Information

  • H5 VEHICLE MOVEMENT ON SITE .

  • Project Name: Tabulam New Bridge.

  • Location: BRUXNER HIGHWAY TABULAM

  • Contractor

  • Prepared by

  • Conducted on

Work Activity Record

  • N.A Not Applicable. N.C Not Checked

  • 1<br>Has the severity of the hazard been considered?<br>

  • 2<br>Has the expected duration of the job been determined?

3 Has the volume and type of traffic been considered, to determine the amount of road and/or footpath space which must remain open and, where applicable, the times of day when greater amounts of space are required, including the following types of traffic:

  •  Pedestrians – including disabled persons;

  •  Bicycles;

  •  School children;

  •  Emergency vehicles;

  •  Buses and light rail, including stops and terminals;

  •  Over-dimensional vehicles.

  • 4<br>Has the type of traffic routing required been assessed?

  • 5<br>Has the type of traffic control required been determined?

  • 6<br>Will traffic controllers be required for intermediary arteries?

  • 7<br>Will police or RMS be required to institute diversions?

  • 8<br>Is there an impact on any main arterial roads?

  • 9<br>Is the site in proximity to traffic lights?

  • 10<br>Is special lighting is required?

  • 11<br>Has the positioning of cones and early warning signs been considered?

12 Has training been provided to workers working on roads, including:

  •  Wearing the appropriate personal protective and safety equipment?

  •  Being properly located?

  •  Communicating effectively?

  •  Assessing changes in traffic patterns?

  •  Knowing what to do in an emergency?

13 Is there adequate maintenance of records including:

  • <br> installation, alteration and removal of all regulatory signs and devices, including speed restriction signs,

  •  hours of operation and the surface conditions?

Compliance and Follow-up action.

  • Is the activity compliant.

  • Surveillance Officer

  • NCPN or memo number.

  • Follow up action

  • Product Non Conformance

  • System Non Conformance

  • Contractor generated NCR

  • Contractor generated a CAR

Matters arising

  • NCPN no

  • Contractors NCR no

  • CAR no

  • Closed out.

  • RMS representative's name

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