Title Page

  • Heavy Equipment Operator Inspection

  • Jobsite:

  • Date of Evaluation:

  • Make and Model: (take photo of machine)

  • Type of Heavy Equipment:

  • Superintendent (s):

  • Operator Name:

  • Years of Experience:

  • 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

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