CCMP Field Observation - Vehicle Interaction

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Field observation Details (i.e. Location)

Date:

• Select date

  Date

Time:

• Select date

  Date

Light Vehicle Pre-operation Inspections (Minimum 5)

• Verify if light vehicles have had pre-operational inspections completed and meet compliance

• Names recorded on pre-operation inspection to be sent to Training Department to verify currency of Light Vehicle competencies.

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Vehicle Pre-Operation Inspection Check Sheet (evidence)

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

Road design and work area construction/maintenance

• Sample 10km area and review against site road standards

• Area sampled

• Road width

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Windrows

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Camber

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Intersection design & delineation

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Provision for light vehicle slip lanes

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Provision for whopper stoppers and/or switchbacks

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

• Other

• Photo of area

  Media

• Compliance

  Non-compliant (not to standard)

  Compliant

• Comments

Inspect one intersection within the sampled 10km area for compliance against site standards

• Correct height on windrows?

  Yes

  No

  N/A

• Correct widths of running surfaces?

  Yes

  No

  N/A

• Are the drains open?

  Yes

  No

  N/A

• Is signage and delineation in place and to standard (not lying over)

  Yes

  No

  N/A

• Is there clear visibility across the intersection and of signage (not obscured by vegetation)?

  Yes

  No

  N/A

• Is the road clear of spillage, soft spots?

  Yes

  No

  N/A

• Is the truck arrester in good/original condition?

  Yes

  No

  N/A

Medical/skill currency

• Photo of line up sheet to verify sample of qualifications and medicals. (Names required to verify medical currency and competencies for equipment being operated).

  Media

• Lead auditor signature

  Sign

• Addition comments if required: