Information
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Document No.
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Machine / Plant Ref
- 21T Excavator
- 14T Excavator
- 14T Dump trailers
- Telehandler
- Vibratory roll compactor
- 6T Excavator
- 6T Dumper
- Bomag 135 Roller
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Client / Site / Contact
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Contract No
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Week comencing
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Prepared by
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Location
Daily Pre-Start Check
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If the item or equipment type is not on the machine / plant select N/A
Engine and power plant
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Engine Oil level checked and OK on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Coolant level checked and OK on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Hydraulic Fluid level checked and OK on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Brake Fluid level checked and OK on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Drive Belts checked and OK on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Equipment is clear of any oil Leaks on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Battery levels ok on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
Exterior
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Doors and windows in good condition and working correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Lights and beacons operating correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Mirrors in good condition and usable on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Hoses/ cables in good condition on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Exhaust system working correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Guards in place and fully operational for the hazard on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Wheels/tyres/tracks in good condition on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Pivot pins/joints (greased) on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Tow hitch / lifting points in good condition? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
Quick Hitch
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Locking pin / Mechanism in place on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
Interior
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Brakes working correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Accelerator/ Clutch operating as expected on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Seat/seat belt in good condition and operating correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Ventilation & heating operating correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Steering and other controls operating correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Lighting functioning correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Gauges/ indicators/warning devices are all working correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
Other
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ITC Permit to dig completed and the service drawings available within the excavator with the permit? If No obtain permit and service documentation for the excavation. (Do Not Start excavation unless all teams have signed the permit. This includes change of gang part way through excavation)
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Corrective Action taken
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Emergency Stop are all working correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Interlocks in place and working are all working correctly on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Are emissions within acceptable limits of standard operation on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
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Is the plant and equipment free of leaks on the following days? if not OK enter corrective action taken.
- Not Applicable
- Mon
- Tue
- Wed
- Thu
- Fri
- Sat
- Sun
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Any Corrective action taken?
Other items checked
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Item description
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Is the item satisfactory? if no enter corrective action taken
RPE and PPE
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All staff seen wearing the correct PPE/RPE?
Sign Off
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Print name of inspection personnel
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Add signature