Title Page
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Document No.
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Conducted on
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Prepared by
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Enter date and time
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Enter Name of Supervisor and location of Crossing
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Does Supervisor use whistle correctly
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Is Supervisor following training procedures and practices
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Is Supervisor appearance satisfactory
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Are School Crossing Flags displayed and of good appearance
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Is line marking visible at and around Crossing
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Are Traffic lights operating correctly
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There are NO infrastructure issues around the crossing that need attention and NO trees that need pruning.
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There are No parking problems around the Crossing
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The are NO problems with Traffic Lights if at Crossing
