Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Audit Title
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Client/Site
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Conducted On
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Prepared By
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1.3 - Is it required to access sub ground level?
- Yes
- No
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1.5 - Is power required in the basket?
- Yes
- No
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1.6 - Will the client be using coatings or handling dangerous materials? i.e. Asbestos, Paint, etc.
- Yes
- No
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1.61 - If so what materials will be in use?
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2.0 - Potential Machine Setup Location
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2.1 - Photos of potential EWP location(s).
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2.2 Are there potential hazards in the operation location?
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2.21 - Photos of potential hazards.
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2.22 - Action required due to potential hazard?
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2.3 - Ground conditions?
- Sealed Solid Surface
- Unsealed Solid Surface
- Soft Sand/Other (Bogmats Required)
- Grass/Brick Paving
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2.4 - Is the ground level?
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2.5 - Photos of ground conditions.
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3.0 - Site Access.
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3.3 - Are there weight limits to consider to access & setup safely?
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3.31 - What is the weight limitation?
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3.4 - Photos of site access.
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4.0 - Site Hazard ID.
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4.1 - Are the electrical hazards present? i.e. Power lines nearby.
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4.2 - Are there any other factors that could be considered a hazard?
- No
- Striking a member of public
- Underground Services
- Traffic
- Trees
- Buildings
- Fixed obstructions
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4.21 - If any hazards are identified, please take photos.
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4.22 - From the hazards, do they require, Engineering, Administration or PPE to eliminate or mitigate?
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5.0 - Customer Requests
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5.1 - Site Requirements
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5.2 - Photos of customer target objectives, showing overview of possible setup locations, target point(s) to reach, existing hazards etc.
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5.3 - Describe any factors to customer is requesting or requiring.
- None
- Unknown
- Pre Booked Delivery/Pick Up
- Pre Arrival Induction for Field Service
- On Site Induction Required
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6.0 - Machine Suitability
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6.1 - Which range of machine do you believe is suitable for the site/job?
- Scissor/Vertical Lift
- Knuckle Boom Lift
- Straight Boom Lift
- Telehandler/Fork Lift
- Trailer Mounted Boom Lift
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Size
- 15ft
- 19ft
- 20ft
- 26ft
- 32ft
- 40ft
- 43ft
- 53ft
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Engine Type
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Size
- 34ft
- 45/46ft
- 51ft
- 60ft
- 80ft
- 135ft
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Engine Type
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Size
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Engine Type
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Size
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Type
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Telehandler Attachments?
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Size
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*** CHECK VEHICLE TOWING CAPACITY ***
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6.2 - Notes relating to site specific items
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Site Audit Complete
