Operator Competency Checklist

• Operator Name

• Location
  Address

• Plant Type (e.g. Loader, Excavator):

• Plant Make (e.g. Cat, Volo):

• Plant ID (e.g. E7, B4):

• Operator Name:

• Operator Company

• Date of Competency Check:

  Date
• Location of Competency Check:
  Address

Check List

• Is the operator authorised/licensed to use this type of plant/equipment? (E.g. Is a Heavy Rigid or High Risk Work License required?)

  Yes

  No

  N/A

• Licence Type

• License Number

• License Expiry Date

  Date

• Copy Provided?

  Yes

  No

  N/A

• Is a certificate of competency required to operate this type of plant/equipment?

  Yes

  No

  N/A

• Does the operator hold a current certificate of competency (plant ticket) for the type of plant/equipment?

  Yes

  No

  N/A

• Is a certificate of competency appropriate for this type of plant/equipment?

  Yes

  No

  N/A

• Certificate Type

• Certificate Number

• Certificate Expiry Date

  Date

• Copy Provided?

  Yes

  No

  N/A

• How many years' experience does the operator have on this type of plant/equipment?

• Is the operator in training?

  Yes

  No

  N/A

• A) If yes, is the operator able to produce a current/valid training logbook?

  Yes

  No

  N/A

• B) If yes is the operator under the supervision of another licensed operator?

  Yes

  No

  N/A

• Has the operator adequately performed all pre-start safety checks for the plant/equipment (and correctly recorded it in the Plant Logbooks)?

  Yes

  No

  N/A

• Has the operator completed Take 5 or 6 (or similar), and identified all reasonably foreseeable plant/equipment hazards?

  Yes

  No

  N/A

• Has the operator implemented all necessary hazard control measures?

  Yes

  No

  N/A

• Has the operator correctly assessed ground conditions (e.g. slope, stability, compaction, etc.)?

  Yes

  No

  N/A

• Has the operator complied with all SWMS and on-site safe work procedures?

  Yes

  No

  N/A

• Does the operator demonstrate acute awareness of blind spots and understand appropriate controls to prevent collisions with plant, people and obstacles?

  Yes

  No

  N/A

• Does the operator demonstrate acute awareness of plant footprint including swing radius and understand appropriate controls to prevent collisions with plant, people and obstacles?

  Yes

  No

  N/A

• Has the operator operated the item of plant/equipment in a safe and controlled manner?

  Yes

  No

  N/A

• Has the operator performed all normal shut down safety/checks for the plant/equipment, and demonstrated an understanding of emergency shutdown protocols?

  Yes

  No

  N/A

• Has the operator reported any plant/equipment faults or damage?

  Yes

  No

  N/A

The operator has been "Formally Assessed" and is considered to be:

• Comments and/or any follow-up actions required to determine competency:

Subject Matter Expert

• Name

• Position

• Signiture

  Sign

Assessor

• Name

• Position

• Signiture

  Sign

Operator

• Name

• Position

• Signiture

  Sign

• Competent:

• Not Yet Competent:

• Photos/Licenses:

  Media