Information
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CPB Contractors Safety Essential Inspection: Work in and around live traffic
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Lead inspector
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Signature
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Other people in inspection team
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Crew supervisor
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Project name and job site
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Location
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Conducted on
Traffic management plan
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1.1 is there a Traffic Management Plan in place for the project?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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1.2 has the Traffic Management Plan been approved for use?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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1.3 were there any negotiations with relevant authorities?
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1.4 is there a MOA in place?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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1.5 does the person(s) that set out the traffic guidance scheme hold a Implement Traffic Management Plan ticket?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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2.1 is there evidence that an inspection of the traffic control devices and guidance scheme has been completed before works commence?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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2.2 is there evidence that an inspection of the traffic control devices and guidance scheme has been completed during working hours?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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2.3 is there evidence that an inspection of the traffic guidance scheme has been completed following removal of the traffic devices?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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3.1 do the traffic controllers hold a Control Traffic with Stop-Slow Bat ticket?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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3.2 is there sufficient numbers of traffic controllers to allow for regular breaks to occur?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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4.1 is a traffic mounted attenuator used?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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4.2 is the minimum clearance zone of 20m between workers and the truck mounted attenuator maintained?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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4.3 are shadow vehicles used?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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4.4 if so are they fitted with an arrow board and revolving amber light(s)?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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5.1 are the minimum deflection zones maintained?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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5.2 has the perimeter containment screening been installed as per the manufacturers and VicRoad requirements?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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5.3 if working on footpaths, is there an appropriate barrier in place to prevent pedestrians inadvertently stepping into traffic?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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6.1 are emergency contact number posted in areas where temporary traffic controls are in place outside of working hours?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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6.2 is the process for responding to emergencies outlined in the Work Pack?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
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7.1 is the project/site compound clearly demarcated and sign posted, including access and egress for pedestrians, light vehicles and heavy vehicles?
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Please detail the action necessary that you are taking to rectify this. Advise Supervisor. Rectification actions may include advising worker/s to stop work and discussing requirements prior to recommencing work.
