Information

  • Site

  • Location
  • Conducted on

  • Prepared by

  • Personnel present

General

  • Operator training and instruction has been provided (instruction may include pre-start and or toolbox meetings)

  • Operators manual provided

  • Access and egress is adequate

  • Pedestrian movement is controlled (including a procedure for the interaction of personnel and mobile plant)

  • Training is provided to personnel on the interaction procedure and blind spots on the mobile plant)

  • Traffic management is in place (including exclusion zones and turn around areas where applicable)

  • Ground conditions are acceptable

  • Hazards associated with work area have been identified and accessed. Controls are in place

  • Machine controls are labelled for function and direction

  • Articulation point is clearly labelled identifying crush hazards

  • Seating is adequate

  • Hot parts are guarded

  • All relevant manuals, decals and control labels are provided with plant

  • Two way communication between mobile plant operator and personnel (radio communication must be held on the person in the area)

  • High visibility vest are worn by personnel in the area

  • Routine servicing/maintenance is carried out

  • Are relevant records available for plant being operated on site- plant risk assessment, mobilisation checklist, JSA and daily/weekly checklists available on site

  • Is plant and equipment register available and up to date

Earthmoving Plant

  • Is there earthmoving equipment on site?

  • ROPS is fitted (except track mounted excavators)

  • Operators manual provided

  • Are relevant records available for plant being operated on site- plant risk assessment, mobilisation checklist, JSA and daily/weekly checklists available on site

  • Log book is available and current or daily checklists completed

  • Reverse alarm is functional if fitted

  • Active revolving light is functional is fitted

  • Side mirrors fitted

  • Seatbelt is fitted and functional

  • Lifting point has SWL stated or load chart provided

  • When parked has bucket been placed on ground

Elevated Working Platforms

  • Are there EWPs on site?

  • Operator of boom type EWP (greater than 11 metres) holds current high risk licence

  • Design of boom type EWP is registered

  • Are SWLs, capacities and tolerances, etc known, displayed and complied with

  • Log book is available and current

  • Inspection and maintenance current

  • Are relevant records available for plant being operated on site- plant risk assessment, mobilisation checklist, JSA and daily/weekly checklists available on site

  • Fall arrest harness available and being worn (except scissor lift). Are they in good condition

  • Manual emergency descent is clearly labelled

  • Level indicator is fitted where outriggers are used

  • EWPs sited in firm level ground

  • EWPs kept clean and in serviceable condition

Mobile Cranes

  • Are there any mobile cranes operating on site?

  • Operator hold current certificate of competency or licence

  • Dogman/rigger hold current certificate of competency or licence

  • Load charts are fitted and written in English

  • Log book is available and current

  • Inspection and maintenance current

  • Evidence of plant registration is displayed (cranes greater than 10 tonne)

  • Are relevant records available for plant being operated on site- plant risk assessment, mobilisation checklist, JSA and daily/weekly checklists available on site

  • Cranes are fitted with lights, alarms and outriggers

  • Crane located on on compacted or stabilised ground

  • Crane operated well clear of OHPLs

  • Means of restriction or control to prevent persons entering the vicinity in which the crane is operating

  • Are slings and chains in good condition and tagged

  • Is there a lifting register in place

Forklifts/Telehandlers

  • Are there any forklifts operating on site?

  • Operator hold current certificate of competency or licence?

  • Operated in accordance with manufacturers instructions

  • Operated well clear of OHPLs

  • Capacity charts/SWLs, tolerances are provided, legible and written in English

  • Log book is available and current

  • Are relevant records available for plant being operated on site- plant risk assessment, mobilisation checklist, JSA and daily/weekly checklists available on site

  • Forklift is in good working order, serviceable condition and clean

  • Falling Objects Protection (FOPS) fitted

  • Active revolving flashing light is functional if fitted

Corrective Actions

    Corrective Actions
  • Description

  • Add media

  • Risk Rating

  • Action by

  • Date completed

  • Completed sign off

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.