Title Page
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Asset Type
- Generator
- DPU
- Vibe Plate
- Helicopter
- Pump
- Engine
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ST Asset Number
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Conducted on
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Prepared by
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Location
Pre-Start Safety Card
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Are there any adjacent activities that may Impact on safety in the work zone?
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Please list the Hazard and the Control for the Activity.
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Does the Task involve any Safety Essentials? (If so Review and understand the Safety Essential.)
- Working at Heights
- Working with Live Services
- Working in and around Mobile Plant
- Working with Temporary Works
- Electrical Work
- Working near live traffic
- Mobile cranes and lifting operations
- No
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Have you reviewed and understood the safety essential?
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Have you reviewed and understood the safety essential?
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Have you reviewed and understood the safety essential?
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Have you reviewed and understood the safety essential?
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Have you reviewed and understood the safety essential?
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Have you reviewed and understood the safety essential?
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Have you reviewed and understood the safety essential?
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Does the task deal with Stored energy types?
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Please list the Stored energy type and the controls in place to deal with the energy.
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Does the task deal with any other hazards that are not addressed in the SWMS or Work instruction? (E.G. Inclement weather, slippery or unstable surfaces, chemicals, crush points, etc.)
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Please list the Hazard and the control for the hazard.
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Is there additional PPE required for this task?
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Please list extra PPE required
Service and Inspection
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Type of Service
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Inspect Engine Oil level and condition. (Change if required)
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Check for Oil Leaks
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Check Air Filter (Replace if Required)
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Check frame for condition and defects (Cracks, Damage, Frame Distortion, Cleanliness)
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Check Wheels for condition
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Check Pull Cord Re-coiler Condition
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Check Exhaust system condition
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Check Lift Point Condition
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Check Ignition and Key barrel system for condition
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Check Drive Belt for Condition
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Check RCD Test date
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Replace Engine Oil
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Clean Oil Filter Gauze. If engine has Oil Filter, replace Filter.
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Check Air Filter (Replace if Required)
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Check for Oil Leaks
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Replace Drive Belt (If Applicable ) (Not required if machine has not been in use)
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Check frame for condition and defects (Cracks, Damage, Frame Distortion, Cleanliness)
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Check Wheels for condition
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Check Pull Cord Re-coiler Condition
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Check Exhaust system condition
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Check Lift Point Condition
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Check Ignition and Key barrel system for condition
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Check RCD Test date
Sign Off
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Is the Machine safe for use?
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Completed by
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Supervisor Sign Off ____________________________________________________________________Date______________________________________
