Title Page
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Site Location
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Weather Conditions
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Crew Names
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Sub-contractor / Direct Labor
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Date and Time of Inspection.
Shift Information.
Pre-Start Information.
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Has a pre-start briefing been carried out?
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Has a site Rick Assessment been carried out?
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Does all crew have Competency cards?
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Is PPE being used correctly?
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Is PPE is good & safe condition?
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Has crew got access to all TM designs and RAMS
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Inspector's Additional Notes.
Closure Details - Advance Signage.
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Photo Evidence.
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Are all Advance signs correct Spec?
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Are all Advance signs in good condition?
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Are all Advance signs ballasted and secure?
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Are all Advance signs visible?
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Are there any damages that have not been clear during site inspection?
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Inspector's Additional Notes.
Closure Details - Taper.
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Photo Evidence.
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Has the Taper been installed to Chevron standard?
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Has the Taper been installed in a safe taper location?
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Are the Taper cones clean?
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Are all Taper lamps installed correctly and working?
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Are all Taper signs installed correctly?
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Are all Taper signs ballasted and safe?
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Are there any damages that have not been cleared during site inspection?
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Inspector's Additional Notes.
Closure Details - Longitudinal Run.
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Photo Evidence.
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Are all cones installed correctly?
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Are all cones clean and undamaged?
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Are all cone spacing's correct for closure?
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Are there any damages that have not been cleared during site inspection?
Closure Details - Access Point.
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Photo Evidence.
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Has the 100 yards Access sign been installed correctly?
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Has the 100 yards Access sign been ballasted and made secure?
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Is the 100 yards Access sign in good condition?
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Is the 100 yards Access sign 100 yards from the Access detail?
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Has the Access sign been installed correctly?
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Is the Access sign in good condition?
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Have Green cone been used for the Access detail?
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Have Magenta lamps been used on the Access detail?
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Are any vehicles parked within Access point location?
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Are there any damages that have not been cleared during site inspection?
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Inspector's Additional Notes.
Additional Closure Detail.
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Photo Evidence.
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Does the closure involve Ring Management?
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Does the closure involve Chicane detail?
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Does the closure involve Hard Shoulder Running detail?
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Does the closure involve Merge detail?
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Does the closure involve Splitter detail?
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Does the closure integrate with another closure?
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Inspector's Additional Notes.
Closure Details - Diversion.
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If closure involves diversion please fill in section below.
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Photo Evidence.
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Is Diversion installed to pre-designed route?
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Is Diversion signage in good condition?
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Is Diversion signage ballasted and secure?
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Is Diversion signage visible?
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Are there any damages that have not been cleared during site inspection?
Additional Comments.
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Please list any concerns or positive observations that have been noted during site inspection.
Sign Off.
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LTMO / TMF Sign off.