GPT Maintenance Form V2.0

• Asset Number

• Type of Device

• Location
  Address

• Conducted on

  Date

• Prepared by:

Pre Start Checklist

• Have all personnel onsite been inducted?

  Yes

  No

  N/A

• Are records of toolbox talks available?

  Yes

  No

  N/A

• Are all personnel equipped with appropriate PPE gear?

  Yes

  No

  N/A

• Are first aid kits and nominated first aid officers available onsite?

  Yes

  No

  N/A

• Are spill kits available onsite?

  Yes

  No

  N/A

• Photograph of site:

  Media

Maintenance Form

• Details of Unit (type, capacity, access requirements)

• Quantity of material removed (t)

• Type of material

  Select Predominantly Silt Predominantly Rubbish Predominantly Vegetation Other

  • Predominantly Silt
  • Predominantly Rubbish
  • Predominantly Vegetation
  • Other

Condition of GPT and Surrounds

• Is there any vandalism evident?

  Yes

  No

  N/A

• Add media

  Media

• Is there any erosion evident?

  Yes

  No

  N/A

• Action taken

• Add media

  Media

• Condition of Inlet

  Requires further action

  Fair

  Good

• Details

• Add media

  Media

• Condition of Outlet

  Requires further action

  Fair

  Good

• Details

• Add media

  Media

• Condition of Downstream Line

  Requires further action

  Fair

  Good

• Details

• Add media

  Media

• Photos of Completed Works

• Add media

  Media

Cost Sheet

• Labour Daily Costs

• Plant Daily Costs

• Materials & Storage Issues

• Total Hours Onsite

• Type of Machinery Used

• Future Recommendations

• Recommended frequency

  Select 3 Monthly 6 Monthly 12 Monthly

  • 3 Monthly
  • 6 Monthly
  • 12 Monthly

Contractor Details

• List Contractors Used

• Contractor Performance

  Select Unsatisfactory Fair Good Very Good

  • Unsatisfactory
  • Fair
  • Good
  • Very Good

• MCC Representative

• Add signature

  Sign