TPH Front Loader Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add location
  Address

• Select date

  Date

NAME OF EMPLOYEE BEING ASSESSED

• undefined

• Make/Model of machine:

Hazard identification

• Makes an assessment of the area ?

  Yes

  No

  N/A

• What action must be taken if you identify a hazard in your workplace ?

  Yes

  No

  N/A

• Develop a plan of how the task is to be completed ? JSA

  Yes

  No

  N/A

Control hazards

• Take appropriate measures to safeguard personnel and machinery ?

  Yes

  No

  N/A

Pre-Start inspection

• Check for "Out of Service" and "Personal Danger Tags"

  Yes

  No

  N/A

• Visually check underneath machine for any leaks

  Yes

  No

  N/A

• Check condition of tires

  Yes

  No

  N/A

• Check handrails/steps for damage and cleanliness

  Yes

  No

  N/A

• Check wheel nuts are not missing and are not loose

  Yes

  No

  N/A

• Pivot pins are secure and retaining plates/bolts are present

  Yes

  No

  N/A

• Checks hydraulic oil level

  Yes

  No

  N/A

• Check grease lines and nipples for damage

  Yes

  No

  N/A

• Checks all lift cylinders for damage and leakage

  Yes

  No

  N/A

• Checks the bucket condition

  Yes

  No

  N/A

• Check fire extinguisher date and charge

  Yes

  No

  N/A

Boarding procedure

• Maintains three points of contact, facing the machine

  Yes

  No

  N/A

• Makes sure doors are secured

  Yes

  No

  N/A

Operators compartment

• Adjusts seat/mirrors and fit seat belt

  Yes

  No

  N/A

• Correctly identify all controls and state their function

  Yes

  No

  N/A

• Ensures hazard warning lights are functioning correctly

  Yes

  No

  N/A

Starting the engine

• Ensures parking brake is applied

  Yes

  No

  N/A

• Ensure all implement controls are in neutral

  Yes

  No

  N/A

• Check transmission is in neutral

  Yes

  No

  N/A

• Turn ignition on and test the instrument panel

  Yes

  No

  N/A

• Use correct horn signal for start up

  Yes

  No

  N/A

• Start the engine

  Yes

  No

  N/A

• Allow engine to idle and check for warning signals

  Yes

  No

  N/A

Control function test

• Check bucket, lift and dump operation

  Yes

  No

  N/A

• Test park brake (incline)

  Yes

  No

  N/A

• Use correct horn signals for moving off in forwards/reverse

  Yes

  No

  N/A

• Test steering (while moving)

  Yes

  No

  N/A

• Test foot brakes and accelerator

  Yes

  No

  N/A

Machine Operation

• Approach stockpile with bucket at correct angle

  Yes

  No

  N/A

• Raise and crowd bucket as necessary to prevent wheelspin

  Yes

  No

  N/A

• Apply sufficient power to penetrate material

  Yes

  No

  N/A

• Ensure loader is not articulated when loading the bucket

  Yes

  No

  N/A

• Spread the load evenly and back blade to even out high spots

  Yes

  No

  N/A

• Check over shoulders and use mirrors before reversing

  Yes

  No

  N/A

• Checks to ensure the proper berms are in place

  Yes

  No

  N/A

Truck loading

• Position the truck correctly for efficient and safe loading

  Yes

  No

  N/A

• Ensure ground is level and clear of debris

  Yes

  No

  N/A

• Shake of excess material before leaving the stockpile

  Yes

  No

  N/A

• Keep the bucket low when travelling

  Yes

  No

  N/A

• Approach truck in a straight line (not articulated)

  Yes

  No

  N/A

• Raise bucket enough to clear truck body

  Yes

  No

  N/A

• Ensure loader tires do not contact truck

  Yes

  No

  N/A

• Evenly distribute the load into the truck body

  Yes

  No

  N/A

Park up and shut down

• Park machine in a safe location, on firm and level ground

  Yes

  No

  N/A

• Lower attachments to ground

  Yes

  No

  N/A

• Apply the parking brake and hydraulic lock

  Yes

  No

  N/A

• Place transmission in neutral

  Yes

  No

  N/A

• Allow engine to idle before shutting down

  Yes

  No

  N/A

• Dismount the machine safely

  Yes

  No

  N/A

• Secure machine and isolate

  Yes

  No

  N/A

• Walk around the machine looking for any new defects (post trip)

  Yes

  No

  N/A

FINAL ASSESSMENT

• Is candidate competent to operate the equipment

  Yes

  No

  N/A

• YES

• NO, NEEDS MORE TRAINING

• undefined

• Any restrictions ?

  Yes

  No

  N/A

• Candidate name:

  Sign

• Date:

  Date

• Assessor:

  Sign

• Date:

  Date