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Works Order for the Provision of Traffic Management Services

Works Order for the Provision of Traffic Management Services

Once an application is received, Quality Traffic Management Pty Ltd requires at least 3 full business days to create Traffic Management Plans.

All road works require a site inspection prior to commencement.

Please note that road authorities require at least 3-20 business days for approval to work on their roads and up to 17 business days for works on Main Roads WA asset roads.

Please contact our office during normal business hours for more information on approvals and the requirements of Traffic Management.

You can download the Works Order form here also.

Fields marked by an * are mandatory.


01

Purpose of this form

Job or Quote:*

02

Contact Details

Project owner:

Construction Contractor:*

Your Details

Contact Name:*

Street Name:

Suburb:

City:

State:

Phone Number:*

Fax Number:

Mobile Number:*

Email Address:*

Site Contact Details

Site Contact Name:*

Site Phone Number:*

Site Mobile Number:

03

Job Details

Location:*

Obstructing:*

Attach site sketch or map:

Direction of affected traffic:*

Nearest side road:*

of:*

Start Date & Time:*

End Date & Time:*

Description of works ie. Excavation, crane lift, etc:*

Road type:* (for example: two lane undivided, dual lane divided carriageway, etc.)

Speed Limit:

Existing:*

worksite:

TM Scheme / Type Required:*

Crew size

Are Signals Affected:

Lane Closure at Signals

Local Government:*

TMP Required?

Quality assured since 2006

Copyright © QTM 2008

Contact details

:General Details

Postal Address
PO Box 218
Bentley WA 6982

ABN: 27 082 815 923

p: 1300 557 930

e: info@qtm.net.au

:Metro Office

130a Radium Street
Welshpool
Western Australia, 6106

f: (08) 9258 9251

:Mid West Office

16 Baker Street
Geraldton
Western Australia, 6530

f: (08) 9964 3265

:South West Office

29 Reid Avenue
Capel
Western Australia, 6271

f: (08) 9727 3890