Parallaxx Comprehensive Audit

• Document No.

• PCA / VMS / LRI / ASSMT / SCR

• Client

• Traffic Management Provider

• Conducted on

  Date

• Prepared By

• Location
  Address

Basic Site Details

• Closure Pictures

  Media

• Main Road Level

  Low Volume

  Level 1

  Level 2L

  Level 2

  Level 3

• Additional Side Roads

Additional Road

• Road Name

• Road Level

  Low Volume

  Level 1

  Level 2L

  Level 2

  Level 3

• Road Controlling Authority

  Select Auckland Transport Auckland Motorway Alliance

  • Auckland Transport
  • Auckland Motorway Alliance

• Main Contractor

Site Induction

• Site Induction Conducted

  Yes

  No

  N/A

• Quality of Location/Site/Ground Brief (0 - Not Done, 1 - Poor, 10 Excellent)

• Comments

• Quality of Situation/Works Briefing (0 - Not Done, 1 - Poor, 10 Excellent)

• Comments

• Quality of Emergency Requirements Briefing (0 - Not Done, 1 - Poor, 10 Excellent)

• Emergency Evacuation point identified
• Location of Emergency Evacuation Point
  Address

• Comments

• Quality of 'Areas Allowed' Briefing (0 - Not Done, 1 - Poor, 10 Excellent)

• Comments

Mandatory Inclusions

• Location of TMP

• Site Supervisor Identified

• Site 2IC Identified

• Communication methods for supervisor & 2IC discussed

• PPE Requirements outlined

• Is there an Onsite Record compliant with CoPTTM version? (Includes TSL implementation time etc.)

• First Aid Qualified staff identified

• Is there an onsite hazard ID form completed

• Photo of Onsite Hazard ID Form

  Media

Hazard Identification, Management & Induction

• Hazards & appropriate responsibilities/mitigations discussed in induction

  Yes

  No

  N/A

• Hazard Mitigations Discussed/Included

• Details of Mitigation Actions (brief description/s)

Induction & Hazard Management Summary

• Questions asked for from inductee (did they ask if there were any questions)

• Asked to sign induction register

• Overall Quality of Induction (1 - Poor, 10 - Excellent)

• Audit Start Time

  Date

• Your Audit video will be available here within 24 hours

• Weather State

  Sunny

  Overcast

  Drizzle

  Rain

  Heavy Rain

• Wind State

  No Wind

  Light Breeze

  Moderate Winds

  High Winds

• Road State

  Clear & Clean

  Light Water

  Significant Surface Water

• Traffic Volume (1 - Very Light, 10 - Very Heavy)

• Recommended Sandbags for Level 1 Signs in these conditions

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

• Recommended Sandbags for Level 2 Signs in these conditions

  Select 0 1 2 3 4 5 6 7 8 9

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9

Site Traffic Management Supervisor

STMS Basic Information

• STMS Name

• STMS Number

• STMS Level

  Level 1 TC

  Level 1 STMS

  Level 2/3 NP

  Level 2/3 P

• Is the STMS qualification current

• STMS Expiry

  Date

STMS Compliance

• Wearing STMS Jacket

• Is their jacket compliant

• Is the STMS dressed in all compliant PPE

  Yes

  No

  N/A

• What PPE are they missing?

• STMS is Suitably Qualified

• Does the STMS have proof of qualification

  Yes

  No

  N/A

STMS' Other Qualifications

• Is the STMS Site Safe or Operate Safe Qualified

  Yes

  No

  N/A

• Proof of qualification held

• Photo of proof of Site Safe/Operate Safe qualification

  Media

• Qualification is current

• Is the STMS First Aid Qualified

  Yes

  No

  N/A

Vehicle Drivers

• Vehicle Drivers present on site

Driver

• Driver Name

• Is suitably licenced

• Licence is on their person

• Photo of Drivers Licence

  Media

Other Traffic Control Staff

• Additional TC Staff Present

Traffic Controller

• TC Name

• Qualification

  No Qualification

  Level 1 TC

  Level 1 STMS

  Level 2/3 NP

  Level 2/3 P

• Proof of qualification held

• Photo of proof of qualification

  Media

Organisational Support

• Is the Onsite team suitably supported by their organisation?

• If Not, Why Not?

• Were the Onsite crew suitably briefed on the activity they were going to be undertaking?

• If Not, Why Not?

• Were the Onsite crew provided all the tools, equipment and resources they needed to conduct the job?

• If Not, Why Not?

Approved TMP

• Approved TMP Onsite? (include photo of approval)

  Yes

  No

  N/A

TMP Elements

• Traffic Management Activity or Measure

Activity, Measure or Closure Type

• TTM Type or Operation (i.e. Contraflow, footpath closure, site access - list ALL)

• Included in the TMP

• Installed to a generally compliant standard

• If Not, Why Not?

