Information
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Document No.
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Location
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Contract Name
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Contract Number
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Is the site attended?
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Conducted on
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Prepared by
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Location
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SCR Examples
Responsible Party
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STMS/TC at attended site?
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STMS/TC Name
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STMS/TC Registration Number
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Is the TMP on site?
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Why is the STMS/TC not on site?
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Is the TMP on site?
TMP
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Is the TMP appropriate to the situation?
High Visibility Garments
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Worn by All?
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Worn Correctly?
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Acceptable Condition?
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Other
Signs
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All necessary signs present?
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Signs in the correct position?
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Signs sand bagged for expected wind?
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Conflicting signs covered?
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Signs in good condition?
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Other
Delineation
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Protects working space and/or other features?
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Taper lengths compliant?
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Correct spacing of cones?
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Sufficient positive traffic control?
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Other
Pedestrian Needs
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Footpath widths OK?
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Safe passage for pedestrians?
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Surfaces / ramps OK?
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Other
Cyclist Needs
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Cycleway widths OK?
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Safe passage for cyclists?
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Surfaces OK?
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Other
Traffic Needs
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Lane widths OK?
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Speed limit appropriate?
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No significant delays?
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Other
Property Access
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Property access OK?
Action Required
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Action agreed by STMS/TC
