Elite Traffic Services

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Traffic Control at Work Site Safety Inspection checklist

• Road / Bridge Name

• Type of Work

• Duration of Work

• Road Configuration

• Prepare a work zone traffic management plan Ticket Number

• Team Leader

• TCP Modification

• Time / of Work

Guidance Notes

• 1. Detailed inspection using this checklist shall only be undertaken by personnel holding a current prepare a work zone traffic management plan qualification.
  2. Report to site office or most senior person & attend site induction or be escorted as required
  3. Desk-Top "Audit". Review paperwork & discuss site conditions, to complete Column 1. Check items against TCP & associated documents.
  4. Site inspection. Conduct site verification inspection, discussing issues with random site workers / operators, to complete Columns 2 - What you see on site.
  5.Complete your report on site, where possible.
  6.if you are able make a copy of the report on site, leave a copy with supervisor.
  7. For Contractor site, forward an electronic copy to Contractors Safety Manager, WH&S Branch.

Conditions

• Does the work require T.C.P.

  Yes

  No

  N/A

• Is there a SWEMS onsite & is it signed onto by all workers ?

  Yes

  No

  N/A

• Is the approved traffic control plan on site?

  Yes

  No

  N/A

• Have signs & devices been set out as per the TCP ?

  Yes

  No

  N/A

• If Modifications have been made are they marked on the tcp and signed off by a qualified person ?

  Yes

  No

  N/A

• Is there a pre start completed for the works & Is it signed on to by all workers on site ?

  Yes

  No

  N/A

• Is there an ROL for the works & is it being complied with ?

  Yes

  No

  N/A

• Are the requirements implemented for safe clearances to workers & pedestrian & traffic approach speeds?

  Yes

  No

  N/A

Traffic Controllers ( TC's )

• Is the correct number of TC's being used ?

  Yes

  No

  N/A

• Have TC tickets / white card / downer induction been sighted ?

  Yes

  No

  N/A

• Is TC's high visibility clothing in good repair ?

  Yes

  No

  N/A

• Does the TC's clothing display RMS / Elite and authorised Traffic Controller ?

  Yes

  No

  N/A

• Do TC's have a clear escape route ?

  Yes

  No

  N/A

• Do all tc's have safety glasses & gloves ?

  Yes

  No

  N/A

Traffic Controllers Night Shift Work

• Are they wearing approved clothing ? ( white pants )

  Yes

  No

  N/A

• Are they safely lit & Visible?<br>

  Yes

  No

  N/A

• Do they have correct communication ?

  Yes

  No

  N/A

• Are they using night wands ?

  Yes

  No

  N/A

Flashing Arrow Signs (FAS)

• Is a FAS Being used ?

  Yes

  No

  N/A

• Is the FAS being used marked as complying with RMS either specification FAS/4 or FAS/5?

  Yes

  No

  N/A

• Is it located correctly ?

  Yes

  No

  N/A

• Is it the correct size sign ?

  Yes

  No

  N/A

• Is the correct Mode of Operation being used ?

  Yes

  No

  N/A

• If Lane Status signs are being used in conjunction with FAS, is the message to the motorist the same ?

  Yes

  No

  N/A

Variable Message Sign (VMS)

• Is a variable message sign being used, as specified in TCWS ?

  Yes

  No

  N/A

• Is the sign located in safe position ?

  Yes

  No

  N/A

Sign & Devices

• Are all signs & devices in good condition ?

  Yes

  No

  N/A

• Are all signs clearly visible & not affected by other signs, plant items, vegetation, shade, light glare etc ?

  Yes

  No

  N/A

• Are sign faces in compliance with AS1742.3 and have class 1 retro reflective material ?

  Yes

  No

  N/A

• Are the correct sign sizes being used ?

  Yes

  No

  N/A

• Are signs duplicated, where required ?

  Yes

  No

  N/A

• Are signs erected at the correct height & position ?

  Yes

  No

  N/A

• Are the signs erected to give the correct sight distance ?

  Yes

  No

  N/A

• Have the needs of pedestrians been provided for ?

  Yes

  No

  N/A

• Have the needs of cyclists been provided for ?

  Yes

  No

  N/A

• Are all property accesses to the site controlled ?

  Yes

  No

  N/A

• Are all cones & bollards installed at the correct spacing ?

  Yes

  No

  N/A

• Are the correct sized cones & bollards being used ?

  Yes

  No

  N/A

• Where tapers are being used , are they of the correct length ?

  Yes

  No

  N/A

• Where there are 3 lanes of traffic or more in one direction & two lanes are closed, are the separate merge tapers of the correct length ?

  Yes

  No

  N/A

• Are the two tapers separated by at least 1.5 D ?

  Yes

  No

  N/A

• Where work is beyond a crest or curve, has the taper been set up before the crest or curve ?

  Yes

  No

  N/A

• Auditor

  Sign

• Select date

  Date

• Manager

  Sign

• Select date

  Date