FMG -Earth moving equipment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Equipment No

• Company

• Nominated Contact

• Model

• Equipment make

• Equipment Inspected By

• Date

  Date

Section B – mandatory Surface Mobile Equipment requirements

• Pictures of machine

  Media

• Identifiable & Lockable ground level isolator at point of access. (Locksafe – Standard Isolation Engine & Battery

  Yes

  No

  N/A

• * Radio fitted and operates on required channels

  Yes

  No

  N/A

• * Effective guarding on all accessible moving parts

  Yes

  No

  N/A

• * Identification signage on 3 sides (sides & rear)

  Yes

  No

  N/A

• * Adequate access and egress, and is there a second means of escape from cab.

  Yes

  No

  N/A

• Windscreen wipers & washers fitted

  Yes

  No

  N/A

• * Certified Rollover Protection. (ROPs)

  Yes

  No

  N/A

• Horn operational

  Yes

  No

  N/A

• * Falling Object Protective Structure. (FOPs)

  Yes

  No

  N/A

• Reversing alarm fitted & operational

  Yes

  No

  N/A

• All seating positions have seat belts, in good operating condition and not frayed

  Yes

  No

  N/A

• Enclosed, sealed air conditioned operator cabin

  Yes

  No

  N/A

• * Permanent flashing amber light fitted & operational – exception, Off Highway Haul trucks. (magnetic beacons are not acceptable)

  Yes

  No

  N/A

• Chock blocks (rubber tyre equipment) on vehicle

  Yes

  No

  N/A

• Adequate lighting for activities associated with vehicle

  Yes

  No

  N/A

• Pre-Start Inspection Booklet

  Yes

  No

  N/A

• * Fire suppression system fitted and operable from ground level and operator cabin

  Yes

  No

  N/A

• * Fire extinguishers x 2 charged & in date

  Yes

  No

  N/A

Section C- Operational and Maintenance Checks

• Hydraulic lines and fuel lines free of abrasion and Leaks

  Yes

  No

  N/A

• Inspect and check operation of seat adjustment device or mechanism

  Yes

  No

  N/A

• * Oil lines, fuel lines& wiring looms in good condition

  Yes

  No

  N/A

• All fitted Warning lights and indicators operational (head, brake, indicator, park & reverse lights)

  Yes

  No

  N/A

• All attachments / linkages in good condition

  Yes

  No

  N/A

• Test service brake for functionality

  Yes

  No

  N/A

• No visible damage to vehicle / machine that can effect its safe operation

  Yes

  No

  N/A

• Test park brake for holding ability

  Yes

  No

  N/A

• Planetary / transmission free of oil leaks

  Yes

  No

  N/A

• Test operation of steering

  Yes

  No

  N/A

• Tyres / lock rings / wheel nuts in good condition

  Yes

  No

  N/A

• Test operation of supplemental steering

  Yes

  No

  N/A

• Engine free of oil / fuel / coolant leaks

  Yes

  No

  N/A

• Test operation of retarder (if fitted)

  Yes

  No

  N/A

• Non conductive insulation on inside of battery cover, leakage and general condition

  Yes

  No

  N/A

• Check operation of emergency shut down

  Yes

  No

  N/A

• Equipment Isolator clearly visible and functioning

  Yes

  No

  N/A

• Test operation of windscreen washers and wipers

  Yes

  No

  N/A

• * Quick Fill Connections compliant with site specifications

  Yes

  No

  N/A

• Test operation of hydraulic system

  Yes

  No

  N/A

• * Operator cabin ergonomics and condition

  Yes

  No

  N/A

• Rims over 600mm Dia. Registered / numbered

  Yes

  No

  N/A

• Have modifications been made or attachments fitted

  Yes

  No

  N/A

• Evidence of a change management process used

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A