Operator Assessment Details

Operator Details

Employee Name

Payroll Number

Business Unit

Region

Site

Manager

Health and Safety Test Score

Job Category

If other Job Category please state

Does the employee have a qualification?

Qualification Gained

Certificate Number

Type of Card

Assessment Details
Assessor Name

If other please state

Date of Assessment

Weather Conditions on Assessment

Photo (Digital photograph must be supplied)

Vehicle Used

Plant Type

Operating Height (M)?

Select Motive Power Type?

Select Terrain?

1. - Daily Pre-Start Checks (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks from Ground Controls

4. - Function Checks from Platform Controls

5. - Manoeuvering in Forward and Reverse

6. - Working with the MEWP

7. - Parking

8. - Shut Down

9. - Post-Stop Checks

10. - Operational Safety

Select the Dumptruck Type and Capacity

Please Indicate which Factors have been assessed

1. - Daily Pre-Start Checks (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks

4. - Braking

5. - Manoeuvering in Forward and Reverse

6. - Travelling Empty and Loaded

7. - Loading

8. - Discharging Material into Processing Plant Hoppers

9. - Discharging Materials at Tip/Stockpile End

10. - Parking

11. - Shut Down

12. - Post-Stop Checks

13. - Operational Safety

Please indicate which factors have been assessed.

1. - Daily Pre-Start Checks (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks

4. - Braking

5. - Manoeuvering in Forward and Reverse

6. - Travelling Empty and Loaded

7. - Filling Bowser with fuel from storage facility.

8. - Filling other machines with fuel

9. - Parking

10. - Shut Down

11. - Post-Stop Checks

12. - Operational Safety

Select the vehicle category

Please select the vehicle category

Please indicate which factors have been assessed

1. - Daily Pre-Start Checks (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks

4. - Braking

5. - Manoeuvering in Forward and Reverse

6. - Travelling Empty and Loaded

7. - Filling Water Bowser

8. - Operation of Water Bowser

9. - Parking

10. - Shut Down

11. - Post-Stop Checks

12. - Operational Safety

Please select the trailer type

Please specify:

Please indicate which Factors have been assessed

1. - Daily Pre-Start Checks Tractor & Attachments (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks Tractor & Attachments

4. - Braking

5. - Attaching Bowser/Trailer/Equipment

6. - Manoeuvring & Travelling in Forward and Reverse, Empty & Loaded

7. - Loading/Filling - Fuel/Water Bowser

8. - Filling other machines with Fuel

9. - Unloading/Dispersing - Water Bowser

10. - Operation of High Pressure Washing Lance - Water Bowser

11. - Loading - Trailer

12. - Discharging Materials - Trailer

13. - Other Attachments

14. - Parking/Shut Down/Post-Stop Checks

15. - Operational Safety

Please indicate which Factors have been assessed

1. - Pre-Start Checks and Daily Maintenance.

2. - Start Up Procedures

3. - Function Checks

4. - Control and Instruments

5. - Correct Travelling Position

6. - Manoeuvring in Forward and Reverse

7. - Moving Materials and Leveling Off

8. - Ripping

9. - Working on Gradients/Slopes

10. - Controlling Material and Vehicle Movement at a Discharge

11. - Parking

12. - Shut Down

13. - Post Stop Checks

14. - Operational Safety

Equipment make and type?

Please indicate which factors have been assessed.

1. - Pre-Start Checks and Daily Maintenance

2. - Correct Parking Position

3. - Correct Travelling Position

4. - Controls and Instruments.

5. - Start Up Procedures

6. - Shut Down Procedures

7. - Braking

8. - Manoeuvring in Forward and Reverse

9. - Hydraulic Controls

10. - Pallet Engagement

11. - Travelling Empty or Loaded

12. - Travelling Up and Down Gradients

13. - Working at the Face of the Stack

14. - Loading / Unloading Wagons

Please indicate which factors have been assessed

1. - Safe Systems

2. Pre-Start Checks and Daily Maintenance.

3. - Start Up Procedure

4. - Function Checks

5. - Controls and Instruments

6. - Correct Travelling Position

7. - Braking

8. - Manoeuvring in Forward and Reverse

9. - Engagement/Disengagement of 4 wheel drive

10. - Loading / Unloading

11. - Preparing for Use on the public highway

Please indicate which factors have been assessed

1. - Pre-Start Checks and Walk Round Inspection

2. - Start Up Procedure

3. - Function Checks

4. - General Working

5. Operational Safety

6. - Correct Parking/Shutdown Procedures

7. - Working in Conjunction with Live Traffic

Please select vehicle category

Please select the vehicle capacity

Please indicate which factors have been assessed

1. - Pre-Start Checks and Daily Maintenance

2. - Start Up Pocedures

3. - Function Checks

4. - Correct Travelling Position

5. - Braking

6. - Manoeuvring in Forward and Reverse

7. - Loading

8. - Discharging Material into Processing Plant

9. - Discharging Material at Tip / Stock Pile End

10. - Parking

11. - Shut Down

12. Operational Safety

Select bucket size

Select shovel use

Please indicate which factors have been assessed.

1 - Daily Pre-Start Checks (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks

4. - Function Checks

5. - Manoeuvring in Forward and Reverse

6. - Filling the Bucket with Material at bays/stockpiles

7. - Travelling Empty and Loaded

8. - Loading Hoppers

9. - Loading Dump Trucks

10. - Loading Road Vehicles

11. - Working at the Face

12. - Working with Attachments

13. - Parking

14. - Shut Down

15. - Post-Stop Checks

16. - Operational Safety

Select Machine Size?

Shovel use?

Please indicate which factors have been assessed.

1 - Pre-Start Checks (Walk Round inspection)

2 - Start up Procedures

3 - Function Checks

4 - General Operating Procedure

5 - Shut Down Parking and Security

6 - Braking

7 - Filling the Bucket

8 - Travelling Empty and Loaded

9 - Loading Vehicles

10 - Loading Feeding Hoppers/Chipping Machine

11 - Operating with 180 Backacter

Select Shovel bucket size?

Shovel use?

Please indicate which factors have been assessed.

1 - Pre-Start Checks and Performance Required

2 - Correct Parking Position

3 - Correct Travelling Position

4 - Controls and Instruments

5 - Start Up and Shut Down Procedures

6 - Manoevering in Forward and Reverse.

7 - Filling the Bucket

8 - Travelling Empty and Loaded

9 - Working at the Face

10 - Loading Wagons

11 - Working at Edges

12 - Keeping Haul Roads Clear of Debris and Holes

13 - Keeping Work Area in Good Condition

14 - Ripping

Vehicle Category (by machine weight) (N.B. Assessment must take place on each size of machine operator is to be certificated on)

Vehicle Use

Standard Reach

Long Reach (over 6.1m (20ft))

Please indicate which factors have been assessed

Category 1 - Daily Pre-Start Checks

Category 2 - Start Up Procedures

Category 3 - Function Checks

Category 4 - Manoeuvring in Forward and Reverse

Category 5 - Excavating with Mini Digger

Category 6 - Cleaning Operations

Category 7 - Operation of Attachments

Category 8 - Loading Vehicles

Category 9 - Parking

Category 10 - Shut Down

Category 11 - Post Stop Checks

Category 12 - Loading and Unloading on and off Transporter

Category 13 - Operational Safety

Select the Attachments used on this assessment (Select more than one if required)

Other (specify)

Please indicate which factors have been assessed.

1 - Pre-Start Checks

2 - Start Up Procedures

3 - Function Checks

4 - Correct Travelling Position for Attachment used

5 - Braking

6 - Manoevering in Forward and Reverse.

7 - Operating with Attachment - Forks

8 - Operating with Attachments - Bucket

9 - Operating with Attachments - Working Platform

10 - Operating with Attachments- Forks and Lifting Equipment

11 - Loading/Unloading Heavy Road Vehicles

12 - Parking

13 - Shut Down

14 - Post-Stop Checks

15 - Operational Safety

Operating Height?

Motive Power?

Select the type of boom

Please indicate which factors have been assessed

1. - Daily Pre-Start Checks (Walk Round Inspection)

2. - Start Up Procedures

3. - Function Checks from Ground Controls

4. - Function Checks from Platform Controls

5. - Manoeuvering in Forward and Reverse - Self propelled types

6. - Working with the MEWP

7. - Parking

8. - Shut Down

9. - Post-Stop Checks

10. - Operational Safety

Vehicle Category (by machine weight) (N.B. Assessment must take place on each size of machine operator is to be certificated on)

Vehicle Type

Please indicate which factors have been assessed

Category 1 - Daily Pre-Start Checks

Category 2 - Start Up Procedures

Category 3 - Function Checks

Category 4 - Manoeuvring in Forward and Reverse

Category 5 - Excavating with Mini Digger

Category 6 - Cleaning Operations

Category 7 - Operation of Attachments

Category 8 - Loading Vehicles

Category 9 - Parking

Category 10 - Shut Down

Category 11 - Post Stop Checks

Category 12 - Loading and Unloading on and off Transporter

Category 13 - Operational Safety

Assessment

Assessment Details

Plant Type
Assessment Factor and Performance Required use Q/A where required
1. Pre-Start Checks and Performance Required

A) Checks engine oil, transmission oil and cooling water levels.

B) Checks hydraulic fluid levels and pipe work for leaks.

C) Complete daily inspection of tracks and reports as appropriate.

D) Carries out prescribed lubrication procedures including greasing bucket pins

E) Fuel topped up

F) Instruments, gauges and monitoring display show correct.

Was this factor carried out successfully

2. Correct Parking Position

A) Vehicle parked on level ground with the attachment on the floor in designated area.

B) Parked with brakes applied, gear in neutral, safety lever applied, engine switched off and key withdrawn.

Was this factor carried out successfully

3. Correct Travelling Position

A) Bucket as near to ground as the terrain will allow.

B) Where fitted ripper/ scarifier up.

Was this factor carried out successfully

4. Controls and Instruments

A) Able to demonstrate the operation of all controls.

B) Able to report verbally on the purpose of each condition monitoring system and the significance of reading/ displays.

Was this factor carried out successfully

5. Start Up and Shut Down Procedures

A) All condition monitoring devices indicate correct functions before moving off.

B) Checks lifting arm(s) operation.

C) Checks bucket curl, back and dump.

D) Checks function and accessibility of all reversing aids.

E) Removes debris from tracks at the end of the shift.

F) Uses correct procedure for access to, or alighting from, the machine.

Was this factor carried out successfully

6. Manoeuvring in Forward and Reverse

A) Carries out visual checks before any machine movement.

B) Carries out correct procedure for forward/reverse movement.

C) Carries out correct procedure for slewing left/right using tracks.

D) Modifies manoeuvring / operating procedures to suit changing ground conditions.

E) Display sensitivity in all movements forward/reverse/slewing/pivoting.

F) Display safety awareness at all times.

Was this factor carried out successfully

7. Filling the Bucket

A) Approaches material square on with the bucket in the correct position.

B) Shakes bucket to remove excess.

C) Contamination of materials: i) Has correct bucket level to avoid contamination ii) On change of material avoids bucket contamination

D) Displays sensitivity of use of all hydraulic controls.

Was this factor carried out successfully

8. Travelling Empty or Loaded

A) Keeps vehicle stable during travel -empty and loaded.

B) Controls the speed of the vehicle dependent upon circumstances.

C) Displays awareness of plant/people.

D) Displays a high degree of manoeuvrability in confined spaces.

E) minimises spillage of material during travel.

F) Does not try to turn the vehicle on an incline.

Was this factor carried out successfully

9. Working at the Face

A) Works across shotfired material in sequence.

B) shows an awareness of face conditions.

C) Indicates to receiving vehicle correct position for loading.

D) Avoids lifting oversize material and leaves them for breaker.

E) Removes oversize material to designated area for breaker.

F) Displays sensitivity of use of all hydraulic controls.

Was this factor carried out successfully

10. Loading Wagons

A) Material loading patterns varied to suit range of receiving vehicles.

B) Loads wagons as required by axel weights or as required by wagon driver.

C) Works loading patterns to avoid damage to wagon and loading shovel.

D) Displays sensitivity of use of all hydraulic controls.

E) Displays awareness of wagon sheeting arrangements and avoids damage/fouling during loading.

Was this factor carried out successfully

11. Working Edges.

A) Construct edge protection on haul roads and stockpiles.

B) Follows correct procedure for pushing material over edges.

C) Does not try to push too much material at a time.

Was this factor carried out successfully

12. Keeping Haul Roads Clear of Debris and Holes.

A) Keeping haul roads free of spillage/debris.

B) Fills in pot holes and levels off.

C) Maintains haul road protection.

D) Uses 'float' position for levelling off.

Was this factor carried out successfully

13. Keeping Work Area in Good Condition.

A) Works material to maintain level floor/ground and minimises lying water.

Was this factor carried out successfully

14. Ripping

A) When ripping avoids excessive track spin.

B) Always rips in a straight line.

C) Lifts ripper clear of the ground before turning.

Was this factor carried out successfully

Assessment Factor and Performance Required use Q/A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaksr

D) Completes inspection of tracks

E) Checks temps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks arm and jib hydraulic gear, welds & joint defects

P) Carries out prescribed lubrication procedures

Q) Autolube system

Q) Manual greasing

R) Checks visibility aids (and adjusts and cleans as necessary)

Mirrors

Camera

Radar

Other

If other please state

S) Checks seatbelts for condition & security

T) General good housekeeping of vehicle

U) Correctly completes daily check sheet or reports appropriately

Other

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering / Hydraulics / Electrics

B) Checks safety devices and ancillary equipment where fitted (e.g. auto dig / overload alarms)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. Manoeuvring in Forward and Reverse

A) Before moving off, attachments are in the correct position

B) Positions boom dip in correct position for travelling especially when ascending and descending inclines

C) Selects correct "travel mode" in relation to working and environmental conditions

D) Displays high degree of manoeuvrability in confined spaces - flat and gradients

E) Adherence to site rules at all times whilst manoeuvring

F) Displays correct use of reversing mirrors and other reversing aids/maintains good visual awareness

G) Machine stationary before selecting forward and reverse gears

H) Keeps reversing distance to a minimum

Other (specify)

If Other please specify

Was this factor carried out successfully

5. Excavating with the Mini Digger

A) Assesses work area for stability and safety before accessing

B) Stabilizes machine using blade

C) Operates machine on stable ground at all times

D) Uses operational aids to manufacturer's specification

E) Tracks positioned in relation to work activity, drive motors to rear

F) Maintains safe working area to minimise risk of damage from movement of material

G) Uses non-loading time to separate out contaminated materials

H) Ensures the machine was level laterally whilst excavating

I) Keeps excavated material clear of trench

J) Excavates trenches in layers

K) Ensure excavated trenches conform to the stated sizes and tolerances

L) Maintains full bucked loads when excavating (except for finishing work)

M) Cleans the sides of the excavations

N) Employs correct procedure for digging out difficult ground conditions

O) Employs correct co-ordination of all hydraulic controls to achieve maximum efficiency of the operating cycle in relation to:

A) Angle of swing

B) Use of capacity of attachment

C) Height of attachment

D) Height of boom

E) Depositing of material

P) Maintains work area in good condition including finished profiles

Q) Uses blade with bucket for final clearing up of area

R) Employs efficient working patterns/practices to comply with local managers' rules

S) Avoids excessive spillage from attachment being used

T) Displays awareness of material movement and weather conditions

Other (please state)

If other please state

Was this factor carried out successfully

6. Cleaning Operations

A) Assesses work area for stability and safety before accessing

B) Stabilizes machine using blade

C) Operates machine on stable ground at all times

D) Uses operational aids to manufacturer's specification

E) Tracks positioned in relation to work activity, drive motors to rear

F) Maintains safe working area to minimise risk of damage from movement of material

G) Employs correct procedure for digging out difficult ground conditions

H) Employs correct co-ordination of all hydraulic controls to achieve maximum efficiency of the operating cycle in relation to:

A) Angle of swing

B) Use of capacity of attachment

C) Height of attachment

D) Height of boom

E) Depositing of material

I) Maintains work area in good condition including finished profiles

J) Uses blade with bucket for final clearing up of area

K) Employs efficient working patterns/practices to comply with local managers' rules

L) Avoids excessive spillage from attachment being used

M) Displays awareness of material movement and weather changes

N) Other (Please state)

If other please state

Was this factor carried out successfully

7. Operation of attachments

Grab

Pecker

Other (please state)

If other please state

A) Detaches bucket as required by procedures & places in safe location

B) Attaches attachment as required by procedures

C) Dismounts and checks attachment is secure and safety device in place (semi-automatic quick hitches)

D) Checks attachment is securely attached

E) Before moving off, ensures attachments are in the correct position for travelling

