Internal worksite audit

• Document No.

• TRAFFICCA INTERNAL Worksite Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Number of Traffic Controllers on site

• Risk rating

  Low

  Medium

  High

• Governing Authority

  Vic Roads

  Council

  Other

• Municipality:

• Has Vic Roads been notified?

• RWE activated (if applicable)

• Traffic Management Crew details

• Team Leader

• Traffic controller(s)

• vehicle Registration(s)

• Client Details

• Client undertaking works

• Number of workers on site

• Number of Work vehicles on site

• PROSECUTABLE OFFENCES, If answered NO: ( These documents Must be on site & available for viewing)

• Approved MOA : ( times, location & company name(s) correct)

• Approved Consent for works/ WAP

• Code of Practice & AS 1742.3 Requirements

• Traffic Management Plan Complies with the code of practice:

• Reduced Speed relevant to distance

• Permanent signage covered

• End Roadworks/ Return to speed in Place

• Bus & Tram stops Accessible

• Pedestrian Care provided:

  Yes

  No

  N/A

• Traffic Controllers have tickets on person

• Correct PPE worn (according to AS/NZ standards)

  Yes

  No

  N/A

• Taper set adequately (line & length)

  Yes

  No

  N/A

• Lane Status signs set correctly

  Yes

  No

  N/A

• Required Signs & devices available on site

  Yes

  No

  N/A

• All signage spacing is approximate & correct

  Yes

  No

  N/A

• Signage placed allows good visibility

  Yes

  No

  N/A

• Minor Items:

• Sufficient number of Traffic Controllers

  Yes

  No

  N/A

• Arrow board in Use (where required)

  Yes

  No

  N/A

• Speed reduction Duel signed (gated)

  Yes

  No

  N/A

• Speed signs set closest to road

  Yes

  No

  N/A

• Multi frames used correctly (No gaps, correct height)

  Yes

  No

  N/A

• Side streets signed accordingly

  Yes

  No

  N/A

• Signs flagged accordingly

  Yes

  No

  N/A

• All signs in good condition

  Yes

  No

  N/A

• Stop/Slow bats in good condition & Correct Height

  Yes

  No

  N/A

• Traffic congestion is minimal

• Photo of site

  Media

Paperwork

• Works docket filled correctly

  Yes

  No

  N/A

• Signage diary filled correctly

  Yes

  No

  N/A

• JSA - Risk assessment filled correctly

  Yes

  No

  N/A

• Truck docket filled correctly

  Yes

  No

  N/A

AUDIT CONCLUSION

• Traffic Management set up Complies with Code of Practice & AS 1742.3

  Yes

  No

  N/A

• Traffic management set up Rectified Before Auditor left site

  Yes

  No

  N/A

• Additional Comments:

• Auditors Name

• Auditors signature

  Sign

• Auditors notes:

• Photo of TCS tickets:

  Media

• Are there vehicles on site?

  Yes

  No

  N/A

• Does the vehicle have an in-date Fire extinguisher?

  Yes

  No

  N/A

• Does the vehicle have a First Aid kit filled and up to date

  Yes

  No

  N/A