Information

  • Document No.

  • Site

  • Prepared by

  • Design Drawing Ref No.

  • Work Section No.

Survey Report

SITE HAZARD OBSERVATIONS

  • Overhead lines

  • Hospital

  • Bus stop/routes

  • Shops/schools

  • Rail crossing

  • High volume pedestrian area

  • Poor Sight line visibility

  • Other Hazards (add as required)

CLASSIFICATION & PARAMETERS

  • Speed limit

  • Road/lane width(s)

  • Footpath width(s)

  • Hard shoulder width(s)

  • Verge width(s)

  • Other Parameters (add as required) i.e bus/cycle lane, Islands etc.

ROAD LAYOUT & GEOMETRICS

  • Straight

  • T-Junction

  • Cross Roads

  • Roundabout

  • Staggered Junction

  • Other aspects ( i.e. Bends, brows, dips, bridges etc.)

SITE SPECIFIC PHOTOS

  • Schedule of site photos (see appendices)

SYSTEM SELECTION

  • Stop & Go

  • Give & Take

  • Temp Traffic Lights

  • Priority

  • 2 way traffic/contra flow

  • Road closure/diversion

  • Notes

SITE SKETCH

  • Sketch

SURVEYOR

  • Surveyor(s) Signature:

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