Traffic Management

• Conducted on

  Date

• Prepared By

  Select

• Client / Site

• STMS

  Select

• Traffic Controller(s)

  Select
• Location
  Address

• Type of TTM

  Emergency

  Planned

• Has approved TMP been sighted

  Yes

  No

  N/A

Notifications and Road Details

• RCA notified

  Yes

  No

• Who notified the RCA

  Select

• Road Level

  Select

• Speed

  Select

• Road affected

  Select

COPTTM

• Advanced Warning signage Set Up.

  Yes

  No

  N/A

• End of works signage set up

  Yes

  No

  N/A

• Reduced Speed in accordance with TSL decision matrix.

  Yes

  No

  N/A

• Permanent Speed Signs Covered Up

  Yes

  No

  N/A

• Taper Set Adequately (line & length)

  Yes

  No

  N/A

• All Signage Spacing Approx / Correct

  Yes

  No

  N/A

• Signage Placed Allows Good Visibility

  Yes

  No

  N/A

• Arrow board in Use when Required

  Yes

  No

  N/A

• Speed Signs Gated

  Yes

  No

  N/A

• Speed Signs Set Closest to Road

  Yes

  No

  N/A

• Side Streets Signed

  Yes

  No

  N/A

• Signage as per COPTTM generic plans

  Yes

  No

  N/A

• All Signs in Good Condition (class 1)

  Yes

  No

  N/A

Worksite

• Bus Stops Accessible

  Yes

  No

  N/A

• Pedestrian Care Provided For (signed, no trip hazards)

  Yes

  No

  N/A

Traffic Management

• Sufficient T/C's Onsite

  Yes

  No

• T/C's have L1 & L2 (where appropriate) Cards On Them

  Yes

  No

• High Visibility Worn

  Yes

  No

• STMS is easily identified

  Yes

  No

Work Zone Seperation

• Work space clearly defined and separated from other road users

  Yes

  No

  N/A

Other Road Users

• Traffic Congestion Been Considered & Steps To Rectify

  Yes

  No

  N/A

• Other Road Users Been Considered & Provided For

  Yes

  No

  N/A

• Access to Side Roads & Properties Been Provided

  Yes

  No

  N/A

Signage

• Approaching the worksite

  Applicable

  Not Applicable

• Add media

  Media

• On Side Road(s)

  Applicable

  Not Applicable

• Add media

  Media

• End Road Work

  Applicable

  Not Applicable

• Add media

  Media

Worksite

• Taper

  Applicable

  Not Applicable

• Add media

  Media

• Closure

  Applicable

  Not Applicable

• Add media

  Media

• Clearance from Works to Traffic

  Applicable

  Not Applicable

• Add media

  Media

Pedestrian Management

• Signage

  Applicable

  Not Applicable

• Add media

  Media

• Safety Measures

  Applicable

  Not Applicable

• Add media

  Media

Other

• If Applicable

  Applicable

  Not Applicable

• Add media

  Media

Equipment Checklist

First Aid Kit

• Present in Vehicle

  Sighted

  No

• Adequate Supply of First Aid Equipment

  Sighted

  No

• First Aid Sticker Present on Vehicle

  Sighted

  No

Fire Extinguisher

• Present in Vehicle

  Sighted

  No

• Pin is Inserted Correctly with Lock Tag Attached

  Sighted

  No

• Tag Stamp in In Date

  Sighted

  No

Vehicle Folder

• Present in Vehicle

  Yes

  No

• MUTCD Present

  Yes

  No

Vehicle Condition

• Inside

  Satisfactory

  Other

• Outside

  Satisfactory

  Other

• Equipment / Storage

  Satisfactory

  Other

Aftercare Equipment

• Is There any Equipment on Hire?

  Yes

  No

• Ensure All Relevant Details Are Documented; including client, location & equipment

Traffic Controller Personal Equipment

• All Items Must Be In Good Condition

• TC Vest and Wet Weather Jacket In Good Condition

  Yes

  No

  N/A

• Appropriate shirt work dependent on working area

  Yes

  No

  N/A

• Appropriate work pants

  Yes

  No

  N/A

• Steel Capped, Above Ankle, Lace Up Boots

  Yes

  No

  N/A

• Hard Hat

  Yes

  No

  N/A

• Is it on site?

  Yes

  No

• Hand held Radio checked.

  Yes

  No

  N/A

• Is it on site?

  Yes

  No

• Night Wand

  Yes

  No

  N/A

Sign Off

• Supervisor

  Select

• Employee

  Select