Information

  • Document No.

  • Critical Risk Assurance Audit #3 Traffic Management & Public Interface

  • Project Name

  • Project Number

  • Contractor:

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Risks Involved:
    Worker(s) Fatality or serious injury being crushed by traffic
    Member of the public fatality or serious injury from exposure to work site hazards(mobile plant, falls, traffic managemen.)

  • 1. Evidence Approved Temporary Traffic Management Plans is appropriate for location and type of work

  • Note expiry date:

  • Name of accountable person for approving:

  • Score: 2= Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Closed out date

  • 2. Evidence Pedestrian/cyclist access zones are appropriate for type of work

  • Note the location and controls used for Pedestrian/cyclist zones, detail type of isolation used:

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Owner

  • Action by date

  • Closed out date

  • 3. Evidence the work is planned, including: sufficient room for work on site. Swing zones considered, access and egress to site (machinery, staff, deliveries), vehicle movements within site

  • Note evidence of planning between OPS and TM planner.

  • Take photo of Vehicle Movement Plan records - acces and egress to site

  • Location of VMP:

  • Location of acess and egress to site:

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 4. Evidence the TM Plan is implemented in line with above

  • Location of TMP on site:

  • Check setup is as per plan

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 5. Evidence Trained and competent traffic management staff

  • Is there a training and competency register?

  • Is there evidence of competency assessments?

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 6. Evidence work notices have been distributed, and are relevant and timley to the work on site

  • Are work notices distributed, and are relevant, timley to the work on site

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 7. Evidence that safety zones implemented on site are sufficient.
    (as a minimum: 1m safety zones in place. No parking in the taper zones)

  • Location and time that you checked:

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of safety zones

  • Owner

  • Action by date

  • Closed out date

  • 8. Evidence Trafiic Managment on site is being audited and monitored

  • Has auditing/monitoring occured?

  • Date and Time of last audit/check:

  • Name of person accountable for conducting audits/monitoring:

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 9. Evidence that Barriers, fences and (orange) cones used are fit for purpose and in good condition

  • Note the street/location checked:

  • Are the Barriers, fences and cones used fit for purpose and in good condition?

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 10. Evidence Road and Lane closures is being used where required

  • Site Location:

  • Is Road or Lane closure required?

  • Score: 2 = Control in place and effective or N/A 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 11. PPE- is used and compliant to COPTTM

  • Name and role of person checked:

  • Describe condition of PPE:

  • Score: 2 = Control in place and effective or N/A 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 12. Traffic Managment Signage is sufficient and effective

  • Location and type of signage checked:

  • Score: 2 = Control in place and effective or N/A 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 13. Evidence speed restrictions are in place where required and are fit for risk of site

  • Record location and given speed restriction:

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 14. Evidence radio communication is used where required

  • Note the location and number of radios on site:

  • Score: 2 = Control in place and effective or N/A 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 15. Evidence Police intervention is used where repeat breaches of TMP are occuring

  • Note the amount of breaches of TMP which have occured on site:

  • Does the Site Manager know the procedure for requesting Police monitoring of sites

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • 16. Evidence of Fatigue management of traffic staff

  • Details initiatives for managing fatigue for site STMS:

  • Record shilf hours for the last 4 weeks of this STMS

  • Score: 2 = Control in place and effective 1 = Gaps in controls 0 = Control absent or ineffective

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

  • Additional hazards, risks, observations by the auditor mot identified on the Pre Start or Hazard Board

  • Attitional information:

  • Comments and Corrective Action

  • Add photos of evidence as appropriate

  • Owner

  • Action by date

  • Closed out date

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.