Trafficca Internal Worksite Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Number of Traffic Controllers on site

• Risk Rate

  Low

  Medium

  High

  Very High

• Governing Authority

  Select Vic Roads MSE Vic Roads MNW Local Council Eastlink Citylink Other

  • Vic Roads MSE
  • Vic Roads MNW
  • Local Council
  • Eastlink
  • Citylink
  • Other

• Melway Map Reference

• Municipality

• Vic Roads Traffic Management Centre Notified?

  Yes

  No

  N/A

• RTTI Number (If Applicable)

Traffic Management Crew Details

• Team Leader

• Traffic Controller(s)

• Vehicle Registration(s)

• Team Leader Contact Number

Client Details

• Client Undertaking Works

• Number of Workers on Site

• Number of Work Vehicles on Site

PROSECUTABLE OFFENSES, If answered NO: (These documents must be on site and available for viewing)

• Approved MOA : (Times, Location & Company Name(s) Correct)

  Yes

  No

  N/A

• Approved Consent for Works (WWRR permit) / Notification to V/R :

  Yes

  No

  N/A

• Traffic Management Plan / Mud Map

  Yes

  No

  N/A

• Eastlink/Citylink Authority to Work Permit

  Yes

  No

  N/A

Code of Practice & AS 1742.3 Requirements :

• Major Items :

• Traffic Management Plan Complies with the Code of Practise

  Yes

  No

  N/A

• Reduced Speed Relevant to Clearance

  Yes

  No

  N/A

• Permanent Speed Signs Covered Up

  Yes

  No

  N/A

• End Road Works / Return to Speed in Place

  Yes

  No

  N/A

• Bus & Tram Stops Accesible

  Yes

  No

  N/A

• Pedestrian Care Provided for

  Yes

  No

  N/A

• Traffic Controllers have Training Certificates

  Yes

  No

  N/A

• AS/NZS 4602 High Visibility Worn

  Yes

  No

  N/A

• Taper Set Adequately (Line and Length)

  Yes

  No

  N/A

• Lane Status Signs Set Correctly

  Yes

  No

  N/A

• Required Signs and Devices Available on Site

  Yes

  No

  N/A

• All Signage Spacing is Approximate and Correct

  Yes

  No

  N/A

• Signage Placed allows good Visibility

  Yes

  No

  N/A

• Minor Items

• Sufficient Number of Traffic Controllers on site

  Yes

  No

  N/A

• Arrow Board in Use where Required

  Yes

  No

  N/A

• Speed Reduction Dual Signed

  Yes

  No

  N/A

• Dual Signage where Required

  Yes

  No

  N/A

• Speed Signs set Closest to Road

  Yes

  No

  N/A

• Multi-Frames Used Correctly (No Gaps, Correct Height, etc)

  Yes

  No

  N/A

• Side Streets Signed

  Yes

  No

  N/A

• 2 Flags, 1st Sign & Speed Reductions

  Yes

  No

  N/A

• All Signs, Good Condition, Class 1

  Yes

  No

  N/A

• Cones & Bollards are the Correct Size

  Yes

  No

  N/A

• Stop/Slow Bats in Good Condition

  Yes

  No

  N/A

• Traffic Congestion Minimal

  Yes

  No

  N/A

• Risk Assesment/SWMS/JSA Completed

  Yes

  No

  N/A

Audit Conclusion

• Traffic Management Setup Complies with Code of Practice and AS 1742.3

  Yes

  No

  N/A

• Traffic Management Set-up Rectified Before Auditor has left Site

  Yes

  No

  N/A

• Additional Comments

• Auditors Name

  Sign

• Contact Phone Number