Information

  • Address

  • B no:

  • Work Order:

  • Conducted on

  • Location
  • Auditor

General Overview

  • Signals hardware installed to plan

  • Loops installed and connected to plan

  • Controller connected to SCATS system

  • Controller operation checked onsite

Controller

  • Controller Type

  • Picture of Controller

  • Consumer mains type and condition

  • Point of Supply

  • Main Earth Type

  • Picture of Main Earth

  • Accurate As Con plan available in controller

  • Multicore terminations tight - Inc E2 Coloured Red

  • VID panel installed

  • Loop terminations tight

  • Screed available and matches plan

  • LCB overlay reflects signal groups

  • Spare cores earthed

  • A/T relay connected - *Note* A/T's are 24hr now

  • Conduits sealed to UMS 600/033

  • Site ID fitted

Communications

  • Connection Type

  • Top hat Installed

  • Communications

  • Switch installed

  • TiC Installed / LCM Installed

  • Bluetooth Installed & Operating

  • Communications surge diverter installed

Signal Operation

  • P/B inputs checked

  • P/B inputs driving correct group

  • Loop detectors checked

  • Loop inputs checked

  • A/T operation checked

  • Linking communicating

Hardware installation

  • Lantern Brand

  • Lamp Type

  • Finial and/or Fischer Box Condition

  • Redundant holes in posts and enclosures plugged - AS/NZS:3000

  • Vehicle lanterns aligned to associated traffic lanes

  • Vehicle lanterns visible

  • Vehicle lantern cowls as per construction plan

  • Vehicle lantern cabling secured

  • Lantern doors closed

  • Ped lantern mounting to UMS 600/051

  • Ped lanterns aligned to associated crossings

  • Ped lanterns visible

  • Ped lantern cabling secured

  • Ped lantern doors closed

  • Are PCT Lanterns Installed?

  • A/T driver mounting to UMS 600/051 (post) or 600/050 (JU)

  • A/T cabling secured

  • P/B mounting to UMS 600/051

  • P/B alignment to UMS 600/051

  • Ped/Cyclist stickers affixed to UMS 600/051

Hardware audit

  • Post 1 Condition

  • Post 2 Condition

  • Post 3 Condition

  • Post 4 Condition

  • Post 5 Condition

  • Post 6 Condition

  • Post 7 Condition

  • Post 8 Condition

  • Post 9 Condition

  • Post 10 Condition

  • Post 11 Condition

  • Post 12 Condition

  • Post 13 Condition

  • Post 14 Condition

  • Post 15 Condition

  • Post 16 Condition

Civil

  • Pit lids compliant with UMS 600/030 and fitted correctly

  • Pit Condition

Sign Off

  • Comment works carried out while Performing Audit

  • Follow up Works Required

  • Auditor signature

  • Auditor signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.