SBC Mobile Powered Plant Permit - Rev A

• Subcontractor

• Issued by

• Issue on

  Date

• Document No.

Subcontractor Details

• Company

• Trade or Service

• Brief description of work to be performed

• Type of Mobile Plant

Mobile Plant

• Description of Mobile Plant to be used on site

• Registration or Identifying Number

• Photos (Optional)

  Media

Pre-Start Review

• Has the subcontractor's SWMS for use of Mobile Powered Plant been received and reviewed by Strongbuild?

  Yes

  No

  N/A

• STOP - WORK CANNOT PROCEED UNTIL A SWMS HAS BEEN SUBMITTED AND REVIEWED BY STRONGBUILD

• Reference - WHS Regulations Clause 291
  https://www.legislation.nsw.gov.au/#/view/regulation/2011/674/chap6/part6.1/sec291

• Reference - WHS Regulations Clause 299
  https://www.legislation.nsw.gov.au/#/view/regulation/2011/674/chap6/part6.3/div2/sec299

• Have copies of the subcontractors Plant, Operator and Lift Gear Registers been received?

  Yes

  No

  N/A

• The subcontractor has 24 hours to provide this information otherwise use of mobile plant must cease.

• Has any relevant Dial Before You Dig or Services Scan documentation been reviewed by the operator?

  Yes

  No

  N/A

• Is there the possibility of contact with overhead power cables?

  Yes

  No

  N/A

• What control measures have been implemented?

• Has ground stability and recent weather condition been assessed to ascertain of there is the chance of plant overturning?

  Yes

  No

  N/A

• Does the mobile powered plant have operational reverse warning devices fitted?

  Yes

  No

  N/A

• The site speed limit is 10 kph, operators are aware of this and agree not to exceed the site speed limit?

  Yes

  No

  N/A

• Agree that any person working with 2 metres of the arc of the bucket must wear hard hats?

  Yes

  No

  N/A

• Agree the operator will conduct and record a prestart inspection before daily use?

  Yes

  No

  N/A

The above items have been jointly reviewed with the Strongbuild supervisor and plant operator/supervisor. If any of the above conditions change during the execution of the works the operator has agreed to stop work and notify the Strongbuild supervisor and implement agreed control measures.

• Strongbuild

  Sign

• Subcontractor/Service Provider

  Sign