Hi-Way Services Ltd

High Friction Surfacing Site Audit Report

• Conducted on

  Date

• Prepared By

• Client

• Location
  Address

• Crew Chargehand

• Crew Labourer/s

• Vehicle Registration

• Random or Planned

  Random

  Planned

High Friction Surfacing

• Hot Applied

• Cold Applied

• Surface

  Select Existing Tarmac New Tarmac Concrete

  • Existing Tarmac
  • New Tarmac
  • Concrete

• Colour

  Select Buff Grey Red Green

  • Buff
  • Grey
  • Red
  • Green

• Aggregate Type

  Select Type 1 Type 3 1mm - 3mm 2mm - 5mm

  • Type 1
  • Type 3
  • 1mm - 3mm
  • 2mm - 5mm

• Weather Conditions

• Dried Surface Before Application

  Yes

  No

  N/A

• Appearance

  Excellent

  Good

  Average

  Poor

• Taping Edges

  Yes

  No

  N/A

• Taping Letters/Numbers

  Yes

  No

  N/A

• Conforming to Drawings

  Yes

  No

  N/A

T/M (Chapter 8)

• T/M Provided by Hi-Way Services Traffic Management

  Yes

  No

  N/A

• T/M Provided by others

  Yes

  No

  N/A

Vehicle Inspection

• DRS Book

  Yes

  No

  N/A

• Vehicle Defect Book

  Yes

  No

  N/A

• Near Miss Book

  Yes

  No

  N/A

• Generic RAMS

  Yes

  No

  N/A

• Generic COSHH

  Yes

  No

  N/A

• Probe Thermometer

  Yes

  No

  N/A

• PPE Bag

  Yes

  No

  N/A

• High Visibility Clothing

• Safety Boots (Steel Toe)

• Gloves

• Hard Hat

• Face Visor

• Ear Defenders

• Eye Protection Goggles/Glasses

• Breathing Apparatus + appropriate filter

• Burns Kit

• First Aid Kit

• Spill Kit

  Yes

  No

  N/A

• Water Container

  Yes

  No

  N/A

• Fire Extinguishers in Date

  Yes

  No

  N/A

• Condition of Cab

  Yes

  No

  N/A

• Condition of Chassis Cab

  Yes

  No

  N/A

Plant & Equipment

• Strobes, Beacons & Workings Lights

  Operational

  Faulty

  N/A

• Compressor

  Operational

  Faulty

  N/A

• Mini Lance

  Operational

  Faulty

  N/A

• Thermic Lance

  Operational

  Faulty

  N/A

Stock Take

• Thermoplastic White

• Thermoplastic Yellow

• Buff (Hot)

• Grey (Hot)

• Red (Hot)

• Green (Hot)

• Resin (Base Pack A)

• Resin (Hardener Pack B)

• Buff Aggregate

• Grey Aggregate

• Red Aggregate

• Green Aggregate

• Diesel Amount Fuel Can

• Diesel Amount Vehicle Tank

• Propane Gas

Signed

• Further Remarks/Comments

• Auditor

  Sign

• Crew Chargehand

  Sign