GENERAL PLANT OR EQUIPMENT OPERATOR COMPETENCE VERIFICATION CHECKLIST

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The following details must be checked and verified by a nominated competent person

Any person who is required to operate an item of plant or equipment in any John Holland workplace must demonstrate that they are competent to do so before they are permitted to operate the item of plant or equipment

DETAILS

• Plant or equipment type

• Operator name

• Date of competency check

QUESTION / REQUIREMENT

• Is a certificate of competency requirement to operate this item of plant or equipment

  Yes

  No

  N/A

• Does the operator possess a current certificate of competency for the item?

  Yes

  No

  N/A

• Certificate type and number

  Yes

  No

  N/A

• Is the operator able to provide evidence (personal training log book, other method etc) that they have operated this toe of plant or equipment before?

  Yes

  No

  N/A

• Is the operator able to identify and operate all safety mechanisms / controls on the item of plant or equipment

  Yes

  No

  N/A

• Is the operator able to identify and operate all functional controls on item?

  Yes

  No

  N/A

• Is the operator able to perform all per start safety and operational checks for the item?

  Yes

  No

  N/A

• Has the operator been observed operating the time of plant and equipment safely by a competent person

  Yes

  No

  N/A

• Is the operator authorised to operate this item of plant?

  Yes

  No

  N/A

• Name of person carrying out check

• Position

• Auditor's signature

  Sign