Plant Operations Permit

• Project Name?

  Select

• Type of Plant? (Telehandler/Crane/ Excavator etc.)

• Make & Model (add photo of Plant)

  Media

• Rego Number? (if registered)

• Serial Number? (attach photo of compliance plate if possible)

• Responsible Contractor?

• Responsible Person and Contact Number?

• Additional equipment

• Date when next Maintenance Due

• Conducted on

  Date

• Prepared by

• Location
  Address

• Plant & Equipment Register No.

  Select

• What is the next available Plant Number?

  Select

• What is the next available Plant Number?

  Select

• What is the next available Plant Number?

  Select

• What is the next available Plant Number?

  Select

• All items must be verified by the owner/ person responsible for the plant

• Plant is installed/used in accordance with applicable Legislation, manufacturer’s requirements, and Australian Standards.

  Yes

  No

  N/A

• Plant is being maintained in accordance with the manufacturer’s requirements and the applicable Australian Standard.

  Yes

  No

  N/A

• Plant has had a Plant Risk Assessment performed, documented and risks are incorporated in the SWMS

  Yes

  No

  N/A

• What is the SWMS number?

• Where is the SWMS for the Contractor, has operator signed it.

  Yes

  No

  N/A

• Obtain a signed copy before approving plant for use on Elevated Living Site.

• Risks associated with operation of the Plant are included in SWMS?

  Yes

  No

  N/A

• Plant has been commissioned / set-up; and a plant-specific pre-start has been provided to EL before operation.

  Yes

  No

  N/A

• Plant has functional guarding, interlocking, and protective devices to protect operators / users. [Protective structures must have compliance plate]

  Yes

  No

  N/A

• Plant has appropriate movement warning system (visible and audible)

  Yes

  No

  N/A

• Manufacturers Operational Manual is available at the workplace/in the plant?

  Yes

  No

  N/A

• Ground conditions have been evaluated?

  Yes

  No

  N/A

• Overhead structures and objects have been identified?

  Yes

  No

  N/A

• Plant is the correct item for the works to be completed?

  Yes

  No

  N/A

• Sub Contractor signature

  Sign

• What is High Risk License number?

Plant Records (Records to be attached to Plant Permit)

• Design Registration (e.g. Cranes >10T and Truck Concrete Pumps)

  Yes

  No

  N/A

• WorkSafe Registration (e.g. Cranes and Truck Concrete Pumps)

  Yes

  No

  N/A

• Plant Design Risk Assessment [evidence attached]?

  Yes

  No

  N/A

• Latest inspection and maintenance records:

  Yes

  No

  N/A

• What type of service was it?

• When was the service completed?

  Date

• Certifications for attachments or additional equipment e.g. lifting gear

  Yes

  No

  N/A

Plant Operation Permit Authorisation

• To be completed by Elevated Living Authoriser

• Add signature

  Sign

• What is the EL Register number for this item of plant?

  Select

• What is the next available line?

  Select

• What is the next available line?

  Select

• What is the next available line?

  Select

• What is the next available line?

  Select