Title Page

  • School Crossing Number

  • School Crossing Supervisor Name

  • Conducted on

  • Location
  • Reviewed by



  • Click on the paper clip beside each item to start a notation of works needed. This action will add a reference under each items and be listed in the final report.

  • Line Marking

  • Poles

  • Flags

  • Footpath Surface

  • Road Surface

  • Lights

  • Signs

  • Overhanging / Encroaching Branches

  • Sight Obstructions

  • Photos for this section

  • Comments for this section including CSRs created for required works

Crossing Supervisor Equipment and Uniform

Crossing Supervisor Equipment and Uniform

  • Stop Bat

  • Jacket / Vest

  • Whistle

  • Hat

  • Sunscreen

  • Sunglasses

  • Cooling Scarf

  • Water Bottle

  • Comments for this section

School Crossing Customer Service Review

  • Attendance and Hours of Work

  • Training up to date

  • Dress/ Bearing / Attitude

  • Adherence to OHS Requirements

  • Further comments to this section


School Crossing Supervisor

  • School Crossing Supervisor Signature

  • Name of Crossing Supervisor on Duty


  • Reviewer Signature

  • Name of Reviewer


  • Coordinator Signature

  • Name of Coordinator

  • Coordinator Comments

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.