Work Zone Safety Site Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Has an Artio Pre-Job Briefing been completed?

  Yes

  No

• Why not?

• Names of Artio Employees on site.

Artio Vehicle on Site

• Are there multiple Artio vehicles on site?

  Yes

  No

• List other vehicles on site

• Which state is this audit being done in?

  NJ

  PA

• For Reference

• Are all employees wearing Class 3 High Vis Apparel?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• For Reference

• Are all employees wearing their hard hats, safety glasses, and protective toe work boots?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

  Yes

  No

• Are all employees wearing at least class 2 High Visibility Apparel

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

  Yes

  No

• Are the appropriate signs out for the traffic control plan being used?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Are the signs out placed in proper order?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Are the signs properly spaced?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Additional comments and/or corrections.

• Reference: Acceptable Cones from Pub 213

  

• Are all cones used acceptable? (Must be at least 28" high, 2 retroreflective bands intact, free from tar, and not faded)

  Yes

  No

• Give high level explanation of the issue and how it was corrected?

• Are there an adequate number of cones placed to properly control traffic?

  Yes

  No

• Give high level explanation of the issue and how it was corrected.

• What type of Traffic Control Plan has been implemented?

  Select Lane Merge Lane Shift Shoulder Work Shoulder Work with minor encroachment Flagging Closure with detour Other

  • Lane Merge
  • Lane Shift
  • Shoulder Work
  • Shoulder Work with minor encroachment
  • Flagging
  • Closure with detour
  • Other

• Describe Other

Flagging

• Are flaggers clearly visible with adequate stopping distance for road and conditions?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Estimate how much stopping sight distance (in feet) motorists have when approaching the flagger?

• Is there anything that could be done to increase that stopping sight distance?

• Is there any evidence of harsh braking events at or near the flagger stations?

  Yes

  No

• Are the flaggers holding their paddles?

  Yes

  No

• Why not?

• Are the flaggers standing on the shoulder?

  Yes

  No

• Give high level explanation of the issue and how the coaching regarding how important is it to be on the shoulder was received.

• Do the flaggers have an adequate escape route at their flagger stations?

  Yes

  No

• Do flaggers have an adequate means of communication?

  Yes

  No

• Give high level explanation of the issue and how was this corrected?

• Are the flagging techniques employed satisfactory?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Has the detour been approved by management?

  Yes

  No

• Why not?

• Has the detour been approved by the proper roadway authority?

  Yes

  No

• Why not?

• Is the detour easy to follow and clearly marked?

  Yes

  No

• Is there anything that can be done to correct this?

  Yes

  No

• Why not?

• How was the suggestion received and did it improve the detour?

  Yes

  No

• Are the tapers present adequate in length for the plan, road, and current conditions?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Are there adequate cones in the tapers?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Is a TMA being utilized?

  Yes

  No

• Is the TMA located in the proper location?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Is the TMA in adequate condition?

  Yes

  No

• Give high level explanation of the issue and how this was corrected.

• Should one be utilized?

  Yes

  No

• How was this corrected?

• Is an arrow board present?

  Yes

  No

• Is the arrow board located in the proper position?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.

• Is the arrow board in adequate condition?

  Yes

  No

• Give high level explanation of the issue and how this was corrected.

• Should there be one?

  Yes

  No

• How was this corrected?

• Are there police on-site?

  Yes

  No

• Rate the driver friendliness of the work zone? (1 least friendly - 5 most friendly)

  1

  2

  3

  4

  5

• Is there anything that can be done to improve the work zone?

• Is all equipment in good working order?

  Yes

  No

• Give high level explanation of the issue and how this was corrected.

• Are all high vis garments clean and orderly?

  Yes

  No

• Give high level explanation of the issue and how the coaching was received.