TVA - Work Zone Traffic Control Inspection Form - (sectioned)

• Document No.

• Audit Title

• TVA Business Unit

  Select TOM ESP NPG FPG HYDRO FAC

  • TOM
  • ESP
  • NPG
  • FPG
  • HYDRO
  • FAC

• Manager - Supervisor - Construction Foreman - Foreman in charge

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROJECT INFORMTATION

• Project No.:

• Date / Time:

  Date
• Location:
  Address

• Lane Width:

• Number of Lanes:

• Posted Speed Limit:

• Weather/Lighting Conditions:

• Project Type:

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Work Duration:

  Long-Term Stationary

  Intermediate-Term Stationary

  Short-Term Stationary

  Short-Duration

  Mobile

• OVERALL WORK ZONE RATING:

  Select Good Fair Poor Too Small

  • Good
  • Fair
  • Poor
  • Too Small

• COMMENTS:

ADVANCED WARNING SIGNS

Sign Quantity

• Appropriate No. Of Signs

  Yes

  No

  N/A

• Explain:

• Missing Sign Series

  Yes

  No

  N/A

• Explain:

• Missing Specific Sign(s)

  Yes

  No

  N/A

• Explain:

Sign Condition

• Cleanliness

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Legibility

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Reflectivity

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

Legends

• Appropriate Legends

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Unneeded Signs Visible

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Signs Posted, No Work

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

Sign Placement

• Visibility

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Spacing

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Height

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

Arrow Panel ( A, B, C, or D )

• Placement

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Delineated/Shielded

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Removed When Not In Use

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

Non-Standard Signs

• Appropriate Legend

  Yes

  No

  N/A

• Explain:

• Shape

  Select Diamond Octagone Circle Rectangle Other

  • Diamond
  • Octagone
  • Circle
  • Rectangle
  • Other

• Color

• Size

• OVERALL ADVANCE WARNING

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS:

CHANNELIZING DEVICES

Upstream Taper

• Type

  Select Merging Shifting Shoulder One-Lane, Two Way

  • Merging
  • Shifting
  • Shoulder
  • One-Lane, Two Way

Downstream Taper

• Used

  Yes

  No

  N/A

• Taper Length (feet)

Channelizing Device Condition

• Barricades Type I, II, III

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Drums

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Cones

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Tubular Markers

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Verticals Panels

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Warning Lights

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Appropriate Ballasting

  Yes

  No

  N/A

• Appropriate Battery Mount

  Yes

  No

  N/A

• Explain:

• Adequate Spacing

  Yes

  No

  N/A

• Explain:

• Adequate Taper Length

  Yes

  No

  N/A

• Should be:

  Select 50 ft. 100 ft. = Posted Speed Limit Other

  • 50 ft.
  • 100 ft.
  • = Posted Speed Limit
  • Other

• Explain:

• Appropriate No. Of Devices

  Yes

  No

  N/A

• Explain:

• Non-Standard Device

• OVERALL CHANNELIZATION

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS:

PAVEMENT MARKINGS

• Markings Used

  Yes

  No

  N/A

• Easily Understandable

  Yes

  No

  N/A

• Explain:

Condition

• Paint/Tape

  Select Good Obscured Faded Damaged/Dislodged

  • Good
  • Obscured
  • Faded
  • Damaged/Dislodged

• Raised Markers

  Select Good Obscured Faded Damaged/Dislodged

  • Good
  • Obscured
  • Faded
  • Damaged/Dislodged

• OVERALL PAVEMENT MARKING

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS:

FLAGGING

• Flagger(s) Used

  Yes

  No

  N/A

• Number of Flaggers

• Flagger Station Proceeded By Advanced Warning Signs

  Yes

  No

  N/A

• Explain:

• Flaggers Are Clearly Visible To Approaching Traffic

  Yes

  No

  N/A

• Explain:

• Approaching Traffic Has Sufficient Distance To Stop

  Yes

  No

  N/A

• Explain:

• Flagger Stations Illuminated (Night Time)

  Yes

  No

  N/A

• Signaling Device

  Select Slow/Stop Paddles Flags

  • Slow/Stop Paddles
  • Flags

• Communication Used Between Flaggers

  Select Visual Contact Two-way Radio Contact

  • Visual Contact
  • Two-way Radio Contact

• Flagger Technique

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

Flagger Attire

• High-Visibility Apparel

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• OVERALL FLAGGING

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS:

ROADSIDE SAFETY

• Type of Barrier

  Select Concrete Timber Curb Guide Rail Other

  • Concrete
  • Timber Curb
  • Guide Rail
  • Other

• Barrier Condition

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• Explain:

• Flared End Treatment Needed

  Yes

  No

  N/A

• Impact Attenuator Needed

  Yes

  No

  N/A

Barrier Delineation

• Lights

  Select Good Fair Not Working

  • Good
  • Fair
  • Not Working

• Reflectors

  Select Good Fair Poor Too Small

  • Good
  • Fair
  • Poor
  • Too Small

• Adequate Drop-Off Delineation

  Yes

  No

  N/A

• Explain:

• Adequate Clear Zone

  Yes

  No

  N/A

• Explain:

• OVERALL ROADSIDE SAFETY

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS:

INTERNAL TRAFFIC CONTROL PLAN REQUIREMENTS

• All Site Personnel Have Been Trained on The Specific Internal Traffic Control Plan (ITCP)

  Yes

  No

  N/A

• Contact Information For The General Contractor And Subcontractors Available

  Yes

  No

  N/A

• Worker and Visitor Parking Areas Have Been Designated

  Yes

  No

  N/A

• Independent Truck Drivers Have Been Oriented Prior to Entering The Work Space

  Yes

  No

  N/A

• Areas Around Specific Pieces of Equipment and Operations Have Been Delineated

  Yes

  No

  N/A

• Locations For Storing Materials And Servicing Equipment Have Been Designated

  Yes

  No

  N/A

• Internal Signs And Traffic Control Devices Have Been Posted/Erected

  Yes

  No

  N/A

• Speed Limit Within The Work Zone Has Been Posted

  Yes

  No

  N/A

• Adequate Lighting Has Been Provided For Night Operations

  Yes

  No

  N/A

• Channels Of Communication Regarding Changes To The ITCP Have Been Designated

  Yes

  No

  N/A

• Communication Between Workers On Foot And Equipment Operators Has Been Established

  Yes

  No

  N/A

• Communication Between Equipment Operators Has Been Established

  Yes

  No

  N/A

• OVERALL RATING FOR THE ITCP

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS:

MISCELLANEOUS TRAFFIC CONTROL

Condition

• Unprotected Operations or Equipment In Roadway

  Yes

  No

  N/A

• Explain:

• Temporary Traffic Signal Operation/Installation Effective

  Yes

  No

  N/A

• Explain:

• Original Signs/Delineation In Good Condition

  Yes

  No

  N/A

• Explain:

• Posted Speed Limit (mph)

• MPH is

  Select Appropriate Too Fast Too Slow

  • Appropriate
  • Too Fast
  • Too Slow

• Access Control

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

Pedestrian Safety

• Adequate Travel Path

  Yes

  No

  N/A

• Adequate Protection From Hazards

  Yes

  No

  N/A

• OVERALL MISC. TRAFFIC CONTROL

  Select Excellent Adequate Inadequate

  • Excellent
  • Adequate
  • Inadequate

• COMMENTS: