#ITC08 Site Condition Rating & Audit Form

• Document No.

• Job Title (Client Name, Site Name)

• Client

  Select Other Abernethy Contractors Asplundh Asset Managers Ltd Asset Monitoring Ltd Auckland Racing Auckland Sandblasting Ltd Auckland Waikato Cranes Aurecon Bishman Electrical Contractors Canadian Pacific Ltd Cassidy Construction Civic Events Civil Con Coastline Concrete-it ltd ConTech Counties Sandblasting CSR NZ Ltd DP Construction Drill Force Electrix Ltd Euro Plumbing Filltech Filtration Technology Ltd Fletchers - Christchurch Fulton Hogan Ltd Geotechnics Gubb Builders HEB Construction Ltd Hill Design Engineering Ltd HydroTech Drainage ITC Leightons Lend Lease MACHINERY MOVERS Mainline Construction Ltd McConnell Dowell Constructors Ltd CHC McMillan and Lockwood BOP Ltd MWH Global NGA Newmarket NZ STRONG Opus Parallaxx Limited Peter Campbell Matakana Peter Hill Peter Lehman Pipeline & Civil Prestige Events Ltd R M Paris.Co Scarbro Construction Selen Kurmar Sherry - Private Skin Tight Ltd Steel Roofing Ltd Temporary Traffic Control Ltd The Fletcher Construction Company Ltd Tree Fellas Troy Wheeler Civil Ltd Watercare Your Local Plumber

  • Other
  • Abernethy Contractors
  • Asplundh
  • Asset Managers Ltd
  • Asset Monitoring Ltd
  • Auckland Racing
  • Auckland Sandblasting Ltd
  • Auckland Waikato Cranes
  • Aurecon
  • Bishman Electrical Contractors
  • Canadian Pacific Ltd
  • Cassidy Construction
  • Civic Events
  • Civil Con
  • Coastline
  • Concrete-it ltd
  • ConTech
  • Counties Sandblasting
  • CSR NZ Ltd
  • DP Construction
  • Drill Force
  • Electrix Ltd
  • Euro Plumbing
  • Filltech
  • Filtration Technology Ltd
  • Fletchers - Christchurch
  • Fulton Hogan Ltd
  • Geotechnics
  • Gubb Builders
  • HEB Construction Ltd
  • Hill Design Engineering Ltd
  • HydroTech Drainage
  • ITC
  • Leightons
  • Lend Lease
  • MACHINERY MOVERS
  • Mainline Construction Ltd
  • McConnell Dowell Constructors Ltd CHC
  • McMillan and Lockwood BOP Ltd
  • MWH Global
  • NGA Newmarket
  • NZ STRONG
  • Opus
  • Parallaxx Limited
  • Peter Campbell Matakana
  • Peter Hill
  • Peter Lehman
  • Pipeline & Civil
  • Prestige Events Ltd
  • R M Paris.Co
  • Scarbro Construction
  • Selen Kurmar
  • Sherry - Private
  • Skin Tight Ltd
  • Steel Roofing Ltd
  • Temporary Traffic Control Ltd
  • The Fletcher Construction Company Ltd
  • Tree Fellas
  • Troy Wheeler Civil Ltd
  • Watercare
  • Your Local Plumber

• Client Name

• Audit Conducted on

  Date

• Auditor Name

  Select Labour Hire Other Albert Heke Alister Martin Angaino Monty Timoti Tauti Apa Vila Arama Rubena Arthur Tapiki Asa Fitspatrick Ashley Young Banaba Kavana Billy Araipu Bobby-Joe Kelly Brian Mita Chris Perenara Dallah Kolone Daniel Bishop David Williams Dean Rua Dratio Strickland Dwayne Tapiki Edward Teura Eroni Baleilevuka George Mann George Tate Glen Ruma Jamie Lee Jerry Jessie Tekeu Jim Polima John Cook John Kelly John Keu John Maru John Williams Josh Heke Joshua Amohanga Joshua Harding Junior Katu Kaitapu Timoti Kelvin Tangiiti Kelvin Wichman - To'o Lance Seiuli Loma Tengere Malachi Batchellor Matai Vila Muri Williams Nelson Ravia Nicholas Repoama Nooroa Strickland Palepano Tukia Pete Sala Phillip Cooper Piri Kake Quincy Williams Refiti Manase Rhys Reuben Shaq Ono Shawn Tomlin Soul Suliasi Toa Te Rangihau Toi Teinakore Ngatoko Teruarau Tangiiti Villimoni Vunimasi Willy Green

