Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PROJECT DETAILS

  • Select date

  • Add location
  • Activity

  • Normal Traffic Speed through area

  • New Worksite Traffic Speed

PLANNING CHECKLIST

  • Has a traffic management plan been approved and provided?

  • Is the plan available for inspection?

  • Is the plan relevant for the work and the site?

  • Are documented changes (if any) to the plan available for inspection?

  • Are any required written authorisations, or consents for speed limits in order?

  • Have roadworks speed limits been determined correctly?

ADVANCE WARNING / SIGNAGE

  • Are all roadworks signs and devices installed according to the plan?

  • Are signs appropriate for current conditions?

  • Have any contradictory, distracting or superfluous signs or markings been covered up or removed?

  • Is signage suitably placed, especially for vehicle approaching at high speed?

  • Are multi-message signs being used correctly?

  • Are the signs free from damage and defect?

  • Are sign mountings secure, stable and not a hazard to road users if struck?

CHECKLIST

  • Are signs in pairs where needed?

  • Are flashing arrow signs available and in use where required?

  • Are signs sizes correct?

WORKSITE

  • Is high visibility clothing appropriate for conditions and used correctly?

WORK ZONE SEPARATION

  • Are clearance between workers and adjacent traffic being maintained?

  • Are safety barriers (where used) been installed correctly?

  • Have containment fences (if required) been installed?

OTHER ROAD USERS

  • Has possible traffic congestion been considered and steps taken to avoid it?

  • Has the needs of road users been provided for?

  • Has proper access to side roads and properties been provided?

ADDITIONAL INFORMATION

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.