Title Page
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Date:
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Reference No:
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Registration No:
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Plant Require Registration:
- Yes
- No
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Is Registration Current:
- Yes
- No
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Type of Plant:
- Backhoe
- Loader
- Trucks
- Skidsteer
- Tractor
- Excavator
- Grader
- Forklift
- Ute / Car
- Other
Review previous External Inspection:
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Crushing or Cutting Hazards
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Striking by moving parts
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Entanglement and Guarding
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Operator Falling or Slipping
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Ergonomic Hazards
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Electrical Hazards Inside & Out
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Fumes / Noise / Other
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Operator Responsibility
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Service / Repair Documentation
Operator Related Hazards:
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Competency assessed and recorded
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Safe work procedures known
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Personal Protection equipment used
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Seat belt and controls acceptable
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Cabin exit and entry safe
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Vision from cabin seat
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Noise level and vibration
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Protection from heat and cold
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Warning signs attached
Travelling:
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Tyres
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Lights, turning indicators
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Brake lights and brakes
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Steering
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Windscreen and Wipers
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Motion alarm working
Mechanical:
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Daily inspection checklist suitability
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Fault reporting available
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Engine exhaust system
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Engine cooling system
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Engine fuelling system
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Engine guards and covers
Structural:
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Cracks in boom or arms
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Need for repair (design required)
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Need for alterations (design required)
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Cabin secure and rops canopy safe
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Hydraulics safe no leaks visible
Attachments:
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Points of attachments acceptable
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Safety pins used for hammers
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Quick release mechanism safe
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Buckets in good condition
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Inspect other attachments
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System for changing attachments safe for operator and others
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Flash light working
Works System or Process:
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Is system safe for operator / public
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Is system environmentally safe
Other
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General Comments:
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General Photos:
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Defect/Issue Action Report Form Required:
- Yes
- No
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Signed (Inspection Officer):