Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Inspection Information
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MOBILE POWERED PLANT TYPE
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Plant Registration No:
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Plant Asset No:
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Area Supervisor:
ITEM
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OEM documentation is provided from the supplier?
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Evidence of compliance with legislation and Civmec requirements?
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Evidence of compliance with Australian Standards or equivalent?
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Evidence of defect management process?
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Evidence of plant or suppliers risk assessment?
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Evidence of registeration, if required and currency?
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Daily Prestart Logbook being completed by the certified and competent operator?
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15m and 30m delineation sticker for crawling and mobile plant visible?
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ESD such as reverse alarm, flashing light, emergency stop, fire ext. etc are fitted and operational?
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Master Isolation points are identifiable and able to be locked out?
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All hazard and risk decals are fitted and visible? e.g. Pinch points, noise, vibration etc
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All access points e.g. Foot holds, handrails, hand grabs are in good order and condition?
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All forms of engineered designed edge protection are fit for purpose?
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Are manufacturers service and maintenance inspections being completed and recorded?
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Corrective/Preventive Actions
Corrective Actions
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Action
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Action
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Action
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Action
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Action
Inspection team
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Name:
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Name:
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Name:
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Name:
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Name: