• Audit Title

  • Document No.

  • Supervisor

  • Supervisor Name

Worksite Overview

  • Worksite Overview

  • Select date

  • Add location
  • L2 Responsible

  • Straight To Site TC/s

  • Traffic Control Method Used (eg: lane/shoulder closure)

  • Client

  • Client Name


  • Documentation

  • Is a MUTCD or plan available on site?

  • Is SWMS on site, filled out and signed by all team members?

  • Is a TMP on site?

  • Are appropriate council/main roads/police permits on site?

Sign Placement

  • Sign Placement

  • Is access to private property adequate?

  • Is provision for pedestrians adequate?

  • Are side roads appropriately signed?

  • Is the adjusted travelled path width appropriate for the traffic?

  • Are sign spacings correct for approaching speeds?

  • Is sequence correct?

  • Side tracks and/or detours adequate?

Lane Closures

  • Lane Closures

  • Lateral shift markers used appropriately?

  • Use of cones appropriate?

  • Use of bollards appropriate?

  • Use of arrow board?

  • Tapers the correct length for approach speed?

Signs and Devices

  • Signs and Devices

  • Condition of signs

  • Legible?

  • Clean?

  • Reflective?

  • Level?

  • Current type?

Traffic Controller

  • Traffic Controller

  • Are traffic controllers in use?

  • Number of traffic controllers

  • Are there enough traffic controllers for the site?

  • Are traffic controllers carrying licences?

  • Can traffic controllers see each other?

  • Is there communication (radio)?

  • Time on duty since last break less than two hours?

  • Are traffic controllers wearing TC Vest & Altus retroflective pants?

  • Is clothing in good condition?

Variable Conditions

  • Variable Conditions

  • Position regarding travelled path

  • Comments

  • Stop/slow bat condition

  • Comments

  • Use of stop/slow bat (observation)

  • Comments

  • Escape path

  • Comments

  • Demeanour and attitude

  • Comments


  • Comments

  • COMMENTS: Include any relevant notes regarding safety issues, set-up of site, client feedback, access to breaks etc.

  • Photograph

  • Add media

  • Add Another Photo
  • Add media


  • Sign Off

  • Supervisor

  • Responsible L2

  • Traffic Controller

  • Additional Traffic Controller
  • Traffic Controller

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.