Title Page

  • Audit Number

Auditor Details

  • Auditor Name

  • Number: RTM-22-0066

  • Number: AWTM-23-11536-02

  • Number: RTM-20-0062

  • Number: RTM-22-0046

  • Number: AWTM-21-49084-01

  • Number: AWTM-23-48466-03

Work Details

  • Work Description

  • Location of Works (Road Name)
  • Work Reference Number

  • Works Coordinator Name

Audit Details

  • Audit Date and Time

  • Contractor Name

  • Traffic Management Company/Region

Crew Details

Crew Leader Details

  • Was the Crew Leader on site and available to the Auditor?

  • Crew Leader Name

  • Accreditations

  • Crew Leader Name

  • Accreditations

WTM/AWTM Details

  • Was there a WTM/AWTM on site where required?

  • Is the WTM/AWTM also the Crew Leader?

  • As per the details above.

  • WTM/AWTM Name

  • Accreditations

Traffic Management Crew Details

  • Is there a completed JRS/SWMS on site? (Upload a copy)

  • Were all of the Traffic Management Personnel able to present current accreditation?

Documentation Findings

Approval Observations

  • RNOC contacted and recorded in Daily Dairy?

  • Road Authority approvals or permit conditions complied?

  • Rail Authority approvals or permit conditions complied?

  • Public Transport Authority approvals or permit conditions complied?

  • Heavy Vehicle Services approvals or permit conditions complied?

Daily Dairy Observations

  • Daily Dairy completed and on site at time of inspection?

  • Daily Dairy details supervisor initial drive through or additional site checks?

  • Daily Dairy details mandatory information? (TGS installed, times etc.)

  • Modifications have been made to site and recorded in the Daily Dairy?

Pre-start Observations

  • Pre-start meeting completed and evidence recorded?

  • Were all risks covered in the Pre-start meeting?

Traffic Management Assessment Observations

  • Traffic Management Assessment on site at time of inspection?

  • Setup as per Traffic Management Assessment?

  • Traffic Management Assessment correct version on site?

  • Traffic Management Assessment approved?

Traffic Guidance Scheme Observations

  • Traffic Guidance Schemes on site at time of inspection?

  • Setup as per Traffic Guidance Schemes?

  • Traffic Guidance Schemes correct version on site?

  • Traffic Guidance Schemes approved?

  • Traffic Guidance Schemes suitable for the works?

Traffic Management Plan Observations

  • Traffic Management Plan on site at time of inspection?

  • Traffic Management Plan correct version on site?

  • Traffic Management Plan approved?

Risk Assessment Observations

  • Risk Assessment completed where required?

  • Risk Assessment suitable to the risk/hazard?

Site Availability Observations

  • Existing worksite present no prior arrangements?

  • Existing worksite present with conflicting arrangements?

  • Site suitable for the works?

Static Setup Findings

Speed Zone Observations

  • Existing contradictory speed signs covered with suitably opaque material?

  • Existing posted speed correctly reinstated?

  • Times of speed zones recorded in the Daily Dairy?

  • Speed signs doubled up where required?

  • Repeater speed signs installed after side roads or through speed zone?

Lane Closure Observations

  • Adequate taper length provided through merge taper?

  • Required chevrons installed through lane closures?

  • Flashing Arrow Board installed within lane closures?

  • Lane closures installed on all approaches?

  • Adequate lane widths provided through lane closure?

  • Times of lane closures recorded in the Daily Dairy?

Reversible Flow Observations

  • Adequate taper length provided through traffic control taper?

  • Missing Traffic Controller positions where required?

  • Adequate distance between Stop Here When Directed signs for the required capacities?

  • Adequate lane widths provided through reversible flow?

  • Times of reversible flow recorded in the Daily Dairy?

Road Closure Observations

  • Road closure approved by Road Authority?

  • Missing road closure signage where required?

  • Missing detour signage where required?

  • Missing Traffic Control positions where required?

  • Times of road closure recorded in the Daily Dairy?

