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  • Site conducted

  • Conducted on

  • Conducted By

  • Location
  • Department

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SafeWork

Self-Assessment Checklist

  • 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)

  • Do you check that the operator’s HRWL is current and valid?

  • Do you maintain a HRWL register for your workers?

Page 1

Separation of people and Mobile Plant

  • Seatbelts

  • Attachments

  • Do you use any attachments with powered mobile plant?

  • If you have answered no here, no further action is required

  • Are the attachments suitable for the load being lifted or moved?

  • Are the attachments identified on the powered mobile plant load rating plate?

  • Is the attachment’s load rating plate in good condition?

  • Safe Use

  • Is the working load limit known/displayed and being adhered to?

  • Do you ensure that workers/others operate mobile plant safely? (For example, wear seat belts, follow speed limits, adhere to traffic management controls etc)

  • Do you ensure that operators only shift stable loads?

Mobile Plant Maintenance

Page 2

Sign Off

  • Name – PCBU Representative

  • Name - Health and Safety

  • Date

  • Further information

  • YouTube Playlist

Forklift Safety

  • YouTube Playlist

  • Road Freight

Page 3

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.