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Sample TIM Roster

This sample roster can be used to document key Traffic Incident Management (TIM) personnel for construction projects. Download the editable .docx template from the Attachment field on this page.

TIM Roster

 

DATE:

 

PROJECT INFORMATION:

PJN:

 

Project Name (C-R-S):

 

PID:

 

Begin (MM/Cross Street):

 

Est. Completion Date:

 

End (MM/Cross Street):

 

REGIONAL, COUNTY OR LOCAL 911 DISPATCH:

Dispatch Center

Name, if applicable

Primary Contact Number

Alternate Contact Number

 

 

 

 

 

 

 

 

FIRE:

Agency

Name, if applicable

Primary Contact Number

Alternate Contact Number

 

 

 

 

 

 

 

 

EMS:

Provider

Name, if applicable

Primary Contact Number

Alternate Contact Number

 

 

 

 

 

 

 

 

POLICE/PATROL:

Agency

Name, if applicable

Primary Contact Number

Alternate Contact Number

 

 

 

 

 

 

 

 

ODOT CONTACTS:

Title/Role

Name

Primary Contact Number

Alternate Contact Number

Project Engineer

 

 

 

TSMO Coordinator

 

 

 

Dist. WZ Traffic Manager

 

 

 

Dist. Safety Consultant

 

 

 

Public Involvement Officer

 

 

 

County Manager

 

 

 

Traffic Management Center

 

 

 

Special Hauling Permits

 

 

 

 

 

 

 

CONTRACTOR TIM CONTACTS:

Title

Name

Primary Contact Number

Alternate Contact Number

Superintendent

 

 

 

WTS

 

 

 

 

 

 

 

OTHER:

 

 

Primary Contact Number

Alternate Contact Number

 

 

 

 

Route Covered by Freeway Service Patrol (FSP):

 

Yes

 

No