Title Page
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Date and Time of Inspection
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Contract
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Inspected by
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Location
Checklist
GENERAL INFORMATION
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Work description
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Take a photo of the project
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Employee Name & Position
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Employee Name & Position
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Employee Name & Position
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Employee Name & Position
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Vehicles on site
- 3185
- 3186
- 4035
- 3080
- 3196
- 4017
- 4016
- 449
- 456
- 786
- 665
- 2428
- 5108
- 5129
- 2518
- 2534
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Type of Roadway
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Posted Speed Limit
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Weather/Light Conditions
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Traffic Conditions
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Traffic Control Plan Selected For Work
TEMPORARY TRAFFIC CONTROL
ADVANCE WARNING SIGNS
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Is there an appropriate number of signs placed?
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Are all signs in good condition (clean, legible, and reflective)?
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Do all sign placements (height, visibility, and spacing) conform to TCP?
CHANNELIZING DEVICES
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Are all barricades in good condition?
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Are all safety cones in good condition with reflective sleeve?
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Are all warning lights in good condition?
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Do all safety cones have adequate taper length?
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Are the safety cones placed appropriately?
PEDESTRIAN & CYCLIST MANAGEMENT
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Is there pedestrian & cyclist activity which needs to be managed?
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Is there adequate staff to manage pedestrian & cyclists effectively?
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Are all pedestrian & cyclist warnings easy to understand?
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Is the enough pedestrian & cyclist control in place?
TRAFFIC CONTROLLERS
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Are traffic controllers qualified with up to date certificates?
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Take a photo of the operators qualification card.
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Are the traffic controllers preceded by advance warning signs?
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Are the traffic controllers clearly visible to approaching traffic?
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Are the traffic controller illuminated? (Night time)
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Are the stop/slow bats in good condition?
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Are portable radios being used if required?
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Do all traffic controllers wear high visibility clothing?
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Are traffic controllers communicating effectively?
ROADSIDE SAFETY
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Are all barriers/bollards in good condition?
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Are all barrier/bollard delineation lights in good condition, if appropriate for the site?
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Are all barrier/bollard delineation reflectors in good condition?
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Is there an adequate 'drop zone' delineation?
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Is there an adequate clear zone for workers?
INTERNAL TRAFFIC CONTROL
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Are all site personnel trained on the specific Internal Traffic Control Plan?
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Are there parking areas designated for workers and visitors?
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Are the areas around specific pieces of equipment and operations delineated?
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Is there an adequate lighting provided for night operations?
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Is there a designated channel of communication regarding changes to the TCP?
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Is there an established communication between workers on foot and equipment operators?
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Is there an established communication between equipment operators?
COMPLETION
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Overall assessment of the TCP set up.
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What corrections were made?
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What corrections were made? (Submit Incident report)
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Overall recommendations
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Name and signature of inspector.
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Name and signature of team leader on site.