F) Selects correct gear in relation to working and environmental conditions

G) Observed using correct operating procedures when using attachment

H) Detaches attachment as required by procedures & places in safe location

I) Re-attaches bucket as required by procedures

J) Dismounts and checks attachment is secure and safety device in place (semi-automatic quick hitches)

K) Checks bucket is securely re-attached

Other (specify)

If other please specify

Was this factor carried out successfully

8. Loading Vehicles

A) Indicates to receiving vehicle operator the correct position in accordance with approved procedures and practices

B) Shows awareness of correct type of material to be loaded

C) Maintain full bucket loads when loading

D) Keeps the bucket away from cab/driving area of the loading vehicle

E) Materials placed in receiving vehicle from correct height

F) Ensures loaded material is secure in the confines of the receiving vehicle

G) Selects direction of swing to maximise visibility

H) Other (Specify)

Was this factor carried out successfully

9. Parking

A) Machine on safe level ground in designated area

B) Parked to allow free movement following start up

C) Attachments in correct position, safety lock applied

D) Other (Specify)

If Other please specify

Was this factor carried out successfully

10. Shut Down

A) Depletes stored energy

B) Shuts down to approved / manufacturers procedures

C) Engine off, ignition & isolator key withdrawn

D) Secures to instructions and approved procedures

Other (specify)

If other please specify

Was this factor carried out successfully

11. Post-Stop Checks

A) Carries out walk round inspection

B) Carries out prescribed lubrication checks and procedures

C) Carries out visual fluid level checks to manufacturers specifications & machine design

D) Carries prescribed inspection of pipes and hoses

E) Completes inspection of tracks/wheels

F) Checks steps and handrails and cleans as necessary

G) Checks integrity and security of chassis & slew gear for damage & wear, welds & joints

H) Reports & records damage & faults as required by company & site procedures

I) Refuelling carried out to company & site procedures

Other (Specify)

If other please specify

Was this factor carried out successfully

12. Loading & unloading on and off transporter

THIS SECTION MUST BE COMPLETED IF THE MINI DIGGER IS USED FOR ROADBUILDING OPERATIONS

A) Follows correct procedure for loading and unloading road roller onto/from transportation trailer

B) When loading onto trailer secures machine

Other:

If Other please specify

Was this factor carried out successfully

13. Operational Safety

A) Operator consistently complies with company site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) Accesses and egresses vehicle correctly at all times

E) Displays safety awareness at all times - plant/people

F) Complies with traffic flows and speed limits (manager's rules)

G) Controls speed to meet changing conditions

H) Correct use of gears and throttle at all times

I) Operates vehicle in relation to the weather conditions

J) Operates vehicle to minimise effect on the environment

K) Reports and records faults as required by company procedures

L) Does not allow the engine to idle for long periods

Other (Specify)

If Other please state

Was this factor carried out successfully

Assessment Factor and Performance Required use Q/A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaks

D) Completes inspection of tyres including pressure & wheels for damage including rim locks.

E) Checks steps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks hydraulic gear & bucket for damage & wear, weld & joint defects.

P) Checks quick hitch couplers (If applicable)

Specify type:

Q) Carries out prescribed lubrication procedures

R) Autolube system

R) Manual greasing (please state)

S) Checks visibility aids ( and adjusts and cleans as necessary)

Please state:

Mirrors

Camera

Radar

Other

T) checks seat belts for condition & security.

U) General good housekeeping of vehicle.

V) Check air tank valve is closed ( if applicable)

W) correctly completes daily check sheet or reports appropriately.

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering / Hydraulics / Electrics

B) Emergency or secondary systems (steering and brakes)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. Braking

A) Checks brakes daily to unit test procedure and reports faults.

B) Braking procedure is carried out to meet operating conditions.

Other (specify)

If other please specify

Was this factor carried out successfully

5. Manoeuvring in Forward and Reverse

A) Displays a high degree of manoeuvrability in confined spaces - flat and gradients.

B) Adherence to site rules at all times whilst manoeuvring.

C) Displays correct use of reversing mirrors and other reversing aids/maintains good visual awareness.

D) Machine stationary before selecting forward and reverse gears.

E) Keeps reversing distance to a minimum.

F) Selects correct gear to meet operating and environmental conditions.

Other (specify)

If Other please specify

Was this factor carried out successfully

6. Filling the Bucket with material at bays/stockpiles

A) Approaches material square on with the bucket in the correct position

B) Follows correct procedure to fill bucket avoiding wheel spin.

C) Maintains bucket capacity avoiding spillage.

D) Avoids contamination when working with different materials.

E) Displays sensitivity of use of hydraulic controls according to working conditions.

F) Observes face condition of stockpiles.

G) Carries out working at tips and stock piles according to site rules/ safe systems of work

Other (specify)

If Other please specify

Was this factor carried out successfully

7. Travelling Empty and Loaded.

A) Before moving off bucket is in the correct position

B) Keeps vehicle stable during travel - empty and loaded.

C) Controls the speed of the vehicle appropriate to conditions.

D) Did not allow vehicle to freewheel.

E) Did not attempt to turn the vehicle on an incline.

Other (specify)

If Other please specify

Was this factor carried out successfully

8. Loading Hoppers

A) Ensures hopper is ready to receive material

B) Selects and loads correct material

C) Displays sensitivity of all hydraulic controls

D) Controls rate of discharge to avoid damage, blockage and spillage.

E) Maintains stop block and work area.

Other (specify)

If Other please specify

Was this factor carried out successfully

9. Loading Dump Trucks

A) Indicates to receiving vehicle the correct position for loading

B) Material loading pattern varied to suit the range of receiving vehicles

C) Vehicle positioned safely

D) Displays sensitivity of all hydraulic controls

E) Loads vehicles as required by axel weights or as required by dump truck driver

F) Vehicle loaded to avoid spillage

Other (specify)

If Other please specify

Was this factor carried out successfully

10. Loading Road Vehicles

A) Indicates to receiving vehicle the correct position for loading

B) Material loading pattern varied to suit the range of receiving vehicles

C) Vehicle positioned safely

D) Displays sensitivity of all hydraulic controls

E) Loads vehicles as required by axel weights or as required by wagon driver

F) Displays awareness of vehicle sheeting arrangements and avoids damage.

G) Vehicle loaded to avoid spillage

Other (specify)

If Other please specify

Was this factor carried out successfully

11. Working at the Face
Select material

Specify other material

A) Shows awareness of face conditions

B) Works across material sequence

C) Removes unwanted / oversize material to designated area for further processing

D) Loose material in sequence

E) Approaches material square on with bucket in correct position

F) Follows correct procedure to fill bucket avoiding wheel spin

G) Maintains bucket capacity avoiding spillage

H) Displays sensitivity of use of hydraulic controls according to working conditions

I) Carries out face loading according to site rules/ safe system of work

Other (specify)

If other please specify

Was this factor carried out successfully

12. Working with Attachments

Select attachment:

If other please specify

A) Detaches bucket as required by procedures & stores in safe location

B) Attaches attachment as required by procedures

C) Checks attachment is securely attached

E) Selects the correct gear in relation to working and environmental conditions

F) Observed using the correct operating procedures when using attachment

G) Detaches attachment as required by procedures and stores in a safe location

H) Attaches bucket as required by procedures

I) Checks bucket is securely attached.

Other (specify)

If other please specify

Was this factor carried out successfully

13. Parking

A) Machine on level ground in designated area

B) Parked to be able to move the machine forward following start up

C) Bucket in correct position, parking brake applied, in neutral

D) Parks vehicle with all round access

Other (specify)

If other please specify

Was this factor carried out successfully

14. Shut Down

A) Depletes stored energy

B) Engages hydraulic safety control device

C) Shuts down to approved/ manufacturers procedures

D) Engine off, ignition & isolator key withdrawn

E) Secures to instructions and approved procedures

F) Drains air tanks (where applicable)

Other (specify)

If other please specify

Was this factor carried out successfully

15. Post-Stop Checks

A) Carries out walk round inspection

B) Reports & records damage & faults as required by company & site procedures

C) Refulling carried out to company and site procedures.

