Traffic Management Plan (TMP) Request Form

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Contact Name* This field is required.
First Name
Last Name
2
Company Name
3
Telephone* This field is required.
Area Code
Phone Number
4
Email* This field is required.Please enter the email address to be used for any communication relating to the request.
example@example.com
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What type of Traffic Management Plan (TMP) do you require?Please select from the below options. If you require multiple TMPs of varying types, please provide additional notes at the bottom of the form.
Generic TMP - Routine Maintenance Works (valid for up to 12 month period)
Site Specific TMP - Roadwork Project
Site Specific TMP - Event
Site Specific TMP - Basic (works on low volume low speed local roads)
Other
6
Location of Works, Project or EventPlease indicate the street address of where the project works will be completed. If you have multiple locations, please list this or if covering a larger area please indicate which local government network(s).
Huge
Large
Normal
Small
Ok
Ok
7
Commencement DatePlease indicate the expected commencement date of your project or event.
Date
Month
Day
Year
8
DurationPlease indicate the expected duration of your project or event. e.g. 1 day, 4 weeks, 6 months, 12 months etc
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Describe the type of work activity being completed using this Traffic Management Plan (TMP)?Please select from the below options. If you are undertaking various work activities, please provide additional notes below.
Shoulder Grading
Re-Sheeting
Overhead Works
Pot Hole Repairs
Cable Installation
Sealing
Kerbing
New Cross Over
Traffic Signal Works
Bridge Works
Services Relocation (Excavations)
Line Marking
Footpaths
Landscaping (Tree Pruning)
Event
Other
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Work Description:Please provide a summary of the project works including; - Additional risks you are aware of eg environmental issues, overhead power lines etc - Are you subcontracting to another company? If so, who?
Huge
Large
Normal
Small
Ok
Ok
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Please attached any project, site or specifications relevant to your project works that could assist with the design of traffic management planning. Examples include; Aerial photo of site, Power Pole design drawings, Traffic signal loops etc
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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What posted speed zones are involved where the project works will be undertaken?
40 km/h School Zone
40 km/h
50 km/h
60 km/h
70 km/h
80 km/h
90 km/h
100 km/h
110 km/h
Default Speed Limit (Derestricted) Sealed Road
Default Speed Limit (Derestricted) Unsealed Road
Other
13
Describe the type of plant and equipment being used for this project?Please select from the below options. If you are using various plant and equipment, please provide additional notes at the bottom of the form.
Light vehicles
Graders
Water Carts
Skid Steer Loaders
Excavators
Wheel Loaders
Elevated Work Platform
Profiler
Backhoes
Crane
Rollers
Scissor Lifts
Articulated Dump Trucks
Cherry Picker
14
What distance will workers on foot be from the trafficable lane?
1.2 metres or less
1.2 - 3 metres
3 - 6 metres
6 metres or greater
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Do any of your work activities involve any excavations or above ground hazards?
No
Unsure
Yes - Depth 50 to 250 mm
Yes - Depth 500 mm or greater
Yes - Depth 251 to 500 mm
Transverse Excavation
Above Ground Hazards
Other
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Describe the type of traffic management you'd prefer for the proposed project?Please select from the below options. If you believe various traffic management controls are required please provide additional notes below.
Advance Warning Signage
Traffic Control - Single Lane
Speed Reduction
Traffic Control - Vehicle Movement
Pedestrian Management
Portable Traffic Control Signals
Property Access Management
Mobile Works (TMA)
Works Between Gaps In Traffic
Variable Message Sign (VMS)
Other
Short Term Low Impact Scheme
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Additional notes:Please share any other details that are relevant to the project e.g. existing site constraints.
Should be Empty: