Daily Traffic Management Checklist and Docket.

  • Daily Traffic Management Checklist and Docket.

  • Date
     - -
  • Traffic Control Vehicles

  • Arrowboard ( trailer mounted )

  • Bump Truck

  • VMS

  • Police Special Duty

  • Away Work

  • SITE SPECIFIC RISK ASSESSMENT

    All works to Comply with Evolution Safe Work Method Statement(SWMS). Evolution Safety Policy and Procedure, relevant state legislative requirement including Codes of Practice and roadwork manual.

  • Normal Road Configuration

  • Type of Road
  • No. of Lanes (multilane only)
  • Road Configuration
  • Road Surface
  • Normal Road Speed Limit
  • Signs / Signals

  • Onsite Conditions

  • Visibility
  • Weather

  • Traffic Control Request

  • Traffic Control
  • Lanes Closed
  • Speed Reduced to

  • Workers Clearance

    if distance between workers & traffic i less than 1.2m, speed shall be reduced to 40kmh

  • Control Measures as per SWMS

  • All control measures as per SWMS in place
  • Signage erected as per SWMS, manual diagram, Traffic control pan TCP
  • Has conflicting signage been covered or removed
  • Are signs securely mounted and visible to traffic
  • Traffic Controller Ahead / Prepare to stop sign erected
  • PPE is beign worn as instructed and as per SWMS
  • Stop slow bat and hand signals to be used to control traffic
  • Each TC maintains an escapee route at all times
  • TC to stand facing traffic and outside projected travel path
  • Access provided for cyclists pedestrians, wheelchairs and driveways
  • Maintain safe distance from all plant and equipment
  • Is there sufficient room to queue stopped vehicle
  • Environment - I there any environmental risks

  • I have been provided with the opportunity to give comment on the formulation of work method, identifiation of hazards associated with this work and implementation of control measure that will allow the work to be undertaken safety. I have been instructed in the safe work methonds and understand and will comply with these instructions and safety procedures.

  • Docket Particulars

    Status (D) Driver (P) Authorized Passenger (S) Straight to / Meet on Site (R) Relief

  • Rows

  • Allied Rep.

  • Should be Empty: