Title Page

  • Please Select Project

  • Project Zero Contractor

  • Barrier Contractor

  • Work Package

  • Details:

  • Date

  • Location
  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

SECTION ONE

  • ALL CHECKLISTS COMPLETED FOR THE DURING OF WORKS ARE TO BE SUBMITTED TO TEAM LEADER AS SOON AS IS PRACTICABLE. COPIES ARE TO RETAINED IN PROJECT FILE. TEAM LEADERS TO ENTER DETAIL ELECTRONICALLY INTO THE VICROADS SAFETY MANAGEMENT SYSTEM

1. TRAINING

  • 1.1 Construction Induction Records for Shift contractors/ Sub-contractors sighted (Red or White Card)

  • 1.2 Competency training records sighted for Shift contractors/ Sub contractors

SECTION TWO

2.1 Site amenities in accordance with Health and Safety Co-ordination Plan (eg: toilets, lunch room, water?

  • 2.2 Personnel Protective Equipment and Clothing used/worn?

  • 2.3 Plant & Equipment daily safety checks completed?

  • 2.4 Identified faults signed off as complete?

  • 2.5 Flashing lights/reversing cameras/ proximity warning devices/ reversing alarms operational?

SECTION THREE

3. Work site Traffic Management - Reference: AS 1742 - 2009 Manual of Uniform Traffic Control Devices. Part 3. PLANNING

  • 3.1 Has a traffic management plan/ TGS been selected or provided?

  • 3.2 Is there a valid MOA and is it available for inspection?

  • 3.3 Is the Plan relevant to the work?

  • 3.4 Are documented changes (If any) to the traffic management plan available for inspection?

ADVANCE WARNING / SIGNAGE

  • 3.5 Are all roadworks signs and devices installed according to the traffic management plan?

  • 3.6 Have any contradictory, distracting or superfluous signs or markings been covered up or removed?

  • 3.7 Are signs appropriate for current conditions? (e.g. symbolic worker signs not displayed / not visible when no workers on site: road condition signs after work site vacated)

  • 3.8 Is signage suitably placed. especially for vehicles approaching at high speed? (e.g. check sight distance; advance warning sign distance: height of signs above ground: vehicle queue length not beyond signage: check potential 'end -of -queue' issues)

  • 3.9 Are multi -message signs being used correctly?

  • 3.10 Are the signs free from damage and defect? (e.g. easy to read: check shadow & glare issues)

  • 3.11 Are sign mountings secure, stable and not a hazard to road users if struck?

  • 3.12 Are flashing arrows signs available and in use where required?

  • 3.13 Are sign sizes correct?

WORK ZONE SEPARATION

  • 3.14 Are clearances between workers and adjacent traffic being maintained?

  • 3.15 Are the safety barriers the same as depicted in the TMP and are 'no-go' zones observed?

  • 3.16 Are signs in pairs where needed? (Note: recommended on high speed high volume roads and multi -lane roads).

  • 3.17 Has containment fence been installed where required? (e.g. workers/pedestrians/cyclists separation)

  • 3.18 Are Temporary Barriers being used and if so are they compliant?

OTHER ROAD USERS

  • 3.19 Has possible traffic congestion been considered and steps taken to avoid it?

  • 3.20 Have the effects of the works on public transport been considered?

  • 3.21 Have needs of other road users been provided for (e.g. pedestrians, cyclists, wheelchairs)?

  • 3.22 Has proper access to side roads and properties been provided?

SECTION FOUR

  • 4. Please add additional comments below in particular reasons and actions for all items marked ‘no’ and project site specific issues not included on checklist e.g. site hazards detected during the course of the works, high risk construction work detail below.

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