Parallaxx Comprehensive Audit - duplicate

• Document No.

• Audit Title

• Client

• Traffic Management Provider

• Conducted on

  Date

• Prepared By

• Location
  Address

Basic Site Details

• 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 Aukland Motorway Alliance

  • Auckland Transport
  • Aukland 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

• 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

• Comments

• Hazards Discussed and outlined

Identified Hazard

• Hazard Details

• Hazard Mitigation Discussed/Included

• Details of Mitigation

Induction & Hazard Management Summary

• Questions asked for from inductee

• 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 1 2 3 4 5 6 7 8 9

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

• Recommended Sandbags for Level 2 Signs in these conditions

  Select 1 2 3 4 5 6 7 8 9

  • 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

STMS Compliance

• Wearing STMS Jacket

• Is their jacket compliant

• Is the STMS dressed in all compliant PPE

  Yes

  No

  N/A

• Comments

• STMS is Suitably Qualified

• Comments

• 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

Approved TMP

• Approved TMP Onsite

  Yes

  No

  N/A

• Photo of Approval

  Media

• Comments

TMP Elements

• Traffic Management Activity or Measure

Activity, Measure or Closure Type

• TTM Type or Operation (i.e. Contraflow)

• Included in the TMP

• Comments

• Installed to a generally compliant standard

• Comments

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

Signs

• Missing Signs (including side roads & supplementary plates)

Missing Sign Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Sign Spacing (too close/too far)

Sign Spacing Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Sign Not Visible

Sign Visibility Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Wrong Sign Used

Wrong Sign Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Sign Condition Marginal

Sign Condition Marginal Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Sign Condition Unacceptable

Sign Condition Unacceptable Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Permanent Signs Not Covered

Permanent Signs Not Covered Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Unapproved Signs Used/Sign Too Small

Unapproved Sign Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Signs on Wrong Side

Signs on Wrong Side Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Signs Too Low

Signs Too Low Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A
Faulty TSL

• Details

• Photo of fault

  Media

• STMS Explanation

• Does the fault contravene Section C4 of CopTTM

  Yes

  No

  N/A

• Is this item to be scored

  Yes

  No

  N/A

• Speed Limit Not Correctly Aligned

Speed Limit Not Correctly Aligned Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Sign Not Upright

Sign Not Upright Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Non-Compliant Support

Non-Compliant Support Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Sign Lateral Location Wrong

Sign Lateral Location Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Select from range

Delineation Devices

• Missing (including chicane) when required

Missing Delineation Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Taper Too Short

Short Taper Fault

• Is it a Shifting Taper or a Merging Taper

  Shifting Taper

  Merging Taper

• Details

• Photo of fault

  Media

• STMS Explanation

• Spacing Between Multiple Tapers

Multiple Taper Spacing Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Spacing in Tapers

Delineation Spacing in Taper Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Spacing in Lanes

Delineation Spacing in Lanes Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Delineation Device: Condition Marginal

Marginal Delineation Device Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Delineation Device: Condition Unacceptable

Unacceptable Delineation Device Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Use of Non-Approved Device

Use of Non-Approved Device Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Road Marking Incorrect

Incorrect Road Marking Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Inadequate Site Access

Inadequate Site Access Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

Miscellaneous

• Working In Live Lanes

Working In Live Lanes Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Flashing Beacons Not Used/Not Compliant

Flashing Beacons Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• High Visibility Garment Not Worn/Not Acceptable

High Visibility Garment Unacceptable Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Unsafe or Illegal Parking of Plant or Equipment

Plant or Equipment Parking Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Poor Surface Condition

Poor Surface Condition Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Safety (Lateral or Longitudinal) Zone Insufficient

Safety Zone Compromised Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Excavation not Protected

Excavation Not Protected Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• VMS Message Incorrect

VMS Message Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Barrier Defects

Barrier Defect Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• TMP Not Approved/Not on Attended Site (and cannot be produced in 30 mins)

No Approved TMP Onsite Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• No (or insufficiently) Qualified Person On Attended Site

No Qualified Person Onsite Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A
Inadequate Property Access

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

Pedestrians & Cyclists

Inadequate Provision for Pedestrians

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

Mobile Operations

• Tail Pilot Vehicle Omitted

Tail Pilot Vehicle Omitted Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Lead Pilot Vehicle Omitted

Lead Pilot Vehicle Omitted Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Shadow Vehicle Omitted

Shadow Vehicle Omitted Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Signs Omitted

Signs Omitted Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• TMA Missing or Non-Compliant

TMA Inadequate Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Arrow Board Missing

Arrow Board Missing Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

• Arrow Board Message Incorrect

Arrow Board Message Fault

• Details

• Photo of fault

  Media

• STMS Explanation

• Is this Item to be scored

  Yes

  No

  N/A

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

• Question

• 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