Electrical Asset Management Technical Query/Request for

Information Form

TQ/RFI Number

(office use only)

Note: Send completed form to:

EAM_TQ&RFI@mainroads.wa.gov.au

TQ/RFI Title External TQ No.

Contract No. Project No.

Contract/Project Title Company

Attention Main Roads Project Man.

Date Answer required by

TECHNICAL QUERY DETAILSTQ description (please attach documents as appropriate)

Relevant Information - Please Attach ALL Drawings/Information Relevant To The Decision Requested

Recommended Solution (If Applicable)

Is there a potential impact on any works scope, cost or schedule?

YES – Please detail this impact above, including on the future maintenance cost and operability of MR assets.

NO

Is an update to Main Roads specifications or standards required?

YES – Please detail this requirement above. NO

Originator Signature MAIN ROADS REPLY

Respondent Signature Date MAIN ROADS ELECTRICAL ASSET MANAGEMENT APPROVAL (MEAM, PESE OR PEAE)

Approval Signature Date DISTRIBUTION Technical

Query FileMR Project Manager

Other (specify)

NOTE: This document is not a contract variation. If required, this is via the respective Main Roads Project Manager.