Title Page

  • Add location
  • Melways Reference

  • Crossing Supervisor Name

  • Crossing Times of Operation

  • Conducted on

  • Prepared by

Uniform and Equipment Checked

  • Are flags displayed?

  • Are flags in good condition?

  • Is the stop sign displayed?

  • Is the stop sign in good condition?

  • Whistle

  • Winter/Summer Coat

  • Hat

  • Appropriate footwear

  • Uniform clean and tidy

  • Notebook and pen

Supervisor Performance Skills and Knowledge Check

  • Punctuality

  • Time arrived / left

  • Is the stop sign being used correctly?

  • Is the stop sign clearly visible to approaching motorists?

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

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

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

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

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

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

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

  • 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)

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

Location Check

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

  • Are there and damaged or missing signs?

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  • 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?

  • Are there any trees overhanging the footpath?

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

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  • Do the white lines on the road need painting?

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  • Do the red and white poles need painting?

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  • Are there yellow pedestrian holding lines on the footpath?

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  • Is the area clean of rubbish and debris?

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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?

Customer Service

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

Review of Performance

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

Children's Crossing Supervisor - Feedback

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

Is a follow up inspection required?

  • For maintenance or performance issues.

Inspection Sign Off

  • Date/Time of Inspection/Review:

  • Discussion advising feedback occurred on this day?

  • Childrens Crossing Coordinator

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

  • Childrens Crossing Supervisor

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.