Powerco Traffic Management Audit Scoring = Acceptable (100-80%) Needs Improvement (79-60%) Dangerous (59-30%) Stop Works (29-0%)

• Street Name/Location
  Address

• RCA Permit Reference

• Attended/Unattended

  Attended

  Unattended

• Principal

  Select Powerco Limited

  • Powerco Limited

• Employer of Site STMS

• Delegation Scanner

• Powerco Auditor

  Select Kevin Hodge Karl Thackham Kerry Davies Gavin Ward Dean Cutter

  • Kevin Hodge
  • Karl Thackham
  • Kerry Davies
  • Gavin Ward
  • Dean Cutter

• Date/Time

  Date

• Yes

  No

  N/A

Responsible Party

• STMS/TC Attended at Site?

  Yes

  No

  N/A

• Is TC on site?

  Yes

  No

  N/A

• Has handover been completed and documented?

  Yes

  No

  N/A

• Name:

• Registration Number:

• Action Needed

TMP

• Is the TMP site specific or generic?

  Yes

  No

  N/A

• On Site?

  Yes

  No

  N/A

• Appropriate To Situation?

  Acceptable

  Needs Improvement

  Dangerous

• Action Needed

High-Visibility Garments

• Worn By All?

  Acceptable

  Dangerous

• Done Up?

  Acceptable

  Dangerous

• Condition Acceptable?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Action Needed

Signs

• All Necessary Signs Present?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Correct Positions?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Sand Bagged For Expected Wind?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Conflicting Signs Covered?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Signs In Good Condition?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Other:

• Action Needed

Deliniation

• Protects Working Space/Other Features?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Longitudinal Safety Zone Appropriate?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Lateral Safety Zone Appropriate?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Taper Lengths Compliant?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Correct Spacing Of Cones?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Sufficient Positive Traffic Control?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Other:

• Action Needed

Pedestrian Needs

• Footpath Widths Ok?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Safe Passage For Pedestrians?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Surfaces/Ramps OK?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Other:

• Action Needed

Cyclist Needs

• Cycle Widths Ok?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Safe Passage For Cyclists?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Surfaces OK?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Other:

• Action Needed

Traffic Needs

• Lane Widths Ok?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Speed Limit Appropriate?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• No Significant Delays?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Surfaces OK?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Other:

• Action Needed

Property Access

• Property Access OK?

  Acceptable

  Needs Improvement

  Dangerous

  N/A

• Action Needed

Action Agreed By STMS/TC

• Pictures Of Site

  Media

• Actions Agreed

• Powerco Signature

• STMS/TC Signature