Information

  • Audit Title

  • Document No.

  • Conducted on

  • Prepared by

  • Location

Section 1: Site Details

  • Work crew conducting works:

  • Site address:

  • Activity being undertaken:

  • Clearance between workers and traffic:

  • Posted speed limit:

  • Worksite speed limit:

  • Work Site Hazard Rating

  • Traffic Management Team Leader:

  • Team Leader Contact Number:

  • Traffic Team Members

Administration:

  • N/A = No Colour. Yes = Green. Corrective Action = Orange. Non-Conformance = Red

  • Do all traffic controllers have on their person, all current and valid tickets/licenses as well as their Jemena induction card.

  • Have all necessary approvals been obtained for the worksite? (MOA, ATW, Rail, Tram, Council or Other)

  • Has the governing traffic authority been notified of the implementation of traffic management?

  • Is the traffic management plan available for inspection?

  • Has a Safe, Health and Environmental Work Method Statement been provided (SH&EWMS)?

  • Has the daily, site specific SH&EWMS been completed in the Job Docket/Daily Record Book?

  • Has the Daily Equipment Checklist been completed, prior to departure from the depot?

  • Did the traffic team leader consult with the works crew leader prior to their commencement?

Section 3: Traffic Controllers

  • Are the traffic controllers wearing the appropriate Personal Protective Clothing (PPE)?

  • High Visibility Vest?

  • AS/NZS 4602 Compliant?

  • Steel capped, ankle length, lace up safety boots?

  • Compliant Hard Hat? (In date, free from cracks and defects)

  • Approved safety glasses? (This cannot be regular sunglasses)

  • Long Sleeves, Long Pants?

  • Work Gloves?

  • UV Protection? (Sunscreen, hat etc)

  • Are communications between traffic controllers adequate?

  • Has a backup method of communication been established? (Spare UHF batteries, mobile phone etc)

  • Is the worksite clearly defined and delineated appropriately?

  • Is there more than one active job site?

  • If so, are they part of the same job/project?

  • Is the same company and/or crew maintaining both sites?

  • Are the clearances between the worksite and live traffic consistent with the requirements of AS1742.3?

  • Have all approaches, including side streets and car parks, been considered and signed accordingly?

  • Are traffic controllers located in the most effective position?

  • Do they have a suitable escape path?

  • If using a stop/slow bat to control traffic, are traffic controllers doing so within a maximum speed limit of 60 km//h?

  • 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

  • Are the traffic control devices set out in accordance with the Traffic Management Plan?

  • If changes have been made, are the amendments marked on the Traffic Management Plan?

  • Are the speed limits established on-site, appropriate for the environment?

  • Are all signs in a serviceable condition for the environmental conditions?

  • Have any conflicting signs been covered or removed?

  • Are regulatory speed signs placed in accordance with the Traffic Management Code of Practice and AS1742.3?

  • Are any/all taper lengths adequate and consistent with AS1742.3 requirements?

  • Is the worksite delineation, suitable and leaves no doubt in which part of the roadway is available to traffic?

  • Does any change to normal traffic conditions, clearly indicate to motorists which direction they are to travel?

  • Are any traffic cones or bollards used of the correct size, have a reflective sleeve and spaced according to AS1742.3?

  • If lane status signs are used, do they accurately represent the number of traffic lanes open or closed?

  • If required, are repeater signs placed every 200m after the initial speed reduction, in accordance with AS1742.3?

  • Are all signs and devices placed as such, that thy are clearly visible to approaching drivers and other road users, day or night?

  • Are all signs and devices placed such that they do not adversely affect access to properties or other road users? (Ie. Pedestrians or Cyclists?)

  • Have end road work or return to speed signs been placed in accordance to AS1742.3?

  • Is the correct speed panel being used?

  • Are pedestrians and cyclists adequately warned of obstructions and hazards ahead?

Section 5: Variable Message Signs (VMS Board)

  • Are VMS Boards used, compliant with the requirements of AS1742.3?

  • Are VMS Boards placed in accordance with the TMP?

  • Are the VMS Boards placed in the most effective position for motorists to view in advance?

  • Is the letter size and number of screens legible and consistent with the requirements of AS1742.3?

  • 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

  • Name of Auditor

  • Contact Phone Number

  • 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.

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