Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Add location
  • Select date

Traffic Signage

  • Sign faces are clean and free from wear/tear?

  • Appropriate size for location and road conditions?

  • Unneeded signs are covered or removed?

  • Signs are clearly visible to traffic - no obstructions?

  • Adequate/appropriate spacing between signs?

  • Advanced warning provided for all ops hazards?

Channeling Devices

  • Devices are clean and in good condition?

  • Proper device type and size for work?

  • Devices not blocking sight distance?

  • Device spacing meets MUTCD guidelines?

  • Closer spacing at curves, intersections, etc...?

  • Tapers Lengths meet MUTCD or state specifications?

  • Good sight distance to closure tapers?

  • Device position maintains uniform lane widths?

Flagging Procedures

  • Take picture of flagger station

  • Stop/Slow paddle used as primary device?

  • Paddle is clean and in good shape/condition?

  • Paddle is correct size and shape per state requirements?

  • Flagger is wearing proper PPE - Hard Hat - Safety Glasses - Class III Traffic Vest or Shirt - Work Boots?

  • Flagger signs set up per MUTCD or state specifications?

  • Good sight distance to flagger station?

  • Flagger is standing in correct location, on shoulder not in open roadway. Facing both directions of traffic?

  • Flagger has an adequate escape path/route?

  • Periodic relief is being provided to ALL Flaggers?

  • Flagger Station lighted at night?

  • Proper flagger methods being used?

  • Flagger have current flagger certification card?

Personnel Protective Equipment (PPE)

  • Are all employees wear RoadSafe Hard Hats?

  • Are all employee wearing Safety Glasses?

  • Are all employees wearing clean RoadSafe Class III Traffic Vest? All vest zipped and in good condition?

  • Are all employees wearing Safety Work Boots appropriate for work?

Roadway Surface Signs

  • Warning signs for milled/grooved pavement?

  • Restore markings on milled pavement?

  • Accumulation of debris removed regularly?

  • Pavement drop-offs minimized, marked if present?

  • Sidewalks/Pedestrian walkways are clear/identified per TCP?

Trucks and Vehicles

  • Take picture of vehicle being Inspected

  • Pre-Shift are being performed daily?

  • Log books being used (if CDL is required)?

  • Strobes and lights are on?

  • Cabs are clean and clear from clutter and trash?

  • Doors are NOT left open when vehicle is unattended?

  • Loads are secure using proper devices for securement?

  • Drivers Alert decal is on back of vehicle and good condition?

Arrow Boards

  • Take picture of arrow baord

  • Placement: Level, legs down, away from traffic?

  • All light panels are working correctly?

  • Mast locking mechanism engaged?

  • When not in use, moved off roadway

  • Tongue jack and coupler in good working condition?

Message Baords

  • Take picture of message baord

  • Placement: Level, legs down, away from traffic?

  • Lighting panel working correctly, proper message being displayed per MUTCD or TCP?

  • Mast locking mechanism engaged?

  • Moved off roadway when not in use?

  • Tongue jack and coupler in good working condition?

Pavement Markings

  • Effective pavement markings - all lines?

  • Clear and positive guidance throughout project?

  • Clear and positive guidance in all conditions?

  • Obsolete markings completely removed/masked?

Striping Opertion

  • Sufficient signage / wet paint warnings?

  • Proper placement of cones per TCP?

  • Proper hazmat placard as required?

  • Proper PPE being utilized?

TMA Trucks

  • All crash cushions are in good condition?

  • TMA trucks are properly located per TCP?

  • Loads secure on bed of TMA truck?

Miscellaneous

  • Materials / Equipment placed outside the "Clear Zone"?

  • Unused equipment / materials properly stored?

  • Work zone buffer adequate and clear?

  • Damaged equipment removed from work zone?

  • Fencing / Barricading to protect pedestrians?

  • Signature of person performing safety performance obsevation

  • Signature of supervisor on project

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.