Title Page

  • Site conducted

  • Location
  • Conducted on

  • Auditor Name

  • Network

  • Traffic Management Company Name:

  • Traffic Management Crew Leader:

  • Principal Contractor / Client:

  • Responsible Road Authority:

  • VicRoads Accreditation?

  • Road Type:

  • Normal Speed Limit Through Area:

  • Worksite Speed Limit Through Area:

  • Implemented Traffic Control Type:

  • Number of Traffic Controllers Onsite:

  • Clearance to live Traffic:

  • Road Condition:

  • Site Conditions:

  • Weather Conditions:

Administrative

  • Has the Traffic Management Crew completed a JSA / Toolbox?

  • Is a completed Safe Work Method Statement available onsite?

  • Is a Site-Specific Traffic Management Plan available upon request?

  • Do the risk assessments reflect ALL hazards of the job and have the appropriate control measures been documented?

  • Has the Traffic Control WSL signed onto the CitiPower/Powercor/UE/Resource Partner JSA?

  • Is a Traffic Guidance Scheme (TGS) available upon request?

  • Are there any amendments to the TGS & has this been documented?

  • Is the TGS appropriate & truly depicts the site conditions? Including Pedestrian Management.

  • Is there a copy of the Traffic Memorandum of Authority <br>(“Permission for works on the road”) available and on site?

  • Is Approved Written Authorisation available upon request?

  • Is the Road Closure Approval available upon request?

  • Is sufficient information available to safely undertake the work? (e.g. Job file, location references, road speeds etc

  • Is the job being performed in accordance with the Work <br>Request?

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Implementation & Control

  • Does the worksite signage accurately reflect and provide appropriate instruction for the works?

  • Are the appropriate traffic management signs & devices being used? (Class1 Retro Reflective)

  • Advanced warning signs?

  • Work site signs?<br>(Symbolic Worker - Bright Orange)

  • Speed Indicator signs / Speed Advisory signs?

  • Are flags correctly used? (e.g., In the initial approach & all speed reduction signs)

  • Symbolic Traffic Controller and Prepared to Stop used together if a Traffic Controller will be stopping traffic?

  • Traffic cones/bollards/ barriers (with Retro Reflective bands)?

  • Detour signs / Road Closure signs?

  • Divergence signs?

  • Pedestrian signs?

  • Electronic indicators/ arrows?

  • Stop/slow battens?

  • Is the signage in a reasonable condition and of the correct size?

  • Is the signage legible, safely placed and clear of obstructions?

  • Are ALL spaces in multi-message signs filled? (with reflective <br>yellow blank minimum)

  • Contradictory & Distracting Permeant Signs Covered Up or Removed?

  • Have signs been mirrored (duelled, gated) when required?

  • Are Multi Frames Used Correctly (no gaps & correct heights)?

  • Are side Streets Signed?

  • Are Detour Signs In Place & Displayed Correct?

  • End Road Works & Return Speed Displayed?

  • Has signage spacing and distances of worksite components been determined correctly, including adjustments to suit site-specific conditions?

  • Are minimum lane widths being maintained?

  • Clearance Between Workers & Traffic Being Maintained?

  • Is the 600mm clearance being maintained between the extended EWP boom elbow and/or crane counter weight and cones/barriers/bollards?

  • Access To Side Roads & Properties Been Provided?

  • Has possible traffic congestion been considered and are sufficient measures in place to avoid it?

Provisions for Vulnerable Road Users

  • Are pedestrians or cyclists required to move past or around the work site or cross the road within a worksite?

  • Have suitable pedestrian/cyclist signs been installed?

  • Are pedestrians/cyclists being assisted through the worksite?

  • Are there adequate paths/ramps and are these clear of obstructions?

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Traffic Controller(s)

  • 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?

  • Traffic Controller(s) Have Required Tickets (including traffic tickets, white/red card, first aid & client induction)?

  • Sufficient Traffic Controller(s) Onsite?

  • Have communication methods been established and maintained between traffic controllers and work crews?

  • Traffic Controller(s) Completed the required Project /Client Inductions?

  • Is the appropriate PPE being worn correctly? E.g., Safety Glasses, Lace Up Safety Boots, Hardhats & Hearing Protection?

  • AS/NZS 4602 High Visibility Worn & In Good Condition?

  • Traffic Controller(s) correctly position to control Traffic in A Safe Manner?

  • Traffic Controller(s) Have an Escape Route Easily Available?

  • Traffic Controller(s) Have Adequate Communication? (e.g., Two-way Radio)

  • Have rotation & rest periods of traffic controllers been considered?

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Vehicles/Plant & Equipment

  • Do the vehicles have CP/PAL signage correctly displayed?

  • 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)

  • 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)

  • Can equipment be securely restrained when in transit?

  • Is there a First-Aid Trained Person from the Traffic Control Crew?

  • Is The Fire Extinguisher Available, Pin Inserted & Tag In Date?

  • Is The First Aid Kit Available & In Date?

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Summary

  • Is the method of traffic/plant/pedestrian management onsite suitable & effective?

  • Observations - Opportunities for Improvement:

  • Areas of Non-Compliance:

  • Follow Up Actions:

  • Comments

  • Auditor Name & Signature

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