360 EXCAVATOR ASSESSMENT

• Site conducted

  Select

• Client / Site

• Conducted on

  Date

• Assessed by

• Location
  Address

• Name of Delegate

• Date of Birth

• National Insurance number

• CSCS / CPCS / NPORS number

• Photo of Delegate and CPCS / NPORS

  Media

1.0 - “Pre-start checks”

• 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 identify all grease points and understand the frequency required to grease all moving parts

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the delegate understand the daily checks recording and the defect reporting procedure?

  Yes

  No

  N/A

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

  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

2.0 - Practical assessment

• The delegate is 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 to a specification. 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

3.0 - Assessment

• Did the delegate demonstrate enough competence to be allowed to operate the machine unsupervised?

  Pass

  Fail

  N/A

• Any further comments

4.0 - Confirmation of understanding of outcome of assessment

• Delegate’s signature

  Sign

• Assessor’s signature

  Sign