ADT ASSESSMENT

• Client / Site

• Conducted on

  Date

• Prepared by

PRE START INSPECTION

• Pre start checks will be carried out prior to the ADT being operated. the checks will be recorded in the daily inspection book and any defects recorded and reported. Has the defect book been completed?

  Yes

  No

  N/A

STABILITY OF ADT

• Are tyres inflated tot he correct pressure

  Yes

  No

  N/A

• Are the Tyres in an acceptable condition and have sufficient tread to provide traction, assist steering and ensure effective braking.

  Yes

  No

  N/A

• Are the control measured adopted to ensure that the ADT is not over-loaded being adhered to and are these effective<br>

  Yes

  No

  N/A

HAUL ROADS

• Are the haul roads free from pot-holes, spillage, evenly graded and well maintained<br>

  Yes

  No

  N/A

• Is the operator of the ADT matching the travel speed to the ground conditions at the time of the inspection<br>

  Yes

  No

  N/A

• Have the haul roads with inclines been assessed for the requirement for emergency run-off lanes<br>

  Yes

  No

  N/A

• Are the speed limits that have been adopted appropriate for the varying condition of the haul road gradients, slopes and cross-falls<br>

  Yes

  No

  N/A

• Are the speed limits being adhered to <br>

  Yes

  No

  N/A

• Where there are tight bends and declines on haul roads are speed limits regularly assessed taking into account the hazards created by the change in direction that these create<br>

  Yes

  No

  N/A

• Are the road bunds appropriate and compliant with regulations<br>

  Yes

  No

  N/A

• Does a responsible person check the suitability of the entire route taken by ADT each day prior to work starting<br>

  Yes

  No

  N/A

LOADING

• Is the area that the ADT is to be loaded at level, stable, compact and free from hazards<br>

  Yes

  No

  N/A

• Has the ADT been positioned correctly for loading ensuring that loader bucket does not go over the cab<br>

  Yes

  No

  N/A

• Is the ADT being loaded evenly with the centre of gravity kept as low as possible<br>

  Yes

  No

  N/A

DISCHARGING

• Has the area demarcated for tipping been assessed for cross-fall<br>

  Yes

  No

  N/A

• Is the area that the ADT is to discharge at level, stable, compact and free from over-head hazards<br>

  Yes

  No

  N/A

• Has the operator applied the parking brake and selected neutral prior to commencing to tip the load<br>

  Yes

  No

  N/A

• Has the ADT been positioned straight and in-line prior to tipping with all axles & wheels level<br>

  Yes

  No

  N/A

• Has the ADT body been fully lowered and clear of material prior to moving away from the discharge point<br>

  Yes

  No

  N/A

COMPETENCY

• Do all driver hold a current "Licence" to drive an ADT<br>

  Yes

  No

  N/A

• Where the ADT is being used to haul liquids (Bowsers) are all drivers assessed for competency <br>

  Yes

  No

  N/A

• Are there occasional supervisor "ride alongs" to ensure drivers suitability and competency for the task<br>

  Yes

  No

  N/A

• Are all agency drivers assessed by a competent person as per 6.1 - 6.2 - 6.3<br>

  Yes

  No

  N/A

ASSESSED BY:

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DRIVER UNDERTAKING ASSESSMENT:

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