Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Prepared for

Document Control

  • Document Name

  • Project Reference

  • Document Revision

  • Client Name

  • Prepared By

  • Approved By

  • Revison Date

  • Details of Revison

Introduction

  • Scope of work

Site Information & Access

  • Details of site

Traffic Management

  • undefined

  • Attach Site Map/Drawing

Site Traffic Safety Measures & Signage

  • Detail traffic safety measures practiced

  • Working Practices

  • Driver Rules

Parking and Travel Arrangements

  • Detail Staff and Visitor Travel Plans

Traffic Management Plans - Risk Assessment

  • Site Location

  • Date of Assessment

  • Assessed by

  • Description of Work Assessed

TMPRA001 - Loading/unloading roll on/off skips

  • Hazards

  • At Risk Groups

Risk Rating (Before Controls)

  • Likelihood

  • Severity

  • Risk Level

  • Control Measures

  • Additional Site-Specific Controls / Information

  • Further Guidance

Risk Rating (With Controls)

  • Likelihood

  • Severity

  • Risk Level

TMPRA002 - Risk to Public and Third Parties from site activities

  • Hazards

  • At Risk Groups

Risk Rating (Before Controls)

  • Likelihood

  • Severity

  • Risk Level

  • Control Measures

  • Additional Site-Specific Controls / Information

  • Further Guidance

Risk Rating (With Controls)

  • Likelihood

  • Severity

  • Risk Level

TMPRA003 - Traffic Management

  • Hazards

  • At Risk Groups

Risk Rating (Before Controls)

  • Likelihood

  • Severity

  • Risk Level

  • Control Measures

  • Additional Site-Specific Controls / Information

  • Further Guidance

Risk Rating (With Controls)

  • Likelihood

  • Severity

  • Risk Level

TMPRA004 - Vehicle Access & Egress

  • Hazards

  • At Risk Groups

Risk Rating (Before Controls)

  • Likelihood

  • Severity

  • Risk Level

  • Control Measures

  • Additional Site-Specific Controls / Information

  • Further Guidance

Risk Rating (With Controls)

  • Likelihood

  • Severity

  • Risk Level

TMPRA005 - Working Adjacent to Live Traffic

  • Hazards

  • At Risk Groups

Risk Rating (Before Controls)

  • Likelihood

  • Severity

  • Risk Level

  • Control Measures

  • Additional Site-Specific Controls / Information

  • Further Guidance

Risk Rating (With Controls)

  • Likelihood

  • Severity

  • Risk Level

Further Information

  • Detail any further information

  • Operative Feedback and Suggestions

Acknowledgement Sign Off

  • Instructors Name

  • Attendees Name(s)
  • Name

  • Signature

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.