  • Detour suitable for all vehicles?

Intersection Control Observations

  • Intersection control approved by MTM or RPI?

  • All approaches to the intersection controlled by Traffic Controllers?

  • Correct/safe sending procedures by Traffic Controllers?

  • Times of intersection control recorded in the Daily Dairy?

  • Adequate pedestrian management during flashing amber?

Traffic Hold Observations

  • Adequate hold time provided for traffic conditions?

  • Times of traffic holds recorded in the Daily Dairy?

Aftercare Observations

  • Missing or not maintained signs where required?

  • Missing delineation of hazards where required?

  • Adequate protection of hazards where required?

  • Worksite signage not removed during aftercare hours?

  • Adequate speed zone provided during aftercare hours?

Contra-flow Observations

  • Adequate controls provided for all approaches?

  • Adequate crossover locations provided for all vehicles?

  • Missing or not maintained signs where required?

  • Times of contra-flow recorded in Daily Dairy?

Temporary Alignment Observations

Temporary Road Safety Barrier Observations

Mobile Arrangement Findings

Convoy Vehicle Operation Procedure Observations

  • All required vehicles in the convoy provided?

  • Adequate convoy arrangements for the works?

  • Adequate sight distance to the convoy vehicles?

  • Congestion caused from convoy arrangements?

  • Speed suitable for convoy and work arrangements?

  • Convoy used when works are not mobile?

  • Works vehicles greater than 40m apart and within the same convoy?

  • Driver of shadow vehicle exiting cab while in mobile arrangement?

  • Driver of shadow vehicle performing functions other than driving or watching oncoming vehicles?

  • Truck Mounted Attenuator used where required?

  • Vehicle undertaking multiple tasks in convoy? (Vehicle is shadow and advanced warning etc)

  • Continuous communication maintained during convoy?

  • Pedestrian/cyclists catered for during convoy?

  • Vehicle Mounted Warning Devices used and visible? (excluding small plant)

Convoy Signage/Device Observations

  • Signs attached to convoy vehicles?

  • Sign type/condition suitable for the convoy arrangement?

  • Approved signs used?

  • Signs displayed for all directions of travel?

  • Vehicle mounted arrow boards installed on all convoy vehicles? (excluding small plant)

  • Signs clearly visible to all approaching traffic?

Convoy Spacing Observations

  • Adequate convoy spacing provided?

  • Adequate buffer/shunt for Shadow Vehicle/Truck Mounted Attenuator?

Plant/Equipment Findings

Signage Observations

  • Existing contradictory signs covered with suitably opaque material?

  • Adequate lateral clearance to live traffic?

  • Adequate sign size for road environment?

  • Adequate image/type of sign?

  • Adequate condition of sign maintained?

  • Adequate location of sign?

  • All signs required from Traffic Guidance Scheme installed?

  • Approved signs used?

Truck Mounted Attenuator Observations

  • Adequate protection provided by Truck Mounted Attenuator?

  • Image on Flashing Arrow Board correct?

  • Image on Variable Message Board correct?

  • Truck Mounted Attenuator on site but not deployed?

  • Adequate ingress/egress procedures by Truck Mounted Attenuator?

  • Adequate location of Truck Mounted Attenuator?

  • Truck Mounted Attenuator driver suitably harnessed?

  • Adequate distance between Truck Mounted Attenuator and Worksite maintained?

Light Vehicle Observations

  • Adequate light vehicle provided? (maintained)

  • Adequate Vehicle Mounted Warning Device provided?

  • Parked in suitable location?

Plant Vehicle Observations

  • Adequate plant provided? (maintained)

  • Adequate Vehicle Mounted Warning Device provided?

  • Used in suitable location?

  • Suitable to site conditions?

Flashing Arrow Board Observations

  • Flashing Arrow Board in correct location?

  • Flashing Arrow Board setup correctly?

  • Flashing Arrow Board suitable size for conditions?

  • Flashing Arrow Board installed where required?

