Title Page
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What office was the audit completed for?
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Inspection Date
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Prepared by
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Inspection Location
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List T2's or Higher on the job
Project Information.
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Client Company Name?
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What is the STS Truck number(s) on the Job?
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Divided or Undivided Roadway?
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What State is this job being done in?
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What type of set-up is being done?
- Flagging
- Lane Shift
- Lane Closure (multi-lane road State Route or below)
- Double Lane Closure
- Lane Closure (Interstate)
- Sidewalk Closure
- Moving Flagging
- Shoulder Closure
- Road Closure
- Closure in a Parking Area
- Branched Turning Lane Closure
Advanced Warning Signs
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Are there signs being used on the job?
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Are the required signs used on the job? (Road Work, One Lane, Flagger Symbol)
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Did the crew have the correct signs for the job
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What signs are being used?
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Are signs spaced correctly?
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What is the Sign Spacing in feet?
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please take a picture of of the signage
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Are the signs spaced correctly?
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What is the sign spacing in feet?
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Take picture of the sign spacing
Sign information: What is the quality of the following? (Good, Fair, Poor)
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Cleanliness?
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Reflectivity?
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Placement?
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Visibility?
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Spacing?
Work Zone Dimensions?
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Is the upstream Flagger taper between 50-100 feet long?
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Is there an acceptable reason for the flagger taper not being the proper length?
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Is there an acceptable reason for the flagger taper not being the proper length?
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Rate the Quality of the Upstream Flagger Taper (Length, Visual, Spacing etc.)
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What is the Device Spacing in the upstream taper?
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Are there 6 cones in the upstream taper?
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Take a picture of the whole upstream taper
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Is there a Downstream taper being used?
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Why?
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Instruct the crew on how important it is to utilize the downstream taper.
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What is the Length of the Downstream Taper?
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Rate the Quality of the Downstream Flagger Taper (Length, Visual, Spacing etc.)
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What is the Device Spacing in the taper?
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Are there 6 cones in the Taper?
Activity Area
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What is the Speed Limit
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Is the Buffer Space longer than 155 ft
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Could the buffer space have been the required length
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Explain why
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Instruct crew on why Buffers are important
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Is the Buffer Space longer than 200 ft
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Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
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Could the buffer space have been the required length
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Explain why
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Instruct crew on why Buffers are important
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Take a picture of the Buffer Space (or lack thereof) and the measurement
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Please take multiple pictures of the entire worksite
Channelizing Device Condition - What is the quality of the following items in regard to their use (Good, Fair, Poor)
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Barricades (type-1,2 or 3)
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Drums
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Verticals
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Cones
Advanced Warning Signs
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Are there signs being used on the job?
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Are the appropriate signs used on the job? (Road Work, Right/Left Lane Closed, Merge Symbol)
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Did the crew have the correct signs for the job
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What signs are being used?
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What is the Sign Spacing in feet?
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please take a picture of of the signage
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What is the sign spacing in feet?
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Take picture of the signage
Sign information: What is the quality of the following? (Good, Fair, Poor)
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Cleanliness?
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Visibility?
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Placement?
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Spacing?
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Is there an Arrow Board on this job?
Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
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Is the Arrow Board as close to the front of the Taper at the curb OR on the Shoulder of the Road at the beginning of the Taper?
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Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
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Take a picture under the tires of the board
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Take Picture of Arrow Board Placement
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Why
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Write crew up, and get an arrow board on site
Work Zone Dimensions?
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Posted Speed Limit Through Job?
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What is the Lane Width
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Is the taper longer than 450 ft
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Is the Taper longer than 495 ft
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Is the taper longer than 540 ft
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What is the Lane Width
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Is the taper longer than 267 ft
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Is the Taper longer than 294ft
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Is the taper longer than 320 ft
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What is the Lane Width
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Is the taper longer than 205ft
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Is the Taper longer than 225ft
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Is the taper longer than 245ft
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What is the Lane Width
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Is the taper longer than 150ft
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Is the Taper longer than 165ft
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Is the taper longer than 180ft
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What is the Lane Width
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Is the taper longer than 105ft
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Is the Taper longer than 115ft
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Is the taper longer than 125ft
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What is the Lane Width
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Is the taper longer than 67ft
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Is the Taper longer than 74ft
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Is the taper longer than 80ft
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What is the Lane Width
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Is the taper longer than 37.5ft
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Is the Taper longer than 41.5ft
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Is the taper longer than 45ft
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What is the Lane Width
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Is the taper longer than 500ft
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Is the Taper longer than 550ft
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Is the taper longer than 600ft
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What is the Lane Width
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Is the taper longer than 550ft
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Is the Taper longer than 605ft
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Is the taper longer than 660ft
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What is the Lane Width
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Is the taper longer than 600ft
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Is the Taper longer than 660ft
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Is the taper longer than 720ft
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What is the Lane Width
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Is the taper longer than 650ft
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Is the Taper longer than 715ft
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Is the taper longer than 780ft
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How many devices are in the merging taper? (from the first device on the Shoulder line to the first device on Skip Line)
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How long is the Merging Taper in feet?
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Take a picture of the taper measurement
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What is the Device Spacing in the taper?
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Take a picture of the Taper from the first device to the last (device on Shoulder line to the device on Skip Line)
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Rate the Quality of the Merging Taper (Length, Visual, Spacing etc.)
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Is there a downstream taper being used?
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Is the Downstream taper length between 50-100 feet, using 6 devices?
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Why?
Activity Area
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What is the Speed Limit
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Is the Buffer Space longer than 155 ft
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Could the buffer space have been the required length
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Explain why
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Instruct crew on why Buffers are important
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Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
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Take a picture of the Buffer Space (or lack thereof) and the measurement
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Is there a Defined Work Area
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Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
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Barricades (type-1,2 or 3)
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Drums
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Verticals
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Cones
Advanced Warning Signs
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Are the appropriate signs used on the job? (Road Work, Right/Left Lane Closed, Merge and another merge between tapers)
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Did the crew have the correct signs for the job
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Explain:
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What is the Sign Spacing?
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please take a picture of of the signage
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What is the sign spacing?
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Take picture of the sign spacing
Sign information: What is the quality of the following? (Good, Fair, Poor)
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Cleanliness?
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Visibility?
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Placement?
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Spacing?
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Are there 2 Arrow Boards on the job?
1st Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
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Placement?
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Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
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Take Picture of Arrow Board Placement
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Posted Speed Limit Through Job?
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What is the Lane Width
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Is the taper longer than 450 ft
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Is the Taper longer than 495 ft
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Is the taper longer than 540 ft
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What is the Lane Width
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Is the taper longer than 267 ft
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Is the Taper longer than 294ft
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Is the taper longer than 320 ft
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What is the Lane Width
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Is the taper longer than 205ft
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Is the Taper longer than 225ft
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Is the taper longer than 245ft
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What is the Lane Width
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Is the taper longer than 150ft
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Is the Taper longer than 165ft
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Is the taper longer than 180ft
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What is the Lane Width
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Is the taper longer than 105ft
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Is the Taper longer than 115ft
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Is the taper longer than 125ft
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What is the Lane Width
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Is the taper longer than 67ft
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Is the Taper longer than 74ft
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Is the taper longer than 80ft
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What is the Lane Width
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Is the taper longer than 37.5ft
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Is the Taper longer than 41.5ft
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Is the taper longer than 45ft
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What is the Lane Width
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Is the taper longer than 500ft
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Is the Taper longer than 550ft
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Is the taper longer than 600ft
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What is the Lane Width
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Is the taper longer than 550ft
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Is the Taper longer than 605ft
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Is the taper longer than 660ft
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What is the Lane Width
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Is the taper longer than 600ft
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Is the Taper longer than 660ft
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Is the taper longer than 720ft
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What is the Lane Width
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Is the taper longer than 650ft
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Is the Taper longer than 715ft
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Is the taper longer than 780ft
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Rate the Quality of the 1st Merging Taper (Length, Visual, Spacing etc.)
2nd Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
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Placement?
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Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
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Take Picture of Arrow Board Placement
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Posted Speed Limit Through Job?
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What is the Lane Width
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Is the taper longer than 450 ft
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Is the Taper longer than 495 ft
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Is the taper longer than 540 ft
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What is the Lane Width
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Is the taper longer than 267 ft
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Is the Taper longer than 294ft
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Is the taper longer than 320 ft
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What is the Lane Width
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Is the taper longer than 205ft
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Is the Taper longer than 225ft
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Is the taper longer than 245ft
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What is the Lane Width
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Is the taper longer than 150ft
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Is the Taper longer than 165ft
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Is the taper longer than 180ft
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What is the Lane Width
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Is the taper longer than 105ft
-
Is the Taper longer than 115ft
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Is the taper longer than 125ft
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What is the Lane Width
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Is the taper longer than 67ft
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Is the Taper longer than 74ft
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Is the taper longer than 80ft
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What is the Lane Width
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Is the taper longer than 37.5ft
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Is the Taper longer than 41.5ft
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Is the taper longer than 45ft
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What is the Lane Width
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Is the taper longer than 500ft
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Is the Taper longer than 550ft
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Is the taper longer than 600ft
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What is the Lane Width
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Is the taper longer than 550ft
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Is the Taper longer than 605ft
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Is the taper longer than 660ft
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What is the Lane Width
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Is the taper longer than 600ft
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Is the Taper longer than 660ft
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Is the taper longer than 720ft
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What is the Lane Width
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Is the taper longer than 650ft
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Is the Taper longer than 715ft
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Is the taper longer than 780ft
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Rate the Quality of the 2nd Merging Taper (Length, Visual, Spacing etc.)
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Please write crew up and get the 2nd board on site
1st Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
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Placement?
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Delineated/Shielded?
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Take Picture of Arrow Board Placement
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Does the taper meet FDOT Specifications?
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Why?
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What is the Length
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Take a picture of the Taper or lack thereof.
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What is the Taper Length?
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Include Picture of Taper
Work Zone Dimensions?
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What is the Device Spacing in the taper?
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Is there a Downstream taper being used?
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Why?
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What is the Tangent length between the 2 Tapers?
Activity Area
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What is the Speed Limit
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Is the Buffer Space longer than 155 ft
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Could the buffer space have been the required length
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Explain why
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Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
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Barricades (type-1,2 or 3)
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Drums
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Verticals
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Cones
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Make sure this Audit is only done for Interstate or limited access roadways
Advanced Warning Signs
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Is there an Arrow Board on this job?
Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
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Is the Arrow Board as close to the front of the Taper at the curb or on the Shoulder of the Road?
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Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
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Take Picture of Arrow Board Placement
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Why
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Write crew up, and get an arrow board on site
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Are the appropriate signs used on the job?
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Did the crew have the correct signs for the job
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Explain:
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What is the Sign Spacing?
- More or Equal to the required 2M, 1M, 1/2 M & 1000 Ft
- Less than the required 2M, 1M, 1/2 M & 1000 Ft
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please take a picture of of the signage
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What is the sign spacing?
- Less than 100 ft
- 100 ft or more
- 350 ft or more
- 500 ft or more
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Take picture of the sign spacing
Sign information: What is the quality of the following? (Good, Fair, Poor)
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Cleanliness?
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Height off the ground?
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Visibility?
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Placement?
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Spacing?
Work Zone Dimensions?
-
Posted Speed Limit Through Job?
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What is the Lane Width
-
Is the taper longer than 450 ft
-
Is the Taper longer than 495 ft
-
Is the taper longer than 540 ft
-
What is the Lane Width
-
Is the taper longer than 267 ft
-
Is the Taper longer than 294ft
-
Is the taper longer than 320 ft
-
What is the Lane Width
-
Is the taper longer than 205ft
-
Is the Taper longer than 225ft
-
Is the taper longer than 245ft
-
What is the Lane Width
-
Is the taper longer than 150ft
-
Is the Taper longer than 165ft
-
Is the taper longer than 180ft
-
What is the Lane Width
-
Is the taper longer than 105ft
-
Is the Taper longer than 115ft
-
Is the taper longer than 125ft
-
What is the Lane Width
-
Is the taper longer than 67ft
-
Is the Taper longer than 74ft
-
Is the taper longer than 80ft
-
What is the Lane Width
-
Is the taper longer than 37.5ft
-
Is the Taper longer than 41.5ft
-
Is the taper longer than 45ft
-
What is the Lane Width
-
Is the taper longer than 500ft
-
Is the Taper longer than 550ft
-
Is the taper longer than 600ft
-
What is the Lane Width
-
Is the taper longer than 550ft
-
Is the Taper longer than 605ft
-
Is the taper longer than 660ft
-
What is the Lane Width
-
Is the taper longer than 600ft
-
Is the Taper longer than 660ft
-
Is the taper longer than 720ft
-
What is the Lane Width
-
Is the taper longer than 650ft
-
Is the Taper longer than 715ft
-
Is the taper longer than 780ft
-
How long is the Merging Taper?
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Add Photo of measurement
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What is the Device Spacing in the taper?
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Take a picture of the Taper
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Is there an adequate Downstream taper being used?
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Why?
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What is the Quality of the Taper?
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Verticals
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Advanced Warning Signs
-
Are the required sidewalk barricades in place for the pedestrian detour?
-
Explain:
-
please take a picture of the barricades or lack thereof
-
Take a picture of the Barricades
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Legibility?
-
Reflectivity?
-
Visibility?
-
Locations?
Work Zone Dimensions?
Activity Area
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition (Continued)
-
Appropriate # of Devices?
-
Explain:
Advanced Warning Signs
-
Are there signs being used on the job?
-
Are the appropriate signs used on the job (RWA, Lane Shift Ahead & Shift arrows)?
-
Did the crew have the correct signs for the job
-
Explain:
-
Are signs spaced correctly?
-
What is the Sign Spacing?
-
please take a picture of all the signage.
-
Are the signs spaced correctly?
-
What is the sign spacing?
- Less than 100 ft
- 100 ft or more
- 350 ft or more
- 500 ft or more
-
Take picture of the sign spacing
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
Work Zone Dimensions?
-
Is the Shifting Taper the required length based on the Formulas from the MUTCD (half the length of a required merging taper)
-
What is the Device Spacing in the taper?
-
What is the length of the taper?
-
Take a picture of the Taper
-
What is the Quality of the Taper?
-
Is there a Downstream taper being used?
-
Why?
-
Instruct the crew on how important it is to utilize the downstream taper.
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area?
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Verticals
-
Cones
Advanced Warning Signs
-
Are there signs being used on the job?
-
Are the required signs used on the job? (Road Work, One Lane, Flagger Symbol)
-
Did the crew have the correct signs for the job
-
Explain:
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of of the signage
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of the sign spacing
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
Work Zone Dimensions?
-
Is the upstream Flagger taper between 50-100 feet long?
-
How long was the Flagger Taper, before being fixed?
-
What is the Device Spacing in the taper?
-
Are there 6 cones in the Taper?
-
Take a picture of the Taper
-
Rate the Quality of the Upstream Flagger Taper (Length, Visual, Spacing etc.)
-
Is there a Downstream taper being used?
-
Why?
-
Instruct the crew on how important it is to utilize the downstream taper.
-
Are there 6 cones in the Taper?
-
What is the Device Spacing in the taper?
-
Rate the Quality of the Downstream Flagger Taper (Length, Visual, Spacing etc.)
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof)
-
Take a picture of the Buffer Space (or lack thereof)
-
Is there a Defined Work Area?
