Title Page
-
Conducted on
-
Prepared by
-
Number of people on site
- Unattended Site
- Aidan Noone - JV Rail
- Clem Gherardi - JV Rail
- Karl Donovan - JV Rail
- Doug Muir - JV Rail
- Matt Spooner- Novare
- Labourers <5
- Labourers 5 - 10
- Labourers 10 - 15
- Labourers 15+
-
Others on site (client, subcontractors, etc.):
Traffic Management
1.0 TRAFFIC MANAGEMENT
-
1.1) Traffic Management Layout Implemented:
- Motorway shoulder closure
- Motorway closure
- Local Road shoulder closure
- Local road closure
- Local Rd TM (various)
- Other
-
Other Traffic Management Layouts implemented:
-
1.2) Condition of Traffic Management on-site:
-
Items requiring improvement:
- Signs
- Delineation (cones, barriers)
- Traffic management setup process
- High speeds through the site
- other
-
Other elements of traffic management that require improvements:
-
Instruction given to contractor:
-
Action taken by contractor:
-
1.3) impact of traffic management on traffic
- None
- Minimal impact
- Minor delays to motorway traffic
- Significant delays to motorway traffic
- Minor delays to local road traffic
- Significant delays to local road traffic
-
1.4) Is the site adequately secured?
-
Why not? was the contractor notified?
-
1.5) Other comments:
-
Insert site photos:
Site condition and H&S
2.0 SITE CONDITIONS
-
2.1 ) Weather
-
2.2) Wind
-
2.3) Site condition
-
2.4) Other comments:
3.0 HEALTH AND SAFETY
-
3.1) Site induction / sign in completed?
-
Reason and action taken:
-
3.2) Additional Hazards not identified in the induction / pre-start:
-
3.4) H&S incident occur while on site (or on the day)?
-
Description of incident:
-
Actions taken by the contractor:
-
Instructions given to the contractor:
-
Insert Site photos
Environmental Management
4.0 ENVIRONMENTAL MANAGEMENT
-
4.1) Was the full perimeter of the work site inspected?
-
4.2) Erosion and sediment control measures installed on site:
-
Action taken / instructions given to contractor:
-
4.3) Condition of measures on site:
-
Action taken / instructions given to contractor:
-
4.4) Additional comments
-
Insert site photos:
Work Activities
5.0 Work activities on site / progress / general comments regarding progress
-
5.1) Plant on site:
- Excavators
- Mobile crane
- Tipper truck
- Concrete truck
- Hydro excavator
- Other
-
PLant type and number on site:
5.2) ACTIVITY: -
Work activity:
- Traffic management setup
- Site clearance
- Overlaying
- Foam work installation
- Services protection / relocation
- Surfacing
-
General Comments on progress - testing, inspections, % complete, delays/issues/ breakdowns:
-
Actions to be followed up:
-
Instructions given to contractor
-
Insert photos:
-
5.3) Other comments:
-
Insert photos