Traffic Management Australia

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Are they dressed in proper PPE?

  Yes

  No

  N/A

• Is their PPE supplied by TMA?

  Yes

  No

  N/A

• Are they dressed neatly

  Yes

  No

  N/A

Positioning

• Do they have a escape route?

  Yes

  No

  N/A

• Are they facing traffic?

  Yes

  No

  N/A

• Are they holding stop/slow bat correctly?

  Yes

  No

  N/A

Communication

• Are they using two-way radio effectively?

  Yes

  No

  N/A

• Do they communicate with work crew effectively?

  Yes

  No

  N/A

Worksite setup

• Do they demonstrate ability to setup a safe traffic control worksite?

  Yes

  No

  N/A

• Do they demonstrate ability to maintain and adjust a traffic control worksite?

  Yes

  No

  N/A

Paperwork

• Do they understand how to fill out SWMS and JSA?

  Yes

  No

  N/A

• Do they understand how to complete the docket book?

  Yes

  No

  N/A

• Date & Time of KPI

  Date

• Manager signature

  Sign