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Verticals
-
Cones
-
Are there Required signs up to indicate this closure? (RWA minimum)
-
Did the crew have the correct signs for the job
-
What are the signs used?
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
-
What is the spacing in feet?
-
Add a photo
-
Was the entrance of the turning lane delineated properly
-
Add a photo of the turning lane closure beginning.
-
Please add Photo's of the entire worksite where we have effected traffic, or where the customer is positioned in relation to the roadway
-
What are the signs used?
-
What is the sign spacing in feet?
-
Take a Photo
-
Is this a planned Road closure?
-
Is there a specific TCP for this closure?
-
Is there appropriate Road closure Advanced warning signage (Road closed ahead, Detour Ahead)?
-
Did the crew have the correct signs for the job
-
Please add pictures of all the signage
-
what is the sign spacing?
-
what signs are being used?
-
Please add pictures of signage
-
what is the sign spacing?
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
-
Are appropriate Type-III barricades in place to support a road closure?
-
Are the Barricades on BOTH ends of the closure?
-
Are appropriate Detour signs in place to detour the Motorists?
-
Are employees positioned on each end of the closure?
-
Is there a reasonable and acceptable amount of equipment for this closure?
-
Please add photos of all the equipment used and how the closure looks to the public
-
Are there any signs used?
-
Where are they used? and why?
-
Are the STS personnel monitoring the work area properly?
-
What are they doing?
-
Add photos
-
What are they doing?
Work Zone Dimensions?
-
Posted Speed Limit Through Job?
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 15 ft
-
Is the Taper longer than 60 ft
-
Is the taper longer than 90 ft
-
Is the taper longer than 120 ft
-
Is the taper longer than 150 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 10 ft
-
Is the Taper longer than 36 ft
-
Is the taper longer than 53 ft
-
Is the taper longer than 72 ft
-
Is the taper longer than 89 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 7 ft
-
Is the Taper longer than 28 ft
-
Is the taper longer than 41 ft
-
Is the taper longer than 55 ft
-
Is the taper longer than 69 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 5 ft
-
Is the Taper longer than 20 ft
-
Is the taper longer than 30 ft
-
Is the taper longer than 40 ft
-
Is the taper longer than 50 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 4 ft
-
Is the Taper longer than 14 ft
-
Is the taper longer than 21 ft
-
Is the taper longer than 28 ft
-
Is the taper longer than 35 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 3 ft
-
Is the Taper longer than 9 ft
-
Is the taper longer than 14 ft
-
Is the taper longer than 18 ft
-
Is the taper longer than 23 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 2 ft
-
Is the Taper longer than 5 ft
-
Is the taper longer than 8 ft
-
Is the taper longer than 10 ft
-
Is the taper longer than 13 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 17 ft
-
Is the Taper longer than 67 ft
-
Is the taper longer than 100 ft
-
Is the taper longer than 134 ft
-
Is the taper longer than 167 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 19 ft
-
Is the Taper longer than 74 ft
-
Is the taper longer than 110 ft
-
Is the taper longer than 147 ft
-
Is the taper longer than 184 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 20 ft
-
Is the Taper longer than 80 ft
-
Is the taper longer than 120 ft
-
Is the taper longer than 160 ft
-
Is the taper longer than 200 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 22 ft
-
Is the Taper longer than 87 ft
-
Is the taper longer than 130 ft
-
Is the taper longer than 174 ft
-
Is the taper longer than 217 ft
-
How long is the Shoulder Taper?
-
Add Photo of measurement
-
What is the Device Spacing in the taper?
-
Take a picture of the Taper
-
What is the Quality of the Taper?
Activity Area
-
Did the crew put a buffer space in?
-
what was the length?
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
-
Is there a TCT or TCS trained employee on site?
-
Who?
-
What type of set-up is being done?
- 602
- 603
- 613 (single lane)
- 613 (double lane)
- 660
- 661 (Bike Lane Closure)
- Moving Flagging
- Lane Shift
- Road Closure
- Closure in Parking Area
- Branched Turning Lane or Auxiliary Lane Closure
Advanced Warning Signs
-
Is the speed limit above or below 55 MPH?
-
What is the speed limit?
-
Are the required signs used on the job? (Road Work, Right Shoulder Closed, One Lane, Flagger Symbol)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
-
Are there rumble strips on the job
-
Are they used/installed correctly
-
What is the speed limit?
-
Are the required signs used on the job? (Road Work, Rumble Stips Ahead, Right Shoulder Closed, One Lane, Flagger Symbol)
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
Work Zone Dimensions?
-
Is the upstream Flagger taper between 50-100 feet long?
-
Is there an acceptable reason for the flagger taper not being the proper length?
-
Is there an acceptable reason for the flagger taper not being the proper length?
-
Rate the Quality of the Upstream Flagger Taper (Length, Visual, Spacing etc.)
-
What is the Device Spacing in the upstream taper?
-
Are there 6 cones in the upstream taper?
-
Take a picture of the whole upstream taper
-
Is there a Downstream taper being used?
-
Why?
-
Instruct the crew on how important it is to utilize the downstream taper.
-
What is the Length of the Downstream Taper?
-
Rate the Quality of the Downstream Flagger Taper (Length, Visual, Spacing etc.)
-
What is the Device Spacing in the taper?
-
Are there 6 cones in the Taper?
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Explain why
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Please take multiple pictures of the entire worksite
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Cones
-
Sidewalk Closed Barricades
Advanced Warning Signs
-
Is the shoulder on the road less than 4ft wide?
-
Are the required signs used on the job? (Road Work, Right/Left Lane Closed, Lane Merge)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof. (take a picture of EVERY SIGN)
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
-
Are the required signs used on the job? (Road Work, Right/Left Shoulder Closed, Right/Left Lane Closed, Lane Merge)
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
-
Is there an Arrow Board on this job?
Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
-
Is the Arrow Board as close to the front of the Taper as possible by the curb or on the Shoulder of the Road?
-
Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
-
Take a Picture of these things
-
Take Picture of Arrow Board Placement in the zone
-
Why
-
Write crew up, and get an arrow board on site
Work Zone Dimensions?
-
Posted Speed Limit Through Job?
-
What is the Lane Width
-
Is the taper longer than 450 ft
-
Is the Taper longer than 495 ft
-
Is the taper longer than 540 ft
-
What is the Lane Width
-
Is the taper longer than 267 ft
-
Is the Taper longer than 294ft
-
Is the taper longer than 320 ft
-
What is the Lane Width
-
Is the taper longer than 205ft
-
Is the Taper longer than 225ft
-
Is the taper longer than 245ft
-
What is the Lane Width
-
Is the taper longer than 150ft
-
Is the Taper longer than 165ft
-
Is the taper longer than 180ft
-
What is the Lane Width
-
Is the taper longer than 105ft
-
Is the Taper longer than 115ft
-
Is the taper longer than 125ft
-
What is the Lane Width
-
Is the taper longer than 67ft
-
Is the Taper longer than 74ft
-
Is the taper longer than 80ft
-
What is the Lane Width
-
Is the taper longer than 37.5ft
-
Is the Taper longer than 41.5ft
-
Is the taper longer than 45ft
-
What is the Lane Width
-
Is the taper longer than 500ft
-
Is the Taper longer than 550ft
-
Is the taper longer than 600ft
-
What is the Lane Width
-
Is the taper longer than 550ft
-
Is the Taper longer than 605ft
-
Is the taper longer than 660ft
-
What is the Lane Width
-
Is the taper longer than 600ft
-
Is the Taper longer than 660ft
-
Is the taper longer than 720ft
-
What is the Lane Width
-
Is the taper longer than 650ft
-
Is the Taper longer than 715ft
-
Is the taper longer than 780ft
-
How long is the Merging Taper in feet?
-
Take a picture of the taper measurement
-
What is the Device Spacing in the taper?
-
Take a picture of the Taper
-
Rate the Quality of the Merging Taper (Length, Visual, Spacing etc.)
-
Is there a downstream taper being used?
-
Is the Downstream taper length between 50-100 feet?
-
Why?
-
Are there 6 cones in the downstream taper?
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Cones
-
Pedestrian Barricades
Advanced Warning Signs
-
Is the shoulder on the road less than 4ft wide?
-
Are the required signs used on the job? (Road Work, 2 Right/Left Lane Closed, Lane Merge & Lane Merge between the 2 tapers)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
-
Are the required signs used on the job? (Road Work, Right/Left Shoulder Closed, 2 Right/Left Lane Closed, Lane Merge & Lane Merge between Tapers)
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
-
Are there 2 Arrow Boards on the job?
1st Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
-
Placement?
-
Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
-
Take Picture of Arrow Board Placement
-
Posted Speed Limit Through Job?
-
What is the Lane Width
-
Is the taper longer than 450 ft
-
Is the Taper longer than 495 ft
-
Is the taper longer than 540 ft
-
What is the Lane Width
-
Is the taper longer than 267 ft
-
Is the Taper longer than 294ft
-
Is the taper longer than 320 ft
-
What is the Lane Width
-
Is the taper longer than 205ft
-
Is the Taper longer than 225ft
-
Is the taper longer than 245ft
-
What is the Lane Width
-
Is the taper longer than 150ft
-
Is the Taper longer than 165ft
-
Is the taper longer than 180ft
-
What is the Lane Width
-
Is the taper longer than 105ft
-
Is the Taper longer than 115ft
-
Is the taper longer than 125ft
-
What is the Lane Width
-
Is the taper longer than 67ft
-
Is the Taper longer than 74ft
-
Is the taper longer than 80ft
-
What is the Lane Width
-
Is the taper longer than 37.5ft
-
Is the Taper longer than 41.5ft
-
Is the taper longer than 45ft
-
What is the Lane Width
-
Is the taper longer than 500ft
-
Is the Taper longer than 550ft
-
Is the taper longer than 600ft
-
What is the Lane Width
-
Is the taper longer than 550ft
-
Is the Taper longer than 605ft
-
Is the taper longer than 660ft
-
What is the Lane Width
-
Is the taper longer than 600ft
-
Is the Taper longer than 660ft
-
Is the taper longer than 720ft
-
What is the Lane Width
-
Is the taper longer than 650ft
-
Is the Taper longer than 715ft
-
Is the taper longer than 780ft
-
Rate the Quality of the 1st Merging Taper (Length, Visual, Spacing etc.)
