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Guidance Notes

Report to the Site Office or most senior person and attend site induction or be escorted.

Desk-top "Audit". Review paperwork and discuss site conditions to complete Column 1 . Check items
against the Traffic Control Plan (TCP) and associated documents.

Site Inspection. Conduct site verification inspection, discuss issues with random site
workers/operators to complete Column 2 - what you see on site.

Complete your report insite, where possible.

If you able to make a copy of the report onsite, leave a copy with the supervisors.

Forward an additional copy to engineers, project managers or worksite safety representatives.

For contractor sites, forward and electronic copy to Manager Contractor Safety.

Section 1. TCP

1.1 Does the Work Require a:- TMP? TCP? VMP? PMP?
YES NO

Page 1 of 15
Tap to enter information
TMP Traffic Management Plan TCP Traffic Control Plan
VMP Vehicle Management Plan PMP Pedestrian Management Plan

1.2 Are all Required Plans Approved?

By Whom?

1.3 Is the Approved TCP Onsite?

1.4 Have Signs & Devices been Set Out as in the Approved TCP?

1.5 If Modifications have been made? Are they Approved & Marked on the TCP?

Photo Modifications Approvals

ADD PHOTO

1.6 Has a TCWS Appendix D Risk Assessment (RA) been done and Attached to the TCP?

Photo RA

ADD PHOTO

1.7 Does the (RA) Cover the Risks Associated with rhe Work Sure?

1.8 Does the (RA) Cover Current Risks? Including OUT OF WORKING HOURS

1.9 Is the TCP Relevant for the Works in Progress?

1.10 Has a Road Occupancy Licence been Issued and is it being Complied with?

Page 2 of 15
Road Occupancy Approval Number

1.11 Are the Requirements Implemented for Safe Clearances to Workers/Pedestrians & Traffic Approach
Speeds?

1.12 Other

Comments Item 1

Section 2. Roadwork Speed Zones (RSZ)

2.1 Has a RSZ been Authorised?

Yes No N/A

RSZ Approval Number & Details

2.2 Is a Copy of the RSZ Approval Held Onsite?

YES NO

2.2a Has the RSZ Form been Sent to Local Police?

Yes No N/A

2.3 Are Records being Kept of ALL TIMES the RSZ Installation & Removal?
Yes No N/A

Provide Details

Page 3 of 15
2.4 Where a RSZ is in Place, is the Limit Appropriate for the Works being Undertaken?
Yes No N/A

2.5 Is the Speed Limit/s Operating within the Approved Times?

Yes No N/A

2.6 Are Advanced Speed Warning Signs used Appropriately?

Yes No N/A

2.7 Are Speed Signs duplicated at the start of the Speed Zone?
Yes No N/A

2.8 Are Speed Signs the Correct Size?

Yes No N/A

2.9 Are all signs installed at the Correct Spacing?

Yes No N/A

2.10 Are all signs installed at the Correct Height?

Yes No N/A

2.11 Have conflicting Speed Zone Signs & Pavement markings been Covered or Removed? T
Yes No N/A

2.12 Are Repeater Signs installed if required?

Yes No N/A

2.13 Are " Enforced " Signs required & Installed?

Yes No N/A

2.14 At the end of the worksite, has the pre-existing Speed Limit been Reinstated?
Yes No N/A

2.15 Are signs covered adequately when not in use?

Yes No N/A

2.16 Other

Page 4 of 15
Section 2 Comments

Section 3. Record Keeping

3.0 Is a RSZ is Operation?

YES NO

3.1 Are Records being Kept for roadwork Speed Zones?

Yes No N/A

3.2 Are Records kept as required in Appendix E?

Yes No N/A

3.2.1 By the works supervisor?

Yes No N/A

3.2.2 By the Team Leader?

Yes No N/A

3.3 RA is available on site and kept with TCP?

Yes No N/A

3.4 Where Prepare To Stop are used, is the form Record of Approval & Use completed and retained?
Yes No N/A

3.5 Other

Section 3 comments

Section 4. Traffic Controllers TCs

4.1 Are Traffic Controllers (TCs) being used?

Yes No N/A

Page 5 of 15
4.2 Are the Correct Number of TCs being Used?
Yes No N/A

4.3 Have TC Certificate been sighted and the No's Recorded?

Yes No N/A

4.4 Is TCs High Visibility Clothing in Accordance with Standards & Site Specific Requirements?
Yes No N/A

4.5 Are all TCs displaying the Relevant Autority's Logo Displayed Including "Authorised Traffic
Controller"? T
Yes No N/A

