Title Page
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Site conducted
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Conducted on
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Conducted By
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Location
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Department
Untitled Page
SafeWork
Self-Assessment Checklist
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This tool relates to powered mobile plant operation, high risk work licensing, pedestrian separation, load handling, workers maintain a safe workplace and meet their work health and safety obligations. You can contact SafeWork
High Risk Work Licensing (hwrl)
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Do you check that the operator’s HRWL is current and valid?
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Do you maintain a HRWL register for your workers?
Page 1
Separation of people and Mobile Plant
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Seatbelts
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Attachments
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Do you use any attachments with powered mobile plant?
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If you have answered no here, no further action is required
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Are the attachments suitable for the load being lifted or moved?
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Are the attachments identified on the powered mobile plant load rating plate?
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Is the attachment’s load rating plate in good condition?
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Safe Use
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Is the working load limit known/displayed and being adhered to?
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Do you ensure that workers/others operate mobile plant safely? (For example, wear seat belts, follow speed limits, adhere to traffic management controls etc)
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Do you ensure that operators only shift stable loads?
Mobile Plant Maintenance
Page 2
Sign Off
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Name – PCBU Representative
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Name - Health and Safety
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Date
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Further information
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YouTube Playlist
Forklift Safety
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YouTube Playlist
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Road Freight