Title Page
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RCA & Suburb
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Road Name & Road ID
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CAR / WAP No.
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TTM Level
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Date & Time
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Conducted by
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Location
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Instructions
1. Fill out any needed information on the blank spaces
2. Select the best response for the items with the given choices below
3. Add photo, comments & notes by clicking on the paperclip icon
4. To add corrective actions to any item with issues, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
5. Complete the audit by providing digital signature
6. Share your report by exporting as PDF, Word, Excel or Web Link
Operational Details
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• Activity description
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• TTM method
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• TTM Contractor
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• Contractor- working space
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• Client / Principal
Signs
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A1 - Missing <br><br>• Sign
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A2 - Position <br><br>• Sign
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A3 - Not visible/fallen over <br><br>• Sign
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A4 - Wrong sign <br><br>• Sign
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A5 - Condition unacceptable <br><br>• Sign
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A6 - Permanent sign <br><br>• Sign
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A7 - Unapproved sign used / too small <br><br>• Sign
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A8 - Non-compliant support / sign too low <br><br>• Support
Mobile & Semi-Static
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B1 - Tail pilot vehicle/AWVMS omitted or incorrect location <br><br>• Vehicle
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B2 - Lead pilot vehicle omitted or incorrect location <br><br>• Vehicle
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B3 - Shadow vehicle omitted or incorrect location <br><br>• Vehicle
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B4 - TMA missing or non-compliant <br><br>• TMA
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B5 - AWVMS/arrowboard non-compliant <br><br>• Vehicle
Pedestrians / Cyclists
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C1 - Inadequate provision for pedestrians <br><br>• Feature
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C2 - Inadequate provision for cyclists <br><br>• Feature
Delineation
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D1 - Missing or ineffective taper Leading <br><br>• Taper
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D2 - Tapers too short Leading <br><br>• Taper
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D3 - Taper too short or missing Trailing <br><br>• Taper
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D4 - Spacing in taper <br><br>• Taper 5
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D5 - Spacing along lanes <br><br>• Per 100m
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D6 - Missing or ineffective delineation along lanes <br><br>• Per Section
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D7 - Condition unacceptable <br><br>• Device
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D8 - Using non-approved device <br><br>• Device
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D9 - Road marking incorrect at long-term level 2 or 3 roads <br><br>• Site
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D10 - Inadequate/missing site access <br><br>• Access
Miscellaneous
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E1 - Working in live lanes <br><br>• Individual
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E2 - Missing or ineffective controller <br><br>• Individual
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E3 - Safety zone compromised <br><br>• Individual
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E4 - High visibility garment not acceptable <br><br>• Individual
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E5 - Marginal surface condition (carriageway only) <br><br>• Occasion
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E6 - Unacceptable surface condition (peds, cyclists or carriageway) <br><br>• Occasion
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E7 - Barrier defects (missing or incorrect components) <br><br>• Component
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E8 - Unsafe or redundant TTM <br><br>• Equipment
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E9 - VMS message incorrect or inappropriate <br><br>• VMS
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E10 - Flashing beacons / indicator lights not used or ineffective <br><br>• Vehicle
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E11 - Parking / stopping features not relocated <br><br>• Feature
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E12 - Unsafe and illegal parking of plant/equip. <br><br>• Feature
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E13 - Marginal items (signs, delineators, Hi vis garments) <br><br>• Feature
Other Worksite Aspects
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G1 - Qualified person on site [refer to A5 of CoPTTM]
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G2 - TSL appropriate [refer to C4 of CoPTTM]
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G3 - Road user flow acceptable
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G4 - On-site record [form must include STMS authority, 2 hourly checks and TSL details]
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G5 - TMP approved?
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G6 - Approved TMP sighted?
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G7 - Approved TMP applicable?
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G8 - TTM in accordance with approved TMP?
Result & Findings
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Rate
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Site fixed?
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Has site activity been ceased?
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Site activity ceased by
Key Points & Actions
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Complaint callout
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Site Activity Status
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Audit / Review
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Notification to RCA
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Good site induction
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TMP design issues
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Low Risk
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General Key Point Notes
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General Action Notes
STMS Details
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Received by (Name and Signature)
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SCR left onsite?
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STMS Name
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Qualifications
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NZTA ID No.
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STMS Mobile No.
Audit / Review Completion & Sign-Off
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Auditor's Name and Signature
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NZTA ID No.
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Qualifications
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Auditor Mobile No.
