Information
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Document No.
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Critical Risk Assurance Audit #3 Traffic Management & Public Interface
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Project Name
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Project Number
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Contractor:
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Conducted on
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Prepared by
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Location
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Personnel
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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.)
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1. Evidence Approved Temporary Traffic Management Plans is appropriate for location and type of work
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Note expiry date:
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Name of accountable person for approving:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Closed out date
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2. Evidence Pedestrian/cyclist access zones are appropriate for type of work
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Note the location and controls used for Pedestrian/cyclist zones, detail type of isolation used:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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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
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Note evidence of planning between OPS and TM planner.
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Take photo of Vehicle Movement Plan records - acces and egress to site
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Location of VMP:
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Location of acess and egress to site:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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4. Evidence the TM Plan is implemented in line with above
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Location of TMP on site:
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Check setup is as per plan
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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5. Evidence Trained and competent traffic management staff
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Is there a training and competency register?
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Is there evidence of competency assessments?
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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6. Evidence work notices have been distributed, and are relevant and timley to the work on site
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Are work notices distributed, and are relevant, timley to the work on site
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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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:
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Comments and Corrective Action
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Add photos of safety zones
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Owner
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Action by date
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Closed out date
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8. Evidence Trafiic Managment on site is being audited and monitored
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Has auditing/monitoring occured?
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Date and Time of last audit/check:
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Name of person accountable for conducting audits/monitoring:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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9. Evidence that Barriers, fences and (orange) cones used are fit for purpose and in good condition
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Note the street/location checked:
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Are the Barriers, fences and cones used fit for purpose and in good condition?
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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10. Evidence Road and Lane closures is being used where required
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Site Location:
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Is Road or Lane closure required?
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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11. PPE- is used and compliant to COPTTM
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Name and role of person checked:
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Describe condition of PPE:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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12. Traffic Managment Signage is sufficient and effective
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Location and type of signage checked:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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13. Evidence speed restrictions are in place where required and are fit for risk of site
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Record location and given speed restriction:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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14. Evidence radio communication is used where required
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Note the location and number of radios on site:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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15. Evidence Police intervention is used where repeat breaches of TMP are occuring
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Note the amount of breaches of TMP which have occured on site:
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Does the Site Manager know the procedure for requesting Police monitoring of sites
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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16. Evidence of Fatigue management of traffic staff
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Details initiatives for managing fatigue for site STMS:
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Record shilf hours for the last 4 weeks of this STMS
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date
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Additional hazards, risks, observations by the auditor mot identified on the Pre Start or Hazard Board
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Attitional information:
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Comments and Corrective Action
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Add photos of evidence as appropriate
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Owner
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Action by date
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Closed out date