Information
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Audit Title
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Document No.
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Conducted on
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Prepared by
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Location
Section 1: Site Details
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Work crew conducting works:
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Site address:
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Activity being undertaken:
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Clearance between workers and traffic:
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Posted speed limit:
- 40 km/h
- 50 km/h
- 60 km/h
- 70 km/h
- 80 km/h
- 90 km/h
- 100 km/h
- 110 km/h
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Worksite speed limit:
- 40 km/h
- 50 km/h
- 60 km/h
- 70 km/h
- 80 km/h
- 90 km/h
- 100 km/h
- 110 km/h
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Work Site Hazard Rating
- Low
- Medium
- High
- Very High
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Traffic Management Team Leader:
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Team Leader Contact Number:
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Traffic Team Members
Administration:
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N/A = No Colour. Yes = Green. Corrective Action = Orange. Non-Conformance = Red
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Do all traffic controllers have on their person, all current and valid tickets/licenses as well as their Jemena induction card.
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Have all necessary approvals been obtained for the worksite? (MOA, ATW, Rail, Tram, Council or Other)
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Has the governing traffic authority been notified of the implementation of traffic management?
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Is the traffic management plan available for inspection?
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Has a Safe, Health and Environmental Work Method Statement been provided (SH&EWMS)?
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Has the daily, site specific SH&EWMS been completed in the Job Docket/Daily Record Book?
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Has the Daily Equipment Checklist been completed, prior to departure from the depot?
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Did the traffic team leader consult with the works crew leader prior to their commencement?
Section 3: Traffic Controllers
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Are the traffic controllers wearing the appropriate Personal Protective Clothing (PPE)?
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High Visibility Vest?
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AS/NZS 4602 Compliant?
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Steel capped, ankle length, lace up safety boots?
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Compliant Hard Hat? (In date, free from cracks and defects)
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Approved safety glasses? (This cannot be regular sunglasses)
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Long Sleeves, Long Pants?
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Work Gloves?
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UV Protection? (Sunscreen, hat etc)
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Are communications between traffic controllers adequate?
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Has a backup method of communication been established? (Spare UHF batteries, mobile phone etc)
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Is the worksite clearly defined and delineated appropriately?
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Is there more than one active job site?
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If so, are they part of the same job/project?
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Is the same company and/or crew maintaining both sites?
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Are the clearances between the worksite and live traffic consistent with the requirements of AS1742.3?
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Have all approaches, including side streets and car parks, been considered and signed accordingly?
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Are traffic controllers located in the most effective position?
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Do they have a suitable escape path?
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If using a stop/slow bat to control traffic, are traffic controllers doing so within a maximum speed limit of 60 km//h?
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Are any 'Traffic Controller Ahead / Prepare to Stop' sign's, located at the required and/or safe distance from the traffic controllers?
Section 5: Traffic Control Devices
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Are the traffic control devices set out in accordance with the Traffic Management Plan?
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If changes have been made, are the amendments marked on the Traffic Management Plan?
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Are the speed limits established on-site, appropriate for the environment?
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Are all signs in a serviceable condition for the environmental conditions?
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Have any conflicting signs been covered or removed?
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Are regulatory speed signs placed in accordance with the Traffic Management Code of Practice and AS1742.3?
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Are any/all taper lengths adequate and consistent with AS1742.3 requirements?
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Is the worksite delineation, suitable and leaves no doubt in which part of the roadway is available to traffic?
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Does any change to normal traffic conditions, clearly indicate to motorists which direction they are to travel?
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Are any traffic cones or bollards used of the correct size, have a reflective sleeve and spaced according to AS1742.3?
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If lane status signs are used, do they accurately represent the number of traffic lanes open or closed?
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If required, are repeater signs placed every 200m after the initial speed reduction, in accordance with AS1742.3?
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Are all signs and devices placed as such, that thy are clearly visible to approaching drivers and other road users, day or night?
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Are all signs and devices placed such that they do not adversely affect access to properties or other road users? (Ie. Pedestrians or Cyclists?)
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Have end road work or return to speed signs been placed in accordance to AS1742.3?
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Is the correct speed panel being used?
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Are pedestrians and cyclists adequately warned of obstructions and hazards ahead?
Section 5: Variable Message Signs (VMS Board)
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Are VMS Boards used, compliant with the requirements of AS1742.3?
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Are VMS Boards placed in accordance with the TMP?
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Are the VMS Boards placed in the most effective position for motorists to view in advance?
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Is the letter size and number of screens legible and consistent with the requirements of AS1742.3?
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If works are currently underway, has the message been changed to reflect the conditions on the day to provide motorists with the option to seek an alternate route?
Section 6: Additional Comments
Section 7: Certification
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Name of Auditor
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Contact Phone Number
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By signing this form, I certify that the audit was completed to the best of my abilities and without prejudice. Any recommendations are for the purpose of improving the overall system and increasing worksite safety.