Information
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Operator
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Client
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Item Of Plant
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Date
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Plant no
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Site
one
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Delivered
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Haulier
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Is The Plant Parked Safely and Securely
physical
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Fuel levels
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Engine Oil
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Coolant Levels
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Hydrolic Oil Level
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Any Apparent Leaks
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Turn signals operational
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Break lights operational
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Head / Tail Lights operational
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Reversing Lights operational
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Audible Reversing Alarm / Horn
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Tyres
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Flashing Beacon
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Mirrors / Windows ( 360 vision )
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Disablement System / Emergency Stops
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Brakes
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Steps / Ladders (GET A GRIP)
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Hand Rails and Handles ( GET A GRIP )
Other Safety Items
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Fire extinguisher charged and inspected
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Spill kit complete
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First aid kit stocked and up to date
Havs Tool Usage
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Whacker Plate - Total Minutes Permitted
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Minutes Used
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Cradled Sthil saw / Floor Saw - Minutes Permitted
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Minutes Used
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Jackhammer - Minutes Permitted
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Minutes Used
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Sthil Saw or Similar - Minutes Permitted
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Minutes Used
List any other action items that need to be corrected
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Defects To Be Reported Immediately To Fitters
Signatures
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Operator
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Select date
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Line Manager
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Select date