Plant & Equipment - Critical Process Confirmation

• Conducted on

  Date

• Prepared by

• Position

• Contract

• Location
  Address

Procedures & Systems

• 1. Is all plant and equipment compliant to the relevant Statutory Authority requirements? E.g. item registration for defined high risk plant

  Yes

  No

  N/A

• 2. Are controls identified in the plant and equipment risk assessment implemented effectively?

  Yes

  No

  N/A

Competency and understanding

• 3. Is there evidence of inductions, qualification and Verification of Competency (VOC) for operators for high risk plant?

  Yes

  No

  N/A

Plant/Equipment Design, Selection, Testing and Maintenance:

• 4. Is selected plant and equipment fit for purpose?

  Yes

  No

  N/A

• 5. Is there evidence of pre-starts completed to detect faults, maintenance requirements etc?

  Yes

  No

  N/A

• 6. Is there evidence of effective inspection, testing and maintenance occurring as scheduled?

  Yes

  No

  N/A

Emergency management:

• 7. Are emergency procedures, rescue plans and equipment available and maintained in accordance with scheduled tests?

  Yes

  No

  N/A

Human factors and behaviours:

• 8. Are safe behaviours being demonstrated, i.e. not complacent/distracted/rushing?

  Yes

  No

  N/A

• 9. Are personnel involved in the task wearing appropriate PPE and clothing to correct standards?

  Yes

  No

  N/A

Operations:

• 10. Is there effective guarding in place to protect against contact/entanglement with moving parts, parts being ejected and surfaces that are very hot/cold?

  Yes

  No

  N/A

• 11. Is the plant and equipment operated safely within parametres for which is was desiged?

  Yes

  No

  N/A

• 12. Is energised plant effectively isolated and locked out during cleaning, inspections and maintenance?

  Yes

  No

  N/A

• 13. Does work area have effective signage and demarcation in place to manage interaction between workers and vehicular movements?

  Yes

  No

  N/A