WHS - Haulotte Quick Up Induction

• Document No.

• Conducted on

  Date

• Prepared by

Induction Details

• Inductee details

• Full Name

• Email Address

• Contact number

Determination of Responsibility

• The following section is required to identify the responsibility of all parties.

• The Workplace Supervisor has responsibility for the training and assessment of the trainee(s) competency to operate specified equipment in the workplace. These persons are listed below, the person conducting the training will be he designated 'responsible' person.

• Responsible person:

  Shaun Andrews

  Dan Millar

  Robert Mcclachlan

  Wayne Stevens

Pre-operation Safety Check

• These checks are to be completed prior to each use

• Logbook check and fill

  Yes

  No

  N/A

• Visual check - electrical<br>Look for damage, fray etc

  Yes

  No

  N/A

• Structural check<br>Check machine structure and safety cage for possible structural damage I.e dents, cracks etc

  Yes

  No

  N/A

Operation Instructions

• Safety Features

• Outriggers<br>Check level & Indicator lights

  Yes

  No

  N/A

• Manual Emergency valve

  Yes

  No

  N/A

• Emergency Stop button

  Yes

  No

  N/A

• PPE requirements

• Safety harness use

  Yes

  No

  N/A

• Hard hat

  Yes

  No

  N/A

• Closed shoes

  Yes

  No

  N/A

• Public Safety

• Notification of work in progress <br>Keep clear

  Yes

  No

  N/A

• Safety cones<br>Place safety cones to designate perimeter

  Yes

  No

  N/A

• General Operation

• Overhead safety<br>Look up when going up, look down when going down

  Yes

  No

  N/A

• Laser pointer to align

  Yes

  No

  N/A

• Weight Restriction<br>1 Man lift ONLY<br>159kg weight limit (operator inclusive)

  Yes

  No

  N/A

• Height Restriction - 7.9m working height<br>Platform height 5.9m<br>

  Yes

  No

  N/A

• Excessive slope restrictions

  Yes

  No

  N/A

• Emergency Stop button

  Yes

  No

  N/A

• Hazard restriction

• Wind Restriction<br>Unit is rated for 0m/s wind speed

  Yes

  No

  N/A

Deceleration of Competence

• By signing this document both inductee & inductor agree that the undersigned inductee has displayed adequate proficiency in operation and has full understanding of the workplace health & safety aspects (covered in this induction) in operating the Haulotte Quick Up 8.

Signatures

• For the Inductee:

  Sign

• For the Inductee:

  Sign

• For the Inductee:

  Sign

• For the Inductee:

  Sign

• For the Inductee:

  Sign

• For the Inductee:

  Sign

• For the Inductee:

  Sign

• For the Inductor:

  Sign