Information

  • Audit No.

  • Audit Site

  • Site ID

  • Client

  • Conducted on

  • Audited by

  • Auditors signature

General Requirements

  • Ducting and pits completed as per plan

  • Signals hardware completed as per plan

  • Loops installed and connected as per plan

  • Controller installed and connected to power

  • Location of earth electrode

  • Earth electrode installation as per UMS 600/033 and AS/NZS:3000

  • No bare copper visible at terminals - AS/NZS:3000

  • Controller operation checked on site

  • Vehicle and pedestrian input operation tested

  • Disused cables removed or terminated - AS/NZS:3000

  • Footpaths, roadway and kerbs reinstated

  • Intersection left clean and tidy

  • Comments

Controller

  • QTC

  • Installed Modules:-
    Command Module CM3264
    Spare x 2
    Loop Input Module LIM 1616DW
    Signal Group Module x 4 SGM 524
    Spare
    Power Supply Module PSM 100

  • Eclipse

  • Installed Modules:-
    Processor Card CPM-1a
    Spare x 2
    Detector LDM-416
    Lamp Control x 2 LCM-8
    Power Supply Module PSM

  • Tyco PSC3

  • Installed Modules:-
    Processor Plus
    Spare
    Power Supply
    Spare
    Detector PD 212
    Detector PD 216
    Lamp Control

  • Philips PSC Mk2

  • Installed Modules:-
    Processor
    Spare
    Power Supply
    Spare
    Detector PD 212
    Power Interface
    Lamp Control Low Power
    Lamp Supply

  • ATS ATSC4

  • Installed Modules:-
    Power Supply
    4 S.G. O/P PWR TC400-240
    Detector
    Spare R8080
    EIM 16CH TC400-65
    Spare x 2 R8080
    Logic Processor TC400-45

  • LCM make and model

  • Modem make and model

  • VID make and model

  • VID MUX make and model

  • Network Switch make and model

  • Certificate of Test for controller modifications affixed

  • Accurate "As Constructed" plan in controller

  • Multicore terminations tight (tug test)

  • "E" block LV terminal is red

  • VID panel(s) installed

  • Loop terminations tight

  • Loops numbering complies with UMS 600/021 notes 6 & 7

  • Linking connected

  • LCM installed

  • Connected to SCATS

  • Comms connected to :-

  • Screed available and matches plan in controller

  • Action book available in controller

  • LCB overlay reflects signal groups

  • Spare cores effectively earthed in controller

  • ADSL comms surge diverter installed/upgraded

  • A/T relay connected using correct cable colours

  • Conduits sealed as per UMS 600/033

  • Site ID plate fitted

  • Auxiliary power supplies installed for VID and modem

  • Top hat installed and connected

  • Additional circuit breakers installed

  • Generator panel installed

  • Comments

Hardware Installation

  • Post mounting and footings as per UMS 600/060

  • Post alignment as per plan

  • Joint Use pole specification as per UMS 600/052

  • Mast arm specification as per UMS 600/053

  • Rate 2 earthing as per UMS 600/052, 600/053 & Energex PLCM page 1-2-833

  • Joint Use poles numbered to Energex requirements

  • 2 sources of supply stickers affixed as per UMS 600/050

  • JU pole signal junction boxes as per UMS 600/041

  • Post multicore terminations as per UMS 600/040 (finial) 600/041 (J-box)<br>

  • Post multicore terminations tight (tug test)

  • Redundant holes in posts, out reaches and enclosures plugged to AS/NZS:3000

  • Vehicle lanterns mounted as per UMS 600/050

  • Quick disconnect lamp isolation installed for new / replacement lanterns

  • Lantern locking washers installed as per UMS 600/046 for new / replacement lanterns

  • Vehicle lanterns aligned to appropriate traffic lanes

  • Vehicle lanterns visible

  • Vehicle lantern cowls (visors) as per plan

  • Lantern doors fully closed

  • Ped lanterns and push buttons as per plan

  • Ped lantern, A/T and push button mounting as per UMS 600/051

  • Ped lanterns aligned to centre of associated crossings

  • Ped lanterns visible

  • Ped lantern doors fully closed

  • Push button alignment as per UMS 600/051

  • A/T driver mounting as per UMS 600/051 (post) 600/050 (JU)

  • Ped/cyclist stickers affixed as per UMS 600/051

  • All cabling effectively secured to post

  • Comments

Civil

  • 75mm slab installed around controller base as per UMS 600/033

  • Pit lids compliant with UMS 600/030 and fitted correctly

  • Electrical road crossings as per plan

  • Kerb ramps installed as per UMS 216

  • Pole bases grouted as per UMS 600/050 (JU) or 600/060 (post)

  • Post setback as per UMS 600/060

  • JU pole setback as per Energex Public Lighting Construction Manual

  • Landscaping completed

  • "E" and "C" markers installed as per UMS 600/024

  • Conduit depths comply with UMS 600/024 (LV) and 600/026 (ELV)

  • Shallow conduit markers as per UMS 600/024

  • Loop saw cut entry as per UMS 600/020

  • Loops cut and sealed as per UMS 600/021

  • Loop lead-ins jointed and numbered as per UMS 600/021

  • Loop locations as per plan

  • Line marking as per plan

  • Comments

Signal Operation

  • Vehicle lanterns flashed

  • Vehicle lanterns run

  • Ped lanterns flashed

  • Ped lanterns run

  • P/B inputs checked

  • P/B inputs driving correct group

  • Loop detectors checked

  • Loop inputs checked

  • Loop inputs driving correct group

  • A/T relay operational

  • A/T operation checked

  • Linking communicating

  • Comments

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.