Title Page

  • Heavy Equipment Operator Inspection

  • Job #

  • Manufacturer (s)

  • Model (s)

  • Date of Verification:

  • Weather - Select all that apply

  • Superintendent (s):

  • Operator Name:

  • Years of Expierience

  • Reason for Evaluation

  • Evaluated By

Evaluation

Pre-Planning

  • Operators should be trained in the safe operation of the equipment they will be utilizing, and understand the equipment’s limitations

  • Utilities have been located and marked prior to start of work; critical systems/utilities have been pot holed

  • Where applicable, the operator should reference blue prints and as-builts pertinent to the work area.

  • Operator’s manual is readily available on the equipment, and the operator has reviewed and understands the requirements outlined within.

Inspection - Perform equipment inspection per operator’s manual. At a minimum, ensure the following are inspected:

  • Ensure cab is free of loose materials and debris.

  • Ensure operator’s manual is in the cab and in legible condition.

  • Check tires for cuts, bulges, chunking and proper inflation

  • Check for proper level of fluids and ensure no leaks are present

  • Check that belts, air pressure, air filter, etc. are in place and in good working condition,

  • All fittings should be adequately greased

  • Look for broken welds, cracks in the paint/metal or obvious damage

  • Inspect roll over protection for tightness of bolts/quality of welds, seat belt is in place and operational

Operation

  • When mounting or dismounting, maintain three points of contact with the machine at all times.

  • Use proper start procedures, consult the operator’s manual for equipment specific requirements.

  • Perform equipment inspection,

  • Allow the equipment to warm up prior to operating the machine

  • If applicable, the slope angle should be kept to a minimum.

  • Imposed loads and how they affect adjacent excavations and / or other structures should be clearly understood

  • If applicable, set stabilizers and raise the machine slightly off the ground, ensure the machine is level.

  • 􀁸 Make sure ALL personnel and other equipment are clear of the work area, and be alert to other people & equipment

  • Match ground speed with conditions of terrain

  • Allow no riders

EVALUATION

  • Based on my evaluation, the operator has completed the evaluation and is qualified to operate the equipment

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.