MADEC Side by Side Vehicle (SSV) Risk Assessment

• Company Name

• Location
  Address

• Company Representative (name and title)

• Conducted on

  Date

• Prepared by

Type of vehicle

• 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.

• State the make and model of the SSV.

• Provide a photo of all sides of the SSV (front, back & both sides).

  Media

Risk Controls

• Ensure that the SSV has the required risk controls.

• Are the SSV seats and seatbelts present and in good working order? Note: seatbelts prevents you from being ejected from the vehicle.

  Yes

  No

• Provide a photo of the present and working seats and seatbelts of the SSV.

  Media

• Provide a photo of the SSV seats and seatbelts that do not meet the requirements.

  Media

• 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.

  Yes

  No

• Provide a photo of the present and working ROPS.

  Media

• Provide a photo of the ROPS that do not meet the requirements.

  Media

• 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.

  Yes

  No

• Provide a photo of the present and working cab nets/doors.

  Media

• Provide a photo of the cab nets/doors that do not meet the requirements.

  Media

Safe Operating Instructions

• Ensure the farms have safe operating instructions for SSVs.

• Are there safe operating instructions provided for the SSVs?

  Yes

  No

• Provide a photo of the SSV safe operating instructions.

  Media

SSV Drivers

• Verify the eligibility and responsibility of SSV drivers to ensure they are qualified and suitable for operating and driving the vehicles.

• Are MADEC worker/s responsible for operating/driving an SSV?

  Yes

  No

• Who is the nominated MADEC driver/s (include full name as per passport)?

• Detail the workers/drivers name and their employer. (For example: John Smith from LMB)

Driver Competency

• Ensure SSV drivers demonstrate competence and eligibility. Collect and document evidence of training or qualifications in the details below, providing comprehensive information.

• What evidence or training exists that demonstrates driver competency? Please detail in the comments.

• Provide photographic evidence of driver competency records.

  Media

SSV Passengers

• Are MADEC workers passengers on SSVs?

  Yes

  No

Pre-start Checks on SSVs

• Host farms are required to perform pre-start checks on SSVs. Fill out the questions below to verify the completion of this task.

• Does the host farm conduct a pre-start check on the SSVs?

  Yes

  No

• How often is a pre-start check conducted on SSVs?

• If there are more than one SSV at this clients site, complete a new inspection.

• Forward this report to atowers@madec.edu.au