• Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Traffic Control Devices

  • Advance Warning Signs

  • Spacing of Signs

  • Condition of signs

  • Intersection(s) Signed


  • Number & Location

  • Communications

  • Proper Devices Utilized

  • Proper Attire

Lane Closure

  • Proper Size Cone & Taper

  • Cone/ Barrel Spacing

  • TMA/ Shadow Vehicle

  • Buffer Zone

  • Arrow board(s)

  • Traffic Congestion

Personal Safety Equipment

  • Safety Vest/ Rain -suit

  • Hand Protection

  • Eye/Face protection

  • Hearing Protection

  • Head Protection

  • Fall protection

  • Other

Equipment/ Process

  • Vehicles (Strobes,SMV,etc)

  • Pre-Trip completed

  • Hand Tools (shovels, etc)

  • Powered Tools (chainsaw, etc)

  • Trenching/ Shoring

  • OUPS Ticket


  • Other comments

Sign Off

  • Do you Agree with these findings?

  • On site representative

  • Auditor's 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.