Title Page
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Project Name
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Conducted on
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Prepared by
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Location
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Setup Location onsite
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Plant type
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Plant Induction Number
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Company Name
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Operators Name
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Doggers Name
Plant Information
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Load Rating for Plant
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What is the Load Rating
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Pre Start Inspection
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Interlocking/ Pins
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Brakes
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Boom radius and reach unobstructed
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Lifting and Winch Gear
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Safety Limit Switches operating
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Hook & Block
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Line Thickness
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Safety Pins in couplings/ Clamps
Weather
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Are weather conditions satisfactory (overcast/ sun location etc)
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Is there wind that may effect the operation of the plant
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Is there rain that may effect the operation of the plant
Setup Location
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Are the Ground Conditions acceptable?
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Are there any recent excavations in the setup location?
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Is the operator happy to continue works?
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Are there any overhead obstructions in the setup location?
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What has been done to protect these structures, life and plant
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Have isolation zones been established?
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What are the isolation zones
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Is there any back propping (support under floor system/ concrete slab)
Communications
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What type of communication is being used with supporting workers? (Doggers etc)
- Audio (2 way radio/ whistle)
- Visual (Hand signals etc)
Traffic
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Are there pedestrians/ Other Trades/ Public in the immediate area of works?
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What is being done to prevent them from accessing danger zones
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Are there roadways/ Vehicles in works area
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What is being done to protect these areas from incidents?
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Are there isolation zones in place?
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What are the isolation zones
Authorisation
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Operator Name
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What is Operators High Risk Work Licence no.
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Elevated Living Verifier
Toolbox/ Communicated to surrounding trades
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What work is being conducted with the crane/ concrete pump?
Who has this been communicated too?
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