Title Page
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CL number
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Registration number / serial number
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Mileage
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Bottom Hrs
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Top Hrs
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Date
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Engineer
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Driver / Operator
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Customer
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Site address
ENGINEER SAFETY CHECK LIST
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For any No answers action must be taken to reduce perceived hazards
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Are you aware of the safety, health and environment rules in force within this company
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Are you aware of your responsibilities under the health and safety policy
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Do you have access and egress to and from the machine
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Is the work area free of slip and trip hazards
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Do you have a safe place to work at the machine
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Is the machine in a safe position (stable ground, overhead power lines, etc)
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Have you taken precautions against falling from height
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Have you adequate lighting to complete the task in hand
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Is the machine in safe condition to work on (damage, contamination, etc)
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Are you portable tools safe, "in test" and adequate for the task
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Is you test equipment safe and adequate for the task
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Are task manual handling requirements safely within your competence
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Is available lifting equipment "in test" and adequate for the task
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Do you have adequate PPE for the task
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Have you taken adequate precautions when hazardous substance
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Are you confident that the task will be accomplished in the safest way possible
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Is the crane manufactures manual available
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City Lifting Engineers on site assessment for repair works to be carried out
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Engineers on site method statment / risk assessment
BREAKDOWN INFO
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Fault reported
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Work completed
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Comments / Further action required
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Engineer travel time
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Engineer Hrs on site
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Time of breakdown
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Time crane back working
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Chargeable
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IS THE MACHINE SERVICABLE AND FIT FOR FURTHER USE
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Engineer signature
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Customer signature
