Tasman Power Vehicle Collision and Rollover CCFV

• Site conducted

• Date and Time

  Date

• Task

• Conducted on

• Work Location

• Prepared by

Fit for Work and Fatigue Management

• 1. Is the team fit for work and able to stay focused on the task? E.g. physical/mental wellbeing, free from the effects of fatigue and/or medication.

  Yes

  No

  N/A

Vehicle Preoperational Inspection

• 2. Is the vehicle appropriate for the task? E.g. load/carrying capacity, size, working conditions.<br>

  Yes

  No

  N/A

• 3. Has a vehicle specific pre operational inspection been completed?

  Yes

  No

  N/A

• 4. Has action been taken to correct any critical safety items that were identified in the preoperational inspection? E.g. anti collision detection system, seatbelts, braking systems.<br>

  Yes

  No

  N/A

• 5. Are all items in the cab, cargo area and tray secured?

  Yes

  No

  N/A

Operator Competency

• 6. Is the operator authorised and competent to operate this vehicle for this task?

  Yes

  No

  N/A

• 7. Are seatbelts being worn?

  Yes

  No

  N/A

Access Control

• 8. Has permission to enter the controlled area been granted?

  Yes

  No

  N/A

Journey Management Plan

• 9. Has a ‘journey management plan’ been completed and followed?

  Yes

  No

  N/A

Positive Communication System

• 10. Are communication devices working and appropriate for the task? E.g.<br>adequate coverage and quantity.

  Yes

  No

  N/A

• 11. Are positive communication protocols understood and followed?

  Yes

  No

  N/A

Road Conditions

• 12. Has is it been confirmed that road and/or work area conditions are safe<br>for operation? E.g. consider weather, blasting activity.

  Yes

  No

  N/A

Segregation

• 13. Are segregation controls visible, secure and appropriate for the task? E.g. LV and HV separation, windrows, parking locations.

  Yes

  No

  N/A

• 14. Are segregation rules being followed?

  Yes

  No

  N/A

• 15. Has it been confirmed that segregation controls don’t create new risks?

  Yes

  No

  N/A

Signage and Demarcation

• 16. Are signage and/or demarcation controls visible, secure and appropriate for the task? E.g. restricted areas, poor road conditions, reduced speeds, roads closed, river crossings

  Yes

  No

  N/A

• 17. Are signage and demarcation being followed?

  Yes

  No

  N/A

Downhill Haulage Management

• 18. Has the operator confirmed their payload management system is functional?

  Yes

  No

  N/A

• 19. Does the operator know the maximum payload for the vehicle they are operating?

  Yes

  No

  N/A

• 20. In the event of overload/brake failure/overspeed/emergency, does the operator know what to do?

  Yes

  No

  N/A

• 21. Does the operator know the maximum speed when cresting and hauling downhill?<br>

  Yes

  No

  N/A