QHOME Plant and Equiptment

• Conducted on

  Date

• Prepared by

• Location
  Address

• DATE.

  Date

• PLANT DESCRIPTION.

• MAKE & MODEL.

• SERIAL

• COMPANY NAME.

JOB SITE.

• REGISTRATION or PERMIT

  Yes

  No

  N/A

• EXPIRY DATE.

  Date

• HOUR METRE/ KM READING.

• PLANT OPERATOR DAILY SAFETY CHECKLIST: Operators are required to check the following items before commencing work.

• These records form the basis of a plant maintenance procedure and will be subject to random inspection.

  Yes

  No

  N/A

• Keep record with machine

  Yes

  No

  N/A

• OK, no obvious defect

  Yes

  No

  N/A

• Fault identified, use report below

• Item not applicable to machine or operator

  Yes

  No

  N/A

• BEFORE COMMENCING OPERATIONS CHECK Cabin- Access, egress seating, seatbelts, loose objects, controls, rops or fops

  Yes

  No

  N/A

• Visibility- windscreen, windows, wipes, washers, mirrors

  Yes

  No

  N/A

• Electrical system- lights, amber beacon, horn, rev travel alarm

  Yes

  No

  N/A

• Hydraulics- rams, hoses, leaks, wear

  Yes

  No

  N/A

• Leaks- engine, transmission, final drives, cooling systems

  Yes

  No

  N/A

• Brakes- emergency and service

  Yes

  No

  N/A

• Neutral start

  Yes

  No

  N/A

• Compulsory signs, reflective tape, reflectors

  Yes

  No

  N/A

• Misc- air con, fire extinguisher

  Yes

  No

  N/A

• Damage to- panels / guards- cracks to chassis/frame/body.

  Yes

  No

  N/A

• Wheels, tyres, tracks- wear/tension/pressure

  Yes

  No

  N/A

• Hitch (safety pin) - wear

  Yes

  No

  N/A

• Articulated joint/linkage

  Yes

  No

  N/A

• Environmental spill kit

  Yes

  No

  N/A

• Daily checklist in machine- plant security information list

  Yes

  No

  N/A

• Plant security

  Yes

  No

  N/A

• Operators Name

• Operators Initials

• Drivers Licence

  Yes

  No

  N/A

• Induction card

  Yes

  No

  N/A

• Track safety Awar. Cert

  Yes

  No

  N/A

• Supervisors Signature

  Sign

• Plant operators ticket

  Yes

  No

  N/A

• Details of faults or defects and action taken: Fault reported to________________ Position ____________________Date ________________ Does fault constitute a safety hazard YES/NO Does machine require immediate

• Y/N Does machine require immediate

  Yes

  No

  N/A

• Y/N If yes to either PARK MACHINE UP.

  Yes

  No

  N/A

• Contact the hirer or supervisor and plant operator- detail inside front cover.

  Yes

  No

  N/A

• Machine should not be used until supervisor or plant operator gives clearance for use.

  Yes

  No

  N/A