Information

  • Document No.

  • Machine / Plant Ref

  • Enter plant description

  • Client / Site / Contact

  • Contract No

  • Week comencing

  • Prepared By

  • Location

Monday

MONDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Tuesday

TUESDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Wednesday

MONDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Thursday

MONDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Friday

MONDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Saturday

MONDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Sunday

MONDAY

Engine and power plant

  • Engine Oil level checked and OK?<br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Coolant level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hydraulic Fluid level checked and OK? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Brake Fluid level checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Drive Belts checked and OK ? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Equipment is clear of any oil Leaks? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Battery levels ok? <br>

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Engine and power plant

  • Battery levels ok?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Exterior

  • Doors and windows in good condition and working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lights and beacons operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Mirrors in good condition and usable?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Hoses/ cables in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Exhaust system working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Guards in place and fully operational for the hazard?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Wheels/tyres/tracks in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Pivot pins/joints (greased)?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Tow hitch / lifting points in good condition?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Quick Hitch

  • Locking pin / Mechanism in place?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Interior

  • Brakes working correctly ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Accelerator/ Clutch operating as expected ?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Seat/seat belt in good condition and operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Ventilation & heating operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Steering and other controls operating correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Lighting functioning correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Gauges/ indicators/warning devices are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

Other

  • 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)

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Emergency Stop are all working?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Interlocks in place and working are all working correctly?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Are emissions within acceptable limits of standard operation?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Is the plant and equipment free of leaks?

  • Action taken

  • Create follow up action & email rhydian@ianthomasconstruction.com

  • Other items checked
  • Item description

  • Is the item satisfactory? if no enter corrective action taken

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.