Rail Design Request Form

Attention: MGF DESIGN SERVICES LTD
Tel: 01942 402 704 Fax: 01942 402 766 Email:
General Details
Preferred Contact for Design: / Phone call prior to starting design: / Status of scheme: / CRM Project Ref (MGF):
Rep Customer / Yes No / Live Tender
MGF Representative Name: / Date requested: / Date design required: / Date kit required on site:
Customer: / Main Contractor & Client:
Site: / Scheme title:
Site Contact (name): / Tel: / Email:
Temporary Works Co-ordinator (name): / Tel: / Email:
Contractor’s Responsible Engineer CRE (name): (responsible for the Temporary Works) / Tel: / Email:
Excavation details (All dimensions are in metres)
Note: Please provide all relevant drawings including GA, section(s) plus any other as appropriate. If none available, provide detailed hand sketches.
Scheme Type:
Cofferdam Single sided Trench Frame only Other (state)
Excavation depth: / Over-dig included? / Plan dimensions: / Sheet to sheet
Muck to muck
Inside frame(s)
Yes No
(Note: 0.3m recommended)
Clearance required below lowest frame/strut: / Clearance required between frames/struts (in plan):
Ground Conditions
Ground conditions described by: (indicate documents attached)
SI Report BH / TP Log BH / TP Location Plan Verbal Soil Description Other (state)
Note: For verbal soil descriptions use Verbal Soil Description Form ED/QF002. MGF cannot provide cantilever solutions without a relevant Borehole.
Nearest BH/TP: / Distance from excavation: / BH/TP Datum: / Commencing Level:
Existing GL: / Existing Slope: / Topsoil Strip / Ground reduction / Batter (details):
Groundwater Level: / Piezometer Readings: / Local Influences (e.g. tidal/flood): / Well Pointing?
Yes No Level:
Additional Information
Note: Please provide photographs of the site in support of the below information where possible.
External Loading (Plant /Site traffic): / At Distance:
Up to 30Te Up to 45Te Up to 60Te Other (state)
Adjacent Structures / Cranes / Roads / Railways / Embankments / Water Courses / Spoil / Materials: / At Distance:
Adjacent Services / Infrastructure/ Overhead Cables: / At Distance:
Anticipated duration of excavation: / Notes:
< 6 weeks < 12 weeks > 12 weeks
Are the Temporary Works to be installed during a full rail track possession?
Yes No Details if No:
Are the Temporary Works to be subject to live rail loadings?
Yes No Details if Yes: RU Loading (50kN/m²) RL Loading (30kN/m²) Other:
Are any residual risks identified by permanent works designer or construction team for consideration in the Temporary Works Design?
Yes No Details if Yes:
Are there any restraints regarding deflection or settlement?
Yes No Details if Yes:
Is the Form 2 for the Permanent Works Available? / Are there photos of the Temporary Works location?
Yes No / Yes No
Method of Working
Installation of sheets (method): / Using (machine type):
Pre-Drive Dig & Push Slit Trench Dig & Drop / Excavator Hammer Other (state)
Maximum (anticipated) achievable toe: / Construction sequence:
Leap frog frames 2 stage construction (concrete base thickness )
Preferred solution:
Boxes Sheets & Frame(s) Cantilever sheets Back to back frames Knee braces Cross struts
Safety Ancillary’s (Edgesafe, Laddersafe, Davit) Other (state)
GRiPSHORE Preferred solution:
Trench Boxes Modular Boxes Vertishore Vertishore c/w Backing Boards Sheet & Waler(s)
Network Rail Approval
Note: Please confirm if this design is subject to Network Rail Approval and if MGF are required to complete a F002 and/or F003 for the Temporary Works. Please be aware that MGF will require a minimum 5 working days to complete F002/F003 from receipt of full and final information.
Documents to be completed by MGF:
F002 (Statement of Design Intent) (Note: £300 Design Charge)
F003 (Certification of Design) (Note: £650 Design Charge)
Network Rail Design Check Category (if known):
Category 0 Category I Category II Category III
Notes
e.g. Preferred Equipment/ Loading from Additional Rail Plant
Supporting Information Checklist (Please indicate documents attached with this Design Brief)
Relevant Drawing(s)/Sketch(s) Details of Ground Conditions Photographs of Site
Permanent Works F002 Latest Revision of ‘For Construction’ Permanent Works Drawings
Customer Confirmation (To be completed by the Temporary Works Co-ordinator or the CRE)
I confirm that the above information comprises the design brief, which should be used to prepare a temporary works shoring scheme.
Signed (by customer): / Name (print): / Title: / Date:

Document is uncontrolled when printed. Printed copies are for information only. Page 2 of 3