RIDE ON ROLLER CITB GET0799

• Site conducted

  Select

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Photo of delegate and CPCS / NPORS card

  Media

• Name of delegate?

• Date of Birth

  Date

• National Insurance Number

• CSCS / CPCS / NPORS number

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

• Is the delegate wearing the correct PPE?

  Yes

  No

  N/A

• Pre-start Check requirements understood (PUWER)

  Yes

  No

  N/A

• Did the delegate check the rollers for damage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are refuelling procedures understood including water tank

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the defect procedure understood and plant checklists available

  Yes

  No

  N/A

• Did the delegate mount the roller maintaining three points of contact?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the delegate ready for the main assessment?

  Yes

  No

  N/A

3.0 - Main Practical assessment

• Practical assessment

  Media

• 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?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Did the operative understand the operation of the vibrating rollers, when to operate them and the correct amount of passes to achieve the required compaction?

  Yes

  No

  N/A

• Did the delegate shutdown the Roller correctly and disembark maintaining three points of contact?

  Yes

  No

  N/A

4.0 - Summary

• Has the operator satisfactorily been observed operating the plant correctly.

  Pass

  Fail

  N/A

• Message for delegate.

5.0 - Sign Off

• Delegate’s signature

  Sign

• Assessor’s signature

  Sign