Operator Assessment Details
Employee Name
Payroll Number
Business Unit
Region
Site
Manager
Health and Safety Test Score
- Maintenance
- Plant
- Process
- SHE
- Technical
- Weighbridge
- Waste
- Other
Does the employee have a qualification?
Type of Card
- Rich Billing
- Gary Cumberbatch
- Chris Harrison
- Chris Hill
- John King
- Matt Gibbs
- Other
Weather Conditions on Assessment
Vehicle Used
- Tracked Loading Shovel
- Wheeled Loading Shovel
- WLS with 180 Backacter/Pecker
- Telehandler
- Dumptruck
- 360° Hydraulic Excavator
- MEWP - Boom Lift
- MEWP - Scissor
- Mini Digger
- Bulldozer
- Self Propelled Water Bowser
- Self Propelled Fuel Bowser
- Tractor with attachments
- Lift Truck
- Light Vehicle
- Lorry Mounted Crane - HIAB
- Skidsteer/Bobcat
- Auxiliary Plant (Site Tipper)
- Site Lorry
Assessment
Assessment Details
- Tracked Loading Shovel
- Wheeled Loading Shovel
- WLS with 180 Backacter/Pecker
- Telehandler
- Dumptruck
- 360° Hydraulic Excavator
- MEWP - Boom Lift
- MEWP - Scissor
- Mini Digger
- Bulldozer
- Self Propelled Water Bowser
- Self Propelled Fuel Bowser
- Tractor with attachments
- Lift Truck
- Light Vehicle
- Lorry Mounted Crane - HIAB
- Skidsteer/Bobcat
- Auxiliary Plant (Site Tipper)
- Site Lorry
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
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B) Parked with brakes applied, gear in neutral, safety lever applied, engine switched off and key withdrawn.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
A) Bucket as near to ground as the terrain will allow.
B) Where fitted ripper/ scarifier up.
Was this factor carried out successfully
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
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
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
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
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
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
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
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
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
A) Works material to maintain level floor/ground and minimises lying water.
Was this factor carried out successfully
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
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
R) Checks visibility aids (and adjusts and cleans as necessary)
S) Checks seatbelts for condition & security
T) General good housekeeping of vehicle
U) Correctly completes daily check sheet or reports appropriately
Other
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
Grab
Pecker
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)
Was this factor carried out successfully
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
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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:
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
S) Checks visibility aids ( and adjusts and cleans as necessary)
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.
Was this factor carried out successfully
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)
Was this factor carried out successfully
A) Power Unit / Transmission / Steering / Hydraulics / Electrics
B) Emergency or secondary systems (steering and brakes)
C) Company checks and paperwork completed
Other (specify)
Was this factor carried out successfully
A) Checks brakes daily to unit test procedure and reports faults.
B) Braking procedure is carried out to meet operating conditions.
Other (specify)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
- Fragmented stone
- Sand
- Gravel
- Waste
- Coal
- Other
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)
Was this factor carried out successfully
Select attachment:
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
W) Checks visibility aids (and adjusts and cleans as necessary)
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.
Was this factor carried out successfully
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)
Was this factor carried out successfully
A) Power Unit / Transmission / Steering / Hydraulics / Electrics
B) Emergency or secondary systems (steering and brakes)
C) Company checks and paperwork completed
Other (specify)
Was this factor carried out successfully
A) Checks brakes daily to unit test procedure and reports faults.
B) Braking procedure is carried out to meet operating conditions.
Other (specify)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
From Water Supply
Lake
Select system type
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
W) Checks visibility aids (and adjusts and cleans as necessary)
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.
Was this factor carried out successfully
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)
Was this factor carried out successfully
A) Power Unit / Transmission / Steering / Hydraulics / Electrics
B) Emergency or secondary systems (steering and brakes)
C) Company checks and paperwork completed
Other (specify)
Was this factor carried out successfully
A) Checks brakes daily to unit test procedure and reports faults.
B) Braking procedure is carried out to meet operating conditions.