2nd Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
-
Placement?
-
Has the Arrow Board been set up correctly (Tires off the ground, Legs supporting board)
-
Take Picture of Arrow Board Placement
-
Posted Speed Limit Through Job?
-
What is the Lane Width
-
Is the taper longer than 450 ft
-
Is the Taper longer than 495 ft
-
Is the taper longer than 540 ft
-
What is the Lane Width
-
Is the taper longer than 267 ft
-
Is the Taper longer than 294ft
-
Is the taper longer than 320 ft
-
What is the Lane Width
-
Is the taper longer than 205ft
-
Is the Taper longer than 225ft
-
Is the taper longer than 245ft
-
What is the Lane Width
-
Is the taper longer than 150ft
-
Is the Taper longer than 165ft
-
Is the taper longer than 180ft
-
What is the Lane Width
-
Is the taper longer than 105ft
-
Is the Taper longer than 115ft
-
Is the taper longer than 125ft
-
What is the Lane Width
-
Is the taper longer than 67ft
-
Is the Taper longer than 74ft
-
Is the taper longer than 80ft
-
What is the Lane Width
-
Is the taper longer than 37.5ft
-
Is the Taper longer than 41.5ft
-
Is the taper longer than 45ft
-
What is the Lane Width
-
Is the taper longer than 500ft
-
Is the Taper longer than 550ft
-
Is the taper longer than 600ft
-
What is the Lane Width
-
Is the taper longer than 550ft
-
Is the Taper longer than 605ft
-
Is the taper longer than 660ft
-
What is the Lane Width
-
Is the taper longer than 600ft
-
Is the Taper longer than 660ft
-
Is the taper longer than 720ft
-
What is the Lane Width
-
Is the taper longer than 650ft
-
Is the Taper longer than 715ft
-
Is the taper longer than 780ft
-
Rate the Quality of the 2nd Merging Taper (Length, Visual, Spacing etc.)
-
Please write crew up and get the 2nd board on site
1st Arrow Panel Information: What is the quality of the following? (Good, Fair, Poor)
-
Placement?
-
Delineated/Shielded?
-
Take Picture of Arrow Board Placement
-
Does the taper meet FDOT Specifications?
-
Why?
-
What is the Length
-
Take a picture of the Taper or lack thereof.
-
What is the Taper Length?
-
Include Picture of Taper
Work Zone Dimensions?
-
What is the Tangent length between the 2 Tapers?
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Cones
-
Pedestrian Barricades
-
Make sure this Audit is only done for Shoulder Closures
Advanced Warning Signs
-
Are the required signs used on the job? (Road Work, Right Shoulder Closed)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Height off the ground?
-
Placement?
-
Spacing?
Work Zone Dimensions?
-
Posted Speed Limit Through Job?
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 15 ft
-
Is the Taper longer than 60 ft
-
Is the taper longer than 90 ft
-
Is the taper longer than 120 ft
-
Is the taper longer than 150 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 10 ft
-
Is the Taper longer than 36 ft
-
Is the taper longer than 53 ft
-
Is the taper longer than 72 ft
-
Is the taper longer than 89 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 7 ft
-
Is the Taper longer than 28 ft
-
Is the taper longer than 41 ft
-
Is the taper longer than 55 ft
-
Is the taper longer than 69 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 5 ft
-
Is the Taper longer than 20 ft
-
Is the taper longer than 30 ft
-
Is the taper longer than 40 ft
-
Is the taper longer than 50 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 4 ft
-
Is the Taper longer than 14 ft
-
Is the taper longer than 21 ft
-
Is the taper longer than 28 ft
-
Is the taper longer than 35 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 3 ft
-
Is the Taper longer than 9 ft
-
Is the taper longer than 14 ft
-
Is the taper longer than 18 ft
-
Is the taper longer than 23 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 2 ft
-
Is the Taper longer than 5 ft
-
Is the taper longer than 8 ft
-
Is the taper longer than 10 ft
-
Is the taper longer than 13 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 17 ft
-
Is the Taper longer than 67 ft
-
Is the taper longer than 100 ft
-
Is the taper longer than 134 ft
-
Is the taper longer than 167 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 19 ft
-
Is the Taper longer than 74 ft
-
Is the taper longer than 110 ft
-
Is the taper longer than 147 ft
-
Is the taper longer than 184 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 20 ft
-
Is the Taper longer than 80 ft
-
Is the taper longer than 120 ft
-
Is the taper longer than 160 ft
-
Is the taper longer than 200 ft
-
What is the Width of the PAVED Shoulder?
-
Is the taper longer than 22 ft
-
Is the Taper longer than 87 ft
-
Is the taper longer than 130 ft
-
Is the taper longer than 174 ft
-
Is the taper longer than 217 ft
-
How long is the Shoulder Taper?
-
Add Photo of measurement
-
What is the Device Spacing in the taper?
-
Take a picture of the Taper
-
What is the Quality of the Taper?
Activity Area
-
Did the crew put a buffer space in?
-
what was the length?
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Cones
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Advanced Warning Signs
-
Are the required sidewalk barricades in place for the pedestrian detour?
-
Explain:
-
please take a picture of the barricades or lack thereof
-
Take a picture of the Barricades
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Locations?
