Title Page
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Site conducted
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Date & Time
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Task
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Work Area
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Prepared by
VEHICLE COLLISION OR ROLLOVER
Fit for Work and Fatigue Management
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Are you 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
Vehicle Preoperational Inspection
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Is your vehicle appropriate for the task? E.g. load/carrying capacity, size, working conditions<br>
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Have you completed a vehicle specific pre operational inspection ?
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Have any critical safety items identified in the pre operational inspection been corrected ? E.g. anti collision detection system, seatbelts, braking systems<br>
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Are all items in the cab, cargo area and tray secured ?<br>
Operator Competency
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Are you authorised and competent to operate this vehicle for this task?
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Is your seatbelt being worn?<br>
Access Control
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Has permission to enter the controlled area been granted?
Journey Management Plan
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Have you completed a ‘journey management plan’?
Positive Communication System
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Is your communication device working and appropriate for the task? E.g. adequate coverage and quantity
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Do you understand the required positive communication protocols for this task?
Road Conditions
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Have you confirmed if road and/or work area conditions are safe for operation ? E.g. consider weather, blasting activity<br>
Segregation
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Have you confirmed that segregation controls are visible, secure and appropriate for the task? E.g. LV and HV separation, windrows, parking locations
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Have you confirmed that segregation controls don’t create new risks ?<br>
Signage and Demarcation
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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
Downhill Haulage Management
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Is your payload management system functional ?<br>
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Do you know the maximum payload for the vehicle you are operating?<br>
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In the event of overload/brake failure/overspeed/emergency , do you know what to do ?<br>