Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Assessor and Trainee name
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Assessor
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Trainee
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Add media
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Enter Date
Operator experence
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Machines operated
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Sites and terrain experience
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Types of attachments
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Industry qualifications or unit standads held, ie. site safe, lifting and slinging,
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Have you seen, read and understood the SOP for Trenching and Spotters
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Licences
Prepare for on site operations
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Confirm job instructions
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Explain any requirements regarding health and safety (TMP, PPE, Overhead lines 4m rule)
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Permits or plans required (give some examples of what may be required, name at least 2
Visual inspection of work site
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Assessment of hazards
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Hazard ID completed, controls in place
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Induct others to the worksite
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Rules, guidelines and safety precautions around the machine, hard hats, certified lifting chains, seatbelts at least 2
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Explain the blind spots of the machine and how it will be controlled
Pre Start Machine
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Fuel
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Oil
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Water
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Hydraulic fluid
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Leaks
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Service labels check, explain how you report service due
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Start up and check gauges
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Enter and exit using three points of contact. Explain this rule
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Visual walk around machine explain the process
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Identify any issues ( damage, loose bolts, etc) how are any issues reported
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Add media
Manoeuvre and Control Machine
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Smooth and precise operation through all positions
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Maintain clearances with structures and services
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Communication with spotter
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Control other plant, vehicles and people around the machine
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Add media
Tasks completed in a controlled precise manner
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Loading
1: Positioning of load vehicle, load with minimum spillage
2: Load material evenly on vehicle
3: Communication with load vehicle -
Positioning
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Load
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Communication
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Add media
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Excavate
1: Strip topsoil to correct depth and contour
2: Excavate to the correct depth and level
3: Carry materials in a safe manner ( watch awareness of operating environment) -
Strip
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Excavate
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Carry
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Add media
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Trenching
1: Construct open drains and trenches to line and level
2: Back fill trenches to job specifications
3: Explain responsibilities in relation to trenches -
Backfill
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Construct
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Explain
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Add media
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Lifting and slinging
1: Communication with dog man, surrounding staff
2: Positioning and control of machine
3: Explain rules/ requirements surrounding lifting and slinging -
Communication
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Positioning and control
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Explain rules
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Add media
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Finishing
1: Place and level to job tolerances
2: Protect staff, kerbs, channels, survey pegs and structures
3: Tidy site -
Place and level
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Protect
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Tidy
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Add media
Changing attachments
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Can operate a manual quick hitch
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Can operate a hydraulic quick hitch
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Can attach hydraulic hoses for external attachments
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Explain a check process to confirm that quick hitch is locked on attachment properly
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Add media
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1: Change an attachment
2: Pick up ancillary buckets
3: Operate an attachment -
Change
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Pick up buckets
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Operate an attachment
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Add media
Transporting
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Explain safe handling and set up of ramps must include<br>Hazard ID<br>Securing pins, flat ground, swinging tailgates
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1: Loading, unloading on a transporter
2: Loading, unloading on a flat deck using ramps
3: Explain method of securing machine for transporting -
Transporter
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Flat deck
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Explain
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Add media
Assessment test
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Correct entry and exit
- three points of contact
- jump off
- walk down off track
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When must you check the quick hitch safety lock
- In the morning restart
- Prestart, every attachment change, at regular intervals
- Every 50 bucket fills or every second truck load
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When is it ok to load on ramps with no securing pins
- When experienced
- On flat ground
- Never
- When I have a spotter
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Who is ultimately responsible for the safety surrounding any plant they are operating
- Spotter
- STMS or TC
- Operator
- All staff
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What must lifting equipment have
- Current test and tag
- An eye and a hook
- Current test and tag, visual inspection, SWL rating
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When is it OK not to wear your seatbelt
- On flat ground
- When I am constantly getting in and out
- Never it must be worn at all times
- When it has a ROPS cab and the door is closed
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What is an exclusion zone
- No person is allowed to enter while operating
- Authorised person are allowed to enter
- Any staff member allowed as long as eye contact is made
- Only the boss
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What action do you take with any unsafe plant
- Notify my Supervisor
- Ring the worship and continue
- Shut it down, lock it out, report it, fill out a CAR
- Shut it down, report it and go home
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What is a near miss
- An incident no one saw
- An incident that only I know about so I don't have to report
- An incident that could have caused damage or injury
- An incident that's not worth reporting
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What are your primary responsibilities surrounding Health and Safety
- fill out and sign a hazard ID
- to ensure my actions or inactions put no person at risk
- look after only myself
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What is an isolation zone
- Any staff member is allowed if they have signed the hazard ID
- Only Supervisors are allowed
- No public entry
- Only designated persons allowed with extra controls in place
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When do you inspect your machine
- Morning Prestart
- When I feel like it
- Prestart and visually through out the day
- When I am told
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What depth of trench must you batter or use trench shields in
- 1.5 deep
- A narrow trench
- Any trench that is unstable, has water egress or is 1.5 or deeper
- When they are supplied
Assessment result
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Feedback
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Trainee
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Assessor
