TfNSW - Form 503 - Weekly Temporary Traffic Management Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Project name:

• Project No

• Name:

• Signature:

  Sign

• TMP Approval date:

  Date

• TGS Number:

• Date:

  Date

• Inspection type

  Pre-opening

  Weekly

Desktop review

Is a copy of the location TMP and relevant TGS available?

• If “NO”, inspection must not be undertaken until documents are obtained

  Yes

  No

  N/A

Details of TMP and TGS:

• Short term

  Long Term

  Dynamic

  Static

Are the location TMP and relevant TGS approved?

If “NO”, work must be stopped until documents are approved

• Comments or details of action taken:

Site Inspection

Inspection completed:

• Inspection completed

  During the day

  During the night

Signs and devices positioned as prescribed and commanding attention?

• If “NO”, provide details and rectify signs

• Comments or details of action taken:

• Sign sizes as prescribed?

  Yes

  No

If “NO”, provide details and rectify signs

• Comments or details of action taken:

Signs are mounted level and suitably clear of travel lanes?

• Yes

  No

  N/A

If “NO”, provide details and rectify signs

• Comments or details of action taken:

Has temporary delineation been applied as prescribed, with permanent markings obliterated?

• Yes

  No

  N/A

If “NO”, provide details of action required to rectify delineation

• Comments or details of action taken:

Are registered trailers i.e. VMS / light towers suitably clear of travel lanes and delineated?

• Yes

  No

  N/A

If “NO” provide details and rectify location

• Comments or details of action taken:

Are temporary speed zones operating as prescribed?

• Yes

  No

  N/A

If “NO”, provide details and discuss with Work Supervisor

• Comments or details of action taken:

Are Portable Traffic Control Device (PTCD) positioned as prescribed in TGS?

• Yes

  No

  N/A

If “NO”, provide details of action required to rectify

• Comments or details of action taken:

Are manual traffic controllers clear of travel lane, have suitable escape route?

• Yes

  No

  N/A

If “NO”, provide details of action required to rectify

• Comments or details of action taken:

Are site accesses and egresses well defined and safe for work vehicles?

• Yes

  No

  N/A

If “NO”, provide details of action required to rectify

• Comments or details of action taken:

Termination signs are suitably located i.e. downstream of last activity?

• If “NO”, provide details of action required to rectify

• Comments or details of action taken:

Post site inspection confirmation

Is worksite layout operating safely as intended?

• Yes

  No

  N/A

If “NO”, provide details and implement controls to rectify

• Comments or details of action taken:

Has TMP identified and addressed key TTM risks?

• Yes

  No

  N/A

If “NO”, provide details and implement controls to rectify

• Comments or details of action taken:

Have key Temporary Traffic Management (TTM) risks been addressed on site?

• Yes

  No

  N/A

If “NO”, provide details of additional hazards and controls required

• Comments or details of action taken:

Have copies of Shift/Daily Inspections been sighted as completed as required?

• Yes

  No

  N/A

If no provide details and discuss with nominated rep completing Shift Inspections

• Comments or details of action taken:

• Additional comments: