Information
Initial Information.
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FMS Fault number
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Location / Place
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Equipment failed (as reported):
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Initial Details (failure as reported):
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Failed at:
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Advised:
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Arrived / Checks conducted at:
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Names of attending team members;
Failure / Incident report.
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Cause:
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Add photos of equipment or site if appropriate
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Weather conditions:
- Not Applicable
- Wet
- Cold
- Cold & Wet
- Cold & Dry
- Dry
- Hot
- Hot & Wet
- Hot & Dry
- Wind
- Snow
- Seasonal
- Unknown
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Is Actual equipment failed different to Initial report? (If so, 'tick' box)
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Actual Equipment failed (where different from Initial details)
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Enter Place name / Location if different to Initial details
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Discipline of equipment failed;
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Suffix of equipment failed:
- Track Circuit
- Train Warning System (AWS & TPWS)
- Point Operating Equipment
- Points (P.W.)
- Panel / Frame
- Signal
- Air System
- Axle Counter
- Balise
- Block / Token systems
- Bridge
- Buffer / End stop
- Cable Route
- Data Recorder
- Detector
- Ground Frame
- Hot Box Detector
- Interlocking
- Level Crossing Equipment
- Lineside Signalling Cable
- Location Case
- No Equipment
- Platform Indicator
- PSR magnet
- Remote Control System
- Sign - Permanent
- Signal Box / Relay Room
- Solid State Interlocking
- Staff Protection System
- Third Party
- TOWS
- Train Describer
- Train Operated Point Indicator
- Train Ready to Start (TRTS) system
- Trip Cock Tester
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Suffix of equipment failed:
- Telephone Crossing
- Telephone Other
- Telephone SPT
- Cable
- Cable Route
- Clock
- Concentrator Data
- Concentrator Voice
- DOO CCTV
- Location Case
- No Equipment
- Personal Computer
- Plug Point
- Power Supply Equipment
- Radio - Cab Secure
- Radio - Coverage
- Radio - GSM-R
- Radio - Lineside sign
- Radio - Mast / Structure
- Radio - NRN / ORN
- Radio - RETB
- Radio - UHF / Spot
- Recorder Video
- Recorder Voice
- SISS Alarm
- SISS Clock
- SISS CCTV
- SISS Customer Information
- SISS Help Point
- SISS Public Address
- Telecoms Service
- Traction Supply / SCADA
- Transmission - FTN
- Transmission - Non FTN
- Tunnel Emergency Comms
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Suffix of equipment failed:
- Points (P.W.)
- PSR Magnet
- Access Point
- Buffer / End Stop
- Detector
- Level Crossing Equipment
- No Equipment
- Rail Lubricator
- Sign - Permanent
- Track (P.W.)
- Traction Gel Applicator
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Suffix of equipment failed:
- Electrical Supply Point
- Lineside Signalling Cable
- Generator / Shore Supply
- Point Heating
- Point Heating Supply
- Air System
- Bridge
- Buffer / End Stop
- Cable Route
- Circuit Breakers
- Detector
- Distribution Equipment
- DOO Mirror Heaters
- Earthing System
- Hot Axle Box Detector
- HV Cable
- HV Switch
- Level Crossing Lighting
- Lighting System
- Lighting System - Bridge
- Lighting System - Tunnel
- Location Case
- No Equipment
- Panel
- Pump Set
- SCADA
- Signal Box / Relay Room
- Switch / Contactor
- Switching Station
- Transformer
- Tunnel
- Turntable
- Voltage Regulator
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Suffix of equipment failed:
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Action taken.
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Equipment changed incl. Serial numbers & manufacturer
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SMTH test plan(s) and Log sheet reference number(s) ( if appropriate )
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Add photos if appropriate (eg: Record card(s) - both sides, equipment or site)
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Remedial action / attendance still required?
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Is another Department or Depot required to attend to undertake this action?
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Has the Required Department / Depot been notified by yourself?
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Confirm by 'ticking' box that the issue is Non-Urgent and appropriate to be notified via this email. (Urgent issues require Verbal notification)
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Enter Department / Depot required to attend:
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Enter details of Remedial action / Attendance still required?
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Enter details of Remedial action / Attendance still required.
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Confirm Failure status:
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Enter reason for being In-Order and for how long this is intended.
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Time In-Order / Rectified.
