Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Enter date and time

  • Enter Name of Supervisor and location of Crossing
  • Does Supervisor use whistle correctly

  • Is Supervisor following training procedures and practices

  • Is Supervisor appearance satisfactory

  • Are School Crossing Flags displayed and of good appearance

  • Is line marking visible at and around Crossing

  • Are Traffic lights operating correctly

  • There are NO infrastructure issues around the crossing that need attention and NO trees that need pruning.

  • There are No parking problems around the Crossing

  • The are NO problems with Traffic Lights if at Crossing

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.