WCC traffic site inspection

• Street Name/Location
  Address

• CAR/WAP Number

• Attended/Unattended

  Attended

  Unattended

• Principal

  Select Chorus GWRC Northpower Other (see below) PowerCo Private Spark Vodafone Wellington Electricity Wellington Water WCC

  • Chorus
  • GWRC
  • Northpower
  • Other (see below)
  • PowerCo
  • Private
  • Spark
  • Vodafone
  • Wellington Electricity
  • Wellington Water
  • WCC

• Other (Please insert Principal details)

• Temporary Traffic Management Contractor

  Select ATMS Dews Civil Downer EMS Fulton Hogan GOTMS GP Friel HP Traffic Other (Please see below) Ramsbottom TMNZ Traffic Safe UCG

  • ATMS
  • Dews Civil
  • Downer
  • EMS
  • Fulton Hogan
  • GOTMS
  • GP Friel
  • HP Traffic
  • Other (Please see below)
  • Ramsbottom
  • TMNZ
  • Traffic Safe
  • UCG

• Other (please insert TTM company)

• Date/Time

  Date

Responsible Party

• STMS/TC at site?

  Yes

  Unacceptable

• Name

• Registration number:

• Action needed

SIGNS

• Acceptable/Unacceptable?

  Acceptable

  Unacceptable

  N/A

• Missing signs (per sign)

• Position (per sign)

• Not visible/fallen over (per sign)

• Wrong Sign (per sign)

• Condition unacceptable

• Permanent sign (per sign)

• Unapproved sign used/too small (per sign)

• Non-compliant support/sign too low (per support)

• Action needed

• Media

  Media

MOBILE & SEMI STATIC

• Acceptable/Unaaceptable

  Acceptable

  Unacceptable

  N/A

• Tail pilot vehicle/AWVMS omitted or incorrect location (per vehicle)

• Lead pilot vehicle omitted or incorrect location (per vehicle)

• Shadow vehicle omitted or incorrect location (per vehicle)

• TMA Missing or non compliant (per TMA)

• AWVMS/arrowboard non compliant (per vehicle)

• Action needed

• Media

  Media

PEDESTRIANS/CYCLISTS

• Acceptable/Unacceptable

  Acceptable

  Unacceptable

  N/A

• Inadequate provision for pedestrians (per feature)

• inadequate provision for cyclists (per feature)

• Action needed

• Media

  Media

DELINEATION

• Acceptable/Unacceptable

  Acceptable

  Unacceptable

  N/A

• Missing or ineffective taper (leading taper)

• Tapers too short (leading taper)

• taper too short or missing (trailing taper)

• spacing along lanes (per 100m)

• Missing or ineffective delineation along lanes (per section)

• Condition unacceptable (per device)

• Using non-approved device (per device)

• Inadequate/missing site access (access)

• Action needed

• Media

  Media

MISCELLANEOUS

• Working in live lanes (individual)

• Missing or ineffective controller (individual)

• Safety zone compromised (individual)

• High visibility garment not acceptable (individual)

• Marginal surface condition (carriageway only) - (Occasion)

• Unacceptable surface condition (peds,cyclists or carriageway) - (Occasion)

• Barrier defects (missing or incorrect components) - (Component)

• Unsafe or redundant TTM (per equipment)

• VMS message incorrect or inappropriate (per VMS)

• Flashing beacons/indicator lights not used or ineffective (per vehicle)

• Parking/stopping features not relocated (per feature)

• Unsafe and illegal parking of plant/equipment (per feature)

• Marginal items (signs, delineators, Hi vis garments) - (per feature)

• Action needed

• Media

  Media

OTHER WORK SITE ASPECTS

• Qualified person on site

  Select Yes Unacceptable N/A

  • Yes
  • Unacceptable
  • N/A

• TSL appropriate

  Yes

  Unacceptable

  N/A

• Road user flow acceptable

  Yes

  Unacceptable

  N/A

• On-site record (must include STMS authority 2 hourly checks and TSL details)

  Yes

  Unacceptable

  N/A

• TMP approved

  Yes

  Unacceptable

  N/A

• Approved TMP sighted

  Yes

  Unacceptable

  N/A

• Approved TMP applicable

  Yes

  Unacceptable

  N/A

• TTM in accordance with approved TMP

  Yes

  Unacceptable

  N/A

• Action needed

• Media

  Media

• Complaint Callout?

  Yes

  No

  N/A

• Site Activity Status

  Attended

  Unattended

• Audit/review

  Planned

  Unplanned

• Notification to RCA (does not affect score)

  Yes

  No

  N/A

• Good site induction (does not affect score)

  Yes

  No

  N/A

• TMP Design issues?

  Yes

  No

  N/A

• Low Risk?

  Yes

  No

  N/A

• Actions to be taken

• WCC ID

• Auditor Signature

  Sign

• STMS Details

• STMS ID

• STMS Signature

  Sign