Title Page

  • Site Name

  • Date and Time of Inspection

  • Project Number

  • Inspected by

  • Location

Checklist

GENERAL INFORMATION

  • Works description

  • Take a photo of the site (inc permit board)

  • Type of Roadway

  • Weather/Light Conditions

  • Traffic Conditions

TEMPORARY TRAFFIC CONTROL

ADVANCE WARNING SIGNS

  • Is there an appropriate number of signs placed?

  • Are all signs in good condition (clean, legible, and reflective)?

  • Do all sign placements (height, visibility, and spacing) conform to standard regulation?

CHANNELIZING DEVICES

  • Are all barriers in good condition?

  • Are all safety cones in good condition?

  • REFERENCE: Safety cones in good condition
    [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

    safety cones ref.jpg

INTERNAL TRAFFIC CONTROL

  • Are all site personnel trained on the street works (chapter 8)

  • Are there parking areas designated for workers and visitors?

  • Are there designated locations for storing materials and servicing equipment?

  • Is there an adequate lighting provided for night operations?

  • Are brightly coloured vests with retroreflectivity utilised to allow workers to be visible

  • Is there a designated channel of communication regarding changes to the Permit/TM arrangements

  • Is there an established communication between workers on foot and equipment operators?

COMPLETION

  • Overall recommendations

  • Overall assessment

  • Name and Signature of Inspector

  • Name and Signature of Competent Person

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.