Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Area and day plan, was daily tailgate attended?
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Operators name
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Hazards - Winch assistance must be used when working on slopes over 30 degrees working on soft or wet ground conditions. ONE TICK IN THE RED AREA OR 3 TICKS IN THE YELLOW AREA SEEK ADVICE OF A COMPETENT PERSON.
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Slope & Length
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Ground conditions
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Soil type
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Duration of exposure
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Environmental factors
- Calm unchangeable day
- Chance of bad weather
- Adverse - rapidly changing weather conditions
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Bush type
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In stand vegetation
- Good vision - no vegetation
- Moderate vegetation
- Obscured vision. heavy vegetation
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Is winch assist used today? If the answer is yes please answer the questions in the next section. If not this inspection is complete here, sign off below
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Sign off
Winch assist
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Daily winch machine / tethered machine checklist
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Is the winch machine dug in correctly & tested?
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Winch machine electrics & switches all in working order?
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Remote controls working
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Emergency stop tested and working?
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Ropes, shackles & attachments all checked for wear?
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All warning alarms & systems in working order?
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Comments
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Add photos here if required
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Operator to sign off this section here
Winch shift section
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Shift number?
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Is the winch machine dug in correctly & tested?
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Winch machine electrics & switches in working order
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Remote control working
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Emergency Stop tested and working
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Rope, Shackles & attachments checked for wear
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All warning alarms and systems in working order
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Comments
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Operator sign off here