Auckland TMP Design Team

Site Condition Rating Form

Traffic Control Audit - contact muhammad for corrections

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Information

Audit Title
Location
Name of Auditor
Phone of Auditor
Level of TTM
- level 1
- level 2
- low volume
Activity
Qualification/Registration Number of Auditor
RCA
Client
Conducted on

Signs

Number of Missing signs(including side road and TSL)
Provide picture(s) of missing signs
Number of incorrect spacing (too close/far)
Number of signs not Visible
Provided picture(s) of not visible signs
Wrong Side
Condition Mirginal
Condition Unacceptable
Permanent Signs not covered
Unapproved Signs used /Too small
Sign on wrong side
Sign too low
Faulty TSL
Speed limit not correctly aligned
Sign not upright
Non-compliant Support
Lateral Location Wrong
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Delineation Devices

Missing (inluding chicane)
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micellaneous

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padestrians/cyclist

Inadequate provision for padestrians
Inadequate provision for cyclist

mobile operations

Tail pilot vehicle omitted
Lead pilot missing
Shadow vehicle omitted
Signs omitted
TMA missing or not compliant
Arrow board missing
Arrow board message (for no message or incorrect message)

Site Induction

Site induction (5 points deucted from total if induction is carried out)

STMS/Contractors Details

Name of STMS / Contractor
Phone number of STMS
STMS/TC Level
- TC level 1
- STMS Level 1
- STMS Level 2/3NP
- STMS Level 2/3
Qualification/registration number
STMS / TC signature

Audit Results

Audit Result (total score adjusted after site induction)
Audit SCR
- 0 -10 high
- 11-25 acceptable
- 25 - 50 needs improvement
- 51+ dangerous
TMP sighted
- yes
- no
TMP appropriate for site
- yes
- no
Action taken

Auckland TMP Design Team

Site Condition Rating Form

Traffic Control Audit - contact muhammad for corrections

Use this Template

Print as PDF

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