Temporary Traffic Control (Flagger) Audit_Rev.1

• Date and Time of Inspection

  Date

• Client (Contractor) That Flagging Services Are Being Provided To

• Name of Person Completing Inspection

• Location
  Address

GENERAL INFORMATION

• Project Name

• Roadway Speed Classification

  Select Low Speed (35 MPH or less) Intermediate Speed (Between 40-50 MPH) High Speed (55 MPH or greater)

  • Low Speed (35 MPH or less)
  • Intermediate Speed (Between 40-50 MPH)
  • High Speed (55 MPH or greater)

• Posted Speed Limit

• Weather/Light Conditions

  Select Sunny Raining Snowing Foggy Dark Cloudy Partly cloudy with sun

  • Sunny
  • Raining
  • Snowing
  • Foggy
  • Dark
  • Cloudy
  • Partly cloudy with sun

• Traffic Conditions

  Low

  Moderate

  Heavy

HAZARD ASSESSMENT & DOCUMENTATION

• Hazard Assessment Completed Prior to Start of Work? (Tailgate Meeting)

  Yes

  No

• Did all employees print and sign the Hazard Assessment Document to indicate that they are aware of the hazards & controls associated with the work today?

  Yes

  No

• Photo of Hazard Assessment Documentation (JSA, JHA, THA, Toolbox Talk, etc..)

  Media

TEMPORARY TRAFFIC CONTROL

ADVANCE WARNING SIGNS

• REFERENCE: MUTCD Work Zone Safety Clipboard)

• Is the proper signage erected to warn drivers of what to expect? (Flagger ahead, be prepared to stop, one lane ahead, etc...)

  Yes

  No

• Is there an appropriate number of signs placed in accordance with the standard?

  Yes

  No

• Are all signs in good condition (clean, legible, and reflective)?

  Yes

  No

• Do all sign placements (height, visibility, and spacing) conform to standard regulation? (Reference Below or us MUTCD Clipboard)

  Yes

  No

• REFERENCE: Advanced Warning Sign Spacing

  

• REFERENCE: MUTCD Work Zone Clipboard

  

CHANNELIZING DEVICES

• Are all barricades in good condition?

  Yes

  No

  N/A

• Are all drums in good condition?

  Yes

  No

  N/A

• Are all safety cones in good condition?

  Yes

  No

  N/A

• REFERENCE: Safety cones in good condition

  

• Are candy cane devices being used through the active work zone to heighten driver awareness boundaries?

  Yes

  No

  N/A

• REFERENCE: Cone Bars (Candy Canes)

  

• Are all vertical panels in good condition?

  Yes

  No

  N/A

• Are all warning lights in good condition?

  Yes

  No

  N/A

• Do all channelizing devices have appropriate battery mount?

  Yes

  No

  N/A

• Do all channelizing devices have appropriate appropriate ballasting?

  Yes

  No

  N/A

• Do all channelizing devices have adequate spacing?

  Yes

  No

  N/A

• Do all channelizing devices have adequate taper length?

  Yes

  No

  N/A

• MUTCD Reference Table

  

• Is the number of devices placed appropriately?

  Yes

  No

  N/A

• REFERENCE: MUTCD Minimum Devices on Taper

  

FLAGGING

• Are all flaggers trained/certified?

  Yes

  No

• Are flaggers alert and fit for duty?

  Yes

  No

• Are flagger's cell phones put away and not in use during flagging operations?

  Yes

  No

• Is there an escape route established for flaggers?

  Yes

  No

• Are flaggers standing in pinch or crush points (Between traffic & other objects)

  Yes

  No

• Are the flagger stations preceded by advance warning signs?

  Yes

  No

• Are flaggers clearly visible to approaching traffic?

  Yes

  No

• Are flaggers facing oncoming traffic at all times?

  Yes

  No

• Are the flagger stations illuminated? (Night time)

  Yes

  No

  N/A

• Are flaggers using proper signaling devices? (Stop/Slow Paddles)

  Yes

  No

• Are there portable radios issued and being used by flaggers to communicate?

  Yes

  No

• Do flaggers have a way to communicate with the contractor on site?

  Yes

  No

• Are flaggers wearing high visibility class 3 vests?

  Yes

  No

• REFERENCE: Class 3 Vest (Sleeves with reflective)

  

• Are flaggers wearing additional required PPE? (Hard Hat, Safety Glasses, Safety Toe Boots)

  Yes

  No

ROADSIDE SAFETY

• Are all barriers in good condition?

  Yes

  No

  N/A

• Are all barrier delineation lights in good condition?

  Yes

  No

  N/A

• Are all barrier delineation reflectors in good condition?

  Yes

  No

  N/A

• Is there an adequate drop-off delineation?

  Yes

  No

  N/A

• Is there an adequate clear zone?

  Yes

  No

  N/A

COMPLETION

• Coaching Opportunities (Issues & areas for improvement)

• Did you have a (Coaching) conversation with employees to resolve outstanding issues?

  Yes

  No

  N/A

• Were all issues resolved?

  Yes

  No

  N/A

• Overall assessment

• Name and Signature of Supervisor or Safety Rep. Completing Audit

  Sign

• Name and Signature of Crew Leader

  Sign

PHOTOS

• Photo 1

  Media

• Photo 2

  Media

• Photo 3

  Media

• Additional Photo

  Media

• Additional Photo

  Media