Nebraska Department of Transportation

Daily Traffic Control Inspection Form

Project No.:	Control No.:	Date:
Location:	Contractor:	Time:

Review of Traffic Control: For all deficiencies found, list the reference post or station and what corrective action was taken. One inspection form required for each inspection.

Flagging

Flaggers certified?	Yes No N/A

Flaggers properly attired?	Yes No N/A

Flaggers using proper methods?	Yes No N/A

Flagger vehicle at least 30’ from

traveled way?	Yes No N/A

Flaggers stationed properly and

easily visible?	Yes No N/A

Paddle proper size, shape, in good

condition?	Yes No N/A

Pilot Vehicle

Vehicle making round trip in 15 min.

or less?	Yes No N/A

Vehicle equipped with proper sign?	Yes No N/A

Obeying all traffic control and laws?	Yes No N/A

Signs

Signs in proper locations and properly

installed?	Yes No N/A

Signs clean?	Yes No N/A

Temporary signs NCHRP350/MASH

compliant?	Yes No N/A

All signs comply with ATSSA “Quality

Standards for WZTC Devices”

Handbook?	Yes No N/A

Channelizing Devices: Cones / Drums / Vertical Panels / Tubular Posts

Devices have proper reflective

sheeting?	Yes No N/A

Devices in proper locations?	Yes No N/A

Devices clean?	Yes No N/A

Devices properly ballasted?	Yes No N/A

All devices comply with ATSSA “Quality

Standards for WZTC Devices”

Handbook?	Yes No N/A

Barricades

Barricades have proper reflective

sheeting?	Yes No N/A

Barricades in proper locations?	Yes No N/A

Barricades clean?	Yes No N/A

All barricades NCHRP350/MASH

compliant?	Yes No N/A

Barricades properly ballasted?	Yes No N/A

All barricades comply with ATSSA

”Quality Standards for WZTC

Devices” Handbook?	Yes No N/A

Temporary Pavement Markings

Markings in correct location?	Yes No N/A

Markings of proper width & length?	Yes No N/A

Adequate reflectivity of markings?	Yes No N/A

Temporary markings comply with

ATSSA ”Quality Standards for

WZTC Devices” Handbook?	Yes No N/A

Warning Lights

Warning lights operational?	Yes No N/A

All warning lights comply with

ATSSA “Quality Standards for

WZTC Devices” Handbook?	Yes No N/A

Temporary Traffic Signals

All signal heads properly oriented?	Yes No N/A

All lamps operational?	Yes No N/A

Signal timing functioning correctly?	Yes No N/A

If signal is not in operation, are

signal heads covered with bags

or in flashing mode?	Yes No N/A

Inertial Barrier System, Truck Mounted Attenuators and Impact Attenuators

Attenuator systems properly

installed?	Yes No N/A

Attenuator equipped with proper

object marker?	Yes No N/A

Flashing Arrow Panel

Panel properly located and easily

visible?	Yes No N/A

All lamps operational & automatic

dimmer functioning?	Yes No N/A

Spare panel on project?	Yes No N/A

Concrete Protection Barriers

Barriers in correct location?	Yes No N/A

All connections properly pinned?	Yes No N/A

Delineators and object markers in

place and facing proper direction?	Yes No N/A

Barriers anchored securely?	Yes No N/A

Additional Comments:

I certify that I have personally inspected all traffic control devices and pavement markings on the project. Except as noted and to the best of my knowledge, they are in compliance with project requirements.

(Traffic Control Manager / Assistant Traffic Control Manager)