This is where you can notify us of any road safety issues or hazards that you believe are a particular danger to cars and trucks. Click on the first box to begin your report. Please provide accurate and detailed information as this will allow us to investigate the report quickly and work towards improving safety for all road users.

* indicates a required field

Your Details :
*First name
*Surname
*Phone Number
*E-mail Address
*Postal Address
Problem Location: Please be specific
*Nearest house/shop/rural address number
*Street name
*Town/Suburb/Locality
Nearest cross street or other identifying landmark
Distance from nearest cross street or other identifying landmark
GPS
Direction of travel:	Northbound Southbound Eastbound Westbound
*Council Area:	Select Council ... Goulburn Mulwaree Council Pittwater Council Wingecarribee Shire Council Wollondilly Shire Council
1. Road Surface: Please tick the relevant issue	A pothole Gravel or other loose material Oil, grease, diesel etc Repaired patches Water seepage or ponding Moss patches Other (provide details below)
2. Road Environment: Please tick the relevant issue	Overhanging tree branches Roadside vegetation obscuring signs or sight distance Straying cattle Other (provide details below)
3. Road conditions: Please tick the relevant issue	Bumps and depressions Corrugated or rippled tar surface Painted road marking Parallel grooving Pavement edge drop off Raised pavement Smooth steel plate covers Steel bridge expansion joints Timber bridge Unsealed patches Other (provide details below)
4. Road furniture: Please tick the relevant issue	Crash barriers Guide posts Sign missing Sign damaged Traffic domes (silent cops) Raised lane markers Pavement bars Rumble strips Rail crossings and tram tracks other (provide details below)
5. Road design: Please tick the relevant issue	Adverse camber/ crossfall Blind corner Lack of appropriate warning Glare from poorly sited street lights Poor sight lines Speed hump Poor linemarking Kerbing Low kerbing Cobble stones or pavers Landscaping Traffic islands that are not lit or delineated for night visibility Culverts Uncovered drainage pits Other (provide details below)
6. Road User Behaviour: Please tick the relevant issue	Motorcyclists riding too fast for conditions Motorcyclists drinking and riding Organised speed trials Motorcyclists without helmets Motorcyclists  without adequate safety clothing Other road users behaviour towards motorcyclists Other (provide details below)
*Briefly describe the problem
*Time of Problem	ALL DAY Midnight to 2am 2am to 4am 4am to 6am 6am to 8am 8am to 10am 10am to 12noon 12noon to 2pm 2pm to 4pm 4pm to 6pm 6pm to 8pm 8pm to 10pm 10pm to midnight
*Weather	Fine Raining Overcast Fog or Mist Snowing ALL
*How has this hazard impacted on you?
Attach photo or image here
*Are you Human?

 

 

 

Copyright © 2006 Upper Hume Road Safety Partnership. All rights reserved.