Title Page
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Site Name
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Date and Time of Inspection
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Project Number
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Competent Person
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Inspected by
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Location
Checklist
GENERAL INFORMATION
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Project description
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Take a photo of the project
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List down the name of employees
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List down the vehicles on scene
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Type of Roadway
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Posted Speed Limit
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Weather/Light Conditions
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Traffic Conditions
TEMPORARY TRAFFIC CONTROL
ADVANCE WARNING SIGNS
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Is there an appropriate number of signs placed?
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Are all signs in good condition (clean, legible, and reflective)?
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Do all sign placements (height, visibility, and spacing) conform to standard regulation?
CHANNELIZING DEVICES
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Are all barricades in good condition?
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Are all drums in good condition?
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Are all safety cones in good condition?
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REFERENCE: Safety cones in good condition
[This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections] -
Are all tabular markers in good condition?
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Are all vertical panels in good condition?
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Are all warning lights in good condition?
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Do all channelizing devices have appropriate battery mount?
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Do all channelizing devices have appropriate appropriate ballasting?
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Do all channelizing devices have adequate spacing?
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Do all channelizing devices have adequate taper length?
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Is the number of devices placed appropriately?
PAVEMENT MARKINGS
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Are there any pavement markings used?
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Are all pavement markings easy to understand?
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Are all pavement markings in good condition? (paint/tape and raised markers)
FLAGGING
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Are all flaggers trained/certified?
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Is there an escape route established for flaggers?
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Are the flagger stations preceded by advance warning signs?
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Are flaggers clearly visible to approaching traffic?
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Are the flagger stations illuminated? (Night time)
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Are there signaling devices provided for flaggers?
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Are there portable radios issued for flaggers?
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Do all flaggers wear high visibility vests?
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Do all flaggers wear appropriate PPE?
ROADSIDE SAFETY
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Are all barriers in good condition?
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Are all barrier delineation lights in good condition?
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Are all barrier delineation reflectors in good condition?
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Is there an adequate drop-off delineation?
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Is there an adequate clear zone?
INTERNAL TRAFFIC CONTROL
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Are all site personnel trained on the specific Internal Traffic Control Plan (ITCP)?
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Are there parking areas designated for workers and visitors?
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Is orientation conducted for independent truck drivers prior to entering the workspace?
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Are the areas around specific pieces of equipment and operations delineated?
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Are there designated locations for storing materials and servicing equipment?
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Are there internal signs and traffic control devices posted/erected?
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Is there a posted speed limit within the work zone?
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Is there an adequate lighting provided for night operations?
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Are brightly colored vests with retroreflectivity utilized to allow workers to be visible 1,000 feet in all directions
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Is there a designated channel of communication regarding changes to the ITCP?
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Is there an established communication between workers on foot and equipment operators?
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Is there an established communication between equipment operators?
COMPLETION
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Overall recommendations
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Overall assessment
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Name and Signature of Inspector
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Name and Signature of Competent Person