QUICK HITCH ASSESSMENT - GET2381

• Client / Site

• Conducted on

  Date

• Audit carried out by

• Location
  Address

• Photo of delegate and CPCS / NPORS card

  Media

• Name of delegate?

• CSCS / CPCS / NPORS number

• Make and Model of Excavator (Include TP number)

• Make and Model of Quick Hitch

2.0 - “Pre-start checks” (Primary visual inspection)

• Was the Excavator and Quick hitch within service date (LOLER inspection)

  Yes

  No

  N/A

• Did the operative demonstrate underpinning knowledge for Quick Hitch use

  Yes

  No

  N/A

• Did the operative understood the background into Quick Hitch Safety Concerns

  Yes

  No

  N/A

• Were all daily checks carried out and recorded

  Yes

  No

  N/A

• Did the delegate understand the in cab quick hitch controls (Knowledge, Instructions, Manual?)

  Yes

  No

  N/A

• Were all fittings or hoses checked for damage, security or leaks

  Yes

  No

  N/A

• Has grease been applied to the quick hitch recently

  Yes

  No

  N/A

• Was the safety device clear of debris and dirt?

  Yes

  No

  N/A

• Was wear signs checked for on the mechanism, attachment pins, bucket and on the quick hitch hooks checked

  Yes

  No

  N/A

• Did the operator check the security of the mounting pins, locking bolts and nuts

  Yes

  No

  N/A

• Is the delegate ready for the main assessment?

  Yes

  No

  N/A

3.0 - Main Practical assessment

• Did the operative ensure the safety zone around the plant operation was controlled and maintained

  Yes

  No

  N/A

• Bucket correctly aligned and seated in Quick Hitch prior to connection

  Yes

  No

  N/A

• Quick hitch correctly inserted into the hooks and allowed to fall into position

  Yes

  No

  N/A

• Quick hitch applied and visual check made to ensure the quick hitch was located properly.

  Yes

  No

  N/A

• Did the operative check knarling the bucket that the quick hitch was correctly located and the bucket secure

  Yes

  No

  N/A

• Did the operative understand the lifting capacity of the machine and the rated load limit of the hitch

  Yes

  No

  N/A

4.0 - Summary

• Has the operator satisfactorily demonstrated or been mentored on the safe use of the quick hitch

  Pass

  Fail

  N/A

• Message for delegate.

5.0 - Sign Off

• Delegate’s signature

  Sign

• Assessor’s signature

  Sign