Information

  • Audit number

  • If No audit carried out give reason

  • CPA Works Order No.

  • Confirm Job No.

  • Did Audit pass or fail?

  • Auditor (superintendent )

  • District

  • Location
  • Audit type? Please choose

  • Work Description

  • Work complete as requested on works order?

  • Quality of work in accordance with rates and spec?

  • Information Board present?

  • Site left tidy?

  • Defect notice required?

  • Please press button if Audit is Safety Defects?

  • Expected date and Time of repair

  • Actual Repair time

  • Specify days/Hours/minutes

  • Repair Type

  • If temporary specify action?

  • Has temporary repair been made permanent? ( if yes comment on quality, if no state reason)

Chapter 8 checks

  • Where chapter 8 is required complete the relevant boxes below

  • Chapter 8 carried out?

  • Did Chapter 8 pass or fail?

  • Where chapter 8 is required complete the relevant boxes below!

  • Signs and Lights

  • Men at Work x 2

  • Road narrows both ways

  • Blue arrows x 3

  • End of Works

  • Sandbags in use

  • Pedestrian direction

  • Red Light wait here

  • Temporary traffic signals

  • Traffic Control ahead

  • Barriers and Cones

  • Lead in taper of cones

  • Exit taper of cones

  • Safety zone (cones) if operatives working on site

  • Safety zone around temporary pedestrian footway

  • Pedestrian barriers and tapping rail against footway

  • Pedestrian barriers and tapping rail against traffic if crossing possible

  • Traffic barriers or a row of cones against traffic where pedestrians cannot cross from the opposite side of the carriageway

  • Additional Requirements

  • Footways ramps

  • Minimum one metre Footway

  • Road plates

  • Footways Boards

  • Auditor signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.