4.6 Is the Traffic Speed Restricted to max of 60 km/h?

Yes No N/A

4.7 Is the sight distance to Approaching Traffic 1.5D ( 1 1/2 Determination ) or Greater ?
Yes No N/A

4.8 Do TCs have a clear escape route?

Yes No N/A

4.9 Has Provisions been made to Prevent End of Queue Accidents?

Yes No N/A

4.10 Are TCs able to Communicate with Each Other (Line of Sight, Two Way Radios, Additional TCs)?
Yes No N/A

4.11 Are the PREPARE TO STOP (T1-18) and Traff Controller Ahead (T1-34, T1-200-2/3) signs Correctly
Displayed?
Yes No N/A

4.12 Are the Above Signs Covered or Removed when not Required?
Yes No N/A

4.13 Are they Controlling Traffic in Accordance with Permit/Plan/Stansards/WH&S & Instructions to
Traffic Controllers?
Yes No N/A

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4.14 If TCs are being Used at Night, Are they in Correct Night Clothing? Do they have Correct Lighting? Do
they have Correct Communication? Are they Using Wands?
Yes No N/A

4.15 Other

Section 4 Comments

Section 5. Portable Traffic Signals (PTS)

5.1 Are PTS (Potable Traffic Signals) being used?

Yes No N/A

5.2 Are the PTS formally Approved for Use? Are they with TCP/Permit?
Yes No N/A

5.3 Are the PTS being used marked as Complying with RTA Specifications PTS/3?
Yes No N/A

5.4 Are the PTS Correctly Registered?

Yes No N/A

5.5 Is the Approach Speed of Traffic Reduced to 60km/h or Less?

Yes No N/A

5.6 Is the Minimum Sight Distance of 150 Metres Provided?

Yes No N/A

5.7 Are the PTS been correctly sighted and established ?

Yes No N/A

5.8 Has a Holding Line Been Marked on the Roadway?

Yes No N/A

5.9 Are Procedures in Place to Review the End of Queue when PTS are Operating?
Yes No N/A
Page 7 of 15
5.10 Have ALL Signs associated with PTS been erected Correctly?
Yes No N/A

5.11 Other

Section 5 Comments

Section 6. Flashing Arrow Signs (FAS)

6.1 Is a FAS being Used?

Yes No N/A

6.2 Is the FAS marked as Complying with RTA Specifications FAS/4 or FA2/5?
Yes No N/A

6.3 Is it Located Correctly? TCWS Section 11.4.4

Yes No N/A

6.4 Is it the Correct Sized Sign? TCWS Section 3.2.10 - 11.4.1

Yes No N/A

6.5 Is the Correct Mode of Operation being Used? TCWS Section Table 11.1
Yes No N/A

6.6 If Lane Status Signs ( T2-6 Series ) are being used in conjunction with FAS? Is the Message to
Motorists the Same?
Yes No N/A

6.7 Other

Section 6 Comments

Page 8 of 15
Section 7. Variable Message Signs (VMS)

7.1 Is a Variable Message Sign being Used? Is it Specified in the TCWS?

Yes No N/A

7.2 Is the Messages related to the Works Specified?

Yes No N/A

7.3 Are there less the Four (4) Words per Screen & No more the two (2) Screens on Display?
Yes No N/A

7.4 Is the Sign/Signs Located in a Safe Position?

Yes No N/A

7.5 Is the VMS fitted with Blue or Red Lights? If so, have they been switched OFF (Black/Orange ONLY)
Yes No N/A

7.6 Other

Section 7 Comments

Section 8. Safety Barriers

8.1 Are Safety Barriers Installed Correctly?

Yes No N/A

8.2 Have the Correct Barriers been Installed?

Yes No N/A

8.3 Where Barrier Section are used as Safety Barriers, are they in Compliance with A S3845?
Yes No N/A

8.4 Where NON RIGID Barrier Systems are use as Safety Barriers, is work behind Barrier prohibited from
Deflection Zone?
Yes No N/A

Page 9 of 15
8.5 Are Water Filled Safety Safety Barriers Full of Water? Do they have Plans to keep them full?
Yes No N/A

8.6 Is the Safety Barriers Erected as Designed (Incorporating End Protection Caps)?
Yes No N/A

8.7 Has the Approach Speed of Traffic been Reduced to Barriers Design Rating?
Yes No N/A

8.8 Other

Section 8 Comments

Section 9. Signs and Devices

9.1 Are ALL Signs & Device's in Good Condition?

Yes No N/A

9.2 Are the Signs Clearly Visible and Not Affected by other Signs, Plant Items, Vegetation, Shade, Light
Glare ect?
Yes No N/A

9.3 Are Sign Faces in Compliance with AS1742.3 MUTCD, & are Class 1 Retro reflective Material?
Yes No N/A

9.4 Are Correct Sign Sizes being Used?

Yes No N/A

9.5 Are Signs Duplicated, where Required?

Yes No N/A

9.6 Are Signs Erected at the Correct Height and Position?

Yes No N/A

9.7 Are the Signs Erected to Give the Correct Sight Distance?
Yes No N/A
Page 10 of 15
9.8 Are Signs Displayed on Frangible (able to be broken into fragments, Brittle or Fragile) Mounts?
Yes No N/A

