C2304 midland Highway Kempton to Melton Mowbray

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PART 1 GENERAL

• Activity

  maintenance

  construction

  linemarking

  other

• Copy of Traffic Management plan on site

  Yes

  No

  N/A

• Is traffic management layout standard from AS1742.3

  Yes

  No

  N/A

• If yes diagram No

  Yes

  No

  N/A

• If no who approved the modification.

  Yes

  No

  N/A

• If no is sketch or detail available in site diary.

  Yes

  No

  N/A

• Is contractor carrying out safety audits and documenting them.

  Yes

  No

  N/A

• Safety jackets worn properly.

  Yes

  No

  N/A

• Safety jackets in serviceable condition.

  Yes

  No

  N/A

PART 2 WORKSITE CHECKLIST

SIGNS

• Are appropriate messages clearly provided to suit conditions.

  Yes

  No

  N/A

• Is sequence of message correct.

  Yes

  No

  N/A

• Are spacing so adequate.

  Yes

  No

  N/A

• Is sight distance appropriate to approach speed.

  Yes

  No

  N/A

• Is traffic path clearly defined.

  Yes

  No

  N/A

• Signs in good condition.

  Yes

  No

  N/A

• Are speed limit signs in use.

  Yes

  No

  N/A

• If yes are there a. Start signs

  Yes

  No

  N/A

• Buffer zone

  Yes

  No

  N/A

• Repeater signs

  Yes

  No

  N/A

• Both sides.

  Yes

  No

  N/A

• Return to speed.

  Yes

  No

  N/A

• Is speed appropriate to the location and conditions.

  Yes

  No

  N/A

TRAFFIC FACILITIES

• Is access to private property adequate

  Yes

  No

  N/A

• Is provision for pedestrians adequate.

  Yes

  No

  N/A

• Are side roads appropriately signed.

  Yes

  No

  N/A

• Is pavement width appropriate for traffic.

  Yes

  No

  N/A

• Is surface condition adequate.

  Yes

  No

  N/A

• Is the line marking satisfactory.

  Yes

  No

  N/A

• Are the side tracks adequate.

  Yes

  No

  N/A

• Are the side tracks adequate.

  Yes

  No

  N/A

• Lane closures : lateral shift markers.

  Yes

  No

  N/A

• Electronic sign trailer

  Yes

  No

  N/A

• Use of cones.

  Yes

  No

  N/A

• Is signage for night use.

  Yes

  No

  N/A

• If yes are signs suitable for night use.

  Yes

  No

  N/A

• Has site had night inspection.

  Yes

  No

  N/A

• Are appropriate changes made when site is inactive.

  Yes

  No

  N/A

• Does arrangement provide adequate worker safety.

  Yes

  No

  N/A

• Have construction vehicles and plant properly operating warning lights.

  Yes

  No

  N/A

PART 3 TRAFFIC CONTROLLERS

• Are traffic controllers being used.

  Yes

  No

  N/A

• Number of controllers on site.

  1

  2

  3

  4

  state

• Is number appropriate to site.

  Yes

  No

  N/A

• Are traffic controllers trained.

  Yes

  No

  N/A

• Position relative to travelled path

  good

  fair

  poor

• Safety jacket/ wet weather gear

  good

  fair

  poor

• Stop/slow bat condition.

  good

  fair

  poor

• Competence in use of stop/slow bat

  good

  fair

  poor

• Safety- escape path etc.

  good

  fair

  poor

• Can traffic controllers see each other

  Yes

  No

  N/A

• If no, is communication between them effective.

  Yes

  No

  N/A

• Time on traffic control duty since last break< 2hrs

  Yes

  No

  N/A

• Yes

  No

  N/A

• Prepare to stop.

  Yes

  No

  N/A

• Use of cones.

  Yes

  No

  N/A

PORTABLE TRAFFIC SIGNALS.

• Are traffic signals in use.

  Yes

  No

  N/A

• If yes is cycle time adequate.

  Yes

  No

  N/A

• Appropriate advance warning sign used.

  Yes

  No

  N/A

• Visibility

  good

  fair

  poor

• Traffic flow

  good

  fair

  poor