Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Section 1: Observations

  • Conducts pre-use safety check

  • Has appropriate PPE for task (safety glasses, hi vis vest)

  • Mounts vehicle correctly and applies seat belt

  • Drives at safe speed and is aware of obstructions and forklifts on the area

  • Demonstrates correct procedure for approaching blind cornet / pedestrian access area

  • Does not drive within 3 metres of other manual handling equipment

  • Does not operate the sweeper beyond yellow lines or within 0.5 metres of block stacks

  • Keeps all limbs within the sweeper while operating

  • Demonstrates correct parking and shut down procedure of plant

  • Demonstrates correct procedure for refuelling, including correct use of PPE (mask, gloves)

Section 2: Questions

  • What are the hazards involved in this task? How are these controlled?

  • Who would you speak to if you had any questions or you needed to report an accident, near miss or hazard?

  • Why should you warm up before using the sweeper and stretch after long periods of use?

  • How do you shut down and isolate a sweeper? when should you do this?

Section 3: Assessment

  • Operator is assessed as

  • Additional comments on assessment (optional)

  • OBSERVER: I have observed this operator performing these tasks to KCA standards. He/she has demonstrated an understanding of the hazards and risks of this task.

  • OPERATOR: I understand the hazards and risks associated with this task. I agree to perform these tasks to KCA standards.

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