Other (specify)

If other please specify

Was this factor carried out successfully

16. Operational Safety

A) Operator consistently complies with company site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) All work activities are carried out to comply with managers instructions/procedures

E) Accesses and egresses vehicle correctly at all times

F) Displays safety awareness at all times - plant/people

G) Complies with traffic flows and speed limits (manager's rules)

H) Controls speed to meet changing conditions

I) Correct use of gears and throttle at all times

J) Operates vehicle in relation to the weather conditions

K) Operates vehicle to minimise effect on the environment

L) During travel empty or loaded keeps vehicle stable

M) Reports and records faults as required by company procedures

N) Does not allow the engine to idle for long periods

Other (Specify)

If Other please state

Was this factor carried out successfully

Assessment Factor and Performance Required use Q/A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaks

D) Completes inspection of tyres including pressure & wheels for damage including rim locks.

E) Checks steps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks welds on bowser tank, including underneath, for cracks, damage and leaks.

P) Checks bowser compressor mountings for security and general condition.

Q) Checks for leaks around bowser seals, hoses and hose connections.

R) Checks all fire extinguishers on bowser.

S) Ensures all decal plates are undamaged, clean and clear of debris.

T) Checks roller doors for wear damage.

U) Ensures bowser has the correct fuel spill kit.

V) Carries out prescribed lubrication procedures

Autolube system

Manual greasing (please state)

W) Checks visibility aids (and adjusts and cleans as necessary)

Mirrors

Camera

Radar

Other

If other please state

X) checks seat belts for condition & security.

Y) General good housekeeping of vehicle.

Z) Check air tank valve is closed ( if applicable)

AA) correctly completes daily check sheet or reports appropriately.

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering / Hydraulics / Electrics

B) Emergency or secondary systems (steering and brakes)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. Braking

A) Checks brakes daily to unit test procedure and reports faults.

B) Braking procedure is carried out to meet operating conditions.

Other (specify)

If other please specify

Was this factor carried out successfully

5. Manoeuvring in Forward and Reverse

A) Displays a high degree of manoeuvrability in confined spaces - flat and gradients.

B) Adherence to site rules at all times whilst manoeuvring.

C) Displays correct use of reversing mirrors and other reversing aids/maintains good visual awareness.

D) Machine stationary before selecting forward and reverse gears.

E) Keeps reversing distance to a minimum.

F) Selects correct gear to meet operating and environmental conditions.

G) Correct use of traction aids and retarders.

Other (specify)

If Other please specify

Was this factor carried out successfully

6. Travelling Empty or Loaded

A) Before moving checks all bowser equipment is secure.

B) Keeps vehicle stable during travel - empty and loaded.

C) Controls the speed of the vehicle appropriate to the conditions.

D) Correct use of the accelerator at all times.

E) Did not allow the vehicle to freewheel.

F) Did not attempt to turn the vehicle on an incline.

Other (specify)

If Other please specify

Was this factor carried out successfully

7. Filling Water Bowser

From Water Supply

Lake

Select system type

If Other please specify

A) Checks suitability of ground conditions & stability before filling

B) Positions water bowser so distance to supply is minimised

C) Wears additional PPE as required

D) Keys removed from ignition when operator out of cab ( unless PTO requires to operate

E) Inspects hoses for damage or defects

F) Uses safe practices & appropriate manual handling techniques during hose/ pipe attachment & decoupling procedures.

G) Securely attaches pipe from water supply to water bowser.

H) Operates water loading system.

I) Monitors and controls filling operation (speed, pressure, volume vacuum)

J) Ensures water bowser is not over filled.

K) Detaches pipe from water supply and makes secure all pipes to water bowser.

L) Fills water bowser in accordance with local procedures.

Other (specify)

If Other please specify

Was this factor carried out successfully

8. Operation of Water Bowser

A) Operations set to ensure sufficient water is dispersed during the operation

B) Takes into consideration movement of other plant and personnel in area where water bowser is dispersing

Other (specify)

If Other please specify

Was this factor carried out successfully

9. Parking

A) Machine on level ground in designated area.

B) Parked to allow machine to be moved forward following start up.

C) Bucket in correct position, parking brake applied, in neutral.

D) Park vehicle with all round access.

Other (specify)

If Other please specify

Was this factor carried out successfully

10. Shut Down

A) Depletes stored energy

B) Shuts down to approved / manufacturers procedures

C) Engine off, ignition & Isolator key withdrawn

D) Secures to instructions and approved procedures

E) Drains air tanks ( where applicable)

Other (specify)

If Other please specify

Was this factor carried out successfully

11. Post-Stop Checks

A) Carries out post stop walk round inspection.

B) Reports and records damage and faults as required by company and site procedures.

C) Water bowser refuelled to company and site procedures

Other (specify)

If Other please specify

Was this factor carried out successfully

12. Operational Safety

A) Operator consistently complies with company and site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) All work activities are carried out to comply with managers instructions/ procedures

E) Consistently accessed and egresses vehicle correctly

F) Displays safety awareness at all times - plant/people

G) Complies with traffic flows and speed limits (manager's rules)

H) Controls speed to meet changing conditions

I) Correct use of gears and accelerator at all times

J) Operates vehicle in relation to the weather conditions

K) Operates vehicle to minimise effect on the environment

L) During travel empty and loaded keeps vehicle stable

M) Reports and records faults as required by company procedures

N) Does not allow the engine to idle for long periods

Other (specify)

If Other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required use Q/A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaks

D) Completes inspection of tyres including pressure & wheels for damage including rim locks.

E) Checks steps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks welds on bowser tank, including underneath, for cracks, damage and leaks.

P) Checks bowser compressor mountings for security and general condition.

Q) Checks for leaks around bowser seals, hoses and hose connections.

R) Checks all fire extinguishers on bowser.

S) Ensures all decal plates are undamaged, clean and clear of debris.

T) Checks roller doors for wear damage.

U) Ensures bowser has the correct fuel spill kit.

V) Carries out prescribed lubrication procedures

Autolube system

Manual greasing (please state)

State manual greasing.

W) Checks visibility aids (and adjusts and cleans as necessary)

Mirrors

Camera

Radar

Other

If other please state

X) checks seat belts for condition & security.

Y) General good housekeeping of vehicle.

Z) Check air tank valve is closed ( if applicable)

AA) correctly completes daily check sheet or reports appropriately.

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering / Hydraulics / Electrics

B) Emergency or secondary systems (steering and brakes)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. Braking

A) Checks brakes daily to unit test procedure and reports faults.

B) Braking procedure is carried out to meet operating conditions.

Other (specify)

If other please specify

Was this factor carried out successfully

5. Manoeuvring in Forward and Reverse

A) Displays a high degree of manoeuvrability in confined spaces - flat and gradients.

B) Adherence to site rules at all times whilst manoeuvring.

C) Displays correct use of reversing mirrors and other reversing aids/maintains good visual awareness.

D) Machine stationary before selecting forward and reverse gears.

E) Keeps reversing distance to a minimum.

F) Selects correct gear to meet operating and environmental conditions.

G) Correct use of traction aids and retarders.

Other (specify)

If Other please specify

Was this factor carried out successfully

6. Travelling Empty or Loaded

A) Before moving checks all bowser equipment is secure.

B) Keeps vehicle stable during travel - empty and loaded.

C) Controls the speed of the vehicle appropriate to the conditions.

D) Correct use of the accelerator at all times.

E) Did not allow the vehicle to freewheel.

F) Did not attempt to turn the vehicle on an incline.

Other (specify)

If Other please specify

Was this factor carried out successfully

7. Filling Bowser with fuel from storage facility

A) Positions fuel bowser so distance to storage tank is minimised

B) Wears additional PPE as required

C) explains the correct use of fuel spillage kit.

D) securely attaches pipe from storage tank to fuel bowser.

E) Operates fuel loading system

F) ensures fuel bowser is not over filled

G) detaches pipe from storage tank and makes secure all pipes to fuel bowser and storage tank

H) Records the amount of fuel extracted from storage tank.

I) Fills fuel bowser in accordance with local procedures.

Other (specify)

If Other please specify

Was this factor carried out successfully

8. Filling other machines with fuel

Normal fill

Fast fill

A) Checks suitability of ground conditions/ stability

B) Positions fuel bowser in correct position for fuelling machine types

C) Receiving machine isolated an d earthed

D) Hoses securely coupled to receiving machine

E) Checks with machine operator amount of fuel required

F) Fuel discharged at recommended rates

G) Ensures machine is not over filled

H) On completion of fuelling, hoses disconnected and stored in correct locations

I) Machine connected to electrical system

J) Records amount of fuel discharged to machine

K) Fills machine in accordance with local procedures

Other (specify)

If Other please specify

Was this factor carried out successfully

9. Parking

A) Machine on level ground in designated area.

B) Parked to allow machine to be moved forward following start up.

C) Bucket in correct position, parking brake applied, in neutral.

