Childrens Crossing Audit Inspection/Review

• Add location
  Address

• Melways Reference

• Crossing Supervisor Name

• Crossing Times of Operation

• Conducted on

  Date

• Prepared by

Uniform and Equipment Checked

• Are flags displayed?

  YES

  NO

  N/A

• Are flags in good condition?

  YES

  NO

• Is the stop sign displayed?

  YES

  NO

  N/A

• Is the stop sign in good condition?

  YES

  NO

• Whistle

  YES

  NO

  N/A

• Winter/Summer Coat

  YES

  NO

• Hat

  YES

  NO

• Appropriate footwear

  YES

  NO

• Uniform clean and tidy

  YES

  NO

• Notebook and pen

  yes

  no

  phone

Supervisor Performance Skills and Knowledge Check

• Punctuality

  Early

  On Time

  Late

• Time arrived / left

  Date

• Is the stop sign being used correctly?

  YES

  NO

  N/A

• Is the stop sign clearly visible to approaching motorists?

  YES

  NO

  N/A

• Does the Crossing Supervisor stand on the side of the road the children approach?

  YES

  NO

• Does the Crossing Supervisor instruct the children to stand behind the yellow line?

  YES

  NO

• Does the Crossing Supervisor blow the whistle twice clearly and precisely?

  YES

  NO

  N/A

• Does the Crossing Supervisor safely stop traffic?<br>If no, please provide further comments.

  YES

  NO

• Does the Crossing Supervisor allow sufficient time for traffic to stop before stepping onto the crossing?<br>If no, please provide further comments.

  YES

  NO

• Does the Crossing Supervisor ensure traffic is not stopped unnecessarily/too often?<br>If no, please provide further comments over the page.

  YES

  NO

• Does the Crossing Supervisor wait for all pedestrians to totally leave the crossing before leaving the crossing themselves?

  YES

  NO

• Is the Crossing Supervisor familiar with the traffic/cycle length of the signals and timing of the pedestrian walk sequence in each cycle? (Traffic light crossing only)

  YES

  NO

  N/A

• Does the Crossing Supervisor need further instruction in any area?

  yes

  no

Location Check

• When putting out and bringing in the flags, did the Supervisor pay careful attention to the road and they own safety?

  YES

  NO

  N/A

• Are there and damaged or missing signs?

  yes

  no

• Add media

  Media

• At the time of inspection, were there any vehicles/objects on the approach side of the crossing, which may have obstructed a driver's view of the Supervisor and pedestrians?

  yes

  no

• Are there any trees overhanging the footpath?

  yes

  no

• Add media

  Media

• Is the footpath damaged i.e. raised or cracked?

  yes

  no

• Add media

  Media

• Do the white lines on the road need painting?

  yes

  no

• Add media

  Media

• Do the red and white poles need painting?

  yes

  no

• Add media

  Media

• Are there yellow pedestrian holding lines on the footpath?

  YES

  NO

• Add media

  Media

• Is the area clean of rubbish and debris?

  YES

  NO

• Add media

  Media

Organisational Expectations

Work Health and Saefty

• Ensures that the work tasks are carried out in a safe manner?<br>Identifies potential hazards and risks to health or safety that may affect themselves or others and reports those hazards to the Crossing Coordinator?<br><br>Attends initial and refresher training?

  YES

  NO

Customer Service

• Does the crossing supervisor maintain effective relationships with customers using the children's crossing?

  needs work

  good

  exceptional

Review of Performance

• Does the crossing supervisor meet all the requirements for a crossing supervisor?

  YES

  NO

Children's Crossing Supervisor - Feedback

• Do you have any concerns or any items that require attention?

  yes

  no

Is a follow up inspection required?

• For maintenance or performance issues.

  yes

  no

Inspection Sign Off

• Date/Time of Inspection/Review:

  Date

• Discussion advising feedback occurred on this day?

  YES

  NO

• Childrens Crossing Coordinator

  Sign

• I confirm that this audit/review has been discussed with me.

  YES

  NO

• Childrens Crossing Supervisor

  Sign