BASIC ROADWORKS

TRAFFIC MANAGEMENT PLAN

MINOR WORKS ON LOCAL ROADS

STREET NAME SUBURB

TRAFFIC MANAGEMENT COMPANY

Contract .

June 2016

Declaration

I XXXXX (AWTM Cert No.XXXX) declare that I have designed this Traffic Management Plan
following a site inspection on XX/XX/XX. The Traffic Management Plan prepared, subject to
the variations approved, is in accordance with the Main Roads Code of Practice and AS
1742.3
Signature: Date: XX/XX/XX
Accreditation
Name / Company Date Signed
Details

TMP designed by XXXXXX AWTM XXX XX/XX/XX

TMP Reviewed by XXXXX XX XX/XX/XX

Service Authority
N/A N/A
Approval
Road authority authorisation of the implementation of traffic signs and devices is given
for Traffic Management Plan No. XXX-XXXXX (Note: this can be provided by the road
authority via email referencing the TMP and Rev No.)

Road Authority Signed Authorised Officer

Authorisation Date

(Print Name) Position

TMP No TSPL- XXX-XXXXX Rev. No. X Date XX/XX/XX

DISCLAIMER
"This template is a guide as to what would 'normally' be included when preparing traffic management plans for minor works on
local roads. The amount and type of details provided is project specific and therefore the template is only a base."

MAIN ROADS Western Australia

Basic TMP template.docx 21072016
Contents
1. Project Details 3
2. Project Representatives 3
3. Risk Assesment 4
4. Fatality or Serious Injury At the Worksite 5
5. Basic Plan Checklist 5

APPENDIX A - TRAFFIC CONTROL DIAGRAMS

APPENDIX B - RECORD FORMS

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1. PROJECT DETAILS

ITEM DESCRIPTION

Project Title

Road Classification
Existing Speed Limit
Worksite Speed Limit

Traffic Volumes

Road Authority

Location of Work

Scope of Works

Staging of Work

Project Date

Hours / Days of Work

Duration of Work

Other Constraints

2. PROJECT REPRESENTATIVES

Position Name Contact Details

LGA
Representative
Project Manager

Site Manager

Traffic Management
Representative

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3. RISK ASSESMENT

Risk Event / Pre-treatment Treatment Residual

Item

Consequence Risk Risk

L C RR L C RR

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4. FATALITY OR SERIOUS INJURY AT THE WORKSITE

In the case of serious injury or fatality occurring within the traffic control zone all work shall
cease immediately, machinery and vehicles turned off and the area cleared of personnel as
soon as possible. Traffic Controllers (and other personnel if necessary) shall be deployed
immediately to ensure no traffic or other road users approach the area.
Emergency services shall be notified of the incident and all road workers and traffic
management personnel shall preserve the scene leaving everything in situ, until direction is
given by Police or WorkSafe. If it is determined that a road closure point is required, detour
routes will be put in place This will be signed and controlled by traffic management
personnel with road closure, detour signs and / or other devices outlined in Appendix B of
AS1742.3. This detour will be advised to Police will take charge of the site upon arrival. All
site personnel shall be briefed on control procedures covering incidents and crashes that
result in serious injury or fatalities.

5. BASIC PLAN CHECKLIST

TRAFFIC CONDITION AND ROAD YES NO

ENVIRONMENT
1 Is the traffic count above 500 vph during the proposed work
hours
2 Is the permanent posted speed over 60km/h
3 Is the works duration longer than one day
4 Is the works within 200 m of traffic signals
5 Is the works within 200 m of a rail crossing
6 Is the works on a Main Roads WA controlled road
7 Are major traffic delays expected
8 Will the works occur in the hours of darkness
9 Are detours, side tracks or crossovers/contraflows proposed
10 Will the works have excavations deeper than 500 mm within
5 m of the live traffic lane

If you ticked yes to any of the above a more detailed TMP shall be required.

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 APPENDIX A: Traffic Control Diagrams

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APPENDIX B - RECORD FORMS
Daily Diary
PROJECT DETAILS:
DATE:
LOCATION:
Dwg No. Revision No. 0
Date: Time: Location:
Changes By: Signed:
authorised
Detail/Comments:

Date: Time: Location:

Changes By: Signed:
authorised
Detail/Comments:

Date: Time: Location:

Changes By: Signed:
authorised
Detail/Comments:

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 Daily Inspection Sheet

TRAFFIC MANAGEMENT - DAILY INSPECTION SHEET DATE: TCD No(s).

Inspection Prior to Commencement of Work Day Time Inspection During Work Hours
Time of Inspection: Time of Inspection:
Signs & devices appropriate for the days
activities and conditions Satisfactory
Signs & devices operating satisfactorily
and seen by motorists Satisfactory
Modifications / Repairs Required Modifications / Repairs Required
Signs & devices positioned and mounted
correctly Satisfactory
Signs & devices positioned and mounted
correctly Satisfactory
Modifications / Repairs Required Modifications / Repairs Required
Signs & devices clean and clearly visible
Satisfactory
Signs & devices clean and clearly visible
Satisfactory
Modifications / Repairs Required Modifications / Repairs Required
Modifications and/or repairs completed
Yes (Give details)
Traffic Controllers correctly attired and
operating correctly Satisfactory
No (If no, give reason) Modifications / Repairs Required

Modifications and/or repairs completed Yes (Give details)

No / Not Applicable (Give reason)

MAIN ROADS Western Australia

Basic TMP template.docx 21072016