Job Site Traffic Management (Infrastructure Operations and Parks & Recreation) - 21-Fm-006. 1/2/2013

• CONDUCTED ON:

  Date

• WORK ORDER / SERVICE REQUEST NUMBER:

• WORK ACTIVITY:

• LOCATION:
  Address

• ROAD NAME:

• ROAD ADDRESS FROM TO (IF APPLICABLE):

Responsible Person

• LCC RESPONSIBLE PERSON:

• Name:

• CONTRACTOR BUSINESS NAME:

• Name:

• CONTRACTOR RESPONSIBLE PERSON:

• Name:

Details

• Type of Work Site

  Select Static Urban Short Term (1 Day) High Volume (> 1500 vpd) Mobile Rural Long Term Low Volume Low Volume Frequently Changing

  • Static
  • Urban
  • Short Term (1 Day)
  • High Volume (> 1500 vpd)
  • Mobile
  • Rural
  • Long Term
  • Low Volume
  • Low Volume
  • Frequently Changing

• LCC Traffic Management Plans Used (EditionNumber CTMP23052013 / Plan):

  Yes

  No

• Plan Number:

• SIte Specific Traffic Management Plan Used:

  Yes

  No

• Plan Number:

• Signs Erected as per LCC Traffic Management Plan CTMP23052013 / Plan

  Yes

  No

• Time that signs are installed:

  Date

• Are all works covered by signage area?

  Yes

  No

  NA

• Are all unrelated signs within work area covered or obscured?

  Yes

  No

• Are all approach routes to work site appropriately signed?

  Yes

  No

• Drive through work site to check effectiveness:

  Yes

  No

• Are there any time restrictions for work in this area?

  Yes

  No

• If yes enter time:

  Date

• Monitor traffic flow through the work site. If any delays or unexpected problems are observed, modify plan to resolve; or cease work, remove traffic control and report to Manager immediately:

• Comment:

• If work site is changing, signage is regularly adjusted:

• Comment:

• Check all signs are removed from the short term site at the completion of works:

  Yes

  No

• Time that signs are removed:

  Date

• Speed zone reapplied at end of works:

  Yes

  No

  NA

After Hours Signage

• Time that after hours signs are installed:

  Yes

  No

• If yes enter time:

  Date

• Weather conditions:

  Select Fine Over Cast Light Rain Fog Dust Smoke Wet Windy Other

  • Fine
  • Over Cast
  • Light Rain
  • Fog
  • Dust
  • Smoke
  • Wet
  • Windy
  • Other

• Comment Other:

• Signage changes due to weather and / or site conditions:

  Yes

  No

• If yes enter time:

  Date

• Sketch diagram of signs left for after care:

  Drawing

• Comments:

• Who left signs out:

• Name:

  Sign

Complete and Sign

• Further comments:

• Responsible LCC Employee OR Contractor:

  Sign

• Date:

  Date

• Responsible LCC Supervisor:

  Sign

• Date:

  Date

Email Completed Analysis To: remount road.admin@launceston.tas.gov.au