360 EXCAVATOR

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Photo of delegate

  Media

• Name of delegate?

• Delegates date of birth?

  Date

• Person performing assessment?

2.0 - “Pre-start checks” (Primary visual inspection)

• Pre-start Checks.

  Media

• Is the delegate wearing the correct PPE?

  Yes

  No

  N/A

• Did the delegate check the excavators tracks, hydraulic rams, bucket, etc?

  Yes

  No

  N/A

• Did the delegate check the engine bay for fluid levels, deadman, etc?

  Yes

  No

  N/A

• Did the delegate enter the excavator maintaining three points of contact?

  Yes

  No

  N/A

• Did the delegate check all instrumentation is working as it should? Lights, indicators, horn, beacons, etc?

  Yes

  No

  N/A

• Before starting the excavator did the delegate put a seatbelt on?

  Yes

  No

  N/A

• Is the delegate ready for the main assessment?

  Yes

  No

  N/A

3.0 - Main Practical assessment

• Practical assessment

  Media

• The delegate is then told to travel travel to an area selected by the assessor.<br>Did the delegate travel to the area correctly without overly “spragging” or churning up the area, whilst maintaining good all round observation?

  Yes

  No

  N/A

• The assessor signals the delegate to stop and hold position, did the delegate stop and hold position until told to continue with the exercise ?

  Yes

  No

  N/A

• The delegate has been instructed to dig a trench 900mm in depth and 600mm wide. Did the delegate request the area be cat scanned before breaking ground?

  Yes

  No

  N/A

• Once the area has been scanned and is confirmed free of underground services the delegate is instructed to begin the digging exercise maintaining a straight and level trench.<br>Has the delegate maintained a straight level trench, ensuring clean and stable banks and all excavated material is clear of the “angle of repose” in a sealed mound?

  Yes

  No

  N/A

• The delegate is then instructed to backfill the excavated area.<br>Did the delegate backfill the trench in layers ensuring good compaction?

  Yes

  No

  N/A

• Lifting operations... as lifting is an essential part of the day to day tasks of an excavator operator. The delegate is asked questions regarding lifting accessories, types of lifts and swl. Did the delegate answer the questions correctly?

  Yes

  No

  N/A

• The delegate is instructed to shutdown the excavator.<br>Did the delegate shutdown the excavator correctly and disembark maintaining 3 points of contact?

  Yes

  No

  N/A

• Has the delegate showed they are capable of operating the excavator in a safe controlled manner?

  Yes

  No

  N/A

4.0 - Maintenance

• Delegate showing knowledge of maintenance process

  Media

• Has the delegate shown the checked all fluid levels correctly?

  Yes

  No

  N/A

• Has the delegate shown all greasing points along with knowledge of how to maintain these points?

  Yes

  No

  N/A

• The assessor has asked the delegate “when should the excavator be topped up with fuel?” Did the delegate have the correct answer and did they know why it should be done at the end of every shift?

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

6.0 - Summary

• Is the delegate ready for their official practical test?

  Yes

  No

  N/A

• Message for delegate.

  Yes

  No

  N/A

Sign Off

• Delegate’s signature

  Sign

• Assessor’s signature

  Sign