Variable Message Board Observations

  • Variable Message Board image appropriate?

  • Variable Message Board image as per Traffic Management Advice?

  • Variable Message Board installed in correct location?

  • Variable Message Board installed where required?

Delineation Observations

  • Correct delineation spacing for site conditions?

  • Correct type of delineation used to protect site/hazard?

  • Delineation installed where required?

  • Path of delineation unclear or suitable for conditions?

  • Delineation suitably maintained?

  • Delineation blocking access to side roads and driveways?

  • Adequate lane width provided?

Shadow Vehicle Observations

  • Adequate protection provided by Shadow Vehicle?

  • Adequate distance between Shadow Vehicle and worksite maintained?

  • Image on Flashing Arrow Board correct?

  • Image on Variable Message Board correct?

  • Adequate location of Shadow Vehicle?

Portable Traffic Control Device Observations

  • Portable Traffic Control Device used where required?

  • Adequate location of Portable Traffic Control Device?

  • Portable Traffic Control Device maintained?

  • Adequate sight distance to Portable Traffic Control Device?

  • Adequate Portable Traffic Control Device signage installed?

  • Portable Traffic Control Device suitable for site conditions?

Site Safety Findings

Motorist Safety Observations

  • Adequate road surface maintained during works?

  • Adequate sight distance provided to worksite and signs?

  • Adequate advanced warning provided of worksite?

  • Adequate travel path provided?

  • Adequate protection provided of hazard?

Speeding Observations

  • Adequate speed provisions where speed is observed?

  • Adequate temporary speed zones provided for the works?

Worker Safety Observations

  • Adequate escape routes provided for workers?

  • Adequate lateral clearance for workers to live traffic lanes?

  • Adequate protection provided for workers?

  • Workers within live traffic lanes?

  • Workers within safety buffer?

  • Correct PPE worn on site?

  • Evidence of pre-start meeting held?

  • Adequate lighting provided for the worksite?

Traffic Management Implementer/Controller Safety Observations

  • Adequate escape routes provided for Traffic Controllers?

  • Adequate lateral clearance for Traffic Controllers to live traffic lanes?

  • Adequate protection provided for Traffic Controllers?

  • Traffic Controllers within live traffic lanes?

  • Traffic Controllers within safety buffer?

  • Correct PPE worn on site?

  • Evidence of pre-start meeting held?

  • Traffic Controller used in lieu of a Portable Traffic Control Device?

  • Correct Traffic Control procedures during reversible flow/intersection control?

  • Night wands used for night works?

  • Radio communication maintained by Traffic Controllers?

  • Adequate lighting provided for Traffic Controller positions?

  • Adequate sight distance provided to Traffic Controller positions?

  • Speed reduced to 60km/h during Traffic Control operations?

  • Adequate advanced warning signage for Traffic Controllers?

Night Provision Observations

  • Adequate lighting towers provided for the worksite/hazards/workers?

  • PPE provisions accommodating reduced visibility at night?

  • Signs/devices suitably retro-reflective for night works?

Vulnerable Road User Observations

  • Adequate path facilities provided?

  • Equipment/devices within path?

  • Untreated excavations adjacent to path?

  • Adequate advanced warning signage provided?

  • Adequate delineating devices provided?

  • Adequate consultation and approvals provided for impacts?

Work Timing Observations

  • Setup within the specified times?

  • Times not suitable for the road environment?

  • Work times recorded in the Daily Dairy?

Vehicle Management Observations

  • Adequate ingress/egress locations for vehicles?

  • Ingress/egress locations obvious?

  • Safe vehicle movements within site?

Signalised Intersection Impact Findings

Signal Phasing Observations

  • Signal phasing impacted by Traffic Management?

  • Congestion/delays impacting signal phasing?

Signal Loop Observations

  • Adequate approval/notification provided for signal loop impacts?

  • Signal loops impacted by Traffic Management?

  • Signal loops damaged during works?

Additional Photos and Documents

  • Upload any additional Photos/Documents related to the audit.

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