Title Page
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Site conducted
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Date week commencing (select Monday only)
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This Daily check form incorporates all of the applicable inspection red files that are usually paper based
the form can be started at any date and closed when all applicable checks for the project are completed.
Each form can be individually completed, dated and signed by the worker completing the inspection
This form contains the following NCL weekly inspection forms:
- 9 MEWP/s
- 9a MEWPs Cherry Picker/s
- 10 Forward tipping dumper/s
- 11 Excavator/s
- 12 Ride on Roller/s
- 22 Tower crane/s
- 150 Excavation/s -
The site manager / Project manager must confirm all daily checks have been completed by the end of the week Friday or end of weekend shift).
Daily Checks
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Are you inspecting Plant?
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Are you inspecting MEWPs?
9 MEWP register
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Register all MEWPs on site by providing details
click the + button to add a MEWP to the register -
Your name (inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on the clock
9 MEWP register
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Register all MEWPs on site by providing details
click the + button to add a MEWP to the register -
Your name (if different to the above inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on the clock
9 MEWP Inspection
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This section is used to record daily inspections of the registered MEWP/s. These checks are to be carried out daily, any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the MEWP not operated.
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Which day/s are you recording your inspection/s (can be multiple) - NOTE: Week commencing start date is on the title page
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Carry out the inspection on all of the above registered MEWPS in accordance with the below checklist and manufacturers instructions.
Does the MEWP operator have the correct training to operate this MEWP with proof on site?
Has the MEWP a Thorough examination certificate dated within the last 6 months and on site?
Is the machine free from any visible damage to the body work and any guards in position and secure?
Are all fitting, attachments & safety devices intact & free from defects?
Is the stopping mechanism working OK with no excessive roll on?
Is the horn, lights, reversing alarm (if fitted), warning beacons, electrics all working with no apparent defects?
Are all handrails Gates and extending platforms in tact with no signs of apparent damage
Is the steering working correctly with no signs of excessive play?
Are all engine oil, transmission, hydraulic, fuel & coolant levels all topped up with no apparent leaks?
Is the condition of hydraulic components i.e. hoses in GWO?
Have you looked in the engine Compartment for any obvious defects, drive belts, air filter indicator etc?
Have you lubricated and greased the machine as per maintenance schedule and manufacturers requirements?
Are all manuals/stickers relating to the safe working operation of the machine in place & readable?
Is the tyre pressure (if Air) and tread satisfactory?
When lowering the MEWP does the lowering mechanism lower steadily
When in operation is the MEWP always situated on firm level ground?
Is the harness attachment point intact and secure (cherry picker)?
Can the MEWP be operated without risk of damage to the operator or others working nearby which would be affected by the machine? if not indicate X and name of person informed on reverse of the sheet?
At time of inspection is this MEWP deemed to be in good safe working order? -
I / we have inspected all of the registered MEWPs in accordance with the above checklist. <br><br>All MEWPS in a serviceable condition and safe to use?
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Provide details of the registered MEWP/s serial number / NCL number - can be multiple Provide details of the faults and/or damage. Add photos / media and any other supporting evidence. You must create an action and assign to a responsible individual - add email. Ensure that the MEWP/s are not used if not safe.
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I / we confirm that all other registered MEWPS are serviceable and safe to use?
- Yes (if no, list the unsafe plant above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected
click + to add additional inspectors signatures (if more than one person carried out an inspection). -
Job Role
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Date
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected
click + to add additional inspectors signatures (if more than one person carried out an inspection). -
Job Role
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Date
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Name & signature
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Are you inspecting MEWP - cherry picker/s?
9a MEWP - Cherry picker register
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Register all MEWPs on site by providing details
click the + button to add a MEWP to the register -
Your name (inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on the clock
9a MEWP - cherry picker register
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Register all MEWPs on site by providing details
click the + button to add a MEWP to the register -
Your name (if different to the above inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on the clock
9a - MEWP - Cherry Picker - Daily Pre-use inspection
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This section is used to record daily inspections of the registered MEWP /s- cherry picker/s. These checks are to be carried out daily, any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the MEWP not operated.
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Which day/s are you recording your inspection/s
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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Check the following for damage, correct functioning, missing, modified or incorrectly fitted parts.
Refer to the operator’s manual for methods and further guidance:
1. Ensure the place of work is suitable for the MEWP.
2. Has the MEWP a Thorough examination certificate dated within the last 6 months and on site?
3. Are the operator’s manual and safety instructions on the MEWP and legible?
4. Are labels & decals in place and legible?
5. Electrical components, wiring and cables.
6. Ensure battery packs are in place, securely latched and properly connected.
7. Hydraulic power unit, reservoir, hoses, fittings, cylinders and manifolds. Is the hydraulic oil level ok?
8. Drive and turntable motors and torque hubs.
9. Boom wear pads, tires and wheels.
10. Limit switches, alarm and horn, lights, beacon and alarms.
11. Nuts, bolts and other fasteners.
12. Platform entry mid-rail and gate.
13. Cracks in welds or structural components. Dents of damage to the machine.
14. Structural and critical components are present and all fasteners and pins are securely in place.
Harness attachment point intact and secure (cherry picker).
15. Function checks: On the ground controls: emergency stop, boom functions, tilt sensor, auxiliary controls.
16. Function checks: At the platform controls: emergency stop, horn, footswitch, machine functions, steering, test drive and braking, limited drive speed, drive enable system, auxiliary controls.
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I / we have inspected all of the registered MEWPs - Cherry pickers in accordance with the above checklist. <br><br>All MEWPs - Cherry pickers are in a serviceable condition and safe to use?
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Provide details of all MEWP/s - cherry pickers (serial number / plant number) Provide details of the problems, faults or damage here - Do not use the plant until they are resolved
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I / we confirm that all other registered MEWPS are serviceable and safe to use?
- Yes (if no, list the unsafe plant above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Forward tipping dumper/s?
10 Forward tipping dumper/s register
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Register all Dumper/s on site by providing details
click the + button to add a Dumper to the register -
Your name (inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
10 Forward tipping dumper/s register
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Register all Dumper/s on site by providing details
click the + button to add a Dumper to the register -
Your name (if different to the above inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
10 Forward tipping dumper inspection
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Which day/s are you recording your inspection/s
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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This section is used to record daily inspections of the registered Forward tipping dumper/s. These checks are to be carried out daily, any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the Forward tipping dumper/s not operated.
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Inspect all of the registered forward tipping dumpers in accordance with the below checklist and manufacturers instructions.
Are there no visible signs of damage to the body work?
Are all mirrors intact with no visible damage ?
Is the Tyre pressure and tread adequate?
Are all warning signs visible and intact?
Are all warning lights working correctly including flashing beacon?
Are all lights working correctly?
Are all brakes working correctly?
Is the horn working correctly?
Is the roll over bar and seat belt in place and working correctly?
Are water levels correct?
Are all oil levels correct including the hydraulic oil, water & Battery?
Is the steering correctly aligned with no excessive play ?
Is the driver adequately trained with proof of training on site?
Does the dumper have a current (within the last 12 months) and up to date Pre delivery inspection (PDI) on site?
At time of inspection is this Dumper deemed to be in good safe working order? -
I / we have inspected all of the registered Forward tipping dumper/s in accordance with the above checklist.<br><br>All registered Forward tipping dumpers are in serviceable condition and good, safe working order?
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Provide details of the registered Forward tipping dumber/s serial number / NCL number - can be multiple Provide details of the faults and/or damage - ensure that the Forward tipping dumper/s are not used if it is not safe to operate
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I / we confirm that all other registered Forward tipping dumper/s are serviceable and safe to use?
- Yes (if no, list the unsafe plant above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Excavator/s?
11 Excavator/s Register
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Register all Excavators on site by providing details
click the + button to add an excavator to the register -
Your name (inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on clock
11 Excavator/s Register
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Register all Excavators on site by providing details
click the + button to add an excavator to the register -
Your name (if different to the above inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on clock
11 Excavator/s Daily Inspection/s
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Which day/s are you recording your inspection/s
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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This section is used to record daily inspections of the registered Excavators. These checks are to be carried out daily, any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the Excavator/s not operated.
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Inspect all of the registered excavators in accordance with the below checklist and manufacturers instructions.
Does the Excavator operator have the correct CPCS training to operate this Excavator with proof on site?
Has the Excavator a certificate of thorough examination dated within the last 12 months and on site?
Is the machine free from visible debris with clean tracks and all guards in position and secure?
Are all fitting, attachments & safety devices intact & free from defects?
Are all mirrors (if fitted) all working and visible through?
Is the horn, lights, reversing alarm, warning beacons, electrics all working with no apparent defects?
Operation of capacity indicator (SLI) & safety level bar (Ops position)?
Are all engine oil, transmission, hydraulic, fuel & coolant, & Battery levels all topped up with no apparent leaks?
Is the condition of hydraulic components i.e. hoses in GWO?
Have you looked in the engine Compartment for any obvious defects, drive belts, air filter indicator etc?
Have you lubricated and greased the machine as per maintenance schedule and manufacturers requirements?
Are all manuals/stickers relating to the safe working operation of the machine in place & readable?
Are the correct pins in place and secured to the bucket or breaker?
Is a Quick hitch bucket used on the excavator? If so does it require a pin in place to ensure safety?
If so is the pin inserted each time you use the quick hitch?
Do you ensure all operatives working with you are clear from the slew area and below the bucket whilst operating?
Can the Excavator be operated without risk of damage to the operator or others working nearby which would be affected by the machine?
A Bow shackle with secure retaining pin and a swivel shackle is to be used at all times when carrying out lifting operations with the Excavator, are you using these? if you don’t have these DO NOT Lift with the excavator, list the issue below contact your site manager.
At time of inspection is this Excavator deemed to be in good safe working order? -
I / we have inspected all of the registered Excavators in accordance with the above checklist.<br><br>All registered excavators are in serviceable condition and good, safe working order?
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Provide details of the registered Excavator/ss serial number / NCL number - can be multiple Provide details of the faults and/or damage - ensure that the excavator/s are not used if it is not safe to operate
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I / we confirm that all other registered Excavator/s are in serviceable condition and good, safe working order?
- Yes (if no, list the unsafe plant above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Ride on Roller/s?
12 Ride on Roller/s register
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Register all Ride on rollers on site by providing details
click the + button to add a ride on roller to the register -
Your name (inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on clock
12 Ride on Roller/s register
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Register all Ride on rollers on site by providing details
click the + button to add a ride on roller to the register -
Your name (if different to the above inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on clock
12 Ride on Roller/s Inspection
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Which day/s are you recording your inspection/s
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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This section is used to record daily inspections of the registered Ride on roller/s. These checks are to be carried out daily, any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the Ride on roller/s not operated.
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Inspect all of the registered Ride on roller/s n accordance with the below checklist and manufacturers instructions.
Does the Ride on Roller operator have the correct CPCS training to operate this Roller with proof on site?
Has the Ride on Roller have pre delivery inspection (PDI) sheet dated within the last 12 months and on site?
Is the machine free from any visible damage and any guards in position and secure?
Are all fitting, attachments & safety devices intact & free from defects?
Are all mirrors (if fitted) all working and visible through?
Is the horn, lights, reversing alarm, warning beacons, electrics all working with no apparent defects?
Is there a roll over protection system in place and working correctly?
Is the Seat belt in tact and working with no visible signs of damage?
Is the steering working correctly with no signs of excessive play?
Are all engine oil, transmission, hydraulic, fuel & coolant, Battery levels topped up with no apparent leaks?
Is the condition of hydraulic components i.e. hoses in GWO?
Have you looked in the engine Compartment for any obvious defects, drive belts, air filter indicator etc?
Have you lubricated and greased the machine as per maintenance schedule and manufacturers requirements?
Are all manuals/stickers relating to the safe working operation of the machine in place & readable?
Can the Ride on Roller be operated without risk of damage to the operator or others working nearby which would be affected by the machine?
At time of inspection is this Roller deemed to be in good safe working order -
I / we have inspected all of the registered Ride on Roller/s in accordance with the above checklist.<br><br>All registered Ride on Roller/s are in serviceable condition and good, safe working order?
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Provide details of the registered Ride on roller/s serial number / NCL number - can be multiple Provide details of the faults and/or damage - ensure that the ride on roller/s are not used if it is not safe to operate
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I / we confirm that all other registered Excavator/s are in serviceable condition and good, safe working order?
