Plant & Equipment Checklist

• Site conducted

  Select

• Service Provider Name

• Plant Type/Make

• Site Address
  Address

• Conducted on

  Date

• Prepared by

• Risk assessment provided?

  Yes

  No

  N/A

• Operator's manual available?

  Yes

  No

  N/A

• Maintenance and service reports - current and reflect the requirements of the operator's manual (including service intervals)?

  Yes

  No

  N/A

• Next service due: (Date/Hours)

  Date

• Log book / pre-start checklist - specific to the plant? Meeting the requirements of the operator's manual? Up to date? No outstanding items?

  Media

• Competency ticket/licence of operator - copies provided?

  Media

• Fire extinguisher - available? In test date? Charged?

  Yes

  No

  N/A

• Crack test reports - provided?

  Yes

  No

  N/A

• Associated chains and slings tested and tagged?

  Yes

  No

  N/A

• Regulatory Authority plant registration - in date?

  Yes

  No

  N/A

• Flashing light - operational?

  Yes

  No

  N/A

• Forward/reverse beeper - operational?

  Yes

  No

  N/A

• Tested and tagged electrically - current?

  Yes

  No

  N/A

• Seat belt - in place? Operational?

  Yes

  No

  N/A

• Roll over protection (ROPS) - in place? Certification plate?

  Yes

  No

  N/A

• Falling object protection (FOPS) - in place?

  Yes

  No

  N/A

• Underground / overhead services identified? (On-site inspection only)

  Yes

  No

  N/A

Kerdic Homes Pty Ltd takes Workplace Health and Safety seriously and requires all visitors to any site to do the same. Adhering to the Work Health and Safety Act 2011 and Regulations 2011 is of great importance to the builder and it will create a safer work place, free of injury and serious risk to all parties. The builder is required by legislation to ensure the safety of all persons entering the site who could be adversely affected by building activities. Therefore, by signing this induction, you confirm you have participated in the Visitor Induction during which you had the Site Specific Health & Safety Rules explained to you. You understand the importance of remaining with the site escort at all times and you agree to comply with these safety rules during your visit.

• Plant Provider Acknowledgment

  Sign

• Kerdic Homes Representative

  Sign