Thiess - LV and Trailer Compliance Inspection Checklist C2C

Equipment Owner Information

• Company

• Phone Number

• Email

• Call Sign

Inspector Information

• Name

• Company

• Date of Inspection

  Date

• Project Name:

  Thiess Olive Downs

• Inspection date:

  Date

• Make:

• Model/type:

• Thiess Unit No.:

• Odometer (km):

• Asset description:

• VIN No.:

• Registered:

  Yes

  No

• Registration No.:

• Vehicle Loading Crane (VLC)

  Yes

  No

• Model/Type:

• Capacity (kg):

Light Vehicle Function (Select one)

• Site use only (not road registered)

  Yes

  No

• Site use and road registered

  Yes

  No

• Non-site use and road registered

  Yes

  No

Ownership Status

• Sub-contractor owned asset:

  Yes

  No

• Hired or Client owned asset:

  Yes

  No

• Existing Thiess owned asset (transfer or ex-idle)

  Yes

  No

• New Thiess owned asset:

  Yes

  No

Maintenance Status

• Maintained by Thiess

  Yes

  No

• Maintained by Others

  Yes

  No

Scope

• This checklist applies to:
  • All motor vehicles with a GVM less than or equal to 4.5 tonnes.
  • All trailers with an ATM less than or equal to 4.5 tonnes.
  Note:
  • GVM - Gross vehicle Mass / ATM - Aggregate Trailer Mass.
  • Use this checklist for all light vehicles surface and underground and all trailers for light vehicles.
  • Refer to the Towing Trailers and Lighting Plants Guideline for advice on trailers.
  This checklist may be used in various ways. The principal uses are:
  • By a Site Inspector to undertake a compliance check for commissioning an asset onto a site.
  • By site management as a prompt for external parties such as sub-contractors to ensure compliance prior to an asset being delivered to a site and to confirm that the asset have been and will continue to be maintained to Thiess standards.
  • By an Asset Manager or delegate as a prompt for a supplier or hirer to ensure compliance prior to an asset being delivered to a site.
  User instructions Instructions for Suppliers or Hirers
  This form may be issued to suppliers or hirers by Thiess prior to an asset being delivered to site.
  Upon receipt of this checklist, the supplier must complete the Asset details part of this checklist and any items marked with an asterisk symbol (*) prior to the asset being permitted on site.
  Suppliers must use any relevant Thiess Preventative Maintenance Schedule Form or an OEM recognized mechanical inspection checklist.
  Note to Asset Inspectors:
  • All checklist items completed in advance by a supplier or hirer must be confirmed by the Asset Inspector on site.
  Instructions for Suppliers, Sub-contractors or Hirers where they undertake the asset's maintenance This form must be issued to external parties introducing an asset to site as a supplier, sub-contractor or hirer and where the external party undertakes the asset's maintenance.
  External parties are not required to conduct a mechanical check using an asset relevant Thiess Preventative Maintenance Schedule Form but must:
  • Complete the Asset Details part of this checklist.
  • Complete any items marked with an asterisk symbol (*).
  • Provide all the requested documentation.
  • Complete the Owner's Declaration.
  Note to Asset Inspectors:
  • All checklist items completed in advance by a supplier or hirer must be confirmed by the Asset Inspector on site.
  Use of the Preventative Maintenance Schedule Form / Service Sheet from JDE (As required)
  For use by a competent inspector or trade person.
  Use the major service PM schedule check column.
  Do not change oils etc. as called for in the check column unless previously agreed with the Site Maintenance Manager.
  Top up oils and fluids with the correct types to the correct volumes as required.
  Additional inspection checklists
  Additional specialist inspection checklists may be required.
  Scoring:
  • Y = Yes / Compliant / Pass
  • X = No / Does not exist / Non-compliant / Fail
  • N/A = Not applicable.
  An explanation is required for any 'X' results.
  Commissioning advice tags
  Check for any OEM/Dealer commissioning advice tags or other supplier Information tags such as NO OIL, NO GAS etc. Resolve as required
  Safety procedures:
  Site relevant HSE requirements
  All isolation and live testing must comply with the Thiess Safety Essential - Isolation Standard
  All Work at Heights must comply with the Thiess Safety Essential - Heights Standard
  Access to any confined spaces must comply with the Confined Space Entry Procedure.

