SIGNALLING SHORT FORM

TEST & COMMISSIONING PLAN

<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

PROJECT DETAILS

Plan No.: Revision: Date:

Signalling Plan: Version:

Project Manager (PM): Tester in Charge (TIC):

Area of Project:

Commissioning Date:

Revision Date Reason for Revision

Prepared by: Signature: Date:

Checked by: TIC Signature: Date:

Approved by: PM Signature: Date:

DESCRIPTION OF WORK:

Occupation Start Occupation End

Date / Time Date / Time

Occupation Limits

Overview of works

Details of Works (Summary of key tasks per area / location)

Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
PRINTOUT MAY NOT BE UP-TO-DATE; REFER TO METRO INTRANET FOR THE LATEST VERSION Page 5 of 12
 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

LEVEL CROSSING ISOLATIONS AND SIGNAL INHIBITS

-

HV Isolation – 650v/1000v/2.2Kv/3.3Kv

Single Line Diagram

Overhead Isolation

WORKS DESCIPRTION

SIGNALLING AND RAIL SYSTEM EQUIPMENT EFFECTED

Equipmen
Equipment Equipment AR
Area / Location t
Commissioned Modified O
Removed

WORK INSTRUCTIONS

Initial
Complete
Team
Shift Work Description
Name  Team
TIC
Leader


Shift 1



Shift 2


Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
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 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

SHIFT TIMES

Shift Start Shift End

Shift Number
Time Date Time Date

Shift 1

Shift 2

PROGRAM

See examples below

Monday 26th November 2018
21:00 – Meet for Pre-Start
21:30 – Location 11 through 19 (30 minutes each)
03:30 – Works Complete

See examples below

Tuesday 27th November 2018
21:00 – Meet for Pre-Start
21:30 – Location 1 through 10 (30 minutes each)
03:30 – Works Complete

ROSTER / TEAMS

Contact Details
Name Team Position
Email Phone

Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
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 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

SUPPORT TEAMS

Name Team Position Contact Details

HEALTH AND SAFETY

Minimum Access Requirements

TTSA Level 1, Construction Induction (Red/White Card) and,
MTM current Statement of Competency (SoC) for the Role being undertaken.

Mandatory PPE
High Visibility Vest with Long Sleeve Shirt or High Visibility Long Sleeve Shirt and Long Pants, Steel Cap lace up Safety
Boots, Hard Hat, Safety Glasses (clear/tinted), Gloves (when required), headlamp (night works and when required), and high
visibility wet weather clothing (when required)

Address of nearest Hospital

Location of nearest first aid kit

RISK ASSESSMENT & CONTINGENCY PLANNING

Resultant Risk Level

Likelihood x
Type of Risk Comments
Consequence
H, M, L or Nil

Scope of Principles Testing required

Point-of-no-return in changeover and

testing activities

Time / effort required to implement

contingency plans if things go wrong

Cut-over risk (Locations and wiring)

Potential traffic disruption

Impact of Civil / OHL / Track works

Size of safe working arrangements

Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
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 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

Contingency Planning

IF THIS HAPPENS: WE WILL DO THIS:

Required?
Done?
PRE TESTING CHECKLIST Tester in Charge
Tester Initials
Yes or No

a) Risk assessment and contingency planning done

b) Pre-wiring completed & continuity tested

c) Occupation Arranged / OV & OHLE Isolations arranged (details attached)

d) Safeworking Circular / Notice of Intent (NOI) completed

e) Level Crossing Isolations and Signal Inhibits

f) Spare equipment (in case of damage or faulty)

g) Maintenance training / Testing training provided

h) Tested hand held radios and/or base station radios are available

START TIME / SIGN ON POINT / INDUCTIONS

TEST COPIES AND INTERIM MAINTENANCE COPIES

Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
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 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

ROLE AND RESPONSIBILITY OF TESTER-IN-CHARGE (TIC)

