Information
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L2 Employee Responsible On Site
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Audit Document Number
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Invoice / Job Docket Number
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Conducted on
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Client / Site
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Enter Client
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Prepared By
- Adam Gardiner
- Dave Brittian
- Daryl Short
- Jim Allen
- Rob Douglas
- Ernie Vines
- Steve Johns
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Traffic Controller(s)
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Location
Compulsory Requirements
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Traffic Management Plan - Provided / Selected & Relevant
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Approved Job Sheet - Times, Location & Company Details Correct
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Council and/or police permits current and on site?
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Safe Work Method Statement - Present & Relevant
Code of Practice & AS/NZS 1742.3 Requirements
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Reduced Speed Relevant to Clearance
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Permanent Speed Signs Covered Up
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End Road Works / Return Speed in Place
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Taper Set Adequately (line & length)
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Lane Status Signs Set Correctly
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Required Sign / Devices Available On Site
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All Signage Spacing Approx / Correct
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Signage Placed Allows Good Visibility
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Arrow board in Use when Required
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Speed Reduction Dual Signed
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Dual Signed when Required
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Speed Signs Set Closest to Road
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Multi Frames Used Correctly (no gaps & correct heights)
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Side Streets Signed
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2 Flags - 1st Sign & Speed Reduction
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All Signs in Good Condition (class 1)
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Cones & Bollards Correct Size
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Stop / Slow Bat in Good Condition
Worksite
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Bus Stops Accessible
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Pedestrian Care Provided For (signed, no trip hazards)
Traffic Management
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Sufficient T/C's Onsite
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T/C's have L1 & L2 (where appropriate) Cards On Them
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AS/NZS 4602 High Visibility Worn
Work Zone Seperation
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Clearances from Works to Traffic Maintained
Other Road Users
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Traffic Congestion Been Considered & Steps To Rectify
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Other Road Users Been Considered & Provided For
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Access to Side Roads & Properties Been Provided
Media
Signage
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Approaching the worksite
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Add media
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On Side Road(s)
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Add media
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End Road Work
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Add media
Worksite
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Taper
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Add media
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Closure
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Add media
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Clearance from Works to Traffic
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Add media
Pedestrian Management
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Signage
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Add media
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Safety Measures
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Add media
Other
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If Applicable
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Add media
M1 Checklist
Equipment Checklist
First Aid Kit
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Present in Vehicle
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Adequate Supply of First Aid Equipment
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First Aid Sticker Present on Vehicle
Fire Extinguisher
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Present in Vehicle
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Pin is Inserted Correctly with Lock Tag Attached
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Tag Stamp in In Date
Vehicle Folder
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Present in Vehicle
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Sufficient Supply of SWMS's
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Sufficient Supply of Incident Reports
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MUTCD Present
Vehicle Condition
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Inside
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Outside
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Equipment / Storage
Aftercare Equipment
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Is There any Equipment on Hire?
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Ensure All Relevant Details Are Documented; including client, location & equipment
Traffic Controller Personal Equipment
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All Items Must Be In Good Condition
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TC Vest and Wet Weather Jacket In Good Condition
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Altus Shirt Pressed and Tucked In
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Altus Work Pants with Reflective Tape
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Steel Capped, Above Ankle, Lace Up Boots
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Hard Hat With Sun Rim
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Is it on site?
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UHF Radio
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Is it on site?
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ENERGEX Specific PPE
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Night Wand
Summary
Employee Development
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Development Required
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Follow Up Required
Sign Off
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Altus Supervisor
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Altus Employee