D) Park vehicle with all round access.

Other (specify)

If Other please specify

Was this factor carried out successfully

10. Shut Down

A) Depletes stored energy

B) Shuts down to approved / manufacturers procedures

C) Engine off, ignition & Isolator key withdrawn

D) Secures to instructions and approved procedures

E) Drains air tanks ( where applicable)

Other (specify)

If Other please specify

Was this factor carried out successfully

11. Post-Stop Checks

A) Carries out post stop walk round inspection.

B) Reports and records damage and faults as required by company and site procedures.

C) Fuel bowser refuelled to company and site procedures

Other (specify)

If Other please specify

Was this factor carried out successfully

12. Operational Safety

A) Operator consistently complies with company and site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) All work activities are carried out to comply with managers instructions/ procedures

E) Consistently accessed and egresses vehicle correctly

F) Displays safety awareness at all times - plant/people

G) Complies with traffic flows and speed limits (manager's rules)

H) Controls speed to meet changing conditions

I) Correct use of gears and accelerator at all times

J) Operates vehicle in relation to the weather conditions

K) Operates vehicle to minimise effect on the environment

L) During travel empty and loaded keeps vehicle stable

M) Reports and records faults as required by company procedures

N) Does not allow the engine to idle for long periods

Other (specify)

If Other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required use Q&A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaks

D) Completes inspection tracks

E) Checks steps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks arm and jib hydraulic gear, weld & joint defects.

P) Carries out prescribed lubrication procedures

Q) Autolube system

Q) Manual greasing (please state)

R) Checks visibility aids ( and adjusts and cleans as necessary)

Please state:

Mirrors

Camera

Radar

Other

S) checks seat belts for condition & security.

T) General good housekeeping of vehicle.

U) Checks quick hitch for security and damage

V) Correctly completes daily check sheet or reports appropriately.

Other

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering / Hydraulics / Electrics

B) Checks safety devices and ancillary equipment where fitted ( e.g. Auto dig/ overload alarms)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. Manoeuvring in Forward and Reverse

A) Before moving off, attachments are in the correct position

B) Position boom dil in correct position for travelling

C) Select the correct "travel mode" in relation to working and environmental conditions

D) Displays a high degree of manoeuvrability in confined spaces- flat and gradients

E) Adherence to site rules at all times whilst manoeuvring

F) Displays correct use of reversing mirrors and other reversing aids/maintains good visual awareness

G) Machine stationary before selecting forward or reverse gears

H) Keeps reversing distance to a minimum

Other (specify)

If other please specify

Was this factor carried out successfully

5. Working with the Excavator

A) Assesses work area for stability and safety before accessing

B) Operates machine on stable ground at all times

C) Uses operational aids to manufacturer's specification

D) Tracks positioned in relation to work activity, drive motors to rear

E) Maintains safe working area to minimise risk of damage from movement of material

F) Uses non-loading time to separate out contaminated materials

G) Employs correct procedure for digging out difficult ground conditions

H) Employs correct co-ordination of all hydraulic controls to achieve maximum efficiency of the operating cycle in relation to:

A) Angle of swing

B) Use of capacity of attachment

C) Height of attachment

D) Height of boom

E) Depositing of material

I) Maintains work area in good condition including finished profiles

J) Employes efficient working patterns/practices to comply with local managers' rules

K) Avoids excessive spillage from attachment being used

L) Displays awareness of material movement, face conditions and weather changes

M) Other (Please state)

If other please state

Was this factor carried out successfully

6. Operation of attachments

Grab

Pecker

Other (please state)

If other please state

A) Detaches bucket as required by procedures & places in safe location

B) Attaches attachment as required by procedures

C) Dismounts and checks attachment is secure and safety device in place (semi-automatic quick hitches)

D) Checks attachment is securely attached

E) Before moving off, ensures attachments are in the correct position for travelling

F) Selects correct gear in relation to working and environmental conditions

G) Observed using correct operating procedures when using attachment

H) Detaches attachment as required by procedures & places in safe location

I) Re-attaches bucket as required by procedures

J) Dismounts and checks attachment is secure and safety device in place (semi-automatic quick hitches)

K) Checks bucket is securely re-attached

Other (specify)

If other please specify

Was this factor carried out successfully

7. Loading Vehicles

A) Indicates to receiving vehicle operator the correct position in accordance with approved procedures and practices

B) Shows awareness of correct type of material to be loaded leaving oversize for breaking

C) Materials placed in receiving vehicle from correct height

D) Loads small material in receiving vehicle on first cycle as required.

E) Material loading pattern varied to suit range of receiving vehicles

F) Ensures loaded material is secure in the confines of the receiving vehicle.

G) Selects direction of swing to maximise visibility

H) Other (Specify)

Was this factor carried out successfully

8. Parking

A) Machine on safe level ground in designated area.

B) Parked to allow free movement following start up.

C) Attachments in correct position safety lock applied.

Other (specify)

If Other please specify

Was this factor carried out successfully

9. Shut Down

A) Depletes stored energy

B) Shuts down to approved / manufacturers procedures

C) Engine off, ignition & Isolator key withdrawn

D) Secures to instructions and approved procedures

Other (specify)

If Other please specify

Was this factor carried out successfully

10. Post-Stop Checks

A) Carries out walk round inspection

B) reports and records damage and faults as required by company and site procedures

C) Refuelling carried out to company and site procedures.

Other (specify)

If Other please specify

Was this factor carried out successfully

11. Operational Safety

A) Operator consistently complies with company and site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) All work activities are carried out to comply with managers instructions/ procedures

E) Consistently accessed and egresses vehicle correctly

F) Displays safety awareness at all times - plant/people

G) Complies with traffic flows and speed limits (manager's rules)

H) Controls speed to meet changing conditions

I) Correct use of gears and accelerator at all times

J) Operates vehicle in relation to the weather conditions

K) Operates vehicle to minimise effect on the environment

L) Reports and records faults as required by company procedures

M) Does not allow the engine to idle for long periods

Other (specify)

If Other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required, use Q&A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaks

D) Completes inspection of tyres including pressure and wheels for damage including rim locks.

E) Checks steps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks arm and jib hydraulic gear, weld & joint defects.

P) Carries out prescribed lubrication procedures

Q) Autolube system

Q) Manual greasing (please state)

R) Checks visibility aids ( and adjusts and cleans as necessary)

Please state:

Mirrors

Camera

Radar

Other

S) checks seat belts for condition & security.

T) General good housekeeping of vehicle.

U) Checks quick hitch for security and damage

V) Correctly completes daily check sheet or reports appropriately.

Other

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering /Brakes/ Hydraulics / Electrics

B) Emergency or secondary systems (steering and brakes)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. Braking

A) Checks brakes daily to unit test procedure and reports faults.

B) Braking procedure is carried out to meet operating conditions.

Other (specify)

If other please specify

Was this factor carried out successfully

5. Manoeuvring in Forward and Reverse

A) Displays a high degree of manoeuvrability in confined spaces - flat and gradients.

B) Adherence to site rules at all times whilst manoeuvring.

C) Displays correct use of reversing mirrors and other reversing aids/maintains good visual awareness.

D) Machine stationary before selecting forward and reverse gears.

E) Keeps reversing distance to a minimum.

F) Selects correct gear to meet operating and environmental conditions.

G) Correct use of traction aids and retarders.

H) Ensures that when moving off forward, Dumptruck travels forward at half vehicle length before engaging full lock onto blindside.

Other (specify)

If Other please specify

Was this factor carried out successfully

6. Travelling Empty or Loaded

A) Before moving off skip is in correct position

B) Keeps vehicle stable during travel - empty and loaded.

C) Controls the speed of the vehicle appropriate to the conditions.

D) Correct use of the accelerator at all times.

E) Did not allow the vehicle to freewheel.

F) Did not attempt to turn the vehicle on an incline.

Other (specify)

If Other please specify

Was this factor carried out successfully

7. Loading

A) Remains in the cab during the whole of the loading operation.

B) Recognise the loader has responsibility for the loading operation.

C) Position dumper in accordance with loader operator's requirements

D) Checks load security and all round visual check before moving off.

E) On change of material ensures no contamination occurs

Other (specify)

If Other please specify

Was this factor carried out successfully

8) Discharging Materials into Processing Plant Hoppers

A) Checks suitability of ground conditions/stability

B) Reverses square to bund or stop block

C) Engages Parking Brake/Tipping Brake before starting tipping operation.