The TIC is <INSERT FULL NAME OF TIC> and has current MTM competency for the Role and approval from the MTM
Head of Engineering-Signalling and is independent of any project management, design and/or installation activities
associated with the works.
The TIC has a personal obligation to ensure that the safety and integrity of the signalling system transcend those of any
pressures that may be applied by their employer, or arising from the pressure to restore revenue services by a due time.
The TIC is required to uphold the expected standards and escalate to the Head of Engineering-Signalling those matters
which may pose a risk to the integrity of the system.
The TIC’s sole responsibility is for the activities and works defined within the T&C Plan and they shall be independent
from other works being undertaken, unless permission is granted by the Head of Engineering-Signalling.
The TIC responsibilities are outside any contractual arrangements and normal lines of reporting i.e. the TIC is
responsible not the Project Manager or Head Contractor and as such is accepted by MTM to take that responsibility.
The TIC shall be involved throughout the complete works and regardless of any other policies must know or assess and
accept all testing staff for the roles used in the testing and commissioning of the works.
The TIC shall ensure that all persons involved in the Test & Commissioning activities hold the required MTM Statement
of Competency (SoC) for the Role and the level of competency is appropriate for the activity being undertaken.
The TIC shall not undertake any other duty(s) other than that required to undertake his/her role as a TIC, unless
approved otherwise by MTM.
The TIC shall have reviewed the Notice of Intent and design package for the works to get an understanding of the scope
prior to (delete the one that is not applicable) producing/checking this T&C plan.
In the event that the TIC is unable to attend; another suitably qualified, MTM approved TIC with current SoC for the Role
will be able to take this T&C plan and complete the works.
The TIC shall be responsible for:
 Defining, allocating, programming and controlling ALL testing activities prior to and during the commissioning to
complete the works;
 The compilation and collation of all documentation required for the purpose of testing including the
commissioning works package;
 Briefing and directing staff;
 Control of test log and testing records/registers;
 Monitoring all activities are proceeding as per the detailed program and;
 Advise of any delays in testing at the commissioning progress meetings;
 Implement any contingencies required to ensure that the testing is brought back in line with the program;
 Satisfactory completion of all signalling testing works to the appropriate standards and specs;
 Ensuring all signalling assets have padlocks and locks fitted and are of the correct type;
 Handing over signalling assets to MTM maintenance commissioning support staff for Certification.
The TIC role shall be as stipulated in L1-CHE-STD-073 Testing and Commissioning of Safety Related Railway Signalling
Systems, and is ultimately responsible for signing the Certificate of Signalling at the end of the commissioning, and shall
ensure before doing so that all necessary tests have been completed and the following documentation is complete:
 All drawings in the Master Test Copy have been appropriately marked to record that all the required tests have
been undertaken and that each sheet is signed;
 All logs in the commissioning log book have been addressed and signed;
 The Test Lead Register has been signed and all test leads are accounted for;
 Ensuring that the interim maintenance copies have been updated to incorporate any design modifications
and/or testers mark-ups;
 All relevant compliance test certificates (CT/C's) have been satisfactorily completed and signed.
Once the Certificate Of Signalling has been signed the TIC shall at that time, issue signal infrastructure representatives
with the required quantity of interim signal infrastructure maintenance copies (duly marked up where required) and

Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
PRINTOUT MAY NOT BE UP-TO-DATE; REFER TO METRO INTRANET FOR THE LATEST VERSION Page 10 of 12
 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

forward the Master Test Copy (or a copy thereof) to the Design Office to enable the completion of 'As in Service/As Built'
drawings.

TEST CERTIFICATES

Installation Maintenance Testing Completed

CTC No. Description Complete Complete Complete
TIC TIC TIC
Date Time
 Initial  Initial  Initial

C/TC-1 – Pre-testing

C/TC-2 – Earthing

C/TC-3 – Cables

C/TC-4 – Cable Variance

C/TC-5 – Signals

C/TC-6 – Track Circuits

C/TC-7 – Points

C/TC-8 – Level Crossings

C/TC-9 – Power Supplies

C/TC-10 – Locations

C/TC-11 – TPWS

C/TC-12 – Axle Counters

Certificate of Signalling

Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
PRINTOUT MAY NOT BE UP-TO-DATE; REFER TO METRO INTRANET FOR THE LATEST VERSION Page 11 of 12
 SIGNALLING SHORT FORM
TEST & COMMISSIONING PLAN
<PROJECT NAME / STAGE/OCCUPATION
COMMISIONING EVENT>
<Project Doc Number> Revision: <x> Issue Date: <x>

DESIGN CLOSURE LIST – NIL

T&C Audit
DMS/Projec
Red or Yellow
t Plan Project Plan Number Revision Title Complet TIC
Plan e Dat Tim
Number Initia
 e e
l

ISOLATIONS
T&C Audit
DMS/Project Plan
Red or Yellow Plan Revision Title Complete
Number TIC Initial Date Time


REINSTATEMENTS
T&C Audit
DMS Plan Number Red or Yellow Plan Revision Title Complete
TIC Initial Date Time


Template No: L4-CHE-FOR-109 Version: 1 Effective from: 17th October 2019

Template Approving Manager: Chief Engineer Approval Date: 17/10/2019 Next Review Date: 17/10/2022
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