9.9 Are Barrier Boards Sight at Right Angles to the Flow of Traffic?
Yes No N/A

9.10 Are there Any Contradictory or Superfluous Signs, Devices or Road Markings?
Yes No N/A

9.11 Have the Needs for Pedestrians been Provided for?

Yes No N/A

9.12 Have the Needs of Cyclists been Provided for?

Yes No N/A

9.13 Are all Property Accesses within Site Work Area Controlled?
Yes No N/A

9.14 Are all Cones and Bollards installed at the Correct Spacing?
Yes No N/A

9.15 Are the Correct Sized Cones and Bollards being Used?
Yes No N/A

9.16 Where Tapers are Used, Have they been Identified as Lateral Shift or Merge Tapers and are they the
Correct Length?
Yes No N/A

9.17 Where there area Three (3) Lanes of Traffic or More in One Direction and Two (2) lanes are Closed, are
the Separate Merge Tapers of Correct Length?
Yes No N/A

9.18 Are the two (2) Tapers Separated by at Least 1.5 Determination?
Yes No N/A

9.19 Where Work is Beyond a Crest or Curve, has the Tapers be set up to account for the Crest or Curve?
Yes No N/A

9.20 Where Temporary Pavement Markings and Markers are used, Do they Comply witb the
Requirements of TCWS Manual?
Yes No N/A

Page 11 of 15
9.21 Other

Section 9 Comments

Section 10. End of Queue

10.1 Has the Potential for End of Queue accidents been Considered and Appropriate Action Been Taken?
Yes No N/A

10.2 Has an Assessment of Expected Queue Lengths been Undertaken/Documented?

Yes No N/A

10.3 Has Protection been Provided where the End of Queue is Likely to be within Determination of the
FIRST PTS sign?
Yes No N/A

10.4 Is a Sight Distance between approaching and the end of Queue, being Maintained at Greater than 2 x
Determination (Open Road Areas) and 1.5 x Determination (Built Up Area)?
Yes No N/A

10.5 Where the First PTS sign is More than 4 x Determination from the Control Point, are Repeater Signs
Placed at Intervals not more than 4 x Determination?
Yes No N/A

10.6 Is the Traffic Queue Monitored at all time during the Worksite Working Hours?
Yes No N/A

10.7 Other

Section 10 Comments

Section 11. Workers on Foot Near Plant

Page 12 of 15
11.1 Have Workers Working within Three (3) Metres of Plant been trained/briefed/tool boxed in
Requirements of TCWS and RTA TIP Sheet?
Yes No N/A

11.2 Where Workers are Working close to to Revolving Plant, are Satisfactory Risk Control Methods in
Place?
Yes No N/A

11.3 Has a VMP been Developed where the Conditions Listed in TCWS Occur onsite?
Yes No N/A

11.4 Are Spotters being Used Near Reversing Plant or Delivery Vehicle's?
Yes No N/A

11.5 Other

Section 11 Comments

Section 12.1 Works Traffic VMP

12.1 Have Acceleration and Deceleration Lanes been Provided?

Yes No N/A

12.2 Are U Turns being Undertaken Safely?

Yes No N/A

12.3 Are Reversing Movements being Undertaken Safely?

Yes No N/A

12.4 Are signs Provided for Stockpiles/Vehicle Waiting Zones ect?

Yes No N/A

12.5 Are median Crossovers being Used Correctly?

Yes No N/A

Page 13 of 15
12.6 Has a VMP been Approved and Provided? If 100km/h Zone is the Written?
Yes No N/A

12.7 Does th Person Authorising the VMP have Traffic Control Qualifications?
Yes No N/A

Who?

12.8 Have Access and Egress to site been Safely Provided?

Yes No N/A

12.9 Are Delivery Vehicle's Required to Report to a Designated Location/Person? Is it Happening onsite?
Yes No N/A

12.10 Other

Section 12 Comments

Section 13. Miscellaneous

13.1 For Intermittent Work are ALL Requirements met?

Yes No N/A

13.2 Where a Spotter is used, are ALL Requirements being met?

Yes No N/A

13.3 For Mobile Works are ALL Requirements being met?

Yes No N/A

13.4 If the works is Conducted at Night are ALL Requirements being met?
Yes No N/A

Page 14 of 15
13.5 Where Travelling Plant or Vehicle's travel Slower than 20km/h below the Normal Road Speed Limit,
do they Comply with the Requirements of TCWS?
Yes No N/A

13.6 Other

Section 13 Comments

Additional Comments

Inspector Signature

Please note that this checklist template is a hypothetical example and provides only standard information.
The template does not aim to replace,
among other things, workplace, health and safety advice, medical advice,
diagnosis or treatment, or any other applicable law. You should seek
your professional advice to determine whether
the use of such a checklist is appropriate in your workplace or jurisdiction.

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