Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Indicate date of inspection
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Locate address
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Indicate specific location
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Select Route assessor name
- Paul Hickman
- Lee Collins
- Kevin Turner
- Chris Lane
- Ian Tolley
- Alex Donnelly
- William Arnett
- Paul Fitzgerald
Vehicle Information
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Select type of round
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Select vehicle registration at time of inspection
- VAO 7NKH
- VAO 7NKJ
- VAO 7NKT
- VAO 7NKK
- VAO 7NKL
- VAO 7NKM
- VAO 7NKO
- VAO 7NKU
- VAO 7NKP
- VAO 7NKR
- VAO 7NKS
- W614 WRW
- VXO5 FBL
Road information
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1. What is the speed limit on the road
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2. Does the speed limit on the road change
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2.1 Indicate if it increases or decreases
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2.2 Please indicate the change of speed
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3. Indicate the approximate time of collection / operation
- before 07:00
- 07:00 - 09:00
- 09:00 - 12:00
- 12:00 - 14:00
- 14:00 - 16:00
- after 16:00
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3.1 Indicate reason for very early or late collection
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4. Is the road liable to flooding
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4.1 Note the area and type of issue
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5. Is the road susceptible to adverse weather conditions
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5.1 Select the weather hazard type
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6. Does the road have a loose surface
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6.1 Select the road surface
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6.2 Specify
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7. Are there any concealed entrances
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7.1 Add photo of concealed entrance
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7.2 Select the type of concealed entrance
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7.3 Enter property / construction name / road name
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8. Is the road on an incline /decline
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8.1 Specify gradient - if known
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9. Are there blind bends on the road
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10. Is there restricted access
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10.1 Select the type of restricted access
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10.2 add photo of restriction
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11. Is there adequate lighting on the road
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12. Are there speed cameras located on the road
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12. Is there mud on the road
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13.1 Can a Mechanical sweeper be deployed
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13.2 Have West Sussex county highways been informed
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13.3 record any reference number
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14 Is there a major junction
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14.1 Name the junction or crossroads
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15 Are there any significant pot holes <br><br>
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15.1 Have West Sussex highways been informed
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15.2 Record of any actions and reference number
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16 Is there a school / college or community centre located on the road
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16.1 Record the name of the establishment
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17 Does the road have an adverse camber
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18 Are there roadworks or utility works being on the road
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18.1 Indicate company
- Southern gas networks
- south east water
- edf / electric
- west Sussex Highways
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18.2 Indicate time scale
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18.3 Has. Contingency plan been put in place
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18.4 Brief description of action
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19 Is there restricted space to manoeuvre
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19.1 Indicate the type of restriction
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19.2 add photo of restriction
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20 Are there overhanging trees
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20.1 Photograph of obstruction
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20.2 Indicate the road type if known
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20.3 If known highway Has West Sussex county highways been informed
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20. 4 Action of highways and the ref number
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20.5 Is there a property name nearby
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Record property name
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21. Are there heavily shaded areas
Sign off
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22. Have all the Hazards been identified
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23. Record new hazards
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24. Action to be completed by
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Set date for completion of actions
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25. SERCO Supervisor
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MSDC Officer
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Set date to review route