D) Discharges to correct signal

E) Controls rate of discharge to avoid damage, blockages and spillage.

F) Uses the correct procedure for raising the body, including easing off at fully raised position, and at fully lowered position.

G) Moves away from discharge point only when the body is down.

H) Reports spillage and damage to stop blocks and hoppers.

Other (specify)

If Other please specify

Was this factor carried out successfully

Was this factor carried out successfully

9. Discharging Materials at Tip/stockpile End.

A) Checks suitability of ground conditions/stability

B) Engages Parking Brake/Tipping Brake before starting tipping operation

C) Controls rate of discharge.

D) Uses correct procedure for raising the body, including easing off at fully raised position, and at fully lowered position.

E) Moves away from discharge point only when the body is down.

F) Always leaves tipped material in the correct location for the loading shovel/dozer to deal with.

G) Tipping operation carried out in accordance with Manager's tipping rules.

Other (specify)

If Other please specify

Was this factor carried out successfully

Was this factor carried out successfully

10. Parking

A) Machine on level ground in designated area

B) Parked to allow machine to be moved forward following start up.

C) Body in correct position, parking brake applied, in neutral

D) Parks vehicle with all round access

Other (specify)

If Other please specify

Was this factor carried out successfully

11. Shut Down

A) Depletes stored energy

B) Engages hydraulic safety control device

C) Shuts down approved/ manufacturers procedures

D) Engine off, ignition and isolator key withdrawn

E) Secures to instructions and approved procedures

F) Drains air tanks ( where applicable)

Other (specify)

If Other please specify

Was this factor carried out successfully

12. Post-Stop Checks

A) Carries out walk round inspection

B) Reports and records damage and faults as required by company and site procedures

C) Refuelling carried out to company and site procedures

Other (specify)

If Other please specify

Was this factor carried out successfully

13. Operational Safety

A) Operator consistently complies with company and site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) All work activities are carried out to comply with managers instructions/ procedures

E) Consistently accesses and egresses vehicle correctly

F) Displays safety awareness at all times - plant/people

G) Complies with traffic flows and speed limits (manager's rules)

H) Controls speed to meet changing conditions

I) Correct use of gears and accelerator at all times

J) Operates vehicle in relation to the weather conditions

K) Operates vehicle to minimise effect on the environment

L) During travel empty and loaded keeps vehicle stable

M) Does not allow the engine to idle for long periods

Other (specify)

If Other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required, use Q&A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external leaks

D) Completes inspection of wheels /tracks for general condition, visual tyre pressure and security

E) Inspects all access points, guard rails, toe boards and extensions

F) If applicable, removable or fold down railings are checked for correct placement and are secure

G) Checks structural and critical components for cracks and damage including outriggers and spreader pads (where fitted and to be used).

H) Checks electrical wiring, cables, fasteners, pins, bolts and locking devices.

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Carries out prescribed lubrication procedures

Autolube system

Manual greasing (please state)

P) If a fall restraint system is to be used then checks fall arrest equipment for condition and security

Q) Checks platform is clear of debris

R) Checks validity of "Through Examination" certificate

S) Interprets correctly all manufacturer's decal information and safety notices

T) Ensures Risk Assessment has been undertaken and is applicable to the work to be undertaken

U) Can explain the emergency rescue plan applicable to operation of machine

V) Identifies location of operator's manual

W) Ensures all controls are clearly marked for their function

X) Where LPG is used, bottles are checked for security and system checked for leaks

Y) All guarding and covers are in place and secure

Z) For electrically operated machines, charging pack is safely disconnected before use.

Other

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts fall restraint equipment as necessary.

B) Wears fall restraint equipment

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks from Ground Controls

A) Power Unit / Transmission / Steering /Brakes/ Hydraulics / Electrics

B) Checks lifting, lowering, extending and retraction systems, turntable movement, basket levelling and rotation operation of machine.

C) Checks audible lowering warning system

D) Checks any limit switches, including tilt alarm, are free moving and not seized, damaged or over-ridden ( including oscillating axle lock-out (if fitted)).

E) Checks operation of emergency stop buttons

F) Checks operation of manual lowering system

G) Correctly completes daily check sheet or reports appropriately

H) Checks outrigger/stabilisers on trailer mounted types

Other (specify)

If other please specify

Was this factor carried out successfully

4. Function Checks from Platform Controls

A) Check function of any outriggers/stabilisers, extendable axels and lock out systems where fitted.

B) Only accesses platform via designated access points (does not attempt to climb over guard rails)

C) Checks that any access gates close and lock correctly

D) Checks emergency stop button

E) Checks horn

F) Checks lifting, lowering, extending and retraction systems, turntable movement, basket levelling and rotation operation of machine.

G) Checks variable speed system.

H) Checks flashing beacon is working.

I) Checks other warning systems such as motion alarms

J) Checks radio is operational

Other (specify)

If other please specify

Was this factor carried out successfully

5. Manoeuvring in Forward and Reverse - Self propelled types.

A) Ensures extendable axles are not extended before moving off

B) Ensures fall protection harness (if to be used) is correctly fitted before moving off

C) All condition monitoring devices indicate correct functions before moving off

D) Before moving off, checks route and area for overhead obstructions and hazards.

E) Positions platform in correct position for travelling ( travelling with platform raised must only be undertaken with machines specifically designed for this purpose)

F) Selects correct "travel mode" in relation to working and environmental conditions.

G) Uses proportional controls correctly with no erratic movement

H) Ensures speed is controlled and regulated with no erratic movement.

I) Displays a high degree of manoeuvrability in confined spaces - flat and gradients.

J) Adherence to site rules at all times whilst manoeuvring.

K) Machine stationary before selecting forward and reverse gears.

L) Keeps reversing distance to a minimum

Other (specify)

If other please specify

Was this factor carried out successfully

6. Working with the MEWP

During the operation of a MEWP it is expected that, as a minimum, the operator has radio contact with a person (not the assessor) on the ground. However, there should preferably be a person who remains on the ground to warn traffic, discourage encroaching personnel, in cases of emergencies or the event of vehicle problems.

A) Assesses work area for stability and safety before accessing including checking area for floor obstructions, debris, pot holes, bumps, exposed edges, building projections, cables, other personnel and takes into account prevailing weather conditions.

B) Agrees signals with relevant personnel

C) Work area cordoned off

D) Operates machine on stable ground at all times

E) Only uses machine as per the manufacturer's recommendations.

F) MEWP positioned in relation to work activity

G) Sites vehicle on level ground uses outriggers/stabilisers to level vehicle prior to raising.

H) Deploys outriggers/stabilisers safely and correctly.

I) Assesses access point for proximity hazards

J) Employs correct co-ordination of all hydraulic controls to achieve maximum efficiency of the operating cycle in relation to: A) Height B) Position C) Always lifts before extending and retracts before lowering

K) Employs efficient working patterns/practices to comply with local managers' rules

L) Displays awareness of material movement, ground conditions and weather changes and monitors any level indicators and makes appropriate adjustments.

M) Operations suspended during thunder and lightening

N) Operates machine with SWL - including tools, equipment and number of personnel

O) Operates machine within Level and Angle limits

P) Operates machine within Wind Limits

Q) Ensures any tools or loads are securely fastened at all times.

R) Selects correct speed in relation to working and environmental conditions

S) Ensures banks man is warned prior to vehicle movements with platform raised

T) Ensures route is clear and suitable for traveling before traveling

U) Vehicle not used as a crane

V) Nothing attached to the platform other than by the use of approved attachment systems.

W) Occupants do not attempt to leave the platform at height.

X) Operators do not attempt to gain extra height by use of guard rails, ladders, standing on objects or by any other means.

Y) The vehicle is not attempted to be tied to any other vehicle or structure

Z) Any auxiliary equipment (e.g. Power tools) is used safely.

AA) Does not breach recommend safe distances from overhead electricity lines.

BB) Harness is attached to recommend anchor points

CC) Ensures area below machine is clear prior to lowering

DD) Operates all controls smoothly and gently

Other (specify)

If other please specify

Was this factor carried out successfully

7. Parking

A) Machine on safe level ground in designated area

B) Parked to allow free movement following start up

C) Attachments in correct position, platform lowered, safety lock applied

Other (specify)

If other please specify

Was this factor carried out successfully

8. Shut Down

A) Depletes stored energy

B) Shuts down to approved/manufacturers procedures

C) Engine off, ignition & isolator key withdrawn, power source isolated

D) Secures to instructions and approves procedures

Other (specify)

If other please specify

Was this factor carried out successfully

9. Post-Stop Checks

A) Carries out walk round inspection

B) Reports and records damage and faults as required by company and site procedures

C) Refueling/charging carried out to company and site procedures.

