Title Page
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Heavy Equipment Operator Inspection
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Jobsite:
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Date of Evaluation:
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Model (take photo of machine):
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Type of Heavy Equipment:
- Bulldozer
- Backhoe Loader
- Compactor
- Drum Roller
- Excavator - Crawler
- Excavator - Mini
- Excavator - Skid Steer
- Grader
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Operator Name:
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Years of Experience:
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Reason for Evaluation:
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Evaluated By:
Evaluation
Pre-Planning
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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.
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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:
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Ensure cab is free of loose materials and debris.
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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
Operation
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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.
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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
EVALUATION
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Based on my evaluation, the operator has completed the evaluation and is qualified to operate the equipment
