INCOMING PLANT INSPECTION CHECKLIST

• Document No.

• Audit Title

• Photograph of Equipment Including the Identification Number Plate or Equipment Number

  Media

• Anagold Department Responsible for this Mobile Plant

• Conducted on

  Date

• Inspection Prepared by:

• Anagold Copler Inspection Location
  Address

OBJECTIVE

• The purpose of this inspection is to certify that the mobile plant being supplied conforms and is compliant to the relevant Occupational Health, Safety and Environmental legislation in Turkey and the requirements are in detail in this inspection checklist. Anagold Copler Maintenance Department at the request from the responsible/host Anagold Department will inspect this equipment to ensure the supplier has verified compliance to the legislative requirements and to register this equipment on/at this Project Site Location. The contractor operator will be required to participate in the Anagold OHSE safety training and perform his or her work in accordance with the relevant Anagold Copler Department Work Method Statement (SOP). Should the mobile plant not meet the Anagold Copler compliance standards in this inspection, then it will be prevented from commencing work on this project site location until the non-compliance is rectified and passed by the inspecting department as completed. ANAGOLD COPLER will not reimburse the the Owner/Supplier/Contractor for any machine down or lost time as a result of non-conformance to the applied standards.

  

• 7.4 Anagold Supervisor Print Name and Signature

  Sign

• 7.5 Position or Job Description of Anagold Supervisor?

• 7.5.1 Anagold Copler Supervisor's Department?

• 7.6 Date and Time of Supervisor's Review of the Inspection?

  Date

1. EQUIPMENT SUPPLIER VERIFICATION and MOBILE PLANT DETAILS

• 1.1 Mobile Plant Owner:

• 1.2 Mobile Plant Owner Address:

• 1.3 Mobile Plant Owner City location

• 1.4 Mobile Plant Owner Telephone Contact Number:

• 1.6 Model of Mobile Plant:

• 1.5 Make of Mobile Plant:

• 1.7 Mobile Plant Serial Number:

• 1.8 Signature of Supplier, Operator or Vendor

  Sign

• 1.9 Date of this Inspection

  Date

2. INSPECTION GUIDELINE

• - Mobile Plant must conform to the Manufacturer's Specifications and Project Site Regulations
  - The Mobile Plant Operator is to provide daily check sheets to the Responsible Anagold Copler Department on a weekly basis as proof of pre-start compliance
  - Where applicable and as per HSE Standards at Anagold Copler minimum Personal Protective Equipment must be worn correctly by the Operator and at all times
  - Mobile Plant Maintenance Log Book detailing the Service History in Accordance the Manufacturer's recommended specifications should be written legibly in Turkish and kept in the Operator's Cabin
  - The Contractor Operator must produce written proof of competency in the operation of the Mobile Plant e.g. "Certificate of Competence", "Licence", Detailed Log Book of Competence. The Operator must also be Authorized to Operate this Mobile Plant by Anagold Copler HSE Department.

3. Operator's Cabin Inspection

• 3.1 Is the Operator's Cabin in a clean condition?

  Safe

  At Risk

  N/A

• 3.9 Are all side and rear view mirrors in a good operational condition and clean?

  Yes

  No

  N/A

• 3.8 Are the windows clean and are the Window Wipers and Window Washer working correctly?

  Yes

  No

  N/A

• 3.10 Is there a copy of the Mobile Equipment Operational Instructions located in the Operator's Cabin for reference when required?

  Yes

  No

  N/A

• 3.2 Is the condition of the Operator's seat functional and without any serious defects?

  Safe

  At Risk

  N/A

• 3.3 Is the Operator's seat belt in a good fully functional condition?

  Safe

  At Risk

  N/A

• 3.4 Are the Control Panel Instruments clearly labelled and in a working condition?

  Yes

  No

  N/A

• 3.5 Are all of the controls and levers in the Operator's Cabin fully functional and working correctly?