Part 1 - Pre-commissioning items

• Report of any outstanding accident damage items. (Have repair responsibilities been agreed?)

  Yes

  No

Part 2 - Light Vehicle compliance items (minimum requirements)

Fire extinguishers

• 1x 4.5kg Fire extinguisher fitted and secure

  Yes

  No

• Fire extinguisher tag in date

  Date

Safety systems

• Lockable battery isolator (red with label)

  Yes

  No

• Lockable starter motor isolator (yellow with label)

  Yes

  No

• Reverse/travel alarm: Fitted and tested

  Yes

  No

• Reverse/travel alarm: In a secure location away from damage and mud ingress

  Yes

  No

• Two (2) wheel chocks securely stowed on vehicle

  Yes

  No

• Detachable Hi Visibility Flag pole in good condition

  Yes

  No

• Roof mounted orange beacon/strobe light fitted and operational

  Yes

  No

• Tyres in good condition with sufficient tread

  Yes

  No

• Spare tyre fitted and in good condition

  Yes

  No

• Vehicle Identity - Letters shall be no less than 150mm high with letter and background colours of contrasting black and high visibility lime/yellow

  Yes

  No

• - All vehicles will be fitted with 50mm width lime/yellow Diamond Garde reflective tape

ROPS and FOPS

• Is the vehicle 5 Star ANCAP rated? No separate ROPS required

  Yes

  No

• Non-ANCAP 5 Star Rated: For Passenger vehicles - Internal OEM or 3rd party certified ROPS Cage with adequate padding of exposed bars

  Yes

  No

• Non-ANCAP 5 Star Rated: For utility vehicles External OEM or 3rd party certified ROPS

  Yes

  No

Cabin

• Air-conditioned

  Yes

  No

• No non-ADR compliant brackets

  Yes

  No

• Pre-start book (issue Thiess book where applicable)

  Yes

  No

• Sun visors - only OEM certified sun visors

  Yes

  No

• Window tinting to local legislation or client standards

  Yes

  No

• No unauthorized decals, window tinting or other material blocking windows

  Yes

  No

• Clean

  Yes

  No

• Wind screen -No stone chips or cracks

  Yes

  No

• LHS / RHS mirrors

  Yes

  No

• Reversing and other cameras (As applicable)

  Yes

  No

• Integral three-point inertia reel seat belts in good condition and functional:

• o Non-inertia reel lap belts are to be tagged out and not used.
  o For road going vehicles, all seats must have integral three-point inertia reel seat belts.
  o Seat belts must comply with AS/NZS 2596 Seat belt assemblies for motor vehicles or direct local equivalent.
  

• Airbags in Driver’s Compartment – Driver and Passenger

  Yes

  No

Radios:

• Site two-way radio fitted and operational with correct channels

  Yes

  No

• No loose or un secured items in cabin

  Yes

  No

Emergency equipment in cabin

• Window glass breaker (as applicable.)

  Yes

  No

• First Aid Kit

  Yes

  No

Safety decals in cabin:

• Emergency actions decal

  Yes

  No

• Vehicle heights

  Yes

  No

• Fire extinguishers decal on door (As applicable)

  Yes

  No

• First aid kit decal on door (as applicable)

  Yes

  No

• Brake test completed and recorded on Australia Brake Test Record Form and attached

  Yes

  No

• Date Completed

  Date

Part 3 - Towing vehicle and trailer compliance items

Light vehicle towing requirements

• Light vehicle towing capacity clearly marked on a sticker on the vehicle near the tow bar or in the cabin

  Yes

  No

• ADR compliant tow ball fitted. OR ADR compliant tow pintle hitch with safety pin fitted

  Yes

  No

• Safety chains are secured using approved load rated shackles and devices: <br>

  Yes

  No

• Note
  • Carabiners and padlocks are prohibited.
  • Stainless steel shackles and devices are prohibited.

