Excavator Pre-Use checksheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Excavator Checklist

• Make & Model:

• Supplier:

• Plant No:

• Capacity (Lifting Only):

General Inspection

• Is plant provided suitable for the work and work space (size etc...)

  Yes

  No

  N/A

• Is equipment fitted with working reversing alarms / amber beacons

  Yes

  No

  N/A

• 360 all round vision provided by appropriate means:

• Convex mirrors

  Yes

  No

  N/A

• CCTV

  Yes

  No

  N/A

• Is the equipment free from visible defects and faults (Inspected by competent person)

  Yes

  No

  N/A

• Is quick hitch free from visible defects and faults (Inspected by competent person)

  Yes

  No

  N/A

• Has operator received plant operators induction brief and forms completed (Appendix 1 - 6 of protocol)

  Yes

  No

  N/A

Machine used Solely for Excavating

• 12 Monthly Thorough Examination Certificate

• Document Date

  Date

• Photo of Certificate

  Media

• Register (7 day Inspection)

• Document Date

  Date

• Photo of Inspection

  Media

• Drivers Proof of Competence (CPCS & Appropriately completed Logbook)

• Document Date

  Date

• Photo of Competencies

  Media

• Is all the above satisfactory, if not action required: (inadequate evidence of comptence)

  Yes

  No

  N/A

• Date Complete

  Date

Machine used for Lifting

• 12 Monthly Thorough Examination Certificate

• Document Date

  Date

• Photo of Certificate

  Media

• Register (7 day Inspection)

• Document Date

  Date

• Photo of Inspection

  Media

• Lifting Accessories 6 Monthly Examination Certificate

• Lifting Accessories 6 Monthly Examination Certificate

  Date

• Photo of Certificates

  Media

• Lifting Accessories 6 Monthly Examination Certificate

  Date

• Photo of Certificates

  Media

• Lifting Accessories 6 Monthly Examination Certificate

  Date

• Photo of Certificates

  Media

• Lifting Accessories 6 Monthly Examination Certificate

  Date

• Photo of Certificates

  Media

• Lifting Accessories 6 Monthly Examination Certificate

  Date

• Photo of Certificates

  Media

• ASLI or Rated Capacity Indicator (for SWL greater than 1 Tonne)

• Document Date

  Date

• Photo of Rated capcity

  Media

• Drivers Proof of Competence (CPCS & Appropriate record of lifting operations)

• Document Date

  Date

• Photo of Competencies

  Media

• Is all the above satisfactory, if not action required: (inadequate evidence of comptence)

  Yes

  No

  N/A

• Date Complete

  Date

Documentation Required

• Operators Handbook

  Yes

  No

  N/A

• Photo of Handbook

  Media

• Does Operator hold a current valid driving licence (DVLA)

  Yes

  No

  N/A

• Photo of Driving License

  Media

Signature of Responsible Person

• Signature

  Sign