  • Labour Hire
  • Other
  • Albert Heke
  • Alister Martin
  • Angaino Monty Timoti Tauti
  • Apa Vila
  • Arama Rubena
  • Arthur Tapiki
  • Asa Fitspatrick
  • Ashley Young
  • Banaba Kavana
  • Billy Araipu
  • Bobby-Joe Kelly
  • Brian Mita
  • Chris Perenara
  • Dallah Kolone
  • Daniel Bishop
  • David Williams
  • Dean Rua
  • Dratio Strickland
  • Dwayne Tapiki
  • Edward Teura
  • Eroni Baleilevuka
  • George Mann
  • George Tate
  • Glen Ruma
  • Jamie Lee Jerry
  • Jessie Tekeu
  • Jim Polima
  • John Cook
  • John Kelly
  • John Keu
  • John Maru
  • John Williams
  • Josh Heke
  • Joshua Amohanga
  • Joshua Harding
  • Junior Katu
  • Kaitapu Timoti
  • Kelvin Tangiiti
  • Kelvin Wichman - To'o
  • Lance Seiuli
  • Loma Tengere
  • Malachi Batchellor
  • Matai Vila
  • Muri Williams
  • Nelson Ravia
  • Nicholas Repoama
  • Nooroa Strickland
  • Palepano Tukia
  • Pete Sala
  • Phillip Cooper
  • Piri Kake
  • Quincy Williams
  • Refiti Manase
  • Rhys Reuben
  • Shaq Ono
  • Shawn Tomlin
  • Soul Suliasi Toa
  • Te Rangihau Toi
  • Teinakore Ngatoko
  • Teruarau Tangiiti
  • Villimoni Vunimasi
  • Willy Green

• Enter Auditor's Name

• STMS Name

  Select Labour Hire Other Albert Heke Alister Martin Angaino Monty Timoti Tauti Apa Vila Arama Rubena Arthur Tapiki Asa Fitspatrick Ashley Young Banaba Kavana Billy Araipu Bobby-Joe Kelly Brian Mita Chris Perenara Dallah Kolone Daniel Bishop David Williams Dean Rua Dratio Strickland Dwayne Tapiki Edward Teura Eroni Baleilevuka George Mann George Tate Glen Ruma Jamie Lee Jerry Jessie Tekeu Jim Polima John Cook John Kelly John Keu John Maru John Williams Josh Heke Joshua Amohanga Joshua Harding Junior Katu Kaitapu Timoti Kelvin Tangiiti Kelvin Wichman - To'o Lance Seiuli Loma Tengere Malachi Batchellor Matai Vila Muri Williams Nelson Ravia Nicholas Repoama Nooroa Strickland Palepano Tukia Pete Sala Phillip Cooper Piri Kake Quincy Williams Refiti Manase Rhys Reuben Shaq Ono Shawn Tomlin Soul Suliasi Toa Te Rangihau Toi Teinakore Ngatoko Teruarau Tangiiti Villimoni Vunimasi Willy Green

  • Labour Hire
  • Other
  • Albert Heke
  • Alister Martin
  • Angaino Monty Timoti Tauti
  • Apa Vila
  • Arama Rubena
  • Arthur Tapiki
  • Asa Fitspatrick
  • Ashley Young
  • Banaba Kavana
  • Billy Araipu
  • Bobby-Joe Kelly
  • Brian Mita
  • Chris Perenara
  • Dallah Kolone
  • Daniel Bishop
  • David Williams
  • Dean Rua
  • Dratio Strickland
  • Dwayne Tapiki
  • Edward Teura
  • Eroni Baleilevuka
  • George Mann
  • George Tate
  • Glen Ruma
  • Jamie Lee Jerry
  • Jessie Tekeu
  • Jim Polima
  • John Cook
  • John Kelly
  • John Keu
  • John Maru
  • John Williams
  • Josh Heke
  • Joshua Amohanga
  • Joshua Harding
  • Junior Katu
  • Kaitapu Timoti
  • Kelvin Tangiiti
  • Kelvin Wichman - To'o
  • Lance Seiuli
  • Loma Tengere
  • Malachi Batchellor
  • Matai Vila
  • Muri Williams
  • Nelson Ravia
  • Nicholas Repoama
  • Nooroa Strickland
  • Palepano Tukia
  • Pete Sala
  • Phillip Cooper
  • Piri Kake
  • Quincy Williams
  • Refiti Manase
  • Rhys Reuben
  • Shaq Ono
  • Shawn Tomlin
  • Soul Suliasi Toa
  • Te Rangihau Toi
  • Teinakore Ngatoko
  • Teruarau Tangiiti
  • Villimoni Vunimasi
  • Willy Green