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Longitudinal Channelizing Devices (ADA Walls)
Work Zone Dimensions?
Activity Area
-
Is there a Defined Work Area
-
Please take a picture of the Work Area
Channelizing Device Condition (Continued)
-
Are there 4 Pedestrian Barricades/Sidewalk Closed barricades being used?
-
Explain:
-
Please take photos of all barricades
-
Please take photos of all barricades
Advanced Warning Signs
-
Are the required signs used on the job? (Road Work, Lane Shift Ahead, Reverse Curve Symbol)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
Work Zone Dimensions?
-
Is the Shifting Taper the required length based on the Formulas from the MUTCD (half the length of a required merging taper)
-
What is the Device Spacing in the taper?
-
What is the length of the taper?
-
Take a picture of the Taper
-
What is the Quality of the Taper?
-
Is there a Downstream taper being used?
-
Why?
-
Instruct the crew on how important it is to utilize the downstream taper.
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof) and the measurement
-
Is there a Defined Work Area?
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Cones
Advanced Warning Signs
-
Are the required signs used on the job? (Road Work,Right Shoulder Closed, One Lane, Flagger Symbol)
-
Did the crew have the correct signs for the job
-
Explain:
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of of the signage
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of the sign spacing
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
Work Zone Dimensions?
-
Is the upstream Flagger taper between 50-100 feet long?
-
How long was the Flagger Taper, before being fixed?
-
What is the Device Spacing in the taper?
-
Are there 6 cones in the Taper?
-
Take a picture of the Taper
-
Rate the Quality of the Upstream Flagger Taper (Length, Visual, Spacing etc.)
-
Is there a Downstream taper being used?
-
Why?
-
Instruct the crew on how important it is to utilize the downstream taper.
-
Are there 6 cones in the Taper?
-
What is the Device Spacing in the taper?
-
Rate the Quality of the Downstream Flagger Taper (Length, Visual, Spacing etc.)
Activity Area
-
What is the Speed Limit
-
Is the Buffer Space longer than 155 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 200 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 250 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 305 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 360 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 425 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 495 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 570 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 645 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Is the Buffer Space longer than 730 ft
-
Could the buffer space have been the required length
-
Instruct crew on why Buffers are important
-
Take a picture of the Buffer Space (or lack thereof)
-
Take a picture of the Buffer Space (or lack thereof)
-
Is there a Defined Work Area?
-
Please take a picture of the Work Area
Channelizing Device Condition - What is the quality of the following items (Good, Fair, Poor)
-
Barricades (type-1,2 or 3)
-
Drums
-
Cones
-
Are there Required signs up to indicate this closure? (RWA minimum)
-
Did the crew have the correct signs for the job
-
What are the signs used?
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
-
What is the spacing in feet?
-
Add a photo
-
Was the entrance of the turning lane delineated properly
-
Add a photo of the turning lane closure beginning.
-
Please add Photo's of the entire worksite where we have effected traffic, or where the customer is positioned in relation to the roadway
-
What are the signs used?
-
What is the sign spacing in feet?
-
Take a Photo
-
Are there any signs out?
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage used
-
SHOULD there be signs out?
-
Explain
-
Does work area seem to have adequate protection?
-
Please take pictures of the work area, including the devices we have place to provide protection
-
Is this a planned Road closure?
-
Is there a specific TCP for this closure?
-
Are the required signs used on the job? (Road Work, Road Closed Ahead, Detour Ahead)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be
-
Are the signs spaced correctly?
-
What is the sign spacing in feet?
-
Take picture of all signage on site.
Sign information: What is the quality of the following? (Good, Fair, Poor)
-
Cleanliness?
-
Visibility?
-
Placement?
-
Spacing?
-
Are appropriate Type-III barricades in place to support a road closure?
-
Are the Barricades on BOTH ends of the closure?
-
Are appropriate Detour signs in place to detour the Motorists?
-
Are employees positioned on each end of the closure?
-
Are the required signs out for a bike lane closure 661? (RWA, BikeLaneClosedAhead, BikeLaneClosed)
-
Did the crew have the correct signs for the job
-
What signs are being used?
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
What is the sign spacing supposed to be?
-
Are signs spaced correctly?
-
What is the Sign Spacing in feet?
-
please take a picture of all the signage or lack thereof.
-
Is this bike lane closure part of a 613 or 603?
-
Is the bike lane closed properly with correctly spaced channelizing devices and signage
-
Is there at least 1 Advanced or Intermediate Certified employee on site (other than Auditor)
Employee Information
-
How many STS Employees on site (not counting auditor)
-
Why is there only 1 employee on this job site
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Are there more than 5 STS employees on this job site?
-
How many additional STS Employees are on site (not counting those above)
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
List all employees seperatly
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Name
-
Is this person within their 60-Day probationary period?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outermost piece of clothing)
-
is the Vest Orange?
-
Does the employee have their STS Class III Vest
-
Is it being worn correctly? (zipped and the outer most piece of clothing)
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Flagger Card?
-
Was a corrective action form filled out on the employee?
-
Does the employee have their Hard Hat?
-
Was a corrective action form filled out on the employee?
-
Is it being worn Correctly? (secured and nothing worn underneath?)
