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Mobile Plant
Prestart Checklist
ARTICULATED DUMP TRUCK
Statement of Operator Competence - Required
Form: HSE-INSP-0001
Issue No.:
Date:
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Plate No.
Name
Signature:
Date
Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Horn
Reversing Alarm
Instruments Operational & Labelled WARNING SIGNS (In Cabin)
Verify Check
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
SEAT BELTS
Verify Check
Windows / Wipers / Washers
Rear View Mirrors Exhaust
Operator Instruction
(available on plant)
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify Check
Tyres
Wheels
Brakes
Park Brake Hydraulics Verify Check
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Date: / /
Verify Check KEEP CLEAR Rams
Handrails Verify Check
Hoses
Steps Connections
(Signs on both sides (check for excessive wear,
of vehicle) and leaks)
Instructions:
Note : Register if to be used on Public Roads Verify Box to be ticked by Owner / Supplier / Operator prior to arrival on site.
Check Box to be ticked after visual inspection by HSE Department
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Handrails Connections
Mobile Plant
Prestart Checklist
BACKHOE
Statement of Operator Competence – Required
Form: HSE-INSP-0002
Issue No.:
Date:
Supplier Verification & Plant Details Verify Check CAB Verify Check WARNING DEVICES
Verify Check
Cleanliness Horn
Plant Supplier Seat
Operator Restraint
Amber Flashing Beacon
Reversing Alarm
Phone Number Instruments & Labelling
Levers / Controls WARNING SIGNS (In Cabin)
Verify Check
Pedals
Plant Make
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
SEAT BELTS
Plant Model Verify Check
Plate No.
Rear View Mirrors DANGER – BEWARE OVERHEAD WIRES
& UNDERGROUND SERVICES
SWL
Name
Crane Chart
Veri y Check
Verify Check
Signature:
Pivots Exhaust
Connecting Rods
Verify Check
Safety Pins Engine Guarding
Date
(no excessive wear)
Plant to conform to manufacturer’s specifications and HSE Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify Check
Verify Check
Quick Hitch
SWL
Safety Pins SWL Verify Check
(where applicable) Connecting Rods
& Safety Pins
Verify Check Hydraulics
Rams
Hoses Verify Check
Connections Travelling Hitch
HSE Use Only
(check for excessive
wear and leaks) Hydraulics Verify Check
NOTE: Sign only when all items have been checked Verify Check Verify Check Rams
KEEP CLEAR Tyres Verify Check
Hoses
Plant Check By:
(Signs on both sides of vehicle)
Wheels
Brakes
Verify Check Park Brake
Steps (check for excessive wear,
Position: and leaks)
Date: / / Instructions:
Stabilisers Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
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Mobile Plant
Prestart Checklist
COMPACTOR
Statement of Operator Competence - Required
Form: HSE-INSP-0003
Issue No.:
Date:
Supplier Verification & Plant Details Verify CAB Verify Check WARNING DEVICES
Plant Supplier
Cleanliness
Seat Condition OK
Operator Restraint Provided
Horn
Reversing Alarm
Phone Number
WARNING SIGNS (In Cabin)
Instruments Operational & Labelled Verify Check
Plant Make
Levers / Controls Operational
Pedals in Good Condition
SEAT BELTS
ROPS (Roll Over Protective Structure)
Verify Check
DANGER – SAFE WORKING LIMITS
Plant Model Windows / Wipers / Washers
Rear View Mirrors ON BATTERS
Operator Instruction Ratio 2 to 1
Serial No.
Name
Verify Che
Veri
ck
(available on plant)
Eg only – As per Manufacturers Specifications
y Check
Exhaust
Verify Check Hydraulics
Signature:
Date
Engine Guarding
Verify Check
Rams
Hoses
Connections
(check for excessive wear,
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Brakes and leaks)
Park Brake
HSE Office Use Only
Verify Check
Crush Point Hazard
Sign displayed both Verify Check
sides
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Handrails
Steps
Instructions:
Date: / / Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
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Mobile Plant
Prestart Checklist
BULL DOZER
Statement of Operator Competence – Required
Form: HSE-INSP-0004
Issue No.:
Date:
Supplier Verification & Plant Details Verify Check WARNING DEVICES
Verify Check CAB Horn
Amber Flashing Beacon
Reversing Alarm
Plant Supplier
Verify Check
Cleanliness
Seat Condition OK
Phone Number
Operator Restraint Provided WARNING SIGNS (In Cabin)
Verify Check
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
SEAT BELTS
Plant Make
Verify Check
Plant Model
ROPS (Roll Over Protective Structure) DANGER – BEWARE OVERHEAD WIRES
Windows / Wipers / Washers & UNDERGROUND SERVICES
Rear View Mirrors
Operator Instruction Verify Check
Serial No.
