Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Worksheet 1 - Title sheet & location details
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Road authority (eg district or LA name)
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Date of analysis
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Analyses by
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Comments and additional information
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Recommendation (summaries the results from this investigation and make recommendations here)
Worksheet 2 - Traffic & Pedestrian Volume Data
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STEP 1 - REFUGE
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Is there an existing median or refuge?
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Can a median or refuge be considered as a possible solution?
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1st half crossing traffic direction
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2nd half crossing traffic direction
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STEP 2 - TRAFFIC VOLUMES
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1st Hour
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Hour starting:
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2nd Hour
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Hour starting:
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3rd Hour
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Hour starting:
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4th Hour
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Hour starting:
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5th Hour
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Hour starting:
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No. Of trafficked lanes
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Walking distance
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Interrupted traffic flow
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Traffic Direction 1 (crossing southbound traffic)
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Traffic Direction 2 (crossing northbound traffic)
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Total (two way) flow
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STEP 3 - PEDESTRIAN VOLUMES
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Count date
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1st Hour
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2nd Hour
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3rd Hour
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4th Hour
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5th Hour
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Comments / Notes
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Make special allowance for pedestrians with disabilities
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Justification for special allowance
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STEP 4 - OTHER DATA
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Walking speed (m/s)
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Allow correction factor for small community expectations
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Justification for lower walking speed and/or correction factor
Worksheet 3 - Environmental Factors
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STEP 5 - CRASH HISTORY