Title Page

  • Prepared by

  • Traffic Management Plan (TMP) reference

  • Traffic Guidance Scheme (TGS) reference

  • Qualification

  • Conducted on

  • Job

  • Location
  • Shift inspections must be undertaken by a person holding the PWZTMP or ITCP qualification when a TGS minimum, twice per shift (recommended every 2 hours). This form can also be used for inspecting

Drive through Traffic Guidance Scheme (TGS) inspection

  • Have any adjustments been made to the approved TGS?

  • Are changes within tolerances?

  • TGS must be reviewed by PWZTMP

  • Have changes been approved?

  • TGS must be approved

  • Have all signs and devices been installed in accordance with approved Traffic Guidance Scheme (TGS)

  • Provide detail of action taken

  • Are Portable Traffic Control Devices (PTCD) positioned as prescribed in TGS?

  • Provide detail of action taken

  • Are manual traffic controllers clear of travel lane?

  • Do manual traffic controllers have a suitable escape route?

  • Are sign and devices in good condition, clearly visible to road users?

  • Are all signs mounted level and suitably clear of travel lanes?

  • Are conflicting or non-applicable signs covered or removed?

  • Is temporary delineation installed as prescribed i.e. straight line forming taper?

  • Have site conditions changed due to shade, park vehicles, glare etc

  • Are registered trailers i.e. VMS/light towers; suitably clear of travel lanes and delination

  • Are temporary speed zones operating as prescribed?

  • Are workers on foot / plant clearances been applied / observed?

  • Is TGS valid for the site activity and operating safely as intended?

  • Is TGS is appropriate for the current traffic conditions?

  • Have potential hazards identified in TGS been addressed? i.e. end-of-queue-management?

  • Additional comments?

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.