Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Inspection Information

  • MOBILE POWERED PLANT TYPE

  • Plant Registration No:

  • Plant Asset No:

  • Area Supervisor:

ITEM

  • OEM documentation is provided from the supplier?

  • Evidence of compliance with legislation and Civmec requirements?

  • Evidence of compliance with Australian Standards or equivalent?

  • Evidence of defect management process?

  • Evidence of plant or suppliers risk assessment?

  • Evidence of registeration, if required and currency?

  • Daily Prestart Logbook being completed by the certified and competent operator?

  • 15m and 30m delineation sticker for crawling and mobile plant visible?

  • ESD such as reverse alarm, flashing light, emergency stop, fire ext. etc are fitted and operational?

  • Master Isolation points are identifiable and able to be locked out?

  • All hazard and risk decals are fitted and visible? e.g. Pinch points, noise, vibration etc

  • All access points e.g. Foot holds, handrails, hand grabs are in good order and condition?

  • All forms of engineered designed edge protection are fit for purpose?

  • Are manufacturers service and maintenance inspections being completed and recorded?

  • Corrective/Preventive Actions

Corrective Actions

  • Action

  • Action

  • Action

  • Action

  • Action

Inspection team

  • Name:

  • Name:

  • Name:

  • Name:

  • Name:

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