Title Page
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Site conducted
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Conducted on
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Prepared by
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General Body Condition - Is the vehicle in good order with seat belt in place and working correctly?
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Tyres - Check for tread depth, any defects and for correct size and pressures.
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Hydraulics / Pipes - Are hoses in good condition looking for any signs of leaks? Check condition of pipes i.e. on a concrete pump or compressor for signs of damage, holes, leaks, etc.
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Windscreen - Do the wipers work, good visibility, any cracks in the glass, glass toughened/fitted with shutters and fall protection rails.
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Mirrors - Are all mirrors fitted and in good order, with convex mirrors present where required. Can a 1m high object, located 1m from the vehicle be seen all round from the drivers seat?
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Cameras - Look for signs of damage on the camera, is it blocked by dirt/protection box, does the screen work in the cab giving a suitable picture to the operator.
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Audible Warning - Is a working reversing alarm fitted? Are lifting alarms fitted?
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Guard - Guards to be fitted along with warning stickers on any areas where there are exposed moving parts or there is a crush zone risk. Edge protection guard rails to be fitted to backs of excavators 13tonne and above.
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Visual Warnings - Flashing beacons (amber warning and green seat belt), hazard lights, indicators, headlights, thumbs up and quick hitch signs
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Statutory Examination Check all relevant test/maintenance records are with the plant.
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Expiary date of certificate
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Outriggers - Are they fitted and working/with relevant info for use available.
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Inspection Results
- I hereby authorise this item of plant as being safe to work on site.
- I hereby prohibit this item of plant as being unsafe to be used to work on site.
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Authorized Signature
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Authorised Signature.
Photos
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Front Photo
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Cab side Photo
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Rear Photo
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Engine Side Photo