Shadforths Possession of Site Inspection Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Information

• Enter time and date

  Date

• Road Name

• Chainage

• Road Section

• Section Number

Signage

• 1. Existing Signage visible and not obstructed?

  Yes

  No

  N/A

• 2. Are regulatory (Speed) signs clearly visable?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 4. What is the posted sign speed?

  40

  60

  80

  100

  110

• Enter speed details

• Photo of posted sign speed.

  Media

• 5. Other Comments

  Yes

  No

  N/A

Road Conditions

• Photo of road surface

  Media

• Condition:

  Poor

  Average

  Good

• Photo of conditions

  Media

• Line Marking Condition:

  Poor

  Average

  Good

• Photo line making conditions

  Media

• RPM's:

  Poor

  Average

  Good

• Photo of RPM's

  Media

• Pavement Deformations

  Yes

  No

  N/A

• Pavement Potholing

  Yes

  No

  N/A

• Vegetation Impeding Roadway

  Yes

  No

  N/A

• Weather Conditions

  Fine

  Overcast

  Drizzly

  Moderate Rainfall (<50mm within 24hrs)

  Heavy Rainfall (>50mm in 24hrs)

Additional Comments

• Add comments

Inspecting Officer

• Enter name of inspecting officer

• Please Sign here

  Sign