Title Page

  • Site Location
  • Weather Conditions

  • Crew Names

  • Sub-contractor / Direct Labor

  • Date and Time of Inspection.

Shift Information.

Pre-Start Information.

  • Has a pre-start briefing been carried out?

  • Has a site Rick Assessment been carried out?

  • Does all crew have Competency cards?

  • Is PPE being used correctly?

  • Is PPE is good & safe condition?

  • Has crew got access to all TM designs and RAMS

  • Inspector's Additional Notes.

Closure Details - Advance Signage.

  • Photo Evidence.

  • Are all Advance signs correct Spec?

  • Are all Advance signs in good condition?

  • Are all Advance signs ballasted and secure?

  • Are all Advance signs visible?

  • Are there any damages that have not been clear during site inspection?

  • Inspector's Additional Notes.

Closure Details - Taper.

  • Photo Evidence.

  • Has the Taper been installed to Chevron standard?

  • Has the Taper been installed in a safe taper location?

  • Are the Taper cones clean?

  • Are all Taper lamps installed correctly and working?

  • Are all Taper signs installed correctly?

  • Are all Taper signs ballasted and safe?

  • Are there any damages that have not been cleared during site inspection?

  • Inspector's Additional Notes.

Closure Details - Longitudinal Run.

  • Photo Evidence.

  • Are all cones installed correctly?

  • Are all cones clean and undamaged?

  • Are all cone spacing's correct for closure?

  • Are there any damages that have not been cleared during site inspection?

Closure Details - Access Point.

  • Photo Evidence.

  • Has the 100 yards Access sign been installed correctly?

  • Has the 100 yards Access sign been ballasted and made secure?

  • Is the 100 yards Access sign in good condition?

  • Is the 100 yards Access sign 100 yards from the Access detail?

  • Has the Access sign been installed correctly?

  • Is the Access sign in good condition?

  • Have Green cone been used for the Access detail?

  • Have Magenta lamps been used on the Access detail?

  • Are any vehicles parked within Access point location?

  • Are there any damages that have not been cleared during site inspection?

  • Inspector's Additional Notes.

Additional Closure Detail.

  • Photo Evidence.

  • Does the closure involve Ring Management?

  • Does the closure involve Chicane detail?

  • Does the closure involve Hard Shoulder Running detail?

  • Does the closure involve Merge detail?

  • Does the closure involve Splitter detail?

  • Does the closure integrate with another closure?

  • Inspector's Additional Notes.

Closure Details - Diversion.

  • If closure involves diversion please fill in section below.

  • Photo Evidence.

  • Is Diversion installed to pre-designed route?

  • Is Diversion signage in good condition?

  • Is Diversion signage ballasted and secure?

  • Is Diversion signage visible?

  • Are there any damages that have not been cleared during site inspection?

Additional Comments.

  • Please list any concerns or positive observations that have been noted during site inspection.

Sign Off.

  • LTMO / TMF Sign off.

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