Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Is the pre start checklist completed with all sections completed correctly
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Is the work site established with barriers and signs erected as required
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Is all PPE available and being worn correctly including high pressure rated gloves
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Is the any equipment on the machine that is not to manufacture standards
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Is the equipment set up as per the work instruction
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Is the operator able to explain all controls and functions of the machine
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Does the operator engage and operate the machine as required in the work instruction
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Is the operator able to explain and identify emergency requirements for various scenarios
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Is the operator able to explain the daily maintenance for the machine
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Is the operator able to explain the key hazards of the machine
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Is the candidate able to explain the process for if the machines hose becomes stuck and reporting faulty equipment
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Outcome satisfactory
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Outcome Not Satisfactory
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Signature of Assessor
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Signature of Candidate