WORKPLACE INSPECTION NO 20: TRUCKS & MOBILE PLANT

• Inspector:

• Supervisor:

• Company:

• Location:
  Address

• Date:

  Date

INSPECTION

• Original Equipment Manufacturer (OEM) documentation is provided from the supplier?

  Yes

  No

  N/A

• Evidence of compliance with Health and Safety at Work Act (2015) requirements - ie. Risks identified and assessed and hierarchy of control applied (Eliminate, Substitute, Engineering, Administrative, PPE)

  Yes

  No

  N/A

• Evidence of compliance with New Zealand Standards or equivalent?

  Yes

  No

  N/A

• Evidence of fault reporting and management process

  Yes

  No

  N/A

• Evidence of Plant Risk Assessment

  Yes

  No

  N/A

• TSL, RUC, COF and Registration displayed and current - where applicable

  Yes

  No

  N/A

• Daily Prestart and/or Logbook being completed by licensed and competent operator

  Yes

  No

  N/A

• Safety Devices such as reverse alarm, flashing lights, emergency stop, fire extinguisher etc. are fitted and operational?

  Yes

  No

  N/A

• Master Isolation points are identifiable and able to be locked out?

  Yes

  No

  N/A

• All hazard and risk decals are fitted and visible? e.g. Pinch points, noise, vibration etc

  Yes

  No

  N/A

• All access points e.g. Foot holds, handrails, hand grabs are in place and in good condition?

  Yes

  No

  N/A

• All forms of engineered edge protection are in place and fit for purpose

  Yes

  No

  N/A

• Service and maintenance inspections completed and recorded as per manufacturer's recommendation

  Yes

  No

  N/A

Inspection Team

• Signature:

  Sign

• Signature:

  Sign

• Signature:

  Sign