Name
(available on plant) Exhaust
Signature: Rams
Hoses
Connections
Date
(check for excessive wear,
Verify Check
leaks and creep) Engine Guarding
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify Check
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Verify Check
Handrails
Pivots Tracks Verify Check
Steps
Pins Tracks Complete
Connections Idlers Adjusted
Safety Pins Drivers Free from Leaks
Position:
Date: / / Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
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i
s
Mobile Plant
Prestart Checklist
DRUM ROLLER
Statement of Operator Competence - Required
Form: HSE-INSP-0005
Issue No.:
Date:
Supplier Verification & Plant Details Verify CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Horn
Reversing Alarm
Plant Supplier
WARNING SIGNS (In Cabin)
Phone Number Instruments Operational & Labelled Verify Check
Plant Make
Levers / Controls Operational
Pedals in Good Condition
SEAT BELTS
Verify Check
ROPS (Roll Over Protective Structure) DANGER – SAFE WORKING LIMITS ON BATTERS
Plant Model
Windows / Wipers / Washers
Rear View Mirrors Ratio 4 to 1
Operator Instruction Eg only – As per Manufacturers Specifications
Serial No.
Name
Verify Check
Locat
Low/N
Pad loc
Warni
locked
ng lock for
eutral/Lowe
k provided
ng sign – Ha
in position be
(available on plant)
Verify Check
r Range
Exhaust
p must be
fore
Signature:
Date
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
operating Verify Check
Engine Guarding
Verify Check
Tyres
Wheels
Brakes
Park Brake
HSE Use Only Verify Check
Verify Check Hydraulics Crush Point Hazard Verify Check
Sign displayed both
NOTE: Sign only when all items have been checked
Hoses sides Handrails
Connections Steps
Plant Check By:
Position:
(check for excessive wear
and leaks)
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
Date: / /
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Mobile Plant
Prestart Checklist
ELEVATING WORK PLATFORM
Knuckle Boom
Statement of Operator Competence - Required
Form: HSE-INSP-0006
Issue No.:
Date:
Supplier Verification & Plant Details Verify Check WARNING DEVICES Verify Check BASKET
Horn
Amber Flashing Beacon
Motion Alarms
Raise & Lower Alarms
Out of Level Alarm
Cleanliness
Operator Restraint
Instruments & Labelling
Levers / Controls
Pedals
Log Book
Deadman Switch
Sub-con name
Phone Number
Plant Make
Plant Model
Verify Check Hydraulics
Operation Instruction
(available on plant)
Serial No. Rams Verify Check
Hoses
Connections SWL / Crane Chart
Name
Signature:
Verify Check
(check for excessive Verify Check
Wear and leaks)
Verify Check
WARNING SIGNS Safety Harness & Lanyard
Date Pivots
Connecting Rods
Harness Available
Verify Check
Safety Pins DANGER – BEWARE OVERHEAD WIRES
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify C
(no excessive wear) &SERVICES
heck Hydraulics Verify Check
Exhaust Rams
(if applicable) Hoses
Verify Check
Connections
(check for excessive wear,
Levers / Controls Verify Check leaks and creep)
Engine Guarding
Verify Check
HSE Use Only
NOTE: Sign only when all items have been checked
Tyres
Wheels
Brakes
Park Brake
Plant Check By:
Position:
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
Date: / /
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Mobile Plant
Prestart Checklist
ELEVATING WORK PLATFORM
Scissor Lift
Statement of Operator Competence – Required
Form: HSE-INSP-0007
Issue No.:
Date:
Supplier Verification & Plant Details Verify Check WARNING DEVICES Verify Check BASKET
Horn Cleanliness
Instruments & Labelling
Levers / Controls Basket & Base
Pedals
Log Book
Operation Instruction
(available on plant)
Plant Supplier Verify Check
Levers / Controls
Amber Flashing Beacon (when onsite)
Reversing Alarm
Head, Tail & Turn Indicators
Phone Number
Plant Make
Verify Check
Self Closing Gate
Plant Model
Safety
Verify Check
Working Loa
Verify Check
d
Serial No.
Name
Signature:
Date
Pivots Verify Check
Connecting Rods WARNING & RESTRICTION SIGNS
Safety Pins
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
(no ex
Verify Check
cessive wear)
Hydraulics Verify Check Verify Check
Rams
Hoses Safety Prop Guarding Of
Under Scissor Scissor
Connections
(check for excessive Verify Check
Wear and leaks) Exhaust
HSE Use Only
(if applicable)
Verify Check
Tyres
NOTE: Sign only when all items have been checked Wheels
Brakes
Park Brake
Plant Check By:
Position:
Verify Check Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Engine Guarding Check Box to be ticked after visual inspection by HSE Department
Date: / /
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Rams
Mobile Plant
Prestart Checklist
EXCAVATOR
Statement of Operator Competence - Required
Form: HSE-INSP-0008
Issue No.:
Date:
Supplier Verification & Plant Details Verify Check WARNING DEVICES
Verify Check
Horn
Amber Flashing Beacon
Motion Alarm
WARNING SIGNS (In Cabin)
Plant Supplier
Phone Number
Pivots
Connecting Rods
Safety Pins
Verify Check
Plant Make SEAT BELTS
(no excessive wear)
Verify Check Hydraulics
Verify Check
DANGER – BEWARE OVERHEAD WIRES
Plant Model
Serial No. Rams & UNDERGROUND SERVICES
Hoses
Connections Verify Check CAB
Name
(check for excessive wear Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
Signature: and leaks)
Verify Check
SWL / Crane Chart
Verify Check
Date
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Quick Hitch
Safety Pins (available on plant)
(where applicable)
(If Quick Hitch is fitted
Verify Check
NO LIFTING POINTS Exhaust
Allowed on back of bucket Verify Check
HSE Use Only
Engine Guarding
Verify Check Hydraulics Tracks Verify Check Verify Check
NOTE: Sign only when all items have been checked
Hoses Tracks Complete
Connections Idlers Adjusted
Handrails
Steps
Plant Check By:
Position: (check for excessive wear, Drivers Free from Leaks
leaks and creep)
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
Date: / /
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Plant Check By:
Verify Check
Mobile Plant
Prestart Checklist
GRADER
Statement of Operator Competence - Required
Form: HSE-INSP-0009
Issue No.:
Date:
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Plate No.
Name
Signature:
Date
Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Horn
Amber Flashing Beacon
Reversing Alarm
Levers / Controls Operational WARNING SIGNS (In Cabin)
Verify Check
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
SEAT BELTS
Windows / Wipers / Washers Verify Check
Rear View Mirrors SAFE WORK LIMIT ON BATTERS
Ratio 2 to 1 Ratio 2 to 1
Operator Instruction
Verify Check Hydraulics
(available on plant)
e.g. only – As per Manufacturer’s Specifications
Rams Verify Check
Hoses
Exhaust
Connections
(check for excessive wear
Plant to conform to manufacturer’s specifications and RoK Plant
Regs.
Plant Operator is to provide daily checksheets HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
and leaks)
Engine Guarding
Verify Check
Drive Guards
Verify Check Steering
HSE Use Only
NOTE: Sign only when all items have been checked
Unions
Verify Check
Rods Tyres
Connections
Verify Check Verify Check Wheels
Pivots Handrails Brakes
Park Brake
Position:
Date: / /
Pins Steps
Connections
Safety Pins Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Note : Register if to be used on Public Roads Check Box to be ticked after visual inspection by HSE Department
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Windows / Wipers / Washers
Brakes
Park Brake
Rams
Hoses
Mobile Plant
Prestart Checklist
FRONT END LOADER
Statement of Operator Competence - Required
Form: HSE-INSP-0010
Issue No.:
Date:
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Serial No.
Name
Signature:
Date
Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Horn
Amber Flashing Beacon
Reversing Alarm
Levers / Controls Operational WARNING SIGNS (In Cabin)
Verify Check
Pedals in Good Condition
ROPS SEAT BELTS
Verify Check
DANGER – BEWARE OVERHEAD WIRES
Rear View Mirrors
Operator Instruction Verify Check
Verify Check
(available on plant) Exhaust
Pivots Verify Check
Connecting Rods Engine Guarding
Safety Pins
(no excessive wear)
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Verify Check
Tyres
Verify Check Hydraulics Wheels
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g., Connections
Certificate of Competence, Licence, Detailed Log Book (check for excessive
Wear and leaks)
Verify Check
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Date: / /
Handrails
Steps
Verify Check Crush Point Hazard Verify Check
Sign displayed both
SWL if used as Crane sides
Lift point
Instructions:
Note : Register if to be used on Public Roads Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
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Verify Check
for around Outriggers
Park Brake
Outriggers & Rams
Mobile Plant
Prestart Checklist
MOBILE CRANE
Statement of Operator Competence - Required
Form: HSE-INSP-0011
Issue No.:
Date:
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Serial No.
Name
Signature:
Date
Verify Check CAB Verify Check WARNING DEVICES
Verify Check Boom
Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Horn
Amber Flashing Beacon
Reversing Alarm
WARNING SIGNS (In Cabin)
Pedals in Good Condition Verify Check
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
SEAT BELTS
Pivots
Connecting Rods
Safety Pins
Verify Check
Operator Instruction DANGER – BEWARE OVERHEAD WIRES,
(available on plant) PIPES and SERVICES
Log Book
SWL / Crane Chart
(no excessive wear)
Verify Check
Verify Check
Engine Guarding
Plant to conform to manufacturer’s specifications and Vic Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Hambone & Wedge Verify Check
Exhaust
Verify Check Hydraulics
Rams
Hoses
Connections
(check for excessive
Wear and leaks)
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Date: / /
Verify Check Verify Check
Tyres Slew Radius / Barricading
Wheels
Handrails
Steps Verify Check
Brakes
Verify Check
Slings / Ropes / Chains (Tagged and in good working order) Operational
Electrical Wiring (No visual signs of damage)
Steel or Timber Pads
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
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Cleanliness
Motion Alarm
Mobile Plant
Prestart Checklist
MULTI-WHEEL ROLLER
Statement of Operator Competence - Required
Form: HSE-INSP-0012
Issue No.:
Date:
Supplier Verification & Plant Details
V
Verify Check CAB erify Check WARNING DEVICES
Plant Supplier Horn
Phone
Number
Amber Flashing Beacon
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled WARNING SIGNS (In Cabin)
Levers / Controls Operational Verify Check
Plant Make
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
SEAT BELTS
Plant Model
Serial No. Windows / Wipers / Washers
Rear View Mirrors
Verify Check
Operator Instruction Exhaust
Name
Signature:
(available on plant)
Verify Check
Engine Guarding
Date
Plant to conform to manufacturer’s specifications and Vic Plant
Regs.
Plant Operator is to provide daily checksheets to HSE Where
applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify Check
Handrails
Steps
Verify Check
Tyres
Wheels
Park Brake
HSE Use Only
NOTE: Sign only when all items have been checked
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
Plant Check By:
Position:
Date: / /
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Mobile Plant
Prestart Checklist
ROLLER Smooth or Pad Foot
Statement of Operator Competence – Required
Form: HSE-INSP-0013
Issue No.: 1
Date:
Supplier Verification & Plant Details Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Horn
Amber Flashing Beacon
Plant Owner:
Reversing Alarm
Address: Instruments Operational & Labelled
Levers / Controls Operational Verify Check
WARNING SIGNS (In Cabin)
City/Suburb: Pedals in Good Condition
ROPS (Roll Over Protective Structure)
SEAT BELTS
Phone:
Windows / Wipers / Washers
Verify Check DANGER – SAFE WORKING LIMITS ON BATTERS
Plant Make:
Rear View Mirrors
Operator Instruction
Plant Model:
Verify C
Verify Check
E
heck
Exhaus
ngine Guard
(available on plant) Ratio 4/1
Eg only – As per Manufacturers Specifications
t Verify Check
Locating lock for
Low/Neutral/Lower Range
Pad lock provided
ing
Serial No.:
Signature:
Plant to conform to manufacturer’s specifications and Vic Plant
Regs.
