Information
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Audit Title
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Document No.
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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
Section 1: Observations
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Conducts pre-use safety check
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Has appropriate PPE for task (safety glasses, hi vis vest)
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Mounts vehicle correctly and applies seat belt
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Drives at safe speed and is aware of obstructions and forklifts on the area
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Demonstrates correct procedure for approaching blind cornet / pedestrian access area
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Does not drive within 3 metres of other manual handling equipment
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Does not operate the sweeper beyond yellow lines or within 0.5 metres of block stacks
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Keeps all limbs within the sweeper while operating
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Demonstrates correct parking and shut down procedure of plant
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Demonstrates correct procedure for refuelling, including correct use of PPE (mask, gloves)
Section 2: Questions
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What are the hazards involved in this task? How are these controlled?
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Who would you speak to if you had any questions or you needed to report an accident, near miss or hazard?
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Why should you warm up before using the sweeper and stretch after long periods of use?
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How do you shut down and isolate a sweeper? when should you do this?
Section 3: Assessment
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Operator is assessed as
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Additional comments on assessment (optional)
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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.
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OPERATOR: I understand the hazards and risks associated with this task. I agree to perform these tasks to KCA standards.