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: