Template

Visionstream Site Condition Rating Form

by Mel Dawson, from the Community

30+

An online COPTTM 4th Edition Site Condition Rating Form for auditing temporary traffic management at worksites. Assess responsible party (STMS/TC), TMP availability and suitability, high-visibility garments, signage placement and condition, delineation and cone spacing, pedestrian and cyclist access, traffic needs including lane widths and speed limits, surface conditions, and property access. Record ratings (Acceptable, Needs Improvement, Dangerous), note agreed corrective actions, and capture auditor and STMS/TC signatures with start/finish times. Built for Chorus–Visionstream field operations.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Site Condition Rating
Use this traffic management Site Condition Rating checklist to audit construction and roadwork sites. Verify TMP on site and suitability, confirm STMS/TC presence and registration, check high-visibility garments, signage placement and condition, delineation and cone spacing, pedestrian and cyclist access, lane widths and speed limits, property access, and action required. Ideal for contractors and supervisors to document compliance, identify hazards, and agree corrective actions in the field.
by Nick Watt, from the Community
Downloads: 10+
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Template
HDC Site Condition Rating Form (Short Audit)
Use this HDC Site Condition Rating Form to audit temporary traffic management at road work sites. Based on the NZTA short audit, it guides inspectors through checks for TMP availability and suitability, PPE and high-visibility garments, required signage placement and condition, delineation and cone spacing, pedestrian and cyclist provisions, traffic flow and speed limits, surface conditions, and property access. Record the responsible party, STMS attendance, registration, ratings (A, NI, D), agreed corrective actions, and attach site photos. Suitable for councils, contractors, and supervisors to document compliance and improve safety.
by Brent Tucker, from the Community
Downloads: 0
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Template
Powerco Traffic Management Audit Checklist
This worksite traffic management audit template helps verify that a traffic management plan is in place and appropriate, STMS or TC is on site and handover is documented, and core controls are effective. Inspect high visibility garments, required signs and positions, sandbagging, conflicting sign cover, and overall condition. Check delineation including safety zones, taper lengths, cone spacing, and positive traffic control. Confirm safe passage for pedestrians and cyclists, lane widths, speed limits, delays, surfaces, and property access. Capture site details, photos, actions agreed, and signatures. Scoring guides findings from Acceptable 100-80, Needs Improvement 79-60, Dangerous 59-30, to Stop Works 29-0.
by Kevin Hodge, from the Community
Downloads: 0
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Template
HDC Site Condition Rating Audit Template
Conduct comprehensive NZTA CoPTTM site condition audits for road work zones. This template guides reviewers through signs, mobile and semi static operations, pedestrian and cyclist provisions, delineation devices, and miscellaneous safety controls. Score non conformances, record TTM methods and contractors, verify TMP approvals, and assess overall risk. Capture corrective actions for the STMS, document reviewer and STMS details, and determine the final rating from high standard to dangerous. Ideal for councils, RCAs, and contractors managing temporary traffic management.
by Brent Tucker, from the Community
Downloads: 10+
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Visionstream Site Condition Rating Form

About author

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Site Condition Rating

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Site Condition Rating

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