- Yes (if no, list the unsafe plant above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Tower Crane/s?
22 Tower Crane Daily Pre-User Inspection Regiser
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Register all Tower crane/s on site by providing details
click the + button to add a Tower Crane to the register -
Your name (inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on clock
22 Tower Crane Daily Pre-User Inspection Register
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Register all Tower crane/s on site by providing details
click the + button to add a Tower Crane to the register -
Your name (if different to the above inspector)
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Serial / Plant Number
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Model / type
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Date of next thorough examination
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Hours on clock
22 Tower Crane Daily Pre-User Inspection
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Which day/s are you recording your inspection/s
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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This section is used to record daily inspections of the registered Tower Crane/s. These checks are to be carried out daily & prior to the commencement of lifting operations. Any serious Major issues or defects which would endanger the operator or site operatives must be rectified at once and the Tower Crane/s not operated.
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Inspect all of the registered Tower crane/s n accordance with the below checklist and manufacturers instructions.
Is the base clear of obstructions?
Are Rail track, stop ends, trailing cable, fences working OK (Tracking T/Crane only) ?
Generator check fuel and water OK?
Is the Duty Board Clear and displayed?
Isolator security (mains supply only)?
Are the Mast tower Bolts/Pins secure?
Is the Security Fan (if Fitted) secure?
Are access ladders and rest platforms OK?
Visual check of Component security (all Parts)?
Is Housekeeping to all areas tidy with no loose items on mast, counter-jib and A frame?
Are Cab windows clean & Wipers working?
Is the Rated Capacity indicator working?
Do all controls operate correctly?
Are radius indicators of flags working OK?
Does the dead man function work correctly?
Are all Gauges or warning signs working OK ?
Does the wind speed indicator work correctly?
Does the hoist brake work OK (load test)?
Does the hook block height limit work OK?
Are hook block safety Clips and swivel OK?
Is the Trolley rope working &good condition?
Is the trolley brake working Correctly?
Do the trolley limits work Correctly?
Is the slew brake operating correctly?
Does the Anti-Collision system work OK?
Crash radio check (if more than 1 crane) OK?
Crane Radio checked and OK?
At the time of inspection is the Crane deemed fit for safe use?
carry out out any other additional checks required by the manufacture -
I / we have inspected all of the registered Tower crane/s in accordance with the above checklist.<br><br>All registered Tower Crane/s are in serviceable condition and good, safe working order?
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Provide details of the registered Tower Crane/s serial number / NCL number - can be multiple Provide details of the faults and/or damage - ensure that the Tower Crane/s are not used if it is not safe to operate
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I / we confirm that all other registered Tower Crane/s are in serviceable condition and good, safe working order?
- Yes (if no, list the unsafe plant above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
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Are you inspecting Excavation/s?
150 Excavation Inspection Register
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Your Name (inspector)
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Provide a location and description
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click + to add another excavation area
150 Excavation Inspection Register
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Your name (if different to the above Inspector)
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Provide a location and description
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click + to add another excavation area
150 Excavation Inspection
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Which day/s are you recording your inspection/s
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
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a. When the excavation has no battering or support, inspections must be conducted daily before each shift starts.
b. When the excavation has battering or is supported, inspections must be conducted at least once in any 7 days.
c. The inspecting person is to provide a copy of this report to NCL’s Project Manager within 24 hours of the inspection or immediately if the inspection identifies safety risks.
d. A copy of this report must be held within project files for at least 3 months. -
All registered excavations are free of hazards?
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Provide location & description of all excavation areas not free of hazards: Provide details of the hazards
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I / we confirm that all other registered excavation/s are free of hazards
- Yes (if no, list the unsafe excavation/s above before confirming yes)
inspector/s signature confirmation
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
additional inspector/s signature confirmation (add for each additional person carrying out the inspection)
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by signing below i confirm that i have carried out this inspected click + to add additional inspectors signatures (if more than one person carried out an inspection).
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Job Role
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Name & signature
Site / Project Manager Declaration
Site / Project Manager Declaration
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The lead site / project manager must sign the below to confirm all applicable daily checks have been conducted
Leave notes if required and feedback on the form as it will help us improve the system -
Notes if applicable
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Date & time
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Name & signature
