Training Services Tasmania

• Document No.

• Audit Title/Job Number

• Conducted on

  Date

• Prepared by

• Traffic control contractor

• Site supervisor

Information

• Address of TMP risk assessment
  Address

• Date and time of risk assessment

  Date

• Weather at time of risk assessment

  Select sunny overcast foggy raining snowing storm cloudy

  • sunny
  • overcast
  • foggy
  • raining
  • snowing
  • storm
  • cloudy

• Photos of area

  Media

• Photo of the traffic management plan used

  Media

Area/PPE

• Walking surface is well maintained to prevent slips, trips and falls

  Safe

  At Risk

  N/A

• Area available to safely park vehicle/s

  Safe

  At Risk

  N/A

• Correct PPE available for the assessor to carry out risk assessment

  Yes

  No

  N/A

• Signage/vehicle warning lamps correct and working on assessors vehicle

  Yes

  No

  N/A

• Road reserve safe to conduct risk assessment

  Safe

  At Risk

  N/A

Road properties

• Name of primary road

• Residential, rural or commercial area

  residential

  commercial

  rural

• Vehicles per hour (count for 15 min the x4)

• Existing speed zone

• Marked with a centre line

  yes

  no

• Road Width

• Side streets to consider

  yes

  no

• Speed zone in side streets

• Footpaths avaliable

  yes

  no

• Footpath width

• Bicycle lane present

  yes

  no

• Width of bicycle lane

• Can parked cars cause issues within the work site

  yes

  no

• Select actions that have been taken prior to conducting traffic control tasks.

  Select has a letter drop been conducted have parking meters been covered have barriers/witches hats been placed over parking areas

  • has a letter drop been conducted
  • have parking meters been covered
  • have barriers/witches hats been placed over parking areas

• Is the road clear of overhanging trees and other similar obstructions that may block sight lines to signs or oncoming cars

  Safe

  At Risk

  N/A

• Is there enough room to install signs

  Safe

  At Risk

  N/A

• Good line of sight in all directions to on-coming traffic

  Safe

  At Risk

  N/A

Public amenities/services

• Emergency service providers in vicinity of traffic operations

  yes

  no

• Tick all emergency services in area of works

  Select ambulance fire brigade police ses

  • ambulance
  • fire brigade
  • police
  • ses

• Aged or disability care in the vicinity of traffic operations

  yes

  no

• Have the staff been informed of possible problems/delays

• Schools in the vicinity of traffic operations

  yes

  no

• Checks on time restrictions have been made for that area

• Bus stops likely to be an issue

  yes

  no

• Has provider been notified in advance

• How was bus stop managed

  bus stop moved

  bus stop covered

  no action

• Are there pedestrian crossings in area

  yes

  no

• How are the pedestrians being managed

  installed a temporary crossing

  closed the footpath and diverted pedestrians

  using traffic controllers to manage pedestrians

Lighting (night works only)

• Are works likely to extend into night time operations?

  yes

  no

• Lights are in working order and are maintained in a clean state

  Safe

  At Risk

  N/A

• Additional lighting installed and working to safely complete works

  Safe

  At Risk

  N/A

Specific location hazards

• Steep banks/drop offs in the affected area

  Safe

  At Risk

  N/A

• Road is know as a speeding hotspot

  Safe

  At Risk

  N/A

• Heavy haulage route

  yes

  no

• Road is known to carry over dimensional loads

  yes

  no

Traffic controller

• Are the traffic controllers wearing correct PPE?

  yes

  no

• Traffic controller 1 name

• Can TC provide copy of their qualification?

  yes

  no

• Photo of qualification

  Media

• Traffic controller 2 name

• Can TC provide copy of their qualification?

  yes

  no

• Photo of qualification

  Media

• Traffic controller 3 name

• Can TC provide copy of their qualification?

  yes

  no

• Photo of qualification

  Media

• Traffic controller 4 name

• Can TC provide copy of their qualification?

  yes

  no

• Photo of qualification

  Media

• Traffic controller 5 name

• Can TC provide copy of their qualification?

  yes

  no

• Photo of qualification

  Media

• Are the traffic controllers qualified and current?

  yes

  no

• Comments on qualifications

• Is traffic being controlled by a traffic controller?

  Yes

  No

  N/A

• Are the traffic controllers situated in a safe area with escape routes available?

  yes

  no

• What is the speed zone that the traffic controllers are working in?

  40

  60

  above 60

• Photos of traffic controllers positioning

  Media

Signage

• Have you completed a drive through of the worksites?

  yes

  no

• Was the sign layout clear and credible and of a standard that drivers could easily understand?

  yes

  no

• Clearly describe the issues with the site

• Was the signing relevant for the works being undertaken?

  yes

  no

• Have any changes that have been made to the traffic management plan been recorded?

  yes

  no

• How have these changes been doccumented

• Are all signs in good condition?

  yes

  no

• Photos of affected signs

  Media

• Are signs mounted correctly and securely?

  yes

  no

• Photos of mounting issues

  Media

• Are the signs in position as per the traffic management plan?

  yes

  no

General Comments/ Feedback

• Any other information that is essential for this site?

• Training Services Tasmania

  Sign

• Risk assessor 2

  Sign

• Yes

  No

  N/A