PennDOT TE-154 Remote Communication Scoping Form

TE-154 (11-25)

www.pa.gov/penndot

Traffic Signal/ITS Device
Remote Communication Scoping Form

Purpose: The purpose of this form is to identify the network requirements to support traffic signal and/or ITS field devices.

A - Project Information
District	County	Primary Municipality	ECMS/MPMS Number

Project Name

Project Description

Design Firm/Organization

Design Contact Person

Design Contact E-mail

Design Contact Phone

Project Communication Scope Establish new remote network connection Add devices to existing remote network connection Upgrade existing facilities

B - Attachments Listing
Check those that apply and attach to this form (Required for all projects) Location Map Network Architecture Diagram* Field Device Listing* Photographs Concept of Operations Systems Engineering Documents Other

C - Field Devices

+ Add Signal + Add ITS Device

D - Concept of Operations
Functional Requirements (check all that apply) Clock synchronization Remote device management (database upload/download, etc.) Remote configuration, monitoring of field equipment status and reporting of equipment malfunctions Remote device malfunction troubleshooting Traffic Signal Command and Control (remote selection and implementation of timing plans) Adaptive traffic signal control technology High-resolution event log for Automated Traffic Signal Performance Measures (ATSPM) Changeable Message Sign (CMS) Command and Control Traffic surveillance (CCTV): View only Pan/tilt/zoom control Connected/Automated Vehicle Applications - Describe Other:

E - Field Network
Existing Field Network Status No field network Serial network IP-addressable network	Field Network Ownership and Maintenance PennDOT Municipality Other:

Proposed Field Network Communication Method (check all that apply)

Same as existing

Fiber optic cable

Broadband radio

Copper

Other:

F - Backhaul Communications
Proposed Backhaul Communication Method Commonwealth-owned fiber Leased fiber MPLS Cellular Other:

Fiber Review Committee Meeting Date

Where is backhaul connected to field network?

PennDOT ITS cabinet

Traffic signal cabinet

Hub cabinet

Other field cabinet

Describe connection location (TSAMS Signal ID, ITS Statewide ID, intersection, address, etc.)

Backhaul Security (check one)

The backhaul connection uses a private, dedicated circuit which is limited to PennDOT traffic

Remote users (check all that apply)

PennDOT signal staff

PennDOT TMC staff

Municipal staff

Municipal contractor

Municipal consultant

Municipal police

Signal vendor

Other:

How will non-PennDOT users access the system?

Office of Administration VPN from remote computer using CWOPA credentials

Other:

Estimated Monthly Recurring Cost

Recurring Communication Costs to be Paid By:

PennDOT ITS (10576)

PennDOT GLG (11073)

Municipality

Other:

G - Additional Information
Describe any additional information which may impact the size, location, or type of communications required for the project

H - Approvals

District Traffic Signals Supervisor Recommendation (required if signals included)	Signature	Date	E-Sign
TMC Manager Recommendation (required if connection to ITS devices is proposed)	Signature	Date	E-Sign
TSMO Arterials & Planning Section Recommendation	Signature	Date	E-Sign
TSMO Operations & Performance Section Recommendation	Signature	Date	E-Sign

Submitted to OA/OIT Date	Remedy Ticket Number
For OA/OIT Use Only
Project Specific Requirements
Approved Connection Method Direct connection to private, secure Commonwealth network via state-owned fiber Direct connection to private, secure Commonwealth network via dedicated circuit
Network engineer recommendation	Signature	Date	E-Sign
Core network team approval	Signature	Date	E-Sign