TDG / HTC - Onsite Inspection

• Audit Title

• Client

• Location
  Address

• Conducted on

  Date

• Prepared By

  Ross Deacon

  Rob Aiello

• Traffic Control Crew Leader

• Traffic Controller(s)

Compulsory Requirements

• Traffic Management Plan - Provided / Selected & Relevant

  Yes

  N/A

  Corrective Action

  Non Conformance

• Where Any Changes To The TMP Documented

  Yes

  N/A

  Corrective Action

  Non Conformance

• Attach Photo As Evidence

  Media

• Approved MOA - Times, Location & Company Details Correct

  Yes

  N/A

  Corrective Action

  Non Conformance

• Attach Photo As Evidence

  Media

• Safe Work Method Statement - Present & Relevant

  Yes

  N/A

  Corrective Action

  Non Conformance

• Attach Photo As Evidence

  Media

• Job Safety Analysis - Present & Relevant

  Yes

  N/A

  Corrective Action

  Non Conformance

• Attach Photo As Evidence

  Media

• Traffic Controller(s) have Training Certificates

  Yes

  N/A

  Corrective Action

  Non Conformance

• Attach Photo As Evidence

  Media

• High Visibility PPE Worn By All Traffic Controllers Onsite

  Yes

  N/A

  Corrective Action

  Non Conformance

Worksite Setup

• Does The Traffic Management Setup Comply With The Code Of Practice And AS1742.3

  Yes

  N/A

  Corrective Action

  Non Conformance

• Is The Signage Spacing Adequate & Allows Good Visibility

  Yes

  N/A

  Corrective Action

  Non Conformance

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

  Yes

  N/A

  Corrective Action

  Non Conformance

• Is The Clearance From Works To Traffic Maintained And The Speed Limit Applicable

  Yes

  N/A

  Corrective Action

  Non Conformance

• Are The Required Sign / Devices / Equipment Available On Site

  Yes

  N/A

  Corrective Action

  Non Conformance

• Worksite Setup

  Media

Audit Conclusion

• Was The Traffic Management Setup Rectified Before The Auditor Left Site?

  Yes

  No

  N/A

• Is There Any Development / Additional Training Required

  Yes

  No

  N/A

• Crew Leader Signature

  Sign

• Auditors Signature

  Sign