  Yes

  No

  N/A

• 3.6 Are the foot pedals operational and working correctly?

  Yes

  No

  N/A

• 3.7 Does the Roll Over Protection (ROPS) meet the ISO Standard 1211-2:2008 and is it completely intact from the original manufacturer's specification?

  Yes

  No

  N/A

4. MECHANICAL INSPECTION

• 4.1 Are all Pivot Points in good operating condition?

  Safe

  At Risk

  N/A

• 4.2 Are the connecting rods for the bucket operation in good operating condition?

  Safe

  At Risk

  N/A

• 4.3 Are all safety Pins in good operating condition (check for excessive wear)?

  Safe

  At Risk

  N/A

• 4.4 Is the exhaust pipe and manifold in good operating condition without leaks or defects?

  Safe

  At Risk

  N/A

• 4.5 Is the engine compartment guarding in good condition and are the access doors closed correctly and latched?

  Safe

  At Risk

  N/A

• 4.6 Are the tires correctly inflated and in a good operating condition without serious defects?

  Safe

  At Risk

  N/A

• 4.7 Are the wheels/rims in good condition and are all the wheel nuts tightened correctly?

  Safe

  At Risk

  N/A

• 4.8 Are the brakes fully operational and do they stop the machine with a reasonable foot pressure force?

  Safe

  At Risk

  N/A

• 4.9 Is the hand brake adjusted correctly and does it stop the machine from rolling forward on an incline?

  Safe

  At Risk

  N/A

• 4.10 Are all purpose built hand rails, hand holds or foot holds in good working condition e.g. Access Point to Operator's Cabin, Access the Engine Covers

  Safe

  At Risk

  N/A

• 4.11 Are all purpose built steps in good operating condition?

  Yes

  No

  N/A

5. HYDRAULIC EQUIPMENT INSPECTION

• 5.1 Are all hydraulic cylinders and cylinder arms (rams) in good operating condition and without oil leaks?

  Safe

  At Risk

  N/A

• 5.2 Are all hydraulic hoses on the mobile plant in good operating condition without leaks and rubber deterioration?

  Safe

  At Risk

  N/A

• 5.3 Are all hydraulic connectors, clamps and pumps in good operating condition without excessive leaks, wear or creep?

  Safe

  At Risk

  N/A

6. WARNING SIGNS and SAFETY DEVICES

• 6.1 Does the horn work properly?

  Yes

  No

  N/A

• 6.2 Is there an Amber colored flashing light or strobe fitted to the mobile and is it working correctly?

  Yes

  No

  N/A

• 6.3 IS the reversing alarm working on this mobile plant?

  Yes

  No

  N/A

• 6.4 IS there a sign in the operator's cabin telling the operator that "SEAT BELTS MUST BE WORN"?

  Yes

  No

  N/A

• 6.5 Is there a warning sign in the operator's cabin saying "DANGER - BEWARE OVERHEAD"?

  Yes

  No

  N/A

• 6.6 Are all lift points on the mobile plant identified and with a Safe Working Load (SWL) label at the lifting point?

  Safe

  At Risk

  N/A

• 6.7 Is there a "CRUSH POINT HAZARD" sign displayed at the pivot point of the machine?

  Yes

  No

  N/A

7. ANAGOLD COPLER INSPECTION COMPLETION SIGN OFF PAGE (Note: Sign only when all items have been checked)

• 7.1 Anagold Inspector's Name and Signature

  Sign

• 7.2 Position or Job Description of Anagold Inspector?

• 7.2.1 Anagold Department of Inspector?

• 7.3 Date and Time of Inspection Completion

  Date

• 7.4 Anagold Supervisor Print Name and Signature

  Sign

• 7.5 Position or Job Description of Anagold Supervisor?

• 7.5.1 Anagold Copler Supervisor's Department?

• 7.6 Date and Time of Supervisor's Review of the Inspection?

  Date