-
Does the employee have Safety-Toed Boots?
-
Was a corrective action form filled out on the employee?
-
Is the employee wearing their safety glasses?
-
Was a corrective action form filled out on the employee?
-
Were the safety glasses worn provided by STS
-
Are these glasses Z87+ compliant?
-
Include a photo of the ANSI rating on the frames
-
Include a photo of the ANSI rating on the frames
-
Employee's position proceeded by Advanced Warning Signs?
-
Explain:
-
Please take a photo of employee at their post
-
Is the flagger escape route determined?
-
Explain:
-
Is Flagger Clearly Visible to Approaching Traffic?
-
Explain:
-
Does approaching traffic have sufficient distance to stop?
-
Explain:
-
Flagger Stations Illuminated? (NIGHT TIME)
-
Explain:
-
How would you describe the flagger's technique in the zone? (Good, Fair, Poor)
-
Explain why you think the flagger's technique is Poor, and what needs to be corrected.
-
Explain why you think the flagger's technique is fair, and what needs to be corrected.
-
Is the Employee engaged in the work zone and out of the truck?
-
Is there an acceptable reason for why the employee is in the truck?
-
Instruct crews to not sit in the truck unless absolutely necessary
-
Was a corrective action form filled out on the employee?
-
What is the reason?
-
Are there more than these 10 STS employees on this job site?
-
Please list the remaining names, and notate if any of the required items are missing
-
Do all employees have water and/or hydration supplements on hand? (with employees for consumption)
-
Explain
-
Do Employees have Gloves
-
Do all Employees have Two-Way Radios?
-
Is there a need for the radios to be used?
-
Are they using them?
-
Is there a need for the radios to be used and they do not have them?
-
Have breaks been offered to each crew member by Auditor?
-
Why?
Internal Information.
-
How many STS trucks are on site (not including the auditors)
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
What is the Truck number
-
is Truck turned off?
-
Does the Crew lead have the keys on hand?
-
Is Truck parked in a Safe Place?
-
Add picture
-
Add picture
-
Is the truck parked next to a fixed object that could be struck when moved? (fire hydrant, power pole, rock, etc.)
-
Take photo of hazard
-
Take Photos of the hazard and move the vehicle to a safe place.
-
The next question will require you to log into samsara at cloud.samsara.com for verification
-
Has a DVIR (Pre-trip) been completed on Samsara?
-
What was the reason for not completing a DVIR
-
Please fill out an Occurance Form to give to the Branch/Assistant Manager
-
Does the truck have required cones on required corners (Driver Front, Passenger Left)
-
Why
-
Please fix it and instruct crews on driving practices
-
Does the truck have all the required traffic control equipment?
-
Is there a fire extinguisher in/on the truck?
-
Take a picture of the Fire Extinguisher and gauge.
-
Is the fire extinguisher charged and usable?
-
Is there a first aid kit in/on the truck?
-
Take a picture of the first aid kit
-
How is the cleanliness of the truck in relation to company standards?
-
Is the Dashboard Clean and free of debris or trash?
-
Did you clean the debris or trash from the dashboard?
-
Did you instruct the crew to clean the debris
-
Is the Camera Mounted Securely (Tight) and Facing Forward? (Please check Samsara)
-
Did you fix the Camera?
-
Does STS truck(s) seem to have new damage?
-
Please take a picture of the area in question.
Media Area - Please take pictures of designated areas
-
Front of Assigned Truck
-
Passenger's Side of Assigned Truck
-
Back of Assigned Truck
-
Driver's Side of Assigned Truck
-
Inside of Assigned truck
-
Back of the Assigned truck to the end of work zone
-
Front of the Assigned truck to the beginning of the work zone
-
Have you gone over the Job Ticket with the crew to ensure all appropriate information is present?
-
Why?
-
Take a readable photo of the Job Ticket(s)/Tablet
-
Has the crew completed the Hazard Analysis Form Correctly
-
Add a Clear Photo
-
Add a clear photo
-
Instruct crew lead on Hazard Analysis paperwork
-
have you spoken to the on-site supervisor about our service?
-
What was the response?
-
Was our crew on time?
-
What was the reasoning behind this?
-
Any Additional Comments on the job need to go here
-
How would you rate this Traffic Control Zone in your professional opinion?
-
Describe why you deem this job to be Inadequate
-
What is being done to fix these problems?
-
Describe why you deem this job to be Adequate instead of Excellent
-
What is being done to fix these problems?
-
This needs to be LITERALLY Perfect, if the job is not or it has deficiencies then select Adequate.
-
Have all issues been notated in this audit?
-
What other issues can we not see or what was not recorded?
Pictures at the time of Auditor leaving the work zone (once any necessary changes were made)
-
Add a Photo of ALL the signage used on the job site.
-
Was there an Transition area or Upstream Taper?
-
Add a Photo of the Transition area
-
Was an arrowboard used?
-
Add a Photo of the Arrow board and placement in/at the taper
-
Does this job have/need a Buffer space?
-
Add a Photo of the Buffer Space (or beginning of work area)
-
Add a Photo of the Work area in its whole
-
Take a Photo of the Termination area or the end of the work site
-
Take a Photo of All the STS worker's locations
-
Please sign off on this Audit