Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Road Name
-
Start Location
-
Start Chainage
-
End Location
-
End Chainage
-
Verge Width (Forward)
-
Is there a Batter? (Forward)
-
Is there a drain? (Forward)
-
If not applicable leave blank.
-
Unsealed Shoulder Width (Forward)
-
Sealed Shoulder Width (Forward)
-
Edge Line Width (Forward)
-
Is there edge line tactile? (Forward)
-
Are there RRPM’s?
-
For a single lane in each direction use Lane 1 and Lane 4 on this form, Lane 2 and Lane 3 are for multi lane applications.
-
Lane 1 Width (Forward)
-
Are there multiple lanes in this direction (Forward)?
-
Dividing Line Width (Forward)
-
Lane 2 Width (Forward)
-
Centre Line Width
-
Is there centre line tactile?
-
Are there RRPM’s?
-
Are there multiple lanes in this direction (Reverse)?
-
Lane 3 Width (Reverse)
-
Dividing Line Width (Reverse)
-
Lane 4 Width (Reverse)
-
Edge Line Width (Reverse)
-
Is there edge line tactile? (Reverse)
-
Are there RRPM’s?
-
Sealed Shoulder Width (Reverse)
-
Unsealed Shoulder Width (Reverse)
-
Verge Width (Reverse)
-
Is there a batter? (Reverse)
-
Is there a drain? (Reverse)
-
What is the general road condition? Eg poor condition with failures.
-
Are the guideposts in good condition?
-
Comments
-
Site Photos
