Verification of Competency - assessment checklist

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Assessor Competancy

• The assessor must be a person who holds relevant qualifications and experience for that class of plant. This person must have been assessed by BRC management as a person who continually meets the expected standards for the safe operation and competent use of that class of plant. The assessor must have received prior management approval as an assessor of that class of plant.

Plant Vehicle

• Type of plant equipment?

  Select chemical boom sprayer cutting harrow slashers grader fertiliser spreader sand spreader mowers ground sweeper toro workman utility tractors & attachments trailers including tippers & attachments water truck track roller medium rigid truck heavy vehicle truck light rigid truck vac cleaner compactor grass vacuum float and winch top dresser root actor forklift - industrial truck

  • chemical boom sprayer
  • cutting harrow
  • slashers
  • grader
  • fertiliser spreader
  • sand spreader
  • mowers
  • ground sweeper
  • toro workman utility
  • tractors & attachments
  • trailers including tippers & attachments
  • water truck
  • track roller
  • medium rigid truck
  • heavy vehicle truck
  • light rigid truck
  • vac cleaner
  • compactor
  • grass vacuum
  • float and winch
  • top dresser
  • root actor
  • forklift - industrial truck

Operator Details

• If an operator has no proof of training held on record, they must not operate any plant until proof of training Competancy has been proven?

• Has the operator a valid High Risk Work License, certificate of competency, or Drivers License for that class of plant?

  Yes

  No

  N/A

• Has the operator been authorised by an approved BRC plant assessor to operate that class of plant?

  Yes

  No

  N/A

• Date of last VOC assessment

  Date

Daily Safety Inspection

• The operator completes the safety Pre-shift safety inspection correctly

  Yes

  No

  N/A

• The operator fully understands the load capacity information plate?

  Yes

  No

  N/A

• The operator understands the correct fault reporting procedures?

  Yes

  No

  N/A

• If a fault has been found, the plant must be parked up in a safe place and the key removed. An out of service tag must be affixed to the controls with the fault clearly marked on it. The fault must be reported to a member of the management team.

Operator Safety & Observation

• The operator mounts / dismounts correctly? (uses three points of contact)

  Yes

  No

  N/A

• Uses the seatbelt correctly?

  Yes

  No

  N/A

• Keeps body parts within the confines of the vehicle?

  Yes

  No

  N/A

• Operator looks in the direction of travel?

  Yes

  No

  N/A

• Correct use of the horn when appropriate?

  Safe

  At Risk

  N/A

• The operator demonstrates correct use of rear vision mirrors?

  Yes

  No

  N/A

• The operator demonstrates how to reverse safely?

  Yes

  No

  N/A

• Operator had good all round safety observation?

  Yes

  No

  N/A

Steering & Operating Controls

• Starts and stops smoothly?

  Yes

  No

  N/A

• Travels unintentionally in the wrong direction?

  Safe

  At Risk

  N/A

• Brakes harshly / erratically?

  Safe

  At Risk

  N/A

• Releases the parking brake prior to moving off?

  Yes

  No

  N/A

• Operator rides the foot brake?

  Safe

  At Risk

  N/A

• Rough use of hydraulic controls?

  Safe

  At Risk

  N/A

• Operates and understands the controls?

  Safe

  At Risk

  N/A

Competency In Load Capacity

• Operator matches load with the plants capacity?

  Yes

  No

  N/A

• Operator checks the load for stability?

  Yes

  No

  N/A

Manoeuvring & Transportation

• Attachments or forks too high when traveling?

  Yes

  No

  N/A

• Attachments or forks too low when traveling?

  Yes

  No

  N/A

• Operating in reverse, looking in the direction of travel to the correct ratio?

  Safe

  At Risk

  N/A

• Operates at a speed consistent with the type of load and working conditions?

  Safe

  At Risk

  N/A

• Operator performs safe manoeuvring when under load

  Yes

  No

  N/A

Stacking & de-stacking (for forklift assessment only)

• Incorrect set down at a vertical face?

  Safe

  At Risk

  N/A

• Operator applies the park brake when operating the hydraulics?

  Safe

  At Risk

  N/A

• Operator applies neutral when operating the hydraulics?

  Safe

  At Risk

  N/A

• Fork arms central under the load?

  Safe

  At Risk

  N/A

• Fork arms not rubbing (entry / withdrawal)?

  Safe

  At Risk

  N/A

• Fork tips touch the stack / load?

  Safe

  At Risk

  N/A

• Forks / load not level?

  Safe

  At Risk

  N/A

• Load correctly stacked?

  Safe

  At Risk

  N/A

• Fork arms not fully inserted (undercut) ?

  Safe

  At Risk

  N/A

• It is some times necessary to undercut a load due to the nature of where it is to be located. It must remain within the limits of the capacity plate.

Parking

• The operator correctly applies the park brake?

  Safe

  At Risk

  N/A

• The operator sets additional controls to the neutral position?

  Safe

  At Risk

  N/A

• The operator correctly apples forward tilt?(forklift only)

  Safe

  At Risk

  N/A

• The operator correctly lowers the fork arms? (forklift only)

  Safe

  At Risk

  N/A

• The manoeuvring wheels are in the straight position?

  Safe

  At Risk

  N/A

• The operator switches off and removes the key?

  Safe

  At Risk

  N/A

Assessment Recommendations & Evaluations

• Assessors evaluation of operator safety?

  Excellent

  Good

  Satisfactory

  Re-training is advised

• Comments

Signatures

• Date and time of assessment

  Date

• Operator signature

  Sign

• Assessor signature

  Sign