Title Page
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School Crossing Number
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School Crossing Supervisor Name
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Conducted on
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Location
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Reviewed by
- Sam Allan
- Lydia Beker
- Buck Cerridwyn
- Chris McKee
- Fiona McNeil
- Craig Neville
- Sheena Ninan
- Mitchell Robinson
- Ryan Salvesen
- Taleen Toughladjian
Infrastructure
Infrastructure
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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.
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Line Marking
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Poles
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Flags
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Footpath Surface
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Road Surface
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Lights
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Signs
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Overhanging / Encroaching Branches
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Sight Obstructions
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Photos for this section
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Comments for this section including CSRs created for required works
Crossing Supervisor Equipment and Uniform
Crossing Supervisor Equipment and Uniform
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Stop Bat
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Jacket / Vest
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Whistle
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Hat
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Sunscreen
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Sunglasses
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Cooling Scarf
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Water Bottle
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Comments for this section
School Crossing Customer Service Review
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Attendance and Hours of Work
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Training up to date
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Dress/ Bearing / Attitude
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Adherence to OHS Requirements
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Further comments to this section
Signoff
School Crossing Supervisor
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School Crossing Supervisor Signature
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Name of Crossing Supervisor on Duty
Reviewer
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Reviewer Signature
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Name of Reviewer
- Sam Allan
- Lydia Beker
- Buck Cerridwyn
- Chris McKee
- Fiona McNeil
- Craig Neville
- Sheena Ninan
- Mitchell Robinson
- Ryan Salvesen
- Taleen Toughladjian
Coordinator
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Coordinator Signature
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Name of Coordinator
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Coordinator Comments