THIESS ROADSIDE WORKSITE TRAFFIC MANAGEMENT AUDIT/CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL

• Select date

  Date

• Internal Works ?

  Yes

  No

  N/A

• External Works ?

  Yes

  No

  N/A

• Note Job Number:

  Yes

  No

  N/A

• Note Audit Reference Number:

  Yes

  No

  N/A

• Provide detail of the actual location:

  Yes

  No

  N/A

• Provide detail of the activity being undertaken:

  Yes

  No

  N/A

• List all Traffic Controllers:

  Yes

  No

  N/A

• List the Team Leader:

  Yes

  No

  N/A

• List the Health & Safety Rep:

  Yes

  No

  N/A

ROAD CATEGORY

• Note normal speed limit through the area Klm/hr:

  Safe

  At Risk

  N/A

• Note clearance in metres between workers and traffic:

  Safe

  At Risk

  N/A

• Note worksite speed limit:

  Safe

  At Risk

  N/A

• Weather conditions:

  Safe

  At Risk

  N/A

• Note Risk Rating:

  Safe

  At Risk

  N/A

PLANNING

• Has a traffic management plan been selected or provided

  Yes

  No

  N/A

• Is the plan available for inspection

  Yes

  No

  N/A

• Is the plan relevant for the works

  Yes

  No

  N/A

• Signage Diary Completed ?

  Yes

  No

  N/A

• Are documented changes (if any) to the plan available for inspection

  Yes

  No

  N/A

• Are required written authorisations, or consents for speed limits in order

  Yes

  No

  N/A

• Have roadworks speed limits been determined correctly

  Yes

  No

  N/A

• Has site induction been conducted

  Yes

  No

  N/A

• Has a SWMS been discussed and JSA completed

  Yes

  No

  N/A

ADVANCE WARNING AND SIGNAGE

• Is signage set up according to the plan

  Yes

  No

  N/A

• Contradictory/ Distracting/ Superfluous signs covered or removed

  Yes

  No

  N/A

• Is signage appropriate for for current conditions

  Yes

  No

  N/A

• Is signage suitably placed (e.g.for vehicles approaching @ high speed - curves - vegetation etc)

  Yes

  No

  N/A

• Is signage free from damage and defect

  Yes

  No

  N/A

• Are signs mounted secure, stable and not a hazard if struck

  Yes

  No

  N/A

• Are signs in pairs where needed, especially with speed displayed

  Yes

  No

  N/A

• Are sign sizes correct

  Yes

  No

  N/A

• Is taper length - bollard spacing correct

  Yes

  No

  N/A

• Is flashing arrow required, and correctly positioned

  Yes

  No

  N/A

• VMS board(s) required & are they appropriately positioned

  Yes

  No

  N/A

TRAFFIC CONTROLLERS

• Is all required PPE being worn and in good repair / condition

  Yes

  No

  N/A

• Are radios being used

  Yes

  No

  N/A

• Stop / Slow bats in good condition and used correctly

  Yes

  No

  N/A

• Is an escape route easily available

  Yes

  No

  N/A

• Are all appropriate tickets available

  Yes

  No

  N/A

WORKZONE SEPARATION

• Clearances between workers & adjacent traffic being maintained

  Yes

  No

  N/A

• Have safety barriers (where used) been installed correctly

  Yes

  No

  N/A

• Has containment fence been installed where required:

  Yes

  No

  N/A

OTHER ROAD USERS

• Possible traffic congestion considered & steps taken to avoid it

  Yes

  No

  N/A

• Have needs of other road users been provided for (pedestrians - cyclists - handicapped)

  Yes

  No

  N/A

• Has proper access to side roads and properties been provided

  Yes

  No

  N/A

SIGNAGE VEHICLE

• Is the vehicle check list completed and up to date

  Yes

  No

  N/A

• Is vehicle parked in a safe manner

  Yes

  No

  N/A

• Is first aid kit available and is it intact

  Yes

  No

  N/A

• Melway available

  Yes

  No

  N/A

• Fire extinguisher in vehicle and in date

  Yes

  No

  N/A

• Is Code of Practice in vehicle

  Yes

  No

  N/A

• Is tool box in vehicle

  Yes

  No

  N/A

IMMEDIATE NON CONFORMANCE / CORRECTIVE ACTIONS REQUIRED

• Add drawing

  Drawing

• Add media

  Media

CONTINUOUS IMPROVEMENT SUGGESTIONS

• Add a site drawing to identify areas of concern:

  Drawing

• Add media

  Media

AUDITORS COMMENTS

• Auditor name and signature:

  Sign

• Select date

  Date

• Team Leader name and signature:

  Sign

• Select date

  Date

NOTE* THIS AN IPAD VERSION OF FORM us-QUC-TRAMAN-SF001/B1