Elevating Work Platform Verification of Competency

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

INSTRUCTION

• The purpose of this form is for the participant to have their competence in the operation of specific plant or in performing specific work activities verified and recorded by a Sun Engineering authorised assessor; and to have their respective licensing or qualifications recorded.

• Guidance and Instruction: The assessor may at any time during the VOC, at their own discretion, provide guidance and / or instruction to the participant for the purpose of teaching them how to perform any aspect of the activity that the participant may not as of yet be reasonably expected to know or fully understand.
  Examples:
  • The assessor may provide information and guidance on how to operate a specific item of plant or equipment and its controls.
  • The assessor may provide information and guidance to an apprentice or a new or existing employee on a task or activity that
  they may not be familiar with.

• Knowledge Questionnaire (if applicable): The participant must successfully answer knowledge questions which are based around the work activity. All questions answered incorrectly shall be discussed / demonstrated to the participant to ensure participant understanding.

• Practical Demonstration: To verify practical skills, participants are required to perform a practical demonstration of the activity to demonstrate their competence.

• Outcome: The assessor will at all times during the VOC be gauging the participants understanding of the activity and will observe the participants ability to perform the activity in a safe and competent manner. Therefore, the participant will be deemed competent or not yet competent by the assessor at the assessor's discretion.

Participant's Detail

• Participant's Name:

• Employer:

  Sun

  Other:

• undefined

• Duration of employment: Years and months

• EWP Type being VOC’d:

  Scissor Lift

  Boom Type

  Other:

• undefined

• Experience operating EWP’s: Years and months

Licence

• Does the participant hold a State Based Licence, or High Risk Work Licence, or Statement of Attainment?

  Yes

  No

• RTO Number:

• License Number:

• Statement Number:

• State of issue:

• Participant conducted EWP pre-start inspection correctly?

  Yes

  No

• Participant observed operating the EWP in a safe and competent manner?

  Yes

  No

• Participant shut down EWP correctly and left in a safe condition?

  Yes

  No

• Participant assessed as competent in the safe operation of the nominated EWP type/s?

  Yes

  No

• Comments:

VOC SIGN OFF

• Participant Name

• Signature:

  Sign

• Date:

  Date

• Assessor Name

• Signature:

  Sign

• Date:

  Date

PRACTICAL DEMONSTRATION - OBSERVATION CHECKLIST

PRE-OPERATIONAL CHECKS- PRIOR TO ENGINE START UP:

• a) Correct PPE being worn correctly (i.e. has the operator been formally trained in use of fall arrest/restraint <br>equipment?)

  Yes

  No

• b) Correct planning observed (JSEA / SWMS / discussion with team)

  Yes

  No

• c) Take Five completed

  Yes

  No

• d) Passenger safety/communications discussed (included in JSEA/ SWMS / Take 5 if applicable)

  Yes

  No

• e) Conducts inspection & describes maintenance requirements

  Yes

  No

• f) Inspects EWP including boom for structural damage, tyre condition etc.

  Yes

  No

• g) Service logbook located and completed and functions explained

  Yes

  No

• h) Checks area for hazards

  Yes

  No

PRE-OPERATIONAL CHECKS - UPON ENGINE START UP:

• a) Controls clearly identified / explained

  Yes

  No

• b) Brakes, Rotating beacon, horns and limiting devices are checked

  Yes

  No

• c) Automatic levelling device on the basket has been checked

  Yes

  No

• d) Travel requirements and the safe operation understood

  Yes

  No

• e) Operator has clear vision from the basket

  Yes

  No

• f) Explains limit devices/alarms checked and functioning (including basket 'dead man' foot switch)

  Yes

  No

• g) Explains emergency descent procedure and ground control panel

  Yes

  No

• h) Displays safe operation of ground controls and emergency descent

  Yes

  No

OPERATIONALCHECKS - EWP SET UP:

• a) Barricading is used to warn personnel and to restrict access to the work area

  Yes

  No

• b) Items placed inside of EWP are adequately secured

  Yes

  No

• c) Demonstrates ability to drive EWP correctly (to site conditions)

  Yes

  No

• d) Demonstrates ability to maneuver EWP basket around structures without endangering the machine, operator, or passengers

  Yes

  No

• e) The position of the EWP is satisfactory in relation to the task being undertaken

  Yes

  No

• f) Demonstrates an understanding of EWP capabilities in various configurations

  Yes

  No

• g) Discusses awareness of the function and requirements for locking pin use

  Yes

  No

SHUT DOWN

• a) Lowers / retracts boom in accordance with manufacturer's specifications

  Yes

  No

• b) EWP basket is cleared of any materials

  Yes

  No

• c) Cover placed over controls to protect labels and switches from dust etc.

  Yes

  No