TMP Amendments

• Has the TMP been amended by the STMS by hand

  Yes

  No

  N/A

• What amendments have been made by hand

• Have all amendments been made

• Does the STMS subsequently make hand amendments in the presence of the Auditor

• Does the STMS subsequently make hand amendments in the presence of the Auditor

• STMS Details on the TMP are correct

• Does the STMS subsequently make hand amendments in the presence of the Auditor

General Site Condition Feedback

• Feel Good Factor (1 - Feels Unsafe, 10 - Feels Extremely Safe)

• Level of Compliance (1 - Very Non-Compliant, 10 - Extremely Compliant)

• Level of Understanding & Competence from STMS (1 - Poor Understanding, 10 - Extremely High Understanding)

• Level of Understanding from TC's (1 - Poor Understanding, 10 - Extremely High Understanding)

• Spot Quiz Questioning to Onsite Staff

Spot Quiz Question

• Select Chosen Question from list

  Select What must you do when handing over a level 1 site to a qualified TC? What is the correct setup for a site access? What is the correct image to be displayed on a european arrow board when parked on the left shoulder? How often must you check all equipment on an attended worksite? A mobile closure may remain stationary for up to how many minutes? A semi static closure may remain stationary for up to how many minutes? Name five different activities that might be conducted using mobile operations. On an Auckland Transport approved TMP how can we tell if its approved?

  • What must you do when handing over a level 1 site to a qualified TC?
  • What is the correct setup for a site access?
  • What is the correct image to be displayed on a european arrow board when parked on the left shoulder?
  • How often must you check all equipment on an attended worksite?
  • A mobile closure may remain stationary for up to how many minutes?
  • A semi static closure may remain stationary for up to how many minutes?
  • Name five different activities that might be conducted using mobile operations.
  • On an Auckland Transport approved TMP how can we tell if its approved?

• Answer

• Answered Correctly

  Yes

  No

  N/A

• General Level of Safety for Public (1 - Very Unsafe, 10 - Extremely Safe)

Site Condition Observations/Comments

• Additional Comment

Add Comment

• Comment

• Relates to

Vehicles Onsite

• Are there Vehicles Onsite

• Vehicle Details

Vehicle

• Registration

• Vehicle Has Current Registration

• Vehicle has a current WOF/COF

• Vehicle Requires RUC

• Vehicle RUC are sufficient

• Vehicle Required to display loading certificate

• Vehicle is displaying loading certificate

• Vehicle Is equipped with a Fire Extinguisher

• STMS or Crew know location of Extinguisher

• Vehicle Is equipped with a First Aid Kit

• STMS or Crew know location of First Aid Kit

• Is the Load Secure

  Yes

  No

  N/A

• Is it parked safely

  Yes

  No

  N/A

• Has a Daily Vehicle Check been carried out

  Yes

  No

  N/A

Onsite Staff

• Onsite Staff Presentation, Grooming and Professionalism (0 - Poor, 5 - Excellent)

• Comments

• Staff Pride & Enthusiasm (0 - Poor, 5 - Excellent)

• Comments

• Staff Proactivity & Initiative (0 - Poor, 5 - Excellent)

• Comments

• STMS Leadership & Command (0 - Poor, 5 - Excellent)

• Comments

Client Survey

• Client Survey Conducted

• Rating of Onsite Staff Professionalism (0 - Poor, 5 - Excellent)

• Comments

• Rating of Onsite Staff Proactivity/Attention to Detail (0 - Poor, 5 - Excellent)

• Comments

• Rating of Staff Punctuality (0 - Poor, 5 - Excellent)

• Comments

• Rating of General Customer Service (0 - Poor, 5 - Excellent)

• Comments

• General Comments

• Client Representative Signature

  Sign

Audit Reccomendations

• Add a further reccomendation

Reccomendation

• Recommendation Title

• Recommendation Details

• STMS Trained/Coached regarding this recommendation

• Details of Coaching Provided

• Did the STMS respond positively to this coaching

  Yes

  No

  N/A

Audit Conclusion

• Audit Finish Time

  Date

STMS Declaration

By signing below the STMS confirms they have been briefed fully on the information included within this Audit and received adequate explanation of any faults and issues, as well as explanation of positive aspects to the Audit. They also confirm the above mentioned training or coaching listed in the "Reccomendations" section has been carried out onsite.

• STMS Signature

  Sign

• STMS Contact Number

By signing below the Auditor confirms the information within this audit to be true and correct at the time of conduct

• Auditor Signature

  Sign

• Auditor Contact Number