Information

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Location

Hastus Number

Street Name

Location

Cross Street

Suburb

Existing Infrastructure

  • Is there existing infrastructure?

  • What street furniture is currently at this stop?

  • Add media

Traffic Management

  • Distance from work area to traffic

  • Road Type

  • Average number of vehicles per day?

  • Available width remaining?

  • Diagram 31 required - Temporary Road Closure

  • Traffic speed?

  • Visibility between ends of closure

  • Diagram 2 rerquired

  • Diagram 4 required - Traffic controllers

  • Diagram 4 required - Traffic controllers

  • Workman sign required only

  • Available width remaining?

  • Diagram 31 required - Temporary Road Closure

  • Diagram 4 required - Traffic controllers

  • Workman sign required only

  • Diagram 7 required

  • Road Type

  • Traffic speed?

  • Remaining lane width?

  • Diagram 3 required

  • Diagram 11 required

  • Remaining lane width?

  • Diagram 10 required

  • Diagram 11 required

  • Diagram 10 required

  • Workman sign required only

Overhead Services

  • Overhead Services?

  • Approximate height

  • Voltage

  • Approximate height

  • Spotter required

  • Approximate height

  • Spotter required

Site measurements

  • Site sketch / details

  • Sketch
  • Site sketch

  • Approach photo

  • Opposite photo

  • Departure photo

Additional photos and / or comments

  • Additional photos if required

  • Additional photos
  • Add media

  • 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.