HEAVY EQUIPMENT OPERATOR EVALUATION

• Heavy Equipment Operator Inspection

• Jobsite:

  Select

• Date of Evaluation:

  Date

• Make and Model: (take photo of machine)

  Media

• Type of Heavy Equipment:

  Select Bulldozer Backhoe Loader Compactor Drum Roller Excavator Grader

  • Bulldozer
  • Backhoe Loader
  • Compactor
  • Drum Roller
  • Excavator
  • Grader

• Superintendent (s):

  Select

• Operator Name:

• Years of Experience:

  Select

• Reason for Evaluation:

  Select

• Evaluated By:

  Select

Pre-Planning

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

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

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

  Select

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

  Select

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.

  Select

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

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

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

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

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• All fittings should be adequately greased

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

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

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Operation

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

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

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• Perform equipment inspection,

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

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

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

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

  Select

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

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• Match ground speed with conditions of terrain

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• Allow no riders

  Select

EVALUATION

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

  Yes

  No