New or Hired Plant / Equipment:

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Plant Type:

• Manufacturer:

• Model:

• Year:

• Hours (if applicable):

• Date of commission:

  Date

• NA or Comment

• Have risk assessments been carried out, and are they available?

  Yes

  No

  N/A

• Have safe systems of work been written and are operators trained?

  Yes

  No

  N/A

• Has the equipment been added to the insurance policy?

  Yes

  No

  N/A

• Has a copy of the operators manual been obtained?

  Yes

  No

  N/A

• Is all access & egress in good order & clear of any obstruction?

  Yes

  No

  N/A

• Is there a pre-start check sheet?

  Yes

  No

  N/A

• Are grab rails available and in good condition?

  Yes

  No

  N/A

• Do brakes function as intended, including parking brake?

  Yes

  No

  N/A

• Is all moving machinery guarded?

  Yes

  No

  N/A

• Are all guards effective, secure and in good order?

  Yes

  No

  N/A

• Is an obstruction beacon fitted and working?

  Yes

  No

  N/A

• Is a seatbelt fitted and work as intended?

  Yes

  No

  N/A

• Is a horn fitted and works as intended?

  Yes

  No

  N/A

• Are reversing cameras fitted and work as intended?

  Yes

  No

  N/A

• Do windscreen wipers and screen wash work as intended?

  Yes

  No

  N/A

• Is the vehicle cab fitted with adequate mirrors?

  Yes

  No

  N/A

• Is equipment free from leaks?

  Yes

  No

  N/A

• VHF radio fitted within cab and works as intended?

  Yes

  No

  N/A

• Are all nip points guarded?

  Yes

  No

  N/A

• Are machine / equipment emergency stop buttons fitted?

  Yes

  No

  N/A

• Are stop buttons / isolators labelled?

  Yes

  No

  N/A

• Do emergency stop buttons work as intended?

  Yes

  No

  N/A

• Is all artificial lighting effective and in good order?

  Yes

  No

  N/A

• Are all steps protected with non-slip material and in good order?

  Yes

  No

  N/A

• Are there flat even surfaces at the bottom of all steps?

  Yes

  No

  N/A

• Are vertical ladders fitted with safety hoops that conform to BS 5395?

  Yes

  No

  N/A

• Are tyres treads safe and in good condition?

  Yes

  No

  N/A

• Are wheel chocks fitted and in good working order?

  Yes

  No

  N/A

• Are all electrical cables secured?

  Yes

  No

  N/A

• Are all hydraulic hoses secured?

  Yes

  No

  N/A

• Are fire extinguishers fitted?

  Yes

  No

  N/A

• Are all inspection hatches secure?

  Yes

  No

  N/A

• Are confined spaces identified?

  Yes

  No

  N/A

• Has the noise level been measured and assessed?

  Yes

  No

  N/A

• Is there any exposure to any hazardous substances?

  Yes

  No

  N/A

• Are hydraulic systems secure and labelled?

  Yes

  No

  N/A

• Are all pneumatic systems secure and labelled?

  Yes

  No

  N/A

• Is in-cab ventilation adequate?

  Yes

  No

  N/A

• Are areas of high or low temperature identified?

  Yes

  No

  N/A

• Is all equipment / machinery stable and secure, where required?

  Yes

  No

  N/A

• Engine oil and hydraulic oil levels adequate?

  Yes

  No

  N/A

• Is an adequate level of warning & safety signage fitted?

  Yes

  No

  N/A

• Are all doors secured?

  Yes

  No

  N/A

• Whom/Timing

PART TWO – Confirmation of commissioning process

• Operations Manager

• I confirm that I have carried out an inspection of the works to date, and subject to any pre-start defect in Part One, the plant is safe to commission

• Signed :

  Yes

  No

  N/A

• Date :

  Date

• Job Title:

• Responsible Manager

• Signed:

  Yes

  No

  N/A

• Date:

  Date

Part One: Operational Management & SHEQ Manager

Part Two: Operational Management & SHEQ Manager