• Chain attachment points - in place / clean / functional

  Yes

  No

• Electrical connectors - in place / clean / functional

  Yes

  No

• Air connectors (If fitted) - in place / clean / functional

  Yes

  No

Trailer requirements

• Is a trailer being inspected

  Yes

  No

• Is the unit compliant to the Vehicle Visibility Standard? (Refer to Supervisor/Planners for guidance)

  Yes

  No

• Is a trailer compliance plate visible on the trailer drawbar?

  Yes

  No

• The trailer compliance plate must show the following as a minimum:
  • ADR compliant or not
  • Trailer tare weight
  • Aggregate Trailer Mass (ATM)
  • The VIN number (as available).
  • Trailer make and model (as available)
  • The year manufactured (as available).

Trailer classes (Select one A, B, C or D)

• A. Very light trailers (GTM less than 750Kg):

  Yes

  No

• Ball coupling OK

  Yes

  No

• Brakes are not mandatory

  Yes

  No

• Chains - one (1) safety chain minimum

  Yes

  No

• Brake, tail and indicator lights

  Yes

  No

• Off-site - mandatory

  Yes

  No

• Site - as per site requirements

  Yes

  No

• B. Light trailers (GTM greater than or equal to 750kg and less than 2t):

  Yes

  No

• Ball coupling OK

  Yes

  No

• Brakes are mandatory on one axle

  Yes

  No

• Mechanical or hydraulic override brakes permitted

  Yes

  No

• Chains - one (1) safety chain minimum

  Yes

  No

• Brake, tail and indicator lights

  Yes

  No

• Off-site - mandatory

  Yes

  No

• Site - as per site requirements

  Yes

  No

• C. Light and medium trailers (GTM greater than or equal to 2t and less than or equal to 4.5t):

  Yes

  No

• Heavy duty (HD) ring coupling mandatory

  Yes

  No

• Brakes operating on all wheels (with a break away system for road registered trailers)

  Yes

  No

• Override brakes are not permitted as a primary brake

  Yes

  No

• Chains

  Yes

  No

• Trailers less than or equal to 2.5t - one (1) safety chain minimum

  Yes

  No

• Trailers greater than 2.5t - two (2) safety chains fitted

  Yes

  No

• Brake, tail and indicator lights

  Yes

  No

• Off-site - mandatory

  Yes

  No

• Site - as per site requirements

  Yes

  No

• D. Thiess' T-Man lighting plants (Greater than 2t) (Less than 2t refer to sections A or B)

  Yes

  No

• Heavy Duty (HD) Ring coupling mandatory

  Yes

  No

• Mechanical or hydraulic override brakes on front axle only

  Yes

  No

• Chains - two (2) safety chain

  Yes

  No

• Brake, tail and indicator lights

  Yes

  No

• Not required

  Yes

  No

• Rear reflectors mandatory

  Yes

  No

Part 8.1 - Function and run tests

• Function and run tests completed as per the relevant Preventative Maintenance Schedule

  Yes

  No

Part 10 - Inspection closeout - Asset Inspector

• Have all the above Parts been completed, defects identified, and actions taken to rectify them?

  Yes

  No

• Please provide photos of all 4 sides of the equipment

  Media

Asset Inspector:

• Name:

• Signature:

  Sign

• Date:

  Date

• Position:

Part 14 - Release to work (Site Manager / Superintendent Use Only)

• Does the asset need to be registered with the State or Territory Regulatory Authority? Refer to the applicable Acts or Regulations

  Yes

  No

  N/A

• For any outstanding accident damage items, have repair responsibilities been agreed?

  Yes

  No

  N/A

• Have all the items above been completed?

  Yes

  No

  N/A