ccess etc

2t"er informtion or rtefcts / su..ortin> evi-ence to &ustif< c)ims or tec"nic) ssessments .rovi-e- in
t"e concession request.

Attc"ments (list names of any attachments) Please note that the risk assessment report is mandatory to
be included.

D Stte of 'S4 t"rou>" Trns.ort for 'S4 %>e 2 of ,
Requestors details
'me of ..)icnt R<mon- S)viero
2r>nistion n- .osition tit)e Bco?s Ht-. $ Ri) En>ineer
AE2 ut"oristion num?er 9s ..)ic?)e:
Emi) --ress R<mon-.S)vieroI&co?s.com
Si>nture Dte:
TS 10765 F1 : 2014
Request for concession to ASA requirement
Version 1.0
Effective Dte: 01 !rc" 2014
Asset Standards Authority (internal use only)
Dte Receive-: #oncession Request 'o:
D Stte of 'S4 t"rou>" Trns.ort for 'S4 %>e , of ,
Endorsement by Responsible Body (ie. !"S# $!!icer) as applicable
t"e request c)er)< sttes t"e ASA requirement inc)u-in> -ocument references from
("ic" concession is sou>"t
t"e non com.)ince "s ?een ris7 ssesse- n- t"e )terntive .ro.os)
-emonstrtes t"t t"e resi-u) ris7 ssocite- (it" t"e non com.)ince "s ?een
miti>te- to to)er?)e n- SFA;R%
)) informtion re)evnt to t"e concession request is vi)?)e n- ttc"e- inc)u-in>
t"e )ist of st7e"o)-ers consu)te- ?< t"e Res.onsi?)e 1o-< inc)u-in> nmes of
or>nistions n- t"e nme n- .osition tit)e of t"e re.resenttive of ec" of t"e
or>nistions
Re.resenttive
'me

%osition Tit)e
2r>nistion !o?i)e
Emi) --ress Te)e."one
Si>nture Dte: