Title Page

  • Conducted on

  • Prepared by

  • Location
  • Client:
  • Address:

  • Municipal or DOT

  • MOA # (If Applicable):

  • Council Permit # (If Applicable)

  • TGS/TMP #:

  • Client:

Crew Details

  • Team Leader Name

  • Offside TC 1 Name

Site Constraints

  • What are the weather conditions?

  • Is there adequate line of sight on approach to the job site?

  • Is there debris on the road from day works?

  • Has VicRoads been notified?

Items for Inspection:

  • TMP/TGS Implemented correctly as per Generic/Approved Plan?

  • Correct spacing between Signage in accordance with relevant road speed?

  • Are signs gated if required?

  • Are repeaters implemented?

  • Have all signs been weighted down with bollard bases?

  • Are repeaters correctly spaced apart at 500m max according to the Australian Standards AS 1742.3-2009

  • Are all multi message frames in tact?

  • Are all core flutes clean, in tact and reflective?

  • Are all forward facing blank spaces filled with a blank yellow reflective core flute?

  • Have chevrons been placed out if required?

  • Are all chevrons weighted down with bollard bases?

  • Are all cones/bollards clean, in tact and reflective?

  • Is a lane closure implemented?

  • Taper length in correlation with relevant road speed?

  • Are trailer or vehicle mounted flashing arrows in use where necessary?

  • Have measures been taken to remove/cover any contradictory, distracting or unnecessary signs or markings?

  • Have Pedestrian, Cyclist and the Disabled needs been considered?

  • Are containment fences / no go zones required and installed?

  • Are barriers required and installed?

Audit Summary:

  • undefined

Highlights (Positive Feedback):

  • undefined

Problematic Areas (Potential Risks/Incorrect):

  • undefined

Corrective Actions (How to rectify any potential risks/incorrect issues):

  • Auditor:

  • Signature:

  • Date:

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