Information

  • Identify plant being checked Machine

  • Enter plant description

  • Inform SHREC Ltd if any additional plant is needed on the selection list.

  • Client / Site / Contact

  • Contract No

  • Week comencing

  • Prepared by

  • Location

Monday

MONDAY

Engine and power plant

  • Engine Oil level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

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

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Wednesday

WEDNESDAY

Engine and power plant

  • Engine Oil level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Thursday

THURSDAY

Engine and power plant

  • Engine Oil level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Friday

FRIDAY

Engine and power plant

  • Engine Oil level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Saturday

SATURDAY

Engine and power plant

  • Engine Oil level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

RPE and PPE

  • All staff seen wearing the correct PPE/RPE?

Sign Off

  • Print name of inspection personnel?

Sunday

SUNDAY

Engine and power plant

  • Engine Oil level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Coolant level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hydraulic Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Brake Fluid level checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Drive Belts checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Equipment is clear of any oil Leaks

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Battery levels Checked

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Exterior

  • Doors and windows in good condition and working correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lights and beacons operating correctly?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Mirrors in good condition and usable?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Hoses/ cables in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Exhaust system working correctly ?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Guards in place and fully operational for the hazard?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Wheels/tyres/tracks in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Pivot pins/joints (greased)?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Tow hitch / lifting points in good condition?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Quick Hitch

  • Locking pin / Mechanism in place?

  • Not applicable

  • OK

  • Fail

  • Equipment identification

  • Action taken

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

  • Detail of retification

Interior

  • Brakes working correctly ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Accelerator/ Clutch operating as expected ?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Ventilation & heating operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Steering and other controls operating correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Lighting functioning correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

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

  • Equipment identification

  • Action taken

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

  • Detail of retification

Other

  • ITC Permit to dig completed and the service drawings available within the excavator with the permit? <br>

  • 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)

  • Confirm Safe operating procedure in place for excavation.<br>

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

  • Emergency Stop are all working?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Interlocks in place and working are all working correctly?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Are emissions within acceptable limits of standard operation?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Is the plant and equipment free of leaks?

  • Equipment identification

  • Action taken

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

  • Detail of retification

  • Other items checked
  • Item description

  • Action taken

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

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.