Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
NATURE OF WORK
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Are on level ground or outriggers in use?
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Suitable for outdoor use?
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Appropriate for task?
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Intended for access to roofs or platforms?
SET-UP STABILITY
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If appropriate, is the machine being unloaded / loaded for transport safely?
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Are outriggers (if fitted) used to level the machine correctly, fully extended and used on firm footings?
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Is the machine operated on level ground?
OPERATOR COMPETENCY
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Unit Standards or silver card from EWP association for formal training?
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Evidence of company or manufacturer’s training.
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Familiarity with machine?
ONBOARD DOCUMENTATION
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Operator/manufacturer’s instructions.
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Log books.
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Pre start checks in line with the above
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Operator Instruction labels (decals) are legible.
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Current Certificate of Inspection.
WORK PLATFORM
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Condition of deck.
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Condition of guardrails.
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Self-closing gate operates.
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Condition of operator and ground controls including emergency stop.
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Known harness anchorages are present.
EMERGENCY RETRIEVAL SYSTEM
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Are there emergency procedures that have been communicated to the workers before the work begins?
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Can the operator demonstrate the retrieval/ recovery procedures in case of a power failure/emergency?
CONDITION OF THE MACHINE
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Are movement-limiting devices / limit switches present and active (demonstration)?
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Is the maximum wind rating for use outdoors present?
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How is this measured?
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Are hydraulic hoses and rams free from evidence of excessive leaks?
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Are hoses, and protective coverings intact?
FALL PROTECTION
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Are harnesses to be worn in this MEWP, or are there operations that necessitate the operator to be “hooked on?”
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What training and competencies does the operator have for harness use?
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Is the harness system set up to ensure the wearer is contained within the work platform?
SIGNATURE
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Sign off
