Traffic Management Australia P/L (FORM-OP-WHS-010)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Traffic Control at Work Site Safety Inspection checklist

• Inspector

• RMS Officer / Contractor

• TCP No

• Road / Bridge Name

• Type of Work

• Duration of Work

• Road Configuration

• Design & Inspect TCP'S Cert No

• Site Supervisor

• TCP Modification

• Location

• Time / of Work

Guidance Notes

• 1. Detailed inspection using this checklist shall only be undertaken by personnel holding current design & inspect traffic control certificate or auditers accreditation.
  2. Report to site office or most senior person & attend site induction or be escorted..
  3. Desk-Top "Audit". Review paperwork & discuss site conditions, to complete Column 1. Check items against TCP &associated documents.
  4. Site inspection. Conduct site verification inspection, discussing issues with random site workers / operators, to complete Columns 2 - What you see on site.
  5.Complete your report on site, where possible.
  6.if you are able make a copy of the report on site, leave a copy with supervisor.
  7. For Contractor site, forward an electronic copy to Contractors Safety Manager, WH&S Branch.

Conditions

• Does the work require T.M.P.

  Yes

  No

  N/A

• Does the work require T.C.P.

  Yes

  No

  N/A

• Does the work require V.M.P.

  Yes

  No

  N/A

• Does the work require P.M.P.

  Yes

  No

  N/A

• Is the approved plan on site?

  Yes

  No

  N/A

• Have signs & devices been set out as in the T.C.P.

  Yes

  No

  N/A

• If Modifications have been made are they been approved & marked on the T.C.P.

  Yes

  No

  N/A

• Does the RA Cover the risks assosiated with the work site ?

  Yes

  No

  N/A

• Has a Road Occupancy Licence been issued & is it being complied with ?

  Yes

  No

  N/A

• Are the requirements implimented for safe clearances to workers & pedestrian & traffic approach speeds ?

  Yes

  No

  N/A

Traffic Controllers ( TCS )

• Is the correct number of TC's being used ?

  Yes

  No

  N/A

• Have TC Certificates been sighted and the NO recorded ?<br>

  Yes

  No

  N/A

• Is TC's high visibility clothing in good repair ?

  Yes

  No

  N/A

• Are all TC's displaying the R.M.S logo and Authorized Traffic Controller ?

  Yes

  No

  N/A

• Do TC's have a clear escape route ?

  Yes

  No

  N/A

• Do they have correct communication?

  Yes

  No

  N/A

• Are Prepare To Stop (TI-I8) and Traffic Controller Ahead (TI-34, TI-200-2/3) signs correctly displayed ?

  Yes

  No

  N/A

• Are the above signs covered or removed when not required ?

  Yes

  No

  N/A

Traffic Controllers Night Shift Work

• Are they wearing approved clothing ?

  Yes

  No

  N/A

• Are they safely lit & Visible?<br>

  Yes

  No

  N/A

• Are they using night wands ?

  Yes

  No

  N/A

Flashing Arrow Signs (FAS)

• Is a FAS Being used ?

  Yes

  No

  N/A

• Is the FAS being used marked as complying with RMS either specification FAS/4 or FAS/5?

  Yes

  No

  N/A

• Is it located correctly ?

  Yes

  No

  N/A

• Is it the correct size sign ?

  Yes

  No

  N/A

• Is the correct Mode of Operation being used ?

  Yes

  No

  N/A

• If Lane Status signs (T2-6 Series) are being used in conjunction with FAS, is the message to the motorist the same ?

  Yes

  No

  N/A

Variable Message Sign (VMS)

• Is a variable message sign being used, as specified in TCWS ?

  Yes

  No

  N/A

• Is the sign located in safe position ?

  Yes

  No

  N/A

Sign & Devices

• Are all signs & devices in good condition ?

  Yes

  No

  N/A

• Are all signs clearly visible & not affected by other signs, plant items, vegetation, shade, light glare etc ?

  Yes

  No

  N/A

• Are sign faces in compliance with AS1742.3 and have class 1 retro reflective material ?

  Yes

  No

  N/A

• Are the correct sign sizes being used ?

  Yes

  No

  N/A

• Are signs duplicated, where required ?

  Yes

  No

  N/A

• Are signs erected at the correct height & position ?

  Yes

  No

  N/A

• Are the signs erected to give the correct sign distance ?

  Yes

  No

  N/A

• Have the needs of pedestrians been provided for ?

  Yes

  No

  N/A

• Have the needs of cyclists been provided for ?

  Yes

  No

  N/A

• Are all property accesses to the site controlled ?

  Yes

  No

  N/A

• Are all cones & bollards installed at the correct spacing ?

  Yes

  No

  N/A

• Are the correct sized cones & bollards being used ?

  Yes

  No

  N/A

• Where tappers are used, have they been identified as Lateral Shift or Merge Tapers & are they the correct length ?

  Yes

  No

  N/A

• Where there are 3 lanes of traffic or more in one direction & two lanes are closed, are the separate merge tapers of the correct length ?

  Yes

  No

  N/A

• Are the two tapers separated by at least 1.5 D ?

  Yes

  No

  N/A

• Where work is beyond a crest or curve, has the taper set up before the crest or curve ?

  Yes

  No

  N/A

• Auditor

  Sign

• Select date

  Date

• Manager

  Sign

• Select date

  Date