Title Page
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Project Name or Number
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Date and Time
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Location
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Chainage From
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Chainage To
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Weather Conditions
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Traffic Management Plan Reference #
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Was Traffic Management Checked throughout the Day?
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Actual Time Dayworks Signage Checked - 1
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Photo of Signage Check 1
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Actual Time Dayworks Signage Checked - 2
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Photo of Signage Check 2
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Actual Time Dayworks Signage Checked - 3
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Photo of Signage Check 3
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Is Aftercare Signage Implemented?
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Time After Care Signage was Implemented
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Photo of Aftercare Signage
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Sketch any Amendments to the TMP as Required
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Any notes or comments on Traffic Management Activities for the day?
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Supervisors Name
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Name of Person Completing ITP
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Signature of Authorised Traffic Controller / Supervisor Declaring the above information is true and correct
