Traffic Management Australia P/L (FORM-OP-WHSE-007A)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site quality, WHS and environment audit

• Inspector

• Design & Inspect TCP'S Cert No

• Client

• TCP No

• TCP Modification

• Site / Job no

• Type of Work

• Duration of Work

• Road Configuration

• Site Supervisor

• Traffic Controller(s) Name(s)

• Location

• Time / of Work

Vehicles - Identify vehicles on site:

• Rego no:

• Rego no:

• Rego no:

• Rego no:

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.

Quality

• Has the vehicle pre-start inspection been completed FORM-OP-WHSE-005 DAILY TRUCK MAINTENANCE CHECKLIST

  Yes

  No

  N/A

• Team Leader has commenced or completed FORM-QA-OP-001 QUALITY ASSURANCE SITE DOCKET

  Yes

  No

  N/A

• Has an approved Traffic Control Plan been developed for this site

  Yes

  No

  N/A

• Traffic Control Plan sighted (check date, number and Planners' name)

  Yes

  No

  N/A

• Have the approved Council Permits and Police Permits (numbers) been sighted

  Yes

  No

  N/A

• Is the Road Occupancy Licence current for the Traffic Control Plan

  Yes

  No

  N/A

• Are all flashing lights and arrow boards operational

  Yes

  No

  N/A

• Is all equipment and signage in good order (clean, working, no faults)

  Yes

  No

  N/A

• Is the Variable Message Sign being used as specified in RMS Traffic Control at Worksites

  Yes

  No

  N/A

WH&S - Workers

• Are all workers wearing appropriate PPE

  Yes

  No

  N/A

• Have all workers undergone Site and / or TMA Pre-start

  Yes

  No

  N/A

• Have all workers attended and signed today's FORM-OP-WHSE-019a-JOB HAZARD ANALYSIS CARD

  Yes

  No

  N/A

• Have all workers read and acknowledged the relevant SWEMS FORM-OP-WHSE-006 TRAFFIC CONTROL SAFE WORK ENVIRONMENT METHOD STATEMENT

  Yes

  No

  N/A

• Are all workers ticketed and competent to perform their allocated duties

  Yes

  No

  N/A

• Do all workers have their relevant tickets readily accessible for inspection

  Yes

  No

  N/A

WH&S - Site specific requirements

• Traffic Controller is properly located on the job site according to the TCP

  Yes

  No

  N/A

• Traffic controller controls traffic from a standing position

  Yes

  No

  N/A

• Does the SWEMS adequately cover operations for this site

  Yes

  No

  N/A

• Have any site specific hazards been identified and if so have they been;<br>

  A; Documented and risk assessed in the FORM-OP-WHSE-019-JHA CARD

  B; Communicated to all workers via the FORM-OP-WHSE-019-JHA CARD

  C; Controlled via the FORM-OP-WHSE-019-JHA CARD

  D; Controls documented vis SWEMS revision and/or Pre-start for future works

• Are all workers aware of the client emergency evacuation plan / procedure

  Yes

  No

  N/A

• Are client Emergency Assembly Areas clearly sign posted

  Yes

  No

  N/A

• Are there adequate toilet facilities for both male and female workers

  Yes

  No

  N/A

• Is the FORM-WHSE-006 INCIDENTS-ACCIDENTS-INJURY REGISTER in use and up to date

  Yes

  No

  N/A

• Are first aid kits stored in each vehicle

  Yes

  No

  N/A

• Are fire extinguishers fitted to all vehicles

  Yes

  No

  N/A

WH&S - Traffic Control

• Have signs & devices been set out as per approved T.C.P for the site

  Yes

  No

  N/A

• Does the TCP appropriately and safely control traffic and does it cope adequately with the traffic volumes

  Yes

  No

  N/A

• Has pedestrian safety and access been addressed adequately

  Yes

  No

  N/A

• Has cyclist safety and access been addressed adequately

  Yes

  No

  N/A

• Has public transport access and facilities been addressed adequately

  Yes

  No

  N/A

• Are vehicles entering / leaving the site from private driveways

  Safe

  At Risk

  N/A

• Are there any contradictory, distracting or superfluous signs, delineation or markups

  Safe

  At Risk

  N/A

• Are all signs and devices clearly visible in all conditions such as daylight, rain, sunrise and sunset ect

  Yes

  No

  N/A

• Is a school or hospital affected by the work zones

  Safe

  At Risk

  N/A

• Are workers onsite able to move about safely and is access clearly marked/delineated

  Yes

  No

  N/A

• Is lighting and signage appropriate appropriate and adequate for night works

  Yes

  No

  N/A

• Is the an acceptable escape route for traffic controllers using the stop/slow bat

  Yes

  No

  N/A

• Can trucks enter and exit the site safely and rejoin traffic safely

  Yes

  No

  N/A

• Are controls in place for mobile plant (physical separation from TC's, delineation or exclusion zone

  Yes

  No

  N/A

Environmental Aspects

• Are any vehicles or air conditioning idling or running unnecessarily

  Yes

  No

  N/A

• Are the vehicles supplied with sandbags (for fluid containment purposes and to secure signage in wind)

  Yes

  No

  N/A

• Does the SWEMS adequately cover Environmental Aspects for this site

  Yes

  No

  N/A

• Below relates to identifying possible water hazards, threats to environmental aspects (flora and fauna), air and noise pollution controls

• Have any environmental issues/hazards been raised or identified and if so have they been;<br>

  A; Documented and risk assessed in the FORM-OP-WHSE-019-JHA CARD

  B; Relayed to all workers via the FORM-OP-WHSE-019-JHA CARD

  C; Controlled in the FORM-OP-WHSE-019-JHA CARD

  D; Controls documented via SWEMS revision and/or Pre-Start for future works

• When changes in weather or environmental conditions occur, has the Team Leader conducted and documented daily drive through inspections in FORM-QA-OP-001 QUALITY ASSURANCE SITE DOCKET

  Yes

  No

  N/A

• Any waste or equipment causing possible slip, trip or fall hazards after set-up, during the shift or following pack-up

  Safe

  At Risk

  N/A

• Are there adequate facilities for waste or rubbish disposal onsite or have workers separated waste for recycling bins back at the TMA Office

  Yes

  No

  N/A

Traffic Controllers ( TCS )

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

  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 they have correct communication?

  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

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

• 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

Non-conformances; Rectification / close-out record; Comments

• Non conformance issue

• Rectification / comment

• Action by

  Sign

• Observations and recommendations

• Auditor

  Sign

• Select date

  Date

• Manager

  Sign

• Select date

  Date