Title Page

  • Visit Reference

  • Learner Name

  • Learner Logbook Number

  • Candidate ID or photo

  • NHSS Number

  • Employer

  • date/time

  • Job Number/Contract Number/ NOMS Reference

  • Location
  • Weather Conditions

  • Assessor name and number

  • Training Provider

  • method of assessment

  • Type of TM

  • 1.1 Site inspection

  • Inspection of road geography, surface features and overhead obstructions in the vicinity of the work area

  • Exact location of the work area is determined with due regard for road geography

  • Vehicle and pedestrian traffic flows are taken into consideration

  • Site requirements recorded in form of a work site plan(s)

  • 1.2 Site Inspection

  • Check/confirm measurements taken of carriageway width, footway width and vehicle and pedestrian traffic

  • Check/confirm selection of correct traffic management layout

  • Risk assessment process completed correctly

  • assessor notes for unit 1

  • supporting evidence for unit 1

  • 2.1 Unit 2 ROUTINE CHECKS ON PLANT AND EQUIPMENT CENTRE BASED ASSESSMENT RECORD Vehicle maintenance/ safety checks

  • Fuel level checked and topped up if necessary

  • Oil level checked and topped up if necessary

  • Coolant checked and topped up if necessary

  • Visual check on tyre condition for excessive wear or damage

  • Wipers and washers checked and topped up if necessary

  • Brakes checked (inc handbrake)

  • Lights checked and faulty bulbs replaced if necessary

  • Beacon(s) checked and faulty bulbs replaced if necessary

  • Windscreen checked for chips/cracks

  • Mirrors checked for cracks/breakages

  • Bodywork checked for damage

  • All checks recorded and damage/faults listed

  • 2.2 Trailer Maintenance/ safety checks

  • Trailer lights/lighting board connected to vehicle and lights checked, replacements fitted as necessary

  • Visual check on tyre condition

  • Visual check on overrun brake operation and handbrake operation (where fitted)

  • Visual check on tow hitch for cracks/bends

  • Visual check on safety chain/cable

  • Visual check on tow hitch for compatibility and damage

  • All checks recorded and damage/faults listed

  • assessor notes for unit 2

  • supporting evidence for unit 2

  • 6.1 Stop/ Go signing

  • Signing erected in accordance with prescribed layout

  • Stop/Go boards brought into use with consideration for traffic speed/density

  • With traffic stopped, cones and remaining signs installed in accordance with prescribed layout

  • Operation of stop/go system with consideration for traffic speed/density

  • Learner is observed operating a recognised communication system correctly

  • Stop/Go system decommissioned correctly when work is completed

  • 6.2 Priority Signing

  • Erect advance signing in accordance with prescribed layout

  • Install cones, signs and lamps in accordance with prescribed layout

  • assessor notes for unit 6

  • supporting evidence for unit 6

  • 7.1 Site establishment, pre-start checks and commissioning

  • Power supplies, batteries or fuel and lubricants checked and topped up if necessary.

  • Generator checked for starting

  • MVDs checked

  • Signage requirements checked

  • Site checked against information supplied

  • Advance signing installed correctly

  • Cones and traffic light heads positioned correctly

  • Traffic signals checked before bringing into service

  • System brought into service correctly

  • Timings set correctly for green and red lights, to suit site

  • Ability to deal with signal failure demonstrated

  • 7.3 Decommission traffic signals Traffic lights decommissioned correctly

  • assessor notes for unit 7

  • supporting evidence for unit 7

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  • 1.1 Site inspection

  • Vehicle parked up safely

  • Inspection of road geography, surface features and overhead obstructions in the vicinity of the work area

  • Vehicle and pedestrian traffic flows are taken into consideration

  • 1.2 Site Inspection

  • Check/confirm measurements taken of carriageway width, footway width and vehicle and pedestrian traffic

  • Check/confirm selection of correct traffic management layout

  • Record/ Amend as neccessary

  • Risk assessment process completed correctly

  • assessor notes for unit 1

  • supporting evidence for unit 1

  • 2.1 Unit 2 ROUTINE CHECKS ON PLANT AND EQUIPMENT

  • 2.1a Fuel level checked and topped up if necessary

  • 2.1b Oil level checked and topped up if necessary

  • 2.1c Coolant checked and topped up if necessary

  • 2.1d Visual check on tyre condition for excessive wear or damage

  • Wipers and washers checked and topped up if necessary

  • Brakes checked (inc handbrake)

  • Lights checked and faulty bulbs replaced if necessary

  • Beacon(s) checked and faulty bulbs replaced if necessary

  • Windscreen checked for chips/cracks

  • Mirrors checked for cracks/breakages

  • Bodywork checked for damage

  • All checks recorded and damage/faults listed

  • 2.2 Trailer Maintenance/ safety checks

  • Trailer lights/lighting board connected to vehicle and lights checked, replacements fitted as necessary

  • Visual check on tyre condition

  • Visual check on overrun brake operation and handbrake operation (where fitted)

