Shadforths Construction Zone Road Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Information

• Enter Date and Time

  Date

• Road Number

• Road Name

• Section Number

• Chainage for specific areas in section

Signage

• 1. Is advanced signage clearly visable?

  Yes

  No

  N/A

• 2. Are regulatory (speed) signs clearly visible?

  Yes

  No

  N/A

• 3. Are regulatory (speed) signs appropriate for the conditions?

  Yes

  No

  N/A

• 4. Are bollard/delineators through site acceptable?

  Yes

  No

  N/A

• 5. Is the reflective strip on delineator bollards clearly visible?

  Yes

  No

  N/A

• 6. Are traffic signals used?

  Yes

  No

  N/A

• 7. Are portable flood lights in use?

  Yes

  No

  N/A

• 8. Are all Flagmen Ahead signs removed or covered?

  Yes

  No

  N/A

• 9. Permanent Signage covered?

  Yes

  No

  N/A

• 10. Are VMS boards in use?

  Yes

  No

  N/A

• Number of messages

• Screen 1

• Screen 2

• Screen 3

Road Conditions

• Road surface

  Existing Seal A/C

  Unbound gravel

  Bound gravel

  Other

• Photo of Road Surface

  Media

• Comments on Road Surface

• Surface ride ability

  Corrugates

  Pot-holing

  Rutting

  Other

• Photo of ride ability

  Media

• Comments on ride ability

• Approx Traffic Volume

• Vehicles per minute

• Weather Conditions

  Fine

  Overcast

  Drizzly

  Moderate Rainfall (<50mm within 24hrs)

  Heavy Rainfall (>50mm within 24hrs)

• Photo of weather conditions

  Media

Additional Comments

• Comments

Sign off

• Inspecting Officer

  Sign