VicRoads Seal/Asphalt Inspection Job Details

• Seal/Asphalt Inspection Job Details

• Business Area

• Conducted on

  Date

• Inspected by:

Risk Assessment - as per our SWMS

• Is the current time and day safe to scope this job?

  Safe

  At Risk

  N/A

• Have you considered all hazards and risk control measures?

  Yes

  No

• Is it safe to inspect the site on foot, clear of traffic and other hazards?yes

  Yes

  No

• Is a spotter required?

  Yes

  No

Job Details

• Inspected by

• Date inspected

  Date

• Is the job marked?

  Yes

  No

• Date marked

  Date

• Road Name

• Location
  Address

• Municipality

• Directory Reference

  Melway

  VRCD

• Map no.

• Reference

• Direction

  Select Northbound Southbound Eastbound Westbound

  • Northbound
  • Southbound
  • Eastbound
  • Westbound

• Speed Zone

  Select 40 50 60 70 80 90 100 110

  • 40
  • 50
  • 60
  • 70
  • 80
  • 90
  • 100
  • 110

• Side roads

• SRRS Chainage

• Existing Surface

  Select 5 7 10 14 14/7 DG Asphalt Seal Other

  • 5
  • 7
  • 10
  • 14
  • 14/7
  • DG Asphalt
  • Seal
  • Other

• Traffic Volumes

  Low

  Medium

  High

• Skid Resistance

  Select Normal Important

  • Normal
  • Important

• Extent of Cracking

  Select None Low High Very High

  • None
  • Low
  • High
  • Very High

• Proposed Treatment

• Proposed treatment suitable?

  Yes

  No

• Pre-treatment required?

  Yes

  No

• Priority (Low =1, High=10)

• Alternative Treatment

• Detour Required?

  Yes

  No

• Route for Detour

• Sketch of Site/Areas

  Drawing

• Add photo

  Media

• Details

Area

• Chainage

• Lane

• Texture

• Length

• Width

• Area

Detail totals

• Turn slots

• Bells

• Other

• Total area

• Preparation Work

Area

• Dig out/Regulation

• Chainage

• Position

• Length

• Width

• Area

• Depth

• Surrounding Area

• Shoulder (Left)

  Select Sealed Unsealed

  • Sealed
  • Unsealed

• Shoulder (Right)

  Select Sealed Unsealed

  • Sealed
  • Unsealed

• Kerb (Left)

  Yes

  No

• Kerb (Right)

  Yes

  No

• Parking Lane (Left)

  Yes

  No

• Parking Lane (Right)

  Yes

  No

• Bike lane

• Bus Route

• School Zone

• Tram Route

• Electronic Speed Zone

• Coloured Cross Walk

• Local Area

  Select Urban Country Shops/Retail Other

  • Urban
  • Country
  • Shops/Retail
  • Other

• Special Requirements

• Time of Work (hours)

• Night Work

• Day work

• Weekend work

• Other

• Traffic Signal/Red Light Camera Site

• Signal Site No.

• Traffic Loops

• Red Light Camera No.

• Camera Loops

• Pits and Valves

• Pit Covers

• Valves

• Linemarking

  Select Paint Long Life Edge Line Tactile Line RRPMs

  • Paint
  • Long Life
  • Edge Line
  • Tactile Line
  • RRPMs

• Notifications

• Letter Drop

  Yes

  No

• No. VMS

• Shoulder Top Up

• Length

• Width

• Depth

• Total Area

• Temporary Signs Required?

  Yes

  No

• Further Comments