  • Visual check on tow hitch for cracks/bends

  • Visual check on safety chain/cable

  • Visual check on tow hitch for compatibility and damage

  • All checks recorded and damage/faults listed

  • assessor notes for unit 2

  • supporting evidence for unit 2

  • 3.1 Interpret instuction Read and<br>interpret written instructions/risk assessment form/drawing(s) to facilitate correct<br>selection/loading of traffic management equipmen

  • 3.2 Signs, cones and lamps – fitness checks

  • Visual check on condition of signs is completed accurately and unsuitable ones rejected

  • Visual check on cones is completed accurately and unsuitable ones rejected

  • Visual check on lamps is conducted and defective ones rejected

  • Batteries and bulbs in lamps replaced as necessary

  • assessor notes for unit 3

  • supporting evidence for unit 3

  • UNIT 4 ACCESS TO SITE AND CONDUCT ON SITE

  • 4.1 vehicle driver

  • a Drive vehicle to work site

  • b Position vehicle safely, with due regard to pedestrians, to facilitate placing of traffic management equipment

  • c Correct use of beacons, mirrors and indicators

  • 4.2 movement within site

  • a Proceed on foot within site for the purpose of placing and/or maintaining signs, cones and lamps.

  • b Proceed on foot outside work area for the purpose of placing and/or maintaining signs, cones and lamps having due regard to own safety, pedestrians and traffic

  • assessor notes for unit 4

  • supporting evidence for unit 4

  • UNIT 5 PLACE SIGNS AND CONES

  • 5.1 Off load signs

  • a Use appropriate manual handling techniques and PPE to load/offload signs

  • b Work on “safe” side of vehicle

  • c Offload in correct sequence

  • 5.2 Prepare and place signs

  • a Assemble signs/supplementary plates correctly in frames

  • b Place signs with due regard to pedestrians and traffic

  • c Add ballast and secure as required

  • d Place signs to ensure adequate visibility

  • 5.3 off-load and place cones and lamps

  • a Place cones on foot and/or direct from vehicle

  • In lead taper,

  • In longitudinal run.

  • b Place lamps in correct positions and facing oncoming traffic.

  • c Assemble and place pedestrian barrier correctly and safely

  • d Establish safety zones

  • 5.4 safe working practices

  • a Demonstrate traffic awareness at all times

  • b Estimate speed and distance of travelling vehicles

  • c Demonstrate consideration for pedestrians

  • assessor notes for unit 5

  • supporting evidence for unit 5

  • 7.1 Site establishment, pre-start checks and commissioning

  • a Erect signing in accordance with prescribed layout

  • b Check temporary traffic signals are working correctly

  • c Signal heads turned to all red and traffic stopped with due regard for traffic flows and speed

  • d Install cones, signs and lamps in accordance with prescribed layout

  • 7.2 Maintaining traffic flows

  • a Ensure shuttle lanes do not become blocked by means of monitoring traffic flows

  • b Ensure red and green times are in operation with regard to traffic flows

  • c Ensure traffic is not blocking any emergency access points

  • 7.3 Decommission 2-way traffic signals a Decommission temporary signals

  • assessor notes for unit 7

  • supporting evidence for unit 7

  • UNIT 8 MAINTENANCE OF SITE

  • a Conduct visual inspection and record/report defects

  • b Take remedial action to maintain signs, cones, lamps and walkways

  • c Carry out above in –

  • Works area

  • Safety zone

  • Pedestrian/live traffic lanes

  • 8.2 Routine Maintenance

  • a All power supplies including batteries and fuel, must be checked at all times

  • b Clean and/or re-sleeve cones and re-align as necessary

  • c Clean sign faces in situ using safe system of work with due regard for pedestrian and traffic

  • 8.3 good housekeeping

  • a Contribute to maintenance of site in a safe and tidy condition

  • assessor notes for unit 8

  • supporting evidence for unit 8

  • 9.1 Lift and remove cones, signs and ballast to vehicle working adjacent to and crossing live traffic lanes

  • a Remove all traffic management equipment in the correct order

  • b Work on foot and/or from vehicle for the collection of cones

  • c Work on safe side of vehicle

  • 9.2 Safe working practices

  • a Use correct manual handling techniques

  • b Work with due regard to prevailing site and traffic conditions

  • assessor notes for unit 9

  • supporting evidence for unit 9

  • 1.1 Site inspection

  • Vehicle parked up safely

  • Inspection of road geography, surface features and overhead obstructions in the vicinity of the work area

  • Vehicle and pedestrian traffic flows are taken into consideration

  • 1.2 Site Inspection

  • Check/confirm measurements taken of carriageway width, footway width and vehicle and pedestrian traffic

  • Check/confirm selection of correct traffic management layout

  • Record/ Amend as neccessary

  • Risk assessment process completed correctly

  • assessor notes for unit 1

  • supporting evidence for unit 1

  • 2.1 Unit 2 ROUTINE CHECKS ON PLANT AND EQUIPMENT

  • 2.1a Fuel level checked and topped up if necessary

  • 2.1b Oil level checked and topped up if necessary

  • 2.1c Coolant checked and topped up if necessary

  • 2.1d Visual check on tyre condition for excessive wear or damage

  • Wipers and washers checked and topped up if necessary

  • Brakes checked (inc handbrake)

  • Lights checked and faulty bulbs replaced if necessary

  • Beacon(s) checked and faulty bulbs replaced if necessary

  • Windscreen checked for chips/cracks

  • Mirrors checked for cracks/breakages

  • Bodywork checked for damage

  • All checks recorded and damage/faults listed

  • 2.2 Trailer Maintenance/ safety checks

  • Trailer lights/lighting board connected to vehicle and lights checked, replacements fitted as necessary

  • Visual check on tyre condition

  • Visual check on overrun brake operation and handbrake operation (where fitted)

  • Visual check on tow hitch for cracks/bends

  • Visual check on safety chain/cable

  • Visual check on tow hitch for compatibility and damage

  • All checks recorded and damage/faults listed

  • assessor notes for unit 2

  • supporting evidence for unit 2

  • 3.1 Interpret instuction Read and<br>interpret written instructions/risk assessment form/drawing(s) to facilitate correct<br>selection/loading of traffic management equipmen

  • 3.2 Signs, cones and lamps – fitness checks

  • Visual check on condition of signs is completed accurately and unsuitable ones rejected

  • Visual check on cones is completed accurately and unsuitable ones rejected

  • Visual check on lamps is conducted and defective ones rejected

  • Batteries and bulbs in lamps replaced as necessary

  • assessor notes for unit 3

  • supporting evidence for unit 3

  • UNIT 4 ACCESS TO SITE AND CONDUCT ON SITE

  • 4.1 vehicle driver

  • a Drive vehicle to work site

  • b Position vehicle safely, with due regard to pedestrians, to facilitate placing of traffic management equipment

  • c Correct use of beacons, mirrors and indicators

  • 4.2 movement within site

  • a Proceed on foot within site for the purpose of placing and/or maintaining signs, cones and lamps.

  • b Proceed on foot outside work area for the purpose of placing and/or maintaining signs, cones and lamps having due regard to own safety, pedestrians and traffic

  • assessor notes for unit 4

  • supporting evidence for unit 4

  • UNIT 5 PLACE SIGNS AND CONES

  • 5.1 Off load signs

  • a Use appropriate manual handling techniques and PPE to load/offload signs

  • b Work on “safe” side of vehicle

  • c Offload in correct sequence

  • 5.2 Prepare and place signs

  • a Assemble signs/supplementary plates correctly in frames

  • b Place signs with due regard to pedestrians and traffic

  • c Add ballast and secure as required

  • d Place signs to ensure adequate visibility

  • 5.3 off-load and place cones and lamps

  • a Place cones on foot and/or direct from vehicle

  • In lead taper,

  • In longitudinal run.

  • b Place lamps in correct positions and facing oncoming traffic.

  • c Assemble and place pedestrian barrier correctly and safely

  • d Establish safety zones

  • 5.4 safe working practices

  • a Demonstrate traffic awareness at all times

  • b Estimate speed and distance of travelling vehicles

  • c Demonstrate consideration for pedestrians

  • assessor notes for unit 5

  • supporting evidence for unit 5

  • UNIT 8 MAINTENANCE OF SITE

  • a Conduct visual inspection and record/report defects

  • b Take remedial action to maintain signs, cones, lamps and walkways

  • c Carry out above in –

  • Works area

  • Safety zone

  • Pedestrian/live traffic lanes

  • 8.2 Routine Maintenance

  • a All power supplies including batteries and fuel, must be checked at all times

  • b Clean and/or re-sleeve cones and re-align as necessary

  • c Clean sign faces in situ using safe system of work with due regard for pedestrian and traffic

  • 8.3 good housekeeping

  • a Contribute to maintenance of site in a safe and tidy condition

  • assessor notes for unit 8

  • supporting evidence for unit 8

  • 9.1 Lift and remove cones, signs and ballast to vehicle working adjacent to and crossing live traffic lanes

  • a Remove all traffic management equipment in the correct order

  • b Work on foot and/or from vehicle for the collection of cones

  • c Work on safe side of vehicle

  • 9.2 Safe working practices

  • a Use correct manual handling techniques

  • b Work with due regard to prevailing site and traffic conditions

  • assessor notes for unit 9

  • supporting evidence for unit 9

  • Supporting evidence risk assessment

  • Supporting evidence method statement

  • supporting evidence Drawing/ Plan

  • Supporting evidence loading list

  • Supporting evidence Maintenance records

  • supporting evidence vehicle check sheet

  • Action plan

  • feedback

  • Assessor Signature: I agree that this event has been completed correctly as per event

  • Candidate Signature: I confirm I am happy with the event and details listed as accurate to the event

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