Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Client

  • Contact Details

  • TTM Designer

  • PSDP

  • Contractor

  • PSCS

  • Inspector / Auditor

  • Contractor Contact Details

  • Road Number

  • Speed Limit

  • Roadworks Duration

  • Carriageway Details

  • Hard Shoulder?

  • Works Description

Inspection Measure

  • Screenshot 2022-01-26 at 10.29.38.png

Signs and Cones

  • IM.1 Is the required visibility to the first sign achieved?

  • IM.2 Are the signs the correct size for the Road Level?

  • IM.3 Are the correct number of advance warning signs in place and are the distances between them correct?

  • IM.4 Are the advance warning signs used correct for the type of traffic control / lane closure in place?

  • IM.5 Is the first sign on all approaches WK 001, is the last sign WK 001 End?

  • IM.6 Are the signs and supplementary plates authorised in Chapter 8 of the TSM and are they the correct design and reflectivity?

  • IM.7 Are sign faces in good condition, clean and free from logos, stickers etc.?

  • IM.8 If a VMS has been used is it located safely?

  • IM.9 Are misleading permanent signs and road markings covered or removed?

  • IM.10 Are cones the correct size for the Road Level?

  • IM.11 Are cones in good condition clean, with reflective sleeve free from logos?

  • IM.12 Are signs and coned correctly ballasted if required? (sandbags not permitted on cones, sandbags on sign frames to be at ground level)

Tapers

  • IM.13 Are safe Taper positions used?

  • IM.14 Is the Taper the correct length / taper rate?

  • IM.15 Is the Taper cone spacing correct?

  • IM.16 Is the cone spacing on the longitudinal cone run correct?

  • IM.17 Is the lamp spacing on the taper and longitudinal cone run correct?

Safety Zones

  • IM.18 Is the correct lateral safety zone in place?

  • IM.19 Is the correct longitudinal Safety Zone in place?

  • IM.20 Are safety zones free from works, plant, materials and operatives?

  • IM.21 Is the lateral safety zone adequately delineated?

Works Area

  • IM.22 Has allowance been made for the safe delivery of materials. Are safe access/exit points to the works area identified and adequately signed?

  • IM.23 Are the minimum lane widths in compliance with Chapter 8 of the TSM?

  • IM.24 Where required are lane widths sufficient to account for the turning movements of HGVs and large vehicles at entrances and junctions?

  • IM.25 Have safe access points (vehicle and pedestrian) been maintained to residences and commercial premises?

  • IM.26 Has safe access to public transport interfaces been maintained?

Barriers

  • IM.27 If a temporary vehicle restraint barrier (TVRS) has been used has it the required set-back from the live lane?

  • IM.28 Is the working width of the TVRS clear from works, plant, materials and operatives?

  • IM.29 If used are vehicle barriers installed in accordance with the manufacturers guidance and ballasted or anchored if required?

  • IM.30 Is barrier type used appropriate to its function? (eg Ped barrier not beside live traffic)

Vulnerable Road Users

  • IM.31 Have the needs of vulnerable road users been taken into account?

  • IM.32 Have Pedestrians been separated from works by an appropriate pedestrian barrier?

  • IM.33 If a temporary footway is used is it appropriately delineated, in compliance with min width requirements and are ramps in place at kerbs?

  • IM.34 Are signs in place to guide Pedestrians where their path is not obvious?

  • IM.35 Are signs in place to warn motorists if a Temporary Pedestrian Crossing has been provided?

  • IM.36 If cyclists share the running lane with traffic have appropriate lane widths been used? (3.5m - 4.0m should not be used)

  • IM.37 If a mandatory cycle lane has been closed have appropriate signs been provided to warn cyclists and motorists?

  • IM.38 If a temporary cycle lane has been provided is it appropriately delineated and in compliance with minimum width requirements?

Night time works / inspection

  • IM.39 Are lamps in place where required and are they functioning correctly?

  • IM.40 Are flashing lamps used where hazards are present or at prominent points in the TTM arrangement (eg first advance sign, taper start)?

  • IM.41 Is the correct type of lighting arrangement in place? (eg. Steady State on tapers, reflectors permitted on Longitudinal cone run only etc.)?

  • IM.42 If Stop and Go is in place are the locations of the Operators adequately lit?

  • IM.43 Where used are Tower Flood lights located safely and such that they do not dazzle the road user?

Temporary Traffic Management Plan

  • IM.44 Is there a documented TTMP onsite?

  • IM.45 Is there a Site Specific Risk Assessment onsite?

  • IM.46 Have all relevant operatives been inducted re the TTMP?

  • IM.47 Is the installed layout in accordance with the layout in the TTMP?

  • IM.48 Does the TTM layout comply with the W.I.D.E (warn, inform, direct, end) principle?

  • IM.49 Are the correct TTM Works Classification and Road Type selected?

  • IM.50 Is the traffic control method and/or lane closure type selected in accordance with Chapter 8 of the TSM?

  • IM.51 Are the hazards onsite assessed in the TTMP and have the recommended control measures been implemented?

  • IM.52 Does the TTMP account for all junctions and roads affected by the TTM? Has signage been provided on all approaches?

  • IM.53 If a road closure is in place is there a properly signed diversion route?

  • IM.54 Are safe system of works being used to install, modify, maintain and remove the TTM arrangement?

  • IM.55 Does the TTMP account for changing site conditions and works phases?

  • IM.56 Is there a documented procedure for checking the TTM once installed and at suitable intervals thereafter if the TTM is to remain in place for more than 12 hours?

Installation / Removal Methodologies

  • IM.57 Are operatives wearing PPE in accordance with requirements for the Road Level?

  • IM.58 Do operatives exit and unload vehicles from the non trafficked side?

  • IM.59 Are operatives using a safe system of work to install TTM devices and operating in accordance with the method statement?

  • IM.60 Is IPV protection in place when operatives are installing TTM arrangements in a live lane or installing Advance Warning signs on a narrow median? (Level 3 only)

  • IM.61 Is IPV protection in place when TTM Vehicles stop in Live Lanes (Level 3 only)?

Vehicles

  • IM.62 Are all TTM vehicles conspicuous in colour with reflective markings and warning beacons visible from 360 degrees?

  • IM.63 Where used is the IPV displaying its light arrow and a 1200mm RUS Blue Keep Left/Keep Right arrow?

  • Name and Signature

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.