Title Page
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Document No.
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Date
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Completed by
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Name of Employee
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Employee Number
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I acknowledge that i have received and understand the plant familiarisation training below
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Signature
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Select date
Plant Details - To be completed by responsible person
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Description of Plant
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Plant No.
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Date of familiarisation
Where the following items shown and explained to the employee : (Responsible Person )
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Has the Owner’s Manual been shown and made available for the operator?
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Prestart and minor maintenance requirements for the plant?
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Correct PPE to be worn, and that PPE worn correctly for task?
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Location of all safety features (E.g. flashing lights; reverse sensor; protective guards; Emergency stop button; fire extinguisher and first aid kit)
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The correct way to enter and exit the cabin of the plant?
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How to operate safely as per owner’s manual (Controls, and switches)?
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Any hazards or precautions associated with the works? Also the controls for these hazards.
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Any hazards or precautions associated with the plant? Also the controls for these hazards.
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How to adjust the seating and controls on the plant.
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Where grease points and oil and fuel fill points are located?
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Check and be made aware of the location of Restricted Registration Codes and the requirements of those codes.
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How to attach any attachments and requirements to operate those attachments
RESPONSIBLE PERSON DETAILS
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I have provided the above information and familiarisation to the above employee in regards to the item of plant.
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Name of Responsible Person
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Add signature
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Select date
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Plant Familiarisation Form to be returned to WHSA on completion for recording on
employee record. -
Signature