• Enter STMS's Name

• Location of Site
  Address

Site Info

• Description of Site Activity

• Level of TTM:

  L1

  L2

  L3

• Description of TTM Installed:

• RCA

• Actions Taken (to be completed at audit end)

• TMP Sited:

  Yes

  No

  N/A

• TMP Ref No:

Signs

• Number of Signs Missing

• Number of Signs too close/far

• Number of signs not visible

• Number of Signs whose Condition is Marginal

• Number of Signs whose condition is unacceptable

• Number of SETS of Signs whose order is incorrect

• Number of permanent signs not covered

• Number of Unapproved Signs used/too small

• Number of signs on the wrong side

• Number of Signs that are too low

• Number of occasions where speed restrictions/de-restrictions are not appropriate/inconsistent

• Number of occasions where speed limit is not correctly aligned

• Number of signs that are not upright

• Number of signs with non-compliant support

• Number of instances where the wrong sign has been used

• Number of signs with Lateral Location

Delineation Devices

• Number of instances where delineation is missing or required

• Number of Tapers that are too short

• Number of instances where spacing between tapers is too great to be effective

• Number of instances where the spacing in lanes/around work areas is too great

• Number of delineation devices whose conditions are marginal

• Number of delineation devices in an unacceptable condition

• Number of instances where an unapproved device has been used

• Number of instances where delineation devices had been used incorrectly

• Road marking incorrect (where not adjusted on long term sites on Level 2 or 3 roads

• Number of each missing or installed incorrectly

Miscellaneous

• Working in Live Lanes

• Flashing beacons not used/ineffective

• High visibility garment not worn

• No provision for pedestrians (where required)

• No provision for cyclists (where required)

• Parking/Stopping features not relocated (where required)

• Safety (long) zone unacceptable or non-existent

• Safety (lateral) zone unacceptable or non-existent

• High visibility garment marginal

• High visibility garment unacceptable

• Excavation not protected by acceptable method

• VMS message incorrect

• Barrier defects (missing or incorrect barrier component)

Mobile & Semi-Static Operation

• Tail pilot vehicle omitted (missing or incorrect location)

• Lead pilot vehicle omitted (missing or incorrect location)

• Shadow vehicle omitted

• Vehicle mounted signs missing or in incorrect location

• TMA missing when required

• TMA non compliant (in-use but of an acceptable standard)

• Arrow board missing (when required)

• Arrow board message missing or incorrect (when required)

• General Observations:

Advanced Warning Zone

• Signage

  All

  Some

  None

• Visibility

  All

  Some

  None

• Placement

  All

  Some

  None

• Quality

  All

  Some

  None

Direction & Protection Zone

• Signage

  All

  Some

  None

• Visibility

  All

  Some

  None

• Placement

  All

  Some

  None

• Quality

  All

  Some

  None

• Delineation

  All

  Some

  None

• Placement

  All

  Some

  None

• Quality

  All

  Some

  None

• Spaced Correctly

  Yes

  No

  N/A

Other Issues

• Excavations

  All

  Some

  None

• Pedestrians from work

  All

  Some

  None

• Pedestrians from traffic

  All

  Some

  None

• Cyclists from work

  All

  Some

  None

• Cyclists from traffic

  All

  Some

  None

• Safety spaces/zones

  All

  Some

  None

• Warning lights

  All

  Some

  None

• Vehicles operating with traffic flow

  All

  Some

  None

• Vehicles parked with traffic flow

  All

  Some

  None

• Vehicles outside zone

  All

  Some

  None

• Entering/Leaving with traffic flow

  All

  Some

  None

• Workers safety

  All

  Some

  None

• STMS/TC on site

  Yes

  No

  N/A

End of Works

• Sign Placements

  All

  Some

  None

• Sign Quality

  All

  Some

  None

Safety Gear & Equipment

• Hard Hat

  Yes

  No

• Hi-Viz Vest

  Yes

  No

• Boots

  Yes

  No

• Gloves

  Yes

  No

• Glasses

  Yes

  No

• Ear Muffs

  Yes

  No

• Uniform

  Yes

  No

• Harness

  Yes

  No

• Light Wands

  Yes

  No

• RTs

  Yes

  No

Vehicle

• Warrant of Fitness

  Yes

  No

• Road User Charges

  Yes

  No

• Registration

  Yes

  No

Documents

• Approved TMP

  Yes

  No

• TMP Expiry Date

  Yes

  No

• Documented Changes

  Yes

  No

• Daily Job Record

  Yes

  No

• Hazard Sheet

  Yes

  No

• Daily Closure Sheet

  Yes

  No

• Watercare DJR

  Yes

  No