HV Compliance Audit

• Site conducted

• Conducted on

  Date

• Contractor Company

  Select Cross Verwijmeren Cheela Plains Contracting Yurduba East Pilbara Earthmoving Jilpanti Enterprises COLAS Gabon

  • Cross Verwijmeren
  • Cheela Plains Contracting
  • Yurduba
  • East Pilbara Earthmoving
  • Jilpanti Enterprises
  • COLAS Gabon

• Prepared by

• Location
  Address

• Asset Number

• Machine Hrs/Kms

• Serial Number

• Asset ID Visible from Three Sides

  Compliant

  Non-Compliant

  N/A

• All seating positions to have lap/sash inertia reel seat belts, which are operational; webbing is in good condition and not frayed.

  Compliant

  Non-Compliant

  N/A

• Identifiable & lockable ground level isolator at point of access.

  Compliant

  Non-Compliant

  N/A

• Permanent flashing amber light fitted and operational (Magnetic beacons not acceptable)

  Compliant

  Non-Compliant

  N/A

• Pre Start book in cab and filled out.

  Compliant

  Non-Compliant

  N/A

• Load restraints suitable for the type of load/s being carried, available and in good condition and in working order.

  Compliant

  Non-Compliant

  N/A

• Effective guarding on all accessible moving parts.

  Compliant

  Non-Compliant

  N/A

• Access and egress to be designed to maintain three points of contact.

  Compliant

  Non-Compliant

  N/A

• Service sticker shows next service date and/or last service invoice/record is available.

  Compliant

  Non-Compliant

  N/A

• Correct and functional lighting for activities associated with the vehicle.

  Compliant

  Non-Compliant

  N/A

• Emergency triangles or beacons.

  Compliant

  Non-Compliant

  N/A

• Vehicle registration is current and expiry is noted.

  Compliant

  Non-Compliant

  N/A

• Ensure• Ensure vehicle physically cannot exceed the vehicle GVW, if it can physically be exceeded then a weight measuring and recording <br>device shall be fitted. This applies to: Haul Trucks, Water Carts, Tipping trucks (iron ore, waste, sand, other bulk materials), Services trucks i.e. Truck that contains hydraulic fluids, coolant, grease etc

  Compliant

  Non-Compliant

  N/A

• Radio fitted and operates on required channels

  Compliant

  Non-Compliant

  N/A

• Wheel chocks available on vehicle

  Compliant

  Non-Compliant

  N/A

• Enclosed, sealed air-conditioned operator cabin

  Compliant

  Non-Compliant

  N/A

• Fire suppression system operable from ground level and operator cabin or easily accessible fire extinguishers

  Compliant

  Non-Compliant

  N/A

• Fire extinguisher fitted securely, presurized and in date

  Compliant

  Non-Compliant

  N/A

• Shatter/Pressure resistant glass fitted to cabs

  Compliant

  Non-Compliant

  N/A

Section B Mandatory Operational Requirements

• Foot brake operational

  Compliant

  Non-Compliant

  N/A

• Rear view and side mirrors fitted and in good condition

  Good

  Fair

  Poor

  N/A

• Tires (including spare/s) in good condition

  Good

  Fair

  Poor

  N/A

• Park brake operational

  Compliant

  Non-Compliant

  N/A

• All lights and indicators operational (head, brake, indicator, park & reverse lights)

  Yes

  No

  N/A

• Reverse alarm fitted and operational

  Yes

  No

  N/A

• Windscreen washers and wipers operational

  Yes

  No

  N/A

• Horn/warning device operational

  Yes

  No

  N/A

Section C Equipment Modifications

• Have modifications been made or attachments fitted?

  Select

• FMG Representative

  Sign

• Contractor Representative

  Sign