Other (specify)

If other please specify

Was this factor carried out successfully

10. Operational Safety

A) Operator consistently complies with company and site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) Consistently accesses and egresses vehicle correctly

E) Displays safety awareness at all times - plant/people

F) Complies with traffic flows and speed limits (manager's rules)

G) Controls speed to meet changing conditions

H) Correct use of proportional controls and variable speed systems

I) Operates vehicle in relation to the weather conditions

J) Operates vehicle to minimise effect on the environment

K) Reports and records faults as required by company procedures

L) Does not allow the engine to idle for long periods

Other (specify)

If Other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required, use Q&A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external leaks

D) Completes inspection of wheels for general condition, visual tyre pressure and security

E) Inspects all access points, guard rails, toe boards and extensions

F) Removable or fold down railings are checked for correct placement and are secure

G) Checks structural and critical components for cracks and damage including outriggers and spreader pads (where fitted and to be used), electrical wiring, cables,fasteners, pins, bolts and locking devices.

H) Checks harness attachment structure for damage, integrity and mountings (if to be used)

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Carries out prescribed lubrication procedures

Autolube system

Manual greasing (please state)

P) If a fall protection system is to be used then checks fall arrest equipment for condition and security

Q) Checks platform is clear of debris

R) Checks validity of "Through Examination" certificate

S) Interprets correctly all manufacturer's decal information and safety notices

T) Ensures Risk Assessment has been undertaken and is applicable to the work to be undertaken

U) Can explain the emergency rescue plan applicable to operation of machine

V) Identifies location of operator's manual

W) Ensures all controls are clearly marked for their function

X) Checks any pothole protection devices

Y) Where LPG is used, bottles are checked for security and system checked for leaks

Z) All guarding (where fitted) is in place and secure.

AA) For electrically operated machines, charging pack is safely disconnected before use.

BB) Checks condition of ground earthing strap.

Other

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) If fall protection is to be used, sets up and adjusts equipment as necessary.

B) If fall protection is to be used, correctly wears fall arrest equipment

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks from Ground Controls

A) Power Unit / Transmission / Steering /Brakes/ Hydraulics / Electrics

B) Checks lifting and lowering, operation of machine.

C) Checks audible lowering warning system

D) Checks any limit switches, are free moving and not seized, damaged or over-ridden ( including oscillating axle lock-out (if fitted)).

E) Checks operation of emergency stop buttons

F) Checks operation of manual lowering system

G) Correctly completes daily check sheet or reports appropriately

Other (specify)

If other please specify

Was this factor carried out successfully

4. Function Checks from Platform Controls

A) Check function of any outriggers/stabilisers, extendable axels and lock out systems where fitted.

B) Only accesses platform via designated access points (does not attempt to climb over guard rails)

C) Checks that any access gates close and lock correctly

D) Checks emergency stop button

E) Checks horn

F) Checks lifting and lowering, systems

G) Checks function of any slide out extension decks.

H) Checks variable speed system.

I) Checks flashing beacon is working.

J) Checks other warning systems such as motion alarms

J) Checks radio is operational

K) Checks functions of remote boxes ( if fitted)

L) Checks radio is operational.

Other (specify)

If other please specify

Was this factor carried out successfully

5. Manoeuvring in Forward and Reverse - Self propelled types.

A) Ensures outriggers/stabilizers are not extended before moving off

B) Ensures fall protection harness (if to be used) is correctly fitted before moving off

C) All condition monitoring devices indicate correct functions before moving off

D) Before moving off, checks route and area for overhead obstructions and hazards.

E) Positions platform in correct position for travelling ( travelling with platform raised must only be undertaken with machines specifically designed for this purpose)

F) Selects correct "travel mode" in relation to working and environmental conditions.

G) Uses proportional controls correctly with no erratic movement

H) Ensures speed is controlled and regulated on descents.

I) Displays a high degree of manoeuvrability in confined spaces - flat and gradients.

J) Adherence to site rules at all times whilst manoeuvring.

K) Machine stationary before selecting forward and reverse gears.

L) Keeps reversing distance to a minimum

Other (specify)

If other please specify

Was this factor carried out successfully

6. Working with the MEWP

During the operation of a MEWP it is expected that, as a minimum, the operator has radio contact with a person (not the assessor) on the ground. However, there should preferably be a person who remains on the ground to warn traffic, discourage encroaching personnel, in cases of emergencies or the event of vehicle problems.

A) Assesses work area for stability and safety before accessing including checking area for floor obstructions, debris, pot holes, bumps, exposed edges, building projections, cables, other personnel and takes into account prevailing weather conditions.

B) Agrees signals with relevant personnel

C) Work area cordoned off

D) Operates machine on stable ground at all times

E) Only uses machine as per the manufacturer's recommendations.

F) MEWP positioned in relation to work activity

G) Sites vehicle on level ground uses outriggers/stabilisers to level vehicle prior to raising.

H) Deploys outriggers/stabilisers safely and correctly.

I) Assesses access point for proximity hazards

J) Employs correct co-ordination of all hydraulic controls to achieve maximum efficiency of the operating cycle in relation to: A) Height B) Position

K) Employs efficient working patterns/practices to comply with local managers' rules

L) Displays awareness of material movement, ground conditions and weather changes and monitors any level indicators and makes appropriate adjustments.

M) Operations suspended during thunder and lightening

N) Operates machine with SWL - including tools, equipment and number of personnel particularly when working on platform extensions.

O) Operates machine within Level and Angle limits

P) Operates machine within Wind Limits

Q) Ensures any tools or loads are securely fastened at all times.

R) For those machines designed to do so, travels machine with platform raised to approx 30 % of reach.

S) Selects correct speed in relation to working and environmental conditions

T) Ensures banks man is warned prior to vehicle movements with platform raised

U) Ensures route is clear and suitable for traveling before traveling

V) Vehicle not used as a crane

W) Nothing attached to the platform other than by the use of approved attachment systems.

X) Occupants do not attempt to leave the platform at height.

Y) Operators do not attempt to gain extra height by use of guard rails, ladders, standing on objects or by any other means.

Z) The vehicle is not attempted to be tied to any other vehicle or structure

AA) Any auxiliary equipment (e.g. Power tools) is used safely.

BB) Does not breach recommend safe distances from overhead electricity lines.

CC) If a harness is used, is attached to recommend anchor points only

DD) Ensures area below machine is clear prior to lowering

EE) Operates all controls smoothly and gently

Other (specify)

If other please specify

Was this factor carried out successfully

7. Parking

A) Machine on safe level ground in designated area

B) Parked to allow free movement following start up

C) Attachments in correct position, platform lowered, safety lock applied

Other (specify)

If other please specify

Was this factor carried out successfully

8. Shut Down

A) Depletes stored energy

B) Shuts down to approved/manufacturers procedures

C) Engine off, ignition & isolator key withdrawn, power source isolated

D) Secures to instructions and approves procedures

Other (specify)

If other please specify

Was this factor carried out successfully

9. Post-Stop Checks

A) Carries out walk round inspection

B) Carries out visual fluid level checks to manufacturers specifications and machine design

C) Carries prescribed inspection of pipes and hoses

D) Completes inspection of tyres.

E) Checks steps and handrails and cleans as necessary

F) Checks integrity and security of chassis and lifting gear for damage and wear, welds and joints.

G) Reports and records damage and faults as required by company and site procedures

H) Refueling/charging carried out to company and site procedures.

Other (specify)

If other please specify

Was this factor carried out successfully

10. Operational Safety

A) Operator consistently complies with company and site rules and procedures

B) Demonstrates awareness of all obstructions, services and power lines

C) All communication in the workplace is clear and concise

D) Consistently accesses and egresses vehicle correctly

E) Displays safety awareness at all times - plant/people

F) Complies with traffic flows and speed limits (manager's rules)

G) Controls speed to meet changing conditions

H) Correct use of proportional controls and variable speed systems

I) Operates vehicle in relation to the weather conditions

J) Operates vehicle to minimise effect on the environment

K) Reports and records faults as required by company procedures

L) Does not allow the engine to idle for long periods

Other (specify)

If Other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required use Q/A where required
1. Daily Pre-Start Checks (Walk Round Inspection)

A) Wears correct PPE

B) Vehicle safely isolated during pre-start checks

C) Checks for external oil leaks

D) Completes inspection of tyres including pressure & wheels for damage including rim locks.

