Return to website
Location Risk Assessment
Complete the this form to generate a Location Risk Assessment PDF. The file will be available to download on the screen once you click the Submit button, and will also be emailed to you.
Road Number
Location
Type of work
Answers to the questions below may require minor modifications to be made to the Traffic Control Plan. This may include the installation of additional signs or changes to the sign locations.
Record any action taken in the space provided.
1. Will existing signs have to be covered?
Yes
No
N/A
1. Actions taken
2. Will existing road markings have to be removed?
Yes
No
N/A
2. Actions taken
3. Are there approvals for traffic control devices?
Yes
No
N/A
3. Actions taken
4. Will there be safe clearances between the workers and through traffic?
Yes
No
N/A
4. Actions taken
5. Will there be any restrictions on length tapers, bollard spacing and delineation?
Yes
No
N/A
5. Actions taken
6. Will the location of intersections, ramps etc within the worksite increase the risk to workers?
Yes
No
N/A
6. Actions taken
7. Will vehicles be entering or leaving the worksite from private or commercial driveways?
Yes
No
N/A
7. Actions taken
8. Will nearby features (schools, shops, railways, railway stations etc) affect the worksite?
Yes
No
N/A
8. Actions taken
9. Will any local parking restrictions affect the worksite?
Yes
No
N/A
9. Actions taken
10. Will there be adequate space for worker parking?
Yes
No
N/A
10. Actions taken
11. Will there be nightworks?
Yes
No
N/A
11. Actions taken
12. Will any excavations affect the safety of workers or traffic?
Yes
No
N/A
12. Actions taken
13. Will there be adequate sight distance for road users to see signs and traffic controllers?
Yes
No
N/A
13. Actions taken
14. Will any signs or traffic controllers be in the shade?
Yes
No
N/A
14. Actions taken
15. Will control measures be safe for the approach speeds of traffic?
Yes
No
N/A
15. Actions taken
16. Will work be undertaken outside peak times?
Yes
No
N/A
16. Actions taken
17. If not, will the control measures cater for the traffic peak?
Yes
No
N/A
17. Actions taken
18. Will any bus stops (including school bus stops) be affected by the worksite?
Yes
No
N/A
18. Actions taken
19. Will pedestrians be affected by the worksite?
Yes
No
N/A
19. Actions taken
20. Will cyclists be affected by the worksite?
Yes
No
N/A
20. Actions taken
21. Are there any underground or overhead utilities that might be a risk to workers or plant?
Yes
No
N/A
21. Actions taken
22. Will the time of day be significant (ie sunrise/sunset) for signs/traffic controllers?
Yes
No
N/A
22. Actions taken
23. Will the TCP be required for after hours?
Yes
No
N/A
23. Actions taken
24. Will allowances for queueing be required?
Yes
No
N/A
24. Actions taken
25. Will allowance be required for oversize loads and/or load limits?
Yes
No
N/A
25. Actions taken
26. Will any upcoming local events (shows, livestock sales, parades etc) affect the worksite?
Yes
No
N/A
26. Actions taken
27. Will advertising be required?
Yes
No
N/A
27. Actions taken
Notes
Completed by
(Required)
First
Last
Email address
(Required)
Date completed
DD slash MM slash YYYY
Signature
