Schneider Electric Road Traffic Management System

• Document No.

• Company details

• Conducted on

  Date

• Prepared by

• Attendees

• Location
  Address

Scoring 3 - Zero Errors 2 - Minor Errors 1 - Significant Errors NA - Not Applicable - Not Verified

Traffic and Vehicle Interaction

• Has the site carried out a traffic and Pedestrian Segregation Review?

  Yes

  No

  N/A

• Has the site considered Adequate segregation and protection of pedestrians from vehicular movement on the site (where considered appropriate)?

  Yes

  No

  N/A

• Has the site considered Safe movement of pedestrians to and from vehicles?

  Yes

  No

  N/A

• Has the site considered Safe movement of vehicles onto and around the site?

  Yes

  No

  N/A

• Has the site considered Provision of adequate and safe assembly points for employees during a fire or similar emergency

  Yes

  No

  N/A

• Has the site considered Provision of adequate access for emergency services?

  Yes

  No

  N/A

• Has the site considered Speed limit signage and relevant information?

  Yes

  No

  N/A

• When was it last reviewed?

  Yes

  No

  N/A

• Have all actions raised been closed out?

  Yes

  No

  N/A

Communication

• Is the latest Road Traffic Safety Policy displayed?

  Yes

  No

  N/A

• How does the business communicate site rules to visitors? (can be printed or specific induction)

  Yes

  No

  N/A

• Does the information include:<br> Speed limits and traffic calming measures? Information on routes for vehicles and pedestrians? Parking procedures i.e. designated parking/reverse parking? Not to unload vehicles outside designated space or allocated area?

  Yes

  No

  N/A

• Is there evidence of communications on road safety within the business, i.e. KPIs, MOM, GSD activities, Road safety campaign/awareness participation?

  Yes

  No

  N/A

Vehicle and Driver Inspections

• Has the business based safety resource implemented a vehicle inspection procedure for company and Eco cars?

  Yes

  No

  N/A

• Is there evidence of inspections being completed?

  Yes

  No

  N/A

• Has the procedure been audited by local safety resource with documented evidence?

  Yes

  No

  N/A

• Are any actions from vehicle inspections recorded as actioned?

  Yes

  No

  N/A

• Does the business have any car derived commercials/Pool Vehicles? If so are they subject to a recorded pre use/daily check?

  Yes

  No

  N/A

• Have persons required to regularly drive on company business received any training? i.e. FDRI/RoSPA 1-2-1,

  Yes

  No

  N/A

Reporting, Non conformity, corrective action and preventative action

• Have the business had any road traffic accidents reported and how are they recorded? (either commuting or during business)?

  Yes

  No

  N/A

• Have they been investigated?

  Yes

  No

  N/A

• Was a root cause identified and was corrective/preventative action identified and taken?

  Yes

  No

  N/A

• Are there any outstanding non conformity/preventative/corrective actions outstanding from previous audits or incidents?

  Yes

  No

  N/A

• How are non conformances recorded and communicated to interested parties/stakeholders?

  Yes

  No

  N/A

• In any non conformities identified in the RSTMS have the following actions been taken:<br> Root cause identified? Corrective action Implemented? Controls and/or written procedures modified to prevent reoccurrence? All details of actions recorded?

  Yes

  No

  N/A

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