Title Page

Job Details

  • Type of Works

  • Operative Name

  • Client

  • Job Number

  • Date

  • Speed of Works

  • Arrival Time

  • Address

Hazards

  • Weather

  • Visablity

  • Road Width

  • Traffic Count

Equipment

  • PPE Fit For Purpose

  • Kit Fit for Purpose

  • Competent and Accredited for work

  • Aditional Notes/Comments

Traffic Light Pre Hire Report (If using Lights)

  • Please state all plant Numbers and which Plant numbers have certain issues, this PHR needs to be detailed with all issues recorded. (If not used please put N/A in signature box).

  • Plant Numbers

  • Any other Plant numbers

  • Voltages

  • Padlocks

  • Bolts / Control Cases

  • Batteries secure / Cage present

  • Any Visual Damage

  • VA condition

  • Hinges

  • Any Additional Comments

Chapter 8

  • Delivery or Collection

  • Men at Work

  • Traffic Signal Ahead

  • Road Narrows

  • When Red Light Shows

  • Multiphase Wait Here

  • Directional Arrows

  • Sub Arrows Sub Plate

  • 750mm Cones

  • Weights / Sandbags

  • Frames

  • 2m Barrier

  • Kerb Ramps

  • Footway Closed

  • Footway Ahead Closed

  • Pedestrian Arrows

  • Stop Go Boards

  • Permit Board

  • Cone Lamps

  • No Parking Cones

  • Other

Sub Plates

  • Delivery or Collection

  • Single File

  • Sub Arrows

  • 1 Mile

  • 800 Yards

  • 600 Yards

  • 400 Yards

  • 300 Yards

  • END

  • Pedestrian Crossing

Additional Signage

  • Delivery or Collection

  • Joining Traffic Under Signal

  • Joining Traffic Not Signalled

  • Bus Stop Closed

  • Temporary Bus Stop

  • TO15 (Temporary Obstruction)

  • Traffic Control Ahead

  • When Stop Sign Shows

  • Cyclist Dismount

  • Crossing Not in Use

  • ! Signs

  • Cycle Lane Closed

  • Cycle Lane Ahead Closed

Road Closure

  • Delivery or Collection

  • Advance Warning Signs

  • Road Closed

  • Road Closed Ahead

  • Diversion

  • Diversion End

  • Diverted Traffic

  • Diverted Chevron

  • No Left Turn

  • No Right Turn

  • Special Sign

  • Letter Drop

Site Photos

  • Install Pictures

  • Collection pictures

  • Permit Board

  • Ped crossing (If Used)

Signature/Completion

  • Leaving Site time

  • Signature

  • Client Signature (Not C&L Construction Civils Teams)

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.