Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Photo of delegate

  • Name of delegate?

  • Delegates date of birth?

  • Person performing assessment?

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

  • Pre-start Checks.

  • Is the delegate wearing the correct PPE?

  • Did the delegate check the drums for any damage and/or bulges etc?

  • Did the delegate check the engine bay for fluid levels, deadman, etc?

  • Did the delegate check all instrumentation is working as it should? Lights, indicators, horn, beacons, etc?

  • Before starting the Ride on roller did the delegate put a seatbelt on?

  • Is the delegate ready for the main assessment?

3.0 - Main Practical assessment

  • Practical assessment

  • The delegate has been instructed to travel to an area set by the assessor, did the delegate travel to the location at the correct speed maintaining good all round observation?

  • The delegate is then asked to consolidate a stoned up area with the Ride on roller, the assessor acts as the banksman.<br>Did the delegate consolidate the ground correctly?

  • The assessor signals the delegate to stop and hold position, did the delegate stop and hold position until told to continue with the exercise ?

  • Did the delegate shutdown the ride on roller correctly maintaining three points of contact and disembark correctly ?

  • Has the delegate showed they are capable of operating the ride on roller in a safe controlled manner?

4.0 - Maintenance

  • Delegate showing knowledge of maintenance process

  • Has the delegate shown the checked all fluid levels correctly?

  • Has the delegate shown all greasing points along with knowledge of how to maintain these points?

  • The assessor has asked the delegate “when should the roller be topped up with fuel?” Did the delegate have the correct answer and did they know why it should be done at the end of every shift?

6.0 - Summary

  • Is the delegate ready for their official practical test?

  • Message for delegate.

Sign Off

  • Delegate’s signature

  • Assessor’s signature

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.