Title Page

  • Date Conducted

  • Site location
  • Contractor

  • Shift status

  • Project Classification

  • Contractors Site Representative

  • TFNSW Superintendent

  • Superintendent Start Time

  • Superintendent Finish Time

  • Notes

Activity Start / Finish

  • Asphalt Crew Arrive Onsite

  • Ashpalt Crew Vacate Site

  • Paving Commence

  • Rollers Commence

  • Paving Completed

  • Rollers Completed

  • Profiler Start Cutting

  • Profiler Finish Cutting

  • Traffic Controllers Onsite

  • Traffic Control Setup and Operational

  • Traffic Control Reopened Road

  • Notes

Resources Active Onsite

  • Light Towers In Use

  • Traffic Lights

  • VMS Boards

  • Shuttle Buggy

  • Profiler

  • Profiler Size

  • Number of Profiling Truck

  • Suction Sweeper / Road Broom

  • Bobcat Sweeper

  • Notes

Weather

  • Shift Start

  • During Shift

  • Shift End

  • Did Weather Conditions Impact Production

  • Notes

Trucking - Asphalt Delivery

  • Truck 1- AC Temperature at truck

  • Mix type / Layer

  • Asphalt progressive total

  • Truck 2 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 3 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 4 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 5 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 6 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 7 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 8 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 9 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 10 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 11 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 12 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 13 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 14 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 15 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 16 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 17- AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 18 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 19 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

  • Truck 20 - AC Temperature at truck

  • Mix type / Layer / Truck Type

  • Asphalt progressive total

Patching Details

  • ### Patch / Lot Number ####

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ## Patch / Lot Number #####

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ### Patch / Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ### Patch / Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ### Patch / Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • Notes

  • undefined

  • ####Patch / Lot Number####

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ###Patch / Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ###Patch / Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ###Patch /Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

  • ###Patch /Lot Number###

  • Trucks Used in This Patch / Lot

  • Patch / Lot Location
  • Patch / Lot Depth

  • Mix type / Layer

  • Layer Depth

  • Paving Start Time

  • Paving Completed

  • Ground Temperature

Asphalt Used / Returned

  • Total Tonnes Used

  • Total Tonnes Returned

  • Total Used

  • Total Returned

  • Total Used

  • Total Returned

  • Notes

Delays

  • Any Delays Encountered

  • Details Of Delays Encountered

  • Notes

OH&S Log

  • Report

  • Incident / Accident Report

  • Near Misses

  • Notes

Shift Summary

  • Summary

  • Shift Related Photos

  • Notes

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.