Title Page
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Conducted on
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Prepared by
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Location
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Client:
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Address:
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Municipal or DOT
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MOA # (If Applicable):
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Council Permit # (If Applicable)
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TGS/TMP #:
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Client:
Crew Details
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Team Leader Name
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Offside TC 1 Name
Site Constraints
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What are the weather conditions?
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Is there adequate line of sight on approach to the job site?
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Is there debris on the road from day works?
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Has VicRoads been notified?
Items for Inspection:
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TMP/TGS Implemented correctly as per Generic/Approved Plan?
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Correct spacing between Signage in accordance with relevant road speed?
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Are signs gated if required?
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Are repeaters implemented?
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Have all signs been weighted down with bollard bases?
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Are repeaters correctly spaced apart at 500m max according to the Australian Standards AS 1742.3-2009
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Are all multi message frames in tact?
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Are all core flutes clean, in tact and reflective?
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Are all forward facing blank spaces filled with a blank yellow reflective core flute?
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Have chevrons been placed out if required?
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Are all chevrons weighted down with bollard bases?
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Are all cones/bollards clean, in tact and reflective?
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Is a lane closure implemented?
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Taper length in correlation with relevant road speed?
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Are trailer or vehicle mounted flashing arrows in use where necessary?
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Have measures been taken to remove/cover any contradictory, distracting or unnecessary signs or markings?
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Have Pedestrian, Cyclist and the Disabled needs been considered?
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Are containment fences / no go zones required and installed?
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Are barriers required and installed?
Audit Summary:
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Highlights (Positive Feedback):
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Problematic Areas (Potential Risks/Incorrect):
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Corrective Actions (How to rectify any potential risks/incorrect issues):
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Auditor:
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Signature:
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Date: