Title Page
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Site conducted
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Conducted on
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Prepared by
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Department/Company
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Detail of Equipment / Completed work being inspected / Purpose
POS Supplier Details
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POS/Lift Rep/Lift Supervisor Name
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Employing Organisation
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POS / Lift Supervisor / ATW No.
Immediate Observations
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Location (OTP/POS Plan)<br>- Is the location clearly stated and easy to locate? Does the location of works correspond with the Safe Work Pack?<br>
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Brief Description of Work (OTP/POS Plan)<br>- Is the description of the work sufficient and detailed enough? Does the description of work describe the work being conducted on-site?<br>
Plant Operations
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OTP Plan available and Relevant?<br>-Has an OTP plan been created specifically for this i.e. date, task, machine & Personnel <br>
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Lift Plan available and relevant?<br>- Where lifting operations take place, has a Lift plan been produced for ALL lifting requirements?<br>
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ALO Plan available and relevant?<br>- Can any machine foul any open line? Where Any lines remain open to normal rail traffic and the line can be fouled by a machine an ALO plan must be created to include all the relevant machines<br>
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MEWP Load plan available and relevant?<br>- Where a MEWP is used a load plan must be created to ensure that the load does not exceed SWL.<br>
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Is the POS Rep familiar with the site, works and plans?<br>- Best Practice is for the POS Rep to be part of the planning phase and be part of the site visit pre-work. The minimum requirement is for the POS Rep to be familiar with the plan.<br>
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Planned OTP is Available?<br>- Is OTP Specified in the plan available on site. This is identified by the Machine number not similar type of machine<br>
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Is everyone aware of OTP plan?<br>- Has the POS Rep, MC/CC & Machine must be briefed? Good Practice - Has all work site staff been informed on the machine movements on site?<br>
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OTP Staff work Safely?<br>- Do the OTP staff activities follow the POS Plan and are the activities being performed safely in line with their safe system of work. i.e is the MC/CC maintaining the exclusion zone for the Plant<br>
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OTP activities comply with the OTP work plans<br>- Do the OTP activities follow the POS Plan and are the activities being performed safely in line with their safe system of work.<br>
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POS Rep always able to monitor all OTP activities?<br>- The POS Rep must be on site and must be within 15 mins walking distance to all machines.<br>
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OTP plan only changed after Risk Assessment and Recorded.<br>- Has the OTP plan changed, if so, a Risk Assessment must be produced and recorded. Supply evidence!<br>
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Do lifting activities comply with approved lift plans?<br>- Is all lifting operations following the Lift plans created.<br>
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Have all changes to lift plans been approved by lift planner?<br>- has the lift plan been changed, if so, has the person who has approved the plan a competent lift planner. Competency check of person approving the lift plan change.<br>
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ALO activities comply with approved ALO Plan?
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Have all changes to ALO plan approved by ALO Responsible Manager?<br>- Changes to ALO must be completed by an ALO Responsible Manager not an ALO Coordinator<br>
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Does the MEWP load and activities comply with the MEWP load calculation/plan?<br>- Does MEWP activity match the MEWP Load plan. Is the load being lifted by the MEWP as specified in the Plan?<br>
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Have there been any changes to MEWP plan? - must be approved by a competent person or a competent POS Rep
Machine (1)
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Type? -State what type of machine is being utilised? i.e. Excavator, dozer etc.
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Make and Model -Details can be found on the Engineering acceptance certificate (EAC)/Engineering certificate of conformity (ECC)
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Plant Owner -Plant supplier, this should be visible on the plant.
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Fleet No. -This should be visible on the plant
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Is the Machine included in the OTP Plan?<br>-Has the machine been identified in the OTP Plan<br>
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State the EAC/ECC expiry date? -The certification is valid for 7 years
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Brake Test in date?<br>-The Brake test is valid for a maximum of 12 months<br>
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Is the LOLER Expiry in date?<br>-Must be 3rd Party (Must be independent to the maintenance of the machine) 6 months for lifting people, 12 months for all other Machines.<br>
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Operator Name
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Operator Sentinel No.
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Is the Operator Competent? <br>-Is the Operator competent for the machine and attachments identified for the work. The Operator should have an Authority to work which specifies the Make and Model of the machine.<br>
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MC/CC Name -Machine Controller / Crane Controller
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MC/CC Employer
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MC/CC Sentinel No.
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MC/CC Competent?<br>-This qualification should be present on their sentinel card<br>
Machine (2)
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Type? -State what type of machine is being utilised? i.e. Excavator, dozer etc.
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Make and Model -Details can be found on the Engineering acceptance certificate (EAC)/Engineering certificate of conformity (ECC)
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Plant Owner -Plant supplier, this should be visible on the plant.
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Fleet No. -This should be visible on the plant
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Is the Machine included in the OTP Plan?<br>-Has the machine been identified in the OTP Plan<br>
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State the EAC/ECC expiry date? -The certification is valid for 7 years. Engineering acceptance certificate (EAC)/Engineering certificate of conformity (ECC)
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Brake Test in date?<br>-The Brake test is valid for a maximum of 12 months
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Is the LOLER Expiry in date?<br>-Must be 3rd Party (Must be independent to the maintenance of the machine) 6 months for lifting people, 12 months for all other Machines.<br>
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Operator Name
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Operator Employer
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Operator Sentinel No.
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Is the Operator Competent? <br>-Is the Operator competent for the machine and attachments identified for the work. The Operator should have an Authority to work which specifies the Make and Model of the machine.<br>
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MC/CC Name -Machine Controller / Crane Controller
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MC/CC Employer
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MC/CC Sentinel No.
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MC/CC Competent?<br>-This qualification should be present on their sentinel card<br>
Machine attachments
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Description of the attachment?<br>-This should be stated on the supporting paperwork for the attachment<br>
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Fleet No. -This should be visible on the attachment or certificate depending on the size of the attachment
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EAC/ECC in date<br>-Valid for 7 years. Engineering acceptance certificate (EAC)/Engineering certificate of conformity (ECC)<br>
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Brake test In Date<br>-If applicable maximum of 12 months<br>
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LOLER expiry in date<br>- Must be 3rd Party (Must be independent to the maintenance of the machine) 6 months for lifting people, 12 months for all other Machines.<br>
6. Machine attachments (2)
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Description of the attachment ? -This should be stated on the supporting paperwork for the attachment
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Fleet No. -This should be visible on the attachment or certificate depending on the size of the attachment
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EAC/ECC in date?<br>-Valid for 7 years. Engineering acceptance certificate (EAC)/Engineering certificate of conformity (ECC)<br>
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Brake test In Date<br>-If applicable maximum of 12 months<br>
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LOLER expiry in date<br>- Must be 3rd Party (Must be independent to the maintenance of the machine) 6 months for lifting people, 12 months for all other Machines.<br>
7. Unsafe Conditions/Acts 0r any Good Practices identified **I.e. good management of exclusion zone, management of machines separation. Awareness of the plan.
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Did you observe/note any unsafe acts/conditions or Good Practices<br>-if so, provide details. Has the unsafe act(s) been corrected? If not, stop the act and raise and action!<br>
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Did you observe/note any unsafe acts/conditions or Good Practices<br>-if so, provide details. Has the unsafe act(s) been corrected? If not, stop the act and raise and action!<br>
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Did you observe/note any unsafe acts/conditions or Good Practices<br>-if so, provide details. Has the unsafe act(s) been corrected? If not, stop the act and raise and action!<br>
Overall Conclusion
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Overall summary of findings
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Signature of inspector