E) Checks steps, handrails, mudguards and cleans as necessary

F) Checks general condition of body, cab & chassis for damage & defects

G) Checks ROPS structure for damage, integrity & Mountings (if fitted)

H) Windows & mirrors checked for damage and cleaned

I) Carries out fluid level checks to manufacturers specifications & machine design

J) Checks pipes and hoses for leaks, chaffing & damage

K) Checks engine & fuel system for leaks & contamination

L) Checks alternator drive belt tension and condition

M) Checks and if required cleans cooling radiator

N) Checks security of battery, terminals for condition, & wiring for damage

O) Checks hydraulic gear & bucket for damage & wear, weld & joint defects.

P) Checks quick hitch couplers (If applicable)

Specify type:

Q) Carries out prescribed lubrication procedures

R) Autolube system

R) Manual greasing

Please state:

S) Checks visibility aids ( and adjusts and cleans as necessary)

Please state:

Mirrors

Camera

Radar

Other

T) checks seat belts for condition & security.

U) General good housekeeping of vehicle.

V) Check air tank valve is closed ( if applicable)

W) Correctly completes daily check sheet or reports appropriately.

Other

If other please specify

Was this factor carried out successfully

2. Start Up Procedures

A) Sets up and adjusts seat as necessary

B) Applies seat restraint

C) Checks instruments, gauges and monitoring displays

D) Able to report on the significance of each condition monitoring device and instrument readings symbols

E) Checks audible warning devices

F) All condition monitoring devices indicate correct functions before moving off

G) Disengages hydraulic safety control device

H) Checks function & accessibility of all reversing aids

I) Checks that the following are in working order: lights, warning beacon, indicators/hazard lights, windscreen wipers and washers.

Other (specify)

If other please specify

Was this factor carried out successfully

3. Function Checks

A) Power Unit / Transmission / Steering / Brakes / Hydraulics / Electrics

B) Emergency or secondary systems (steering and brakes)

C) Company checks and paperwork completed

Other (specify)

If other please specify

Was this factor carried out successfully

4. General Operating Procedures.

A) Displays safety awareness at all times in respect to plant/people/services/built and natural environment

B) Controls the speed of the machine to suit changing working conditions.

C) Able to demonstrate the effective operation of all controls when:

Positioning

Stabilizing

Breaking

Manoeuvring

Loading

Excavating

D) Monitors the machine operating conditions through system displays/readings.

E) Displays effective use of powered equipment

F) When using all attachments all machine movements comply with company safe systems of work

G) As appropriate uses transmission cut out systems to control machine movement.

H) Checks for people, plant and services before all machine movements

I) Maintains a tidy work area area to avoid creating hazards

J) Keeps the machine in a stable position when traveling empty and loaded.

K) When traveling, the boom is correctly positioned and secured.

L) Consistently selects and wear PPE appropriate to the work activity

M) Complies with the approved procedures for access to and egress from machine.

N) Displays correct gear selection related to the working conditions.

O) Displays sensitivity and control during manoeuvring, particularly in reverse and confined spaces.

P) Displays visual awareness use of mirrors and other reversing aids.

Q) Keeps reversing distance to a minimum.

R) Modifies operation of machine to meet changes in environmental conditions.

S) Complies with manager's site and vehicle rules.

T) Displays safety awareness consistently throughout all work activities.

Other (specify)

If other please specify

Was this factor carried out successfully

5. Shut Down Parking and Security

A) Machine on all occasions is parked without obstruction to other plant operations and operatives.

B) Machine is parked in a stable position without obstruction to services with attachments in the recommended position.

C) Machine is made safe and secured when the work programme is suspended or completed.

D) Machine shut down is carried out according to manufacturers /company procedures.

Other (specify)

If other please specify

Was this factor carried out successfully

6. Braking.

A) Observed correctly using the wheel brakes and transmission cut out in a range of operating functions.

B) Checks brakes daily to unit procedures and reports faults.

Other (specify)

If Other please specify

Was this factor carried out successfully

7. Filling Bucket

Conventional.

Four in One.

A) Approaches material square on, in the correct position

B) Uses effective procedure to fill bucket avoiding machine abuse and wheel spin.

C) Uses machine within the manufacturer's specification.

D) Removes bucket excess before reversing from material.

E) Avoids contamination of added value materials during loading. I. Has correct bucket level/angle 2. Cleans bucket on change of material

F) Displays sensitivity of use of hydraulic controls according to working conditions.

Other (specify)

If Other please specify

Was this factor carried out successfully

8. Traveling Empty and Loaded.

A) Keeps vehicle stable during travel - empty and loaded.

C) Controls the speed of movement dependent on terrain and conditions.

D) Consistently displays awareness of other machine, plant and people.

E) Complies with managers rules regarding traffic flow and positioning on haul roads.

F) When traveling on public highway complies with the Road Traffic Act.

Other (specify)

If Other please specify

Was this factor carried out successfully

9. Loading Vehicles.

A) Material loading pattern varied to suit the range of receiving vehicles

B) Loads vehicles as required by axel weights or as directed by wagon driver

C) Works loading pattern to avoid damage to wagon and loading shovel.

D) Displays sensitivity of all hydraulic controls

E) Displays awareness of vehicle sheeting arrangements and avoids damage.

Other (specify)

If Other please specify

Was this factor carried out successfully

10. Loading Feed Hoppers/ Chipping Machines

A) Loads correct specification of material.

B) Controls stock movements to avoid contamination.

C) Demonstrates correct procedure for cleaning and loading waste materials from working areas.

D) Complies with approved procedures and practicese when working in a production area.

E) Rate of discharge into hoppers/ chipping machine avoids blockages and contamination.

F) Work area is maintained to achieve stable ground conditions free of spillage/debris.

Other (specify)

If Other please specify

Was this factor carried out successfully

11. Operating with 180° Backacter
Select attachment:

A) Demonstrates correct procedure for digging out difficult ground conditions.

B) Demonstrates correct co-ordination of all movements to achieve maximum efficiency of the attachment. 1. Angle of swing 2. Use of attachment: Capacity ( bucket) Velocity/pressure (breaker) 3. Height of attachment 4. Extended boom in correct position related to the work activity 5. Depositing excavated material

C) Adjusts working methods to avoid mechanical damage to the Backacter.

D) Keeps working area in good condition to maintain safe working and machine stability.

E) Ensures that all front-end attachments are secure/isolated before the Backacter is worked.

F) Hazardous conditions when excavating, such as underground services, are identified and marked prior to working.

G) Prior to carrying out excavations obtains permit to work from the authorized person.

Other (specify)

If other please specify

Was this factor carried out successfully

Assessment Factor and Performance Required use Q/A where required
1. Safe Systems

A) Demonstrate knowledge of Manager's Rules

B) Demonstrate knowledge of operator's Handbook

C) Demonstrate knowledge of Risk Assessments relating to ATUV.

D) Demonstrate knowledge of PPE required for all tasks using ATUV.

E) Demonstrate knowledge of CoSHH data sheets in relation to materials used in conjunction of operation of ATUV.

F) Demonstrate knowledge of Environmental Emergency Procedures.

Other (specify)

If Other please specify

Was this factor carried out successfully

2. Pre-Start Checks and Performance Required

A) Wears correct PPE

B) Ignition key retained in operator's possession during pre-start checks.

C) Where fitted, checks steps and handrails and cleans as necessary.

D) Checks general condition of body and framework.

E) Checks ROPS structure for damage, integrity and mountings.

F) Windows checked for damage and cleaned.

G) Checks engine oil and water levels.

H) Where fitted, checks hydraulic fluid levels and pipe work for leaks.

I) Checks air cleaner system: dust valve and hose security.

J) Checks alternator drive belt tension and condition.

K) Checks radiator hose condition.

L) Checks fuel system for leaks, contamination and fuel is topped up.

M) Checks for external oil leaks.

N) Checks and cleans radiator grille and matrix.

O) Undertakes visual check of tyres and wheel nuts for security.

P) Vehicle greasing points greased as required.

Q) Checks security of battery, terminals for condition, and wiring for damage.

R) Checks instruments, gauges and monitoring displays.

S) Checks visibility aids ( and adjusts and cleans as necessary)

Please state:

Mirrors

Camera

Radar

Other

T) Checks audible warning devices and ensures flag is secure on vehicle.

U) General good housekeeping of vehicle.

V) Checks seat belts for condition and security

W) Correctly completes daily check sheet or reports appropriately.

X) Where fitted