Plant Operator is to provide daily checksheets to HSE
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Warning sign – Hasp must be
Verify Check locked in position before
Tyres operating
Wheels
Brakes
Park Brake
Verify Check
Rubber Mounts (Drum)
Verify Check
Crush Point Hazard
Sign displayed both Verify Check
sides Verify Check Drum Cleaning Rakes
HSE Use Only
Handrails
Steps
NOTE: Sign only when all items have been checked
Plant Check By:
Verify Hydraulics
Rams
Hoses
Connections Instructions:
Position:
Date: / / (check for excessive Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
wear and leaks) Check Box to be ticked after visual inspection by HSE Department
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Rams
Hoses
Connections
Wheels
Brakes
Mobile Plant
Prestart Checklist
SCRAPER – Twin Engine Form: HSE-INSP-0014
Statement of Operator Competence – Required
Issue No.:
Date:
Supplier Verification & Plant Details Verify CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Horn
Reversing Alarm
Plant Supplier
Phone Number WARNING SIGNS (In Cabin)
Plant Make
Levers / Controls Operational Verify Check
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
SEAT BELTS
Plant Model
Verify Check
Serial No. Rear View Mirrors
Pivots
Operator Instruction Verify Check
Connecting Rods
Verify Check
Exhaust
Name (available on plant) Exhaust
Safety Pins
Signature:
(no excessive wear)
Date
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
HSE Use Only Verify Check Hydraulics Veri
Verify Check fy
Tyres
Handrails
Steps
NOTE: Sign only when all items have been checked
Plant Check By:
(check for excessive Park Brake
Position: Wear and leaks)
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Note : Register if to be used on Public Roads Check Box to be ticked after visual inspection by HSE Department
Date: / /
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Pedals in Good Condition
Mobile Plant
Prestart Checklist
SCRAPER
Statement of Operator Competence – Required
Form: HSE-INSP-0015
Issue No.:
Date:
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Serial No.
Name
Signature:
Date
Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Horn
Reversing Alarm
Instruments Operational & Labelled Verify Check
WARNING SIGNS (In Cabin)
Levers / Controls Operational
SEAT BELTS
ROPS (Roll Over Protective Structure) Hydraulics Verify Check
Windows / Wipers / Washers Rams
Rear View Mirrors Hoses
Operator Instruction Connections
Verify Check
Verify Check
(available on plant) (check for excessive
Wear and leaks) Pivots
Connecting Rods
Exhaust
Safety Pins
(no excessive wear)
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify Check
Handrails
Steps Verify Check
Verify Check Hydraulics
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Date: / /
Tyres
Rams
Hoses
Wheels
Brakes
Park Brake
Connections
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Note : Register if to be used on Public Roads Check Box to be ticked after visual inspection by HSE Department
16. nofri.ide@gmail.com
i
Mobile Plant
Prestart Checklist
SKID STEER LOADER
Statement of Operator Competence – Required
Form: HSE-INSP-0016
Issue No.:
Date:
Supplier Verification & Plant Details Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat
Operator Restraint
Instruments & Labelling
Horn
Amber Flashing Beacon
Reversing Alarm
Plant Supplier
Phone Number
Plant Make
Levers / Controls WARNING SIGNS (In Cabin)
Pedals Verify Check
Protective Mesh
Rear View Mirrors
SEAT BELTS MUST BE WORN
Plant Model
Verify Check
Serial No.
ROPS (Roll Over Protective Structure)
DANGER – BEWARE OVERHEAD WIRES
Operator Instruction
& UNDERGROUND SERVICES
Name
Verify Check Hydraul
(available on plant) Verify Check
cs
Exhaust
Signature:
Date
Rams Verify Check
Hoses Engine Guarding
Connections
(check for excessive wear
Verify Check and leaks)
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Pivots
Connecting Rods Hydraulics Verify Check
Safety Pins
(no