Traffic Barrier Maintenance Check

• Conducted on

  Date

• Prepared by

Out Barrier

• Does the barrier rise and fall correctly?

  Yes

  No

  N/A

• Is there any damage to the barrier arm?

  Yes

  No

  N/A

• Is there any damage to the barrier body?

  Yes

  No

  N/A

• Does the barrier base sit correctly?

  Yes

  No

  N/A

• Are all nuts/bolts within the barrier correctly tightened?

  Yes

  No

  N/A

• Are all electrical connections safe?

  Yes

  No

  N/A

• Do you consider the barrier to be in safe working order?

  Yes

  No

  N/A

In Barrier

• Does the barrier rise and fall correctly?

  Yes

  No

  N/A

• Is there any damage to the barrier body?

  Yes

  No

  N/A

• Is there any damage to the barrier arm?

  Yes

  No

  N/A

• Does the barrier base sit correctly?

  Yes

  No

  N/A

• Are all nuts/bolts within the barrier correctly tightened?

  Yes

  No

  N/A

• Are all electrical connections safe?

  Yes

  No

  N/A

• Do you consider the barrier to be in safe working order?

  Yes

  No

  N/A