Other (specify)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
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
R) Checks visibility aids ( and adjusts and cleans as necessary)
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
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
Grab
Pecker
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)
Was this factor carried out successfully
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
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
R) Checks visibility aids ( and adjusts and cleans as necessary)
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
Was this factor carried out successfully
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)
Was this factor carried out successfully
A) Power Unit / Transmission / Steering /Brakes/ Hydraulics / Electrics
B) Emergency or secondary systems (steering and brakes)
C) Company checks and paperwork completed
Other (specify)
Was this factor carried out successfully
A) Checks brakes daily to unit test procedure and reports faults.
B) Braking procedure is carried out to meet operating conditions.
Other (specify)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
Was this factor carried out successfully
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)
Was this factor carried out successfully
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
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
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
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
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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
S) Checks visibility aids ( and adjusts and cleans as necessary)
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
Was this factor carried out successfully
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)
Was this factor carried out successfully
A) Power Unit / Transmission / Steering / Brakes / Hydraulics / Electrics
B) Emergency or secondary systems (steering and brakes)
C) Company checks and paperwork completed
Other (specify)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
- Bucket
- Breaker
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)
Was this factor carried out successfully
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)
Was this factor carried out successfully
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)
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, checks ancillary equipment:
Ratchet straps to secure loads
Towing equipment
Trailer attachments
Other (specify)
Was this factor carried out successfully
A) Sets up and adjusts seat as necessary.
B) Applies seat restraint
C) All condition monitoring devices indicate correct functions before moving off.
D) Checks function of all reversing aids.
Other (specify)
Was this factor carried out successfully
A) Power Unit/ Steering/ lights / Beacon / Indicators / Hydraulics/ Electrics/ Transmission and Brakes.
Other (specify)
Was this factor carried out successfully
A) Able to demonstrate correct operation of all controls.
B) Able to report verbally on the purpose of all gauges and condition monitoring system and the significance of reading/ displays (symbols).
Other (specify)
Was this factor carried out successfully
A) Allows time for the engine to warm up.
B) Selects correct gear to meet operating and environmental working conditions
C) Carries out site radio check before setting off.
Other (specify)
Was this factor carried out successfully
A) Checks brakes hold on flat.
B) Checks brakes hold on incline.
C) If required, undertakes moving (pole) braking test.
Other (specify)
Was this factor carried out successfully
A) Machine stationary before selecting forward and reverse gears
B) Displays high degree of manoeuvrability in confined spaces - flat and gradients.
C) Demonstrates ability to recognize unsuitable terrain for light vehicle
D) Demonstrates knowledge of safe recovery procedures for recovery of grounded or bogged down vehicle.
E) Demonstrates knowledge of correct procedure in cars of an overturn.
F) Adherence to site rules at all times whilst manoeuvring.
G) Displays correct use of reversing mirrors and other reversing aids.
H) Keeps reversing distance to a minimum.
I) if trailer fitted, prevents jack knifing in reverse.
Other (specify)
Was this factor carried out successfully
A) Demonstrates correct use of engagement/Disengagement of 4 wheel drive.
B) Disengages 4 wheel drive at earliest opportunity
C) Demonstrates knowledge of current Safe Working Prctices
Other (specify)
Was this factor carried out successfully
A) Demonstrates appropriate manual handling techniques when loading and unloading vehicle.
B) Demonstrates knowledge of load capacities and towing capacities.
C) Loads vehicle according to managers rules.
D) Secures loads to approved practices.
Other (specify)
Was this factor carried out successfully
A) Wears correct additional PPE for washing vehicle prior to traveling on the public highway.
B) Washes vehicle using approved company procedure and equipment.
C) Ensures all windows, mirrors and lights are clean before proceeding onto public highway.
D) Checks tyres and underbody to ensure no materials remain that could be left on the highway.
Other (specify)
Was this factor carried out successfully
N.B. Only persons who have been authorized to carry explosives under the Quarries Regulations 1999 on the site where the assessment is taking place can be assessed on this part of the assessment checklist. Assessors MUST ensure that the operator has been authorized to carry explosives by stating that they have been authorized to do so.
I can confirm that the operator for this assessment has been authorized to carry explosives on site and I have observed documentation stating accordingly.
A) Vehicle is equipped with identifying markings, lights etc in accordance with site rules for transporting explosive materials around sites.
B) Vehicle is equipped with enough suitable fire extinguishers.