Title Page
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Site conducted
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Location
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Conducted on
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Auditor Name
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Network
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Traffic Management Company Name:
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Traffic Management Crew Leader:
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Principal Contractor / Client:
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Responsible Road Authority:
- VicRoads
- Local Council
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VicRoads Accreditation?
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Road Type:
- Cat 1 - Collector Roads - Local Council
- Cat 1 - Major Road - Local Council
- Cat 2 - Primary State Arterial Roads (VicRoads)
- Cat 2 - Secondary State Arterial Road (VicRoads)
- Cat 3 - Tollways
- Cat 3 - Freeways
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Normal Speed Limit Through Area:
- 100km/h
- 90km/h
- 80km/h
- 70km/h
- 60km/h
- 50km/h
- 40km/h
- 30km/h
- 20km/h
- Road Closure
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Worksite Speed Limit Through Area:
- 100km/h
- 90km/h
- 80km/h
- 70km/h
- 60km/h
- 50km/h
- 40km/h
- 30km/h
- 20km/h
- Road Closure
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Implemented Traffic Control Type:
- Road Closure
- Shoulder
- Shuttle Flow
- Contra Flow
- Lane Closure
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Number of Traffic Controllers Onsite:
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Clearance to live Traffic:
- 0-1.2m
- 1.2<3.0m
- 3.0<6.0m
- 6.0<9.0m
- 9.0<12.0
- >12m
- Road Closed
- Pedestrian Diversion
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Road Condition:
- Curves / Crests
- Steep Ascent/Decent
- Poor Sight-Distance
- Slippery Surface
- Other
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Site Conditions:
- Obscured Vision?
- Presence of pedestrians or cyclists or vulnerable road users?
- Access to property or business affected?
- Public transport affected?
- School zone present in worksite?
- Traffic Lights?
- Stop Sign?
- Give Way Sign?
- Roundabout?
- Wildlife/Snakes?
- Conflicting Speed Signage?
- Poor Lighting?
- Fixed Barriers on Road/Highway?
- Multiple Work Parties?
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Weather Conditions:
- Bright Sun
- Rain
- Wind
- Cloud
- Fog
- Drizzle
- Sleet
- Heat Wave
- Cold Wave
Administrative
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Has the Traffic Management Crew completed a JSA / Toolbox?
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Is a completed Safe Work Method Statement available onsite?
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Is a Site-Specific Traffic Management Plan available upon request?
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Do the risk assessments reflect ALL hazards of the job and have the appropriate control measures been documented?
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Has the Traffic Control WSL signed onto the CitiPower/Powercor/UE/Resource Partner JSA?
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Is a Traffic Guidance Scheme (TGS) available upon request?
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Are there any amendments to the TGS & has this been documented?
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Is the TGS appropriate & truly depicts the site conditions? Including Pedestrian Management.
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Is there a copy of the Traffic Memorandum of Authority <br>(“Permission for works on the road”) available and on site?
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Is Approved Written Authorisation available upon request?
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Is the Road Closure Approval available upon request?
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Is sufficient information available to safely undertake the work? (e.g. Job file, location references, road speeds etc
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Is the job being performed in accordance with the Work <br>Request?
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Add media
Implementation & Control
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Does the worksite signage accurately reflect and provide appropriate instruction for the works?
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Are the appropriate traffic management signs & devices being used? (Class1 Retro Reflective)
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Advanced warning signs?
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Work site signs?<br>(Symbolic Worker - Bright Orange)
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Speed Indicator signs / Speed Advisory signs?
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Are flags correctly used? (e.g., In the initial approach & all speed reduction signs)
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Symbolic Traffic Controller and Prepared to Stop used together if a Traffic Controller will be stopping traffic?
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Traffic cones/bollards/ barriers (with Retro Reflective bands)?
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Detour signs / Road Closure signs?
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Divergence signs?
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Pedestrian signs?
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Electronic indicators/ arrows?
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Stop/slow battens?
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Is the signage in a reasonable condition and of the correct size?
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Is the signage legible, safely placed and clear of obstructions?
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Are ALL spaces in multi-message signs filled? (with reflective <br>yellow blank minimum)
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Contradictory & Distracting Permeant Signs Covered Up or Removed?
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Have signs been mirrored (duelled, gated) when required?
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Are Multi Frames Used Correctly (no gaps & correct heights)?
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Are side Streets Signed?
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Are Detour Signs In Place & Displayed Correct?
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End Road Works & Return Speed Displayed?
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Has signage spacing and distances of worksite components been determined correctly, including adjustments to suit site-specific conditions?
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Are minimum lane widths being maintained?
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Clearance Between Workers & Traffic Being Maintained?
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Is the 600mm clearance being maintained between the extended EWP boom elbow and/or crane counter weight and cones/barriers/bollards?
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Access To Side Roads & Properties Been Provided?
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Has possible traffic congestion been considered and are sufficient measures in place to avoid it?
Provisions for Vulnerable Road Users
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Are pedestrians or cyclists required to move past or around the work site or cross the road within a worksite?
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Have suitable pedestrian/cyclist signs been installed?
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Are pedestrians/cyclists being assisted through the worksite?
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Are there adequate paths/ramps and are these clear of obstructions?
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Traffic Controller(s)
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Do all field personnel responsible for setting out, implementing and/or monitoring a Traffic Guidance Scheme hold a current RIIWHS302D qualification valid for 3 years?
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Traffic Controller(s) Have Required Tickets (including traffic tickets, white/red card, first aid & client induction)?
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Sufficient Traffic Controller(s) Onsite?
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Have communication methods been established and maintained between traffic controllers and work crews?
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Traffic Controller(s) Completed the required Project /Client Inductions?
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Is the appropriate PPE being worn correctly? E.g., Safety Glasses, Lace Up Safety Boots, Hardhats & Hearing Protection?
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AS/NZS 4602 High Visibility Worn & In Good Condition?
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Traffic Controller(s) correctly position to control Traffic in A Safe Manner?
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Traffic Controller(s) Have an Escape Route Easily Available?
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Traffic Controller(s) Have Adequate Communication? (e.g., Two-way Radio)
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Have rotation & rest periods of traffic controllers been considered?
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Add media
Vehicles/Plant & Equipment
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Do the vehicles have CP/PAL signage correctly displayed?
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Is vehicle(s) / plant parked correctly and safely (e.g., not on a nature strip, not blocking a driveway, not in a no-standing area)
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Are ALL vehicle warning lights/arrows operable and being used appropriately? (Flashing Lights need to be operating when in a designated work zone unless on Private Property or over 3 metres from the edge of the road)
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Can equipment be securely restrained when in transit?
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Is there a First-Aid Trained Person from the Traffic Control Crew?
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Is The Fire Extinguisher Available, Pin Inserted & Tag In Date?
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Is The First Aid Kit Available & In Date?
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Add media
Summary
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Is the method of traffic/plant/pedestrian management onsite suitable & effective?
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Observations - Opportunities for Improvement:
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Areas of Non-Compliance:
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Follow Up Actions:
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Comments
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Auditor Name & Signature
Untitled Page