Title Page

  • Conducted on

  • Completed By:

  • Date:

  • Location:

Vehicle:

  • Driver:

  • Vehicle VRN

  • Vehicle. Defect Check/Any unreported defects

  • Is the load secured before delivery?

  • Is the grab secured before delivery?

  • **ANY FAIL MUST REQUIRE DELIVERY TO STOP AND RE-START SAFELY**

  • Arrival at the delivery point

  • Beacons and hazard warning lights used?

  • Position of vehicle does not obstruct traffic, or is on a bend, corner, pedestrian crossing, box junction etc

  • Leaves cab using 3 points of contact – monitor during rest of the delivery

  • All PPE is use – hard hat, chin strap, gloves, boots, hi-vis jacket – no rigger boots

  • Cones deployed to mark discharge area/stabiliser legs

  • 4 Discharge Procedure: If any of the following are observed as failed, then the driver must be stopped immediately

  • Stabiliser legs fully extended out – Mandatory on discharge side but both feet fully down and with pads used

  • Area of set down is clear, level and/or hard standing and/or in a safe location

  • Vehicle is not positioned on an excessive incline during delivery

  • All Feet on the Ground Protocols adhered to

  • Driver using Gloves, Hard Hat and Chin Strap during crane delivery (Gloveless hands using the remote control only are ok)

  • Driver has not accessed the load bed in any way other than correct access steps and gate

  • Driver has not accessed the bed of the vehicle with remote control and/or is using the remote control on the bed

  • Driver has not accessed the load bed with dropside down

  • Driver does not attempt to unload onto scaffolding, other temporary structure, or inside any structure

  • Driver is not unloading materials using the crane to a level lower than the vehicle (danger of vehicle tipping)

  • Crane is not operating too close to overhead power lines – must be 15m away (pylons) / 9m (wood/concrete poles)

  • Discharge area kept clear of pedestrians/customers

Pack-up Procedure

  • All straps refitted without throwing over load into pedestrian area, or the area is clear

  • All ratchet straps secure to metal sides of load bed/chassis, not rope hooks or otherwise. No ropes used

  • All dropsides, Safe-T-Rails and gates closed, all anti-shake pins fitted/functional and used

  • All crane foot pads/cones and slings collected and stowed safely

  • Crane Legs are FULLY retracted (including feet)

  • Crane is secured using correct yellow restraint strap (temp. blue strap acceptable if not available)

  • Leaves site with help of banksman where needed, no unescorted reversing into traffic flow

  • Leaves site with no other hazard, no damage left on site (pavements/overhead cables etc)

  • Improvement Notes:

  • Is this driver operating within the requirements of all company policies and legislation YES / NO Any dangerous activity must be challenged

  • Further action:

General points

  • Is driver aware of correct vehicle defect procedure

  • Discuses vehicle activity- depart/yard times

  • Discuss driver risk score/grading

Disciplinary Action

  • ATO revocation

Driver Improvement Training

  • Crane training

General advice and guidance

  • PPE Re-issue needed: HARD HAT / GLOVES / HI-VIS / CHINSTRAP / BOOTS / SAFETY GLASSES

  • Signed: BUD/ BM / RTM / LTM/ Other (please state: )

  • Print: Date:

  • Signed: (Driver)

  • Print: Date:

  • When complete, please file in the drivers' personnel records and also send by email to transport-compass@sgbd.co.uk

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.