Works Delivery Contractor Scope Return

• Asset name

• Location
  Address

• Requestor

• Route

• ELR

• Mileage (mm.yyyy)

• undefined

• NR Works Remit

• Train Operating Company

• Conducted on

  Date

• Contractor Name

• Prepared by

• Delivery Methodology

• Diversity Impact Assessment Complete?

  Yes

  No

• Generic Site Risks

• Delivery Risks

• NR Standards to be used - Indicate Known standards or request Standards information (In line with NR/L3/CIV/003)

• High Street Environment?

  Yes

  No

  N/A

• Possessions/Line Blocks Required?

  Yes

  No

  N/A

• Isolations?

  Yes

  No

  N/A

• Specialist Contractor Required?

  Yes

  No

  N/A

• Principal Contractor Management Only?

  Yes

  No

  N/A

• Are there any Remit Changes?

  Yes

  No

  N/A

• Outline Remit Changes?

• Remit Change Approval (NR Name)

• Additional Information - Efficiencies & Sustainability's etc.

Site Photographs

• Insert Photos/Documents as required

  Media