Title Page
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Company Name
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Location
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Company Representative (name and title)
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Conducted on
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Prepared by
Side by Side Vehicle Risk Assessment
Type of vehicle
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Conduct a separate assessment for each SSV. Observe the SSV, and provide detailed information below, ensuring to follow the provided instructions and include as much relevant information as possible.
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State the make and model of the SSV.
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Provide a photo of all sides of the SSV (front, back & both sides).
Risk Controls
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Ensure that the SSV has the required risk controls.
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Are the SSV seats and seatbelts present and in good working order? Note: seatbelts prevents you from being ejected from the vehicle.
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Provide a photo of the present and working seats and seatbelts of the SSV.
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Provide a photo of the SSV seats and seatbelts that do not meet the requirements.
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Is the built in Rollover Protection Structure (ROPS) present and in good working order? Note: ROPS prevents you from crush injuries in the event of a roll over.
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Provide a photo of the present and working ROPS.
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Provide a photo of the ROPS that do not meet the requirements.
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Is the cab nets/doors present and in good working order? Note: cab nets/doors prevents body limbs protruding from the vehicle and being crushed in the event of a rollover.
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Provide a photo of the present and working cab nets/doors.
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Provide a photo of the cab nets/doors that do not meet the requirements.
Safe Operating Instructions
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Ensure the farms have safe operating instructions for SSVs.
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Are there safe operating instructions provided for the SSVs?
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Provide a photo of the SSV safe operating instructions.
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Has the worker been educated on passenger safety when in an SSV as a passenger?
SSV Drivers
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Verify the eligibility and responsibility of SSV drivers to ensure they are qualified and suitable for operating and driving the vehicles.
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Are MADEC worker/s responsible for operating/driving an SSV?
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Who is the nominated MADEC driver/s (include full name as per passport)?
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Detail the workers/drivers name and their employer. (For example: John Smith from LMB)
Driver Competency
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Ensure SSV drivers demonstrate competence and eligibility. Collect and document evidence of training or qualifications in the details below, providing comprehensive information.
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What evidence or training exists that demonstrates driver competency? Please detail in the comments.
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Provide photographic evidence of driver competency records.
SSV Passengers
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Are MADEC workers passengers on SSVs?
Pre-start Checks on SSVs
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Host farms are required to perform pre-start checks on SSVs. Fill out the questions below to verify the completion of this task.
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Does the host farm conduct a pre-start check on the SSVs?
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How often is a pre-start check conducted on SSVs?
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Is the key removed when not in use?
Report
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If there are more than one SSV at this client's site, complete a new inspection.
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Forward this report to atowers@madec.edu.au & klong@madec.edu.au
