Information

  • Audit Name

  • Job Docket Number

  • Conducted on

  • Client / Site

  • Prepared By

  • Traffic Control Crew Leader

  • Traffic Controller(s)

  • Location

Compulsory Requirements

  • Traffic Management Plan - Provided / Selected & Relevant

  • Supply Photo As Evidence Available Onsite

  • Approved MOA - Times, Location & Company Details Correct

  • Supply Photo As Evidence Available Onsite

  • RTTI Number:

  • Safe Work Method Statement - Present & Relevant

  • Supply Photo As Evidence Available Onsite

  • Job Safety Analysis - Present & Relevant

  • Supply Photo As Evidence Available Onsite

Code of Practice & AS/NZS 1742.3 Requirements

  • Reduced Speed Relevant to Clearance

  • Permanent Speed Signs Covered Up

  • End Road Works (Return Speed in Place if Applicable)

  • Supply Photo As Evidence

  • Taper Set Adequately (line & length)

  • Supply Photo As Evidence

  • Lane Status Signs Set Correctly

  • Supply Photo As Evidence

  • Required Sign / Devices Available On Site

  • All Signage Spacing Approx / Correct

  • Signage Placed Allows Good Visibility

  • Arrow Board In Use When Required

  • Supply Photo As Evidence

  • Speed Reduction Dual Signed

  • Supply Photo As Evidence

  • Dual Signed When Required

  • Speed Signs Set Closest to Road

  • Multi Frames Used Correctly (no gaps & correct heights)

  • Side Streets Signed

  • Supply Photo As Evidence

  • 2 Flags - 1st Sign & Speed Reduction

  • Supply Photo As Evidence

  • All Signs in Good Condition

  • Cones & Bollards Correct Size

  • Stop / Slow Bat in Good Condition

Worksite

  • Bus & Tram Stops Accessible

  • Supply Photo As Evidence

  • Pedestrian Care Provided For (signed, no trip hazards)

  • Supply Photo As Evidence

Traffic Management

  • Sufficient T/C's Onsite

  • T/C's have Training Certificates

  • Supply Photo As Evidence - Traffic Tickets, White (Red) Card, Client Induction Card (if applicable), First Aid (if applicable) and Drivers License

  • AS/NZS 4602 High Visibility Worn

Work Zone Seperation

  • Clearances from Works to Traffic Maintained

Other Road Users

  • Traffic Congestion Been Considered & Steps To Rectify

  • Other Road Users Been Considered & Provided For

  • Access to Side Roads & Properties Been Provided

Checklist

Checklist

First Aid Kit

  • Present in Vehicle

  • Adequate Supply of First Aid Equipment

  • First Aid Sticker Present on Vehicle

Fire Extinguisher

  • Present in Vehicle

  • Pin is Inserted Correctly with Lock Tag Attached

  • Tag Stamp in In Date

Administration

  • Vehicle Folder Present in Vehicle

  • Sufficient Supply of SWMS's

  • Sufficient Supply of Incident Reports

  • Generic TMP's Present in Folder

Traffic Controller Personal Equipment

  • All Items Must Be In Good Condition

  • Vic Roads Vest or Jacket

  • Shirt with Reflective Tape

  • Work Pants with Reflective Tape

  • Steel Capped Boots

  • Hard Hat

  • Is it on site?

  • UHF Radio

  • Is it on site?

  • Night Overalls

  • Night Wand

Summary

Employee Development

  • Development Required

Sign Off

  • Crew Leader

  • Auditor

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.