Inspection Checklist - Road Occupancy Licence Compliance

Site Details

• Applicant

• Road Name

  Select Pacific Highway Bruxner Highway Summerland Way Lismore-Bangalow Road New England Highway Kamilaroi Highway Fossickers Way Gwydir Highway Oxley Highway Waterfall Way Gold Coast Highway

  • Pacific Highway
  • Bruxner Highway
  • Summerland Way
  • Lismore-Bangalow Road
  • New England Highway
  • Kamilaroi Highway
  • Fossickers Way
  • Gwydir Highway
  • Oxley Highway
  • Waterfall Way
  • Gold Coast Highway
• Suburb/Locality
  Address

• Description of Work Activity

• Type of Occupancy

  Project

  Annual Maintenance

  Specific Works

Road Conditions

• Date/Time

  Date

• Road Condition

  Select Dry Wet Slippery Hot Cold

  • Dry
  • Wet
  • Slippery
  • Hot
  • Cold

• Weather

  Project

  Annual Maintenance

  Specific Works

• Direction

  North

  South

  East

  West

• Work Crew

  Working

  At Meal Break

• Comments

Advanced Warning

• Advanced Warning Signage

  Select Road Works Ahead (T1-1, T1-16) Workers (symbolic) (T1-5) Lane Status (T2-6-1, T2-6-2) Arrow Board Lateral Shift Markers (T5-4, T5-5) VMS

  • Road Works Ahead (T1-1, T1-16)
  • Workers (symbolic) (T1-5)
  • Lane Status (T2-6-1, T2-6-2)
  • Arrow Board
  • Lateral Shift Markers (T5-4, T5-5)
  • VMS

• Repeater Signs

  Yes

  No

• Speed Signs

  Select Speed Limits Enforced (T4-216) 100 80 Ahead 80 60 Ahead 60 40 Ahead 40

  • Speed Limits Enforced (T4-216)
  • 100
  • 80 Ahead
  • 80
  • 60 Ahead
  • 60
  • 40 Ahead
  • 40

• Signs Duplicated

  Yes

  No

• Is Speed Limit Appropriate for work activities

  Yes

  No

• Comments

Traffic Management

• Type of Traffic Control

  Traffic Controllers

  Traffic Signals

• Signs Displayed

  Select Prepare to Stop (T1-34) Traffic Controller (symbolic) (T1-34) Traffic Signals (W3-3) Stop Here on Red Signal (R6-6)

  • Prepare to Stop (T1-34)
  • Traffic Controller (symbolic) (T1-34)
  • Traffic Signals (W3-3)
  • Stop Here on Red Signal (R6-6)

• Traffic Controller - Displaying Authority (logo and "Authorised Traffic Controller")

  Yes

  No

• Traffic Controller - has suitable escape route

  Yes

  No

• Traffic Signals - Operation Mode

  Manual

  Fixed Time

  Vehicle Actuated

• Effectiveness

  Yes

  No

• Comments

Work Site Safety

• Plant Items - Flashing lights operating

  Yes

  No

• Barrier Boards - Used/Positioned correctly

  Yes

  No

• Delineation - Used/Positioned correctly

  Yes

  No

• Workers - Appropriate clearance from Traffic/Plant

  Yes

  No

• Comments

Termination

• Signs Displayed

  End Roadwork (T2-16)

  100

  80

  60

• Signs Duplicated

  Yes

  No

• Comments

Delay Co-ordination

• VMS used

  Yes

  No

• Message Displayed

• Delay (in minutes) stopped at Traffic Controller/Traffic Signals

• Clearance Time

• Queue Length

• End of Queue - Signage

  Yes

  No

• Travel Time (first to last sign)

• Comments

General Comments/Observations

• Comments

• Inspection Completed by

  Sign