Title Page

  • Site conducted

  • Contractor / QAL Department

  • Location
  • Conducted on

  • Prepared by

  • Personnel

  • If "NO' is selected, works must stop immediately and the control put in place and verified

CONTROL: Well maintained and appropriate mobile plant PURPOSE: To prevent the use of mobile plant; in unsuitable conditions or outside its operational limits

  • Tick "Yes" if applicable

  • The plant is free of any unauthorised modifications?

  • The plant is free from any indication of being overloaded?

  • Safety devices are being used as designed?

  • All guarding is in place and has not been tampered with?

CONTROL: All roadside work has controls implemented; Physical barriers, buffer zones, traffic control in place? PURPOSE: To prevent interaction between mobile plant and pedestrians

  • Tick "Yes" if applicable

  • Clear warning signage in place?

  • Flashing lights are being utilised on stopped roadside vehicles?

  • Traffic Management Plan is in place and effective? i.e. TCMP

  • Physical barriers are in place?

CONTROL: No person in the slew radius of mobile plant during operation PURPOSE: To prevent interaction between mobile plant and pedestrians

  • Tick "Yes" if applicable

  • No persons in the slew radius of mobile plant without a formalised /positive communication method with the operator?

  • There are well maintained clear areas where plant is used?

  • Well defined marking / delineation of permanent exclusion zones?

  • Spotter in place and effective when required/in place?

  • No persons within 3m of operating mobile plant without a formalised positive communication method established?

  • Delineated walkways and pedestrian crossings clearly defined?

  • People using the walkways and crossing (no shortcutting)?

CONTROL: Mobile Plant operated to conditions, manufacturer’s instructions, QAL site requirements and within specified limits PURPOSE: To ensure mobile plant is operated to conditions and manufacturer’s instructions / limits

  • Tick "Yes" if applicable

  • Operators have considered dynamic conditions that may affect operation of mobile plant?

  • Mobile plant operated within manufacturers specifications and limits

  • Is the plant free of visible damage?

  • Communication available?

Additional Information

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