Field Health & Safety Report V3

• Document No.

• Team

  BLUE

  GREEN

  ORANGE

• Supervisor

  Select JOSE MARTINS CARLOS MARTINS TONY FREITAS RYSZARD PRZEMYSKI ANDRZEJ MALEC JAKUB MADZIEL HORRACIO FERREIRA KRZYSZTOF ROG

  • JOSE MARTINS
  • CARLOS MARTINS
  • TONY FREITAS
  • RYSZARD PRZEMYSKI
  • ANDRZEJ MALEC
  • JAKUB MADZIEL
  • HORRACIO FERREIRA
  • KRZYSZTOF ROG

• Date & Time

  Date

• Field Name / Location

• Soil Conditions

Tractors & Machinery

• Field Observations

Tractor

Tractor

• Driver ID:

• ID Number displayed

  Yes

  No

  N/A

• Tractor model

  Select JD 5210 JD 4100R JD 4520 JD 6330 JD 6430 JD 6630 JD 6140R CRAWLER OTHER

  • JD 5210
  • JD 4100R
  • JD 4520
  • JD 6330
  • JD 6430
  • JD 6630
  • JD 6140R
  • CRAWLER
  • OTHER

• Registration Number

• Number Plates

  Yes

  No

  N/A

• Cleanliness

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

• Wheels & Tyres

  Yes

  No

  N/A

• Brakes

  Yes

  No

  N/A

• Lights & Indicators

  Yes

  No

  N/A

• Hydraulic Hoses / Cables / Couplings

  Yes

  No

  N/A

• Pick up Hitch

  Yes

  No

  N/A

• Guards / Covers

  Yes

  No

  N/A

• PTO Shaft & Guards

  Yes

  No

  N/A

• Tractor Horn / Alarms

  Yes

  No

  N/A

• Load Security

  Yes

  No

  N/A

Attachments

• Attachment / Implement Check

Attachment / Implement

• Select type of attachment / implement

  Select Trailer Sub Soiler Power Harrow Crawler Covering Frame Ring Roller Flail Fertiliser Spreader Waste Spreader Harvester Chisel Plough Plough Slurry Tanker Rotovator Scarifier Side delivery 1 row hand digger Rear delivery 2 row hand digger Re-working discs Slotter (for plastic) Plastic laying machine Plastic re-winder Sprayer Hedgecutter Opening Frame

  • Trailer
  • Sub Soiler
  • Power Harrow
  • Crawler
  • Covering Frame
  • Ring Roller
  • Flail
  • Fertiliser Spreader
  • Waste Spreader
  • Harvester
  • Chisel Plough
  • Plough
  • Slurry Tanker
  • Rotovator
  • Scarifier
  • Side delivery 1 row hand digger
  • Rear delivery 2 row hand digger
  • Re-working discs
  • Slotter (for plastic)
  • Plastic laying machine
  • Plastic re-winder
  • Sprayer
  • Hedgecutter
  • Opening Frame

• Attachment ID Number

• Number Plates

  Yes

  No

  N/A

• Cleanliness

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Glass

  Yes

  No

  N/A

• General Condition

  Yes

  No

  N/A

• Wheels & Tyres

  Yes

  No

  N/A

• Brakes

  Yes

  No

  N/A

• Lights & Indicators

  Yes

  No

  N/A

• Hydraulic Hoses / Cables / Couplings

  Yes

  No

  N/A

• Pick up Hitch

  Yes

  No

  N/A

• Guards / Covers

  Yes

  No

  N/A

• PTO Shaft & Guards

  Yes

  No

  N/A

• Alarms

  Yes

  No

  N/A

• Load Security

  Yes

  No

  N/A

• ID Plates

  Yes

  No

  N/A

FIELD OPERATION

• Tractor safety - operated in accordance with training?

  Yes

  No

  N/A

• Field entrance / exits: Banksman used where the visibility is restricted?

  Yes

  No

  N/A

• Care of equipment, boxes, etc

  Yes

  No

  N/A

FERTILISER

• Fertiliser: is spreading limited to the field? Eg any drift beyond the boundary zone.

  Yes

  No

  N/A

• Are deflector plates used where necessary?

  Yes

  No

  N/A

PESTICIDES

• Transport / Storage: Are chemicals kept in locked storage container?

  Yes

  No

  N/A

• Filling point away from reservoirs / water courses / drains?

  Yes

  No

  N/A

• Suitable PPE available for users and worn?

  Yes

  No

  N/A

FIELD HYGIENE

• Tractors reasonably clean before leaving field?

  Yes

  No

  N/A

• Roads clear of mud / debris from field operations?

  Yes

  No

  N/A

• Staff vehicles: Clean and well maintained. Parked in a safe location

  Yes

  No

  N/A

• Field tidiness / litter and food waste?

  Yes

  No

  N/A

FIELD TOILET

• Is a field toilet present?

  Yes

  No

  N/A

• Clean?

  Yes

  No

  N/A

• Soap and Water?

  Yes

  No

  N/A

• Hand towels / Toilet paper

  Yes

  No

  N/A

COMMENTS / OTHER ISSUES

• Add media

  Media

• Report completed by:

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