Plant Familiarization

• Document No.

• Conducted by

• Name of Employee

• undefined

• Employee Number

• undefined

• I acknowledge that i have received and understand the plant familiarisation training below

• Signature

  Sign

• Select date

  Date

Plant Details - To be completed by responsible person

• Description of Plant

  Select Grader Loader Backhoe Skid Steer Mini Excavator Excavator Pedestrian Roller Drum Roller Tyred Roller Pad Foot Roller Street Sweeper Garbage Truck Job Truck Concrete Agitator Concrete Batching Plant John Deer Tractor

  • Grader
  • Loader
  • Backhoe
  • Skid Steer
  • Mini Excavator
  • Excavator
  • Pedestrian Roller
  • Drum Roller
  • Tyred Roller
  • Pad Foot Roller
  • Street Sweeper
  • Garbage Truck
  • Job Truck
  • Concrete Agitator
  • Concrete Batching Plant
  • John Deer Tractor

• undefined

• Plant No.

• undefined

• Date of familiarisation

  Date

Where the following items shown and explained to the employee : (Responsible Person )

• Has the Owner’s Manual been shown and made available for the operator?

  Yes

  No

  N/A

• Prestart and minor maintenance requirements for the plant?

  Yes

  No

  N/A

• Correct PPE to be worn, and that PPE worn correctly for task?

  Yes

  No

  N/A

• Location of all safety features (E.g. flashing lights; reverse sensor; protective guards; Emergency stop button; fire extinguisher and first aid kit)

  Yes

  No

  N/A

• The correct way to enter and exit the cabin of the plant? (3 Points of Contact)

  Yes

  No

  N/A

• How to operate safely as per owner’s manual (Controls, and switches)?

  Yes

  No

  N/A

• Any hazards or precautions associated with the works? Also the controls for these hazards.

  Yes

  No

  N/A

• Any hazards or precautions associated with the plant? Also the controls for these hazards.

  Yes

  No

  N/A

• How to adjust the seating and controls on the plant.

  Yes

  No

  N/A

• Where grease points and oil and fuel fill points are located?

  Yes

  No

  N/A

• Check and be made aware of the location of Restricted Registration Codes and the requirements of those codes.

  Yes

  No

  N/A

• How to attach any attachments and requirements to operate those attachments

  Yes

  No

  N/A

RESPONSIBLE PERSON DETAILS

• I have provided the above information and familiarisation to the above employee in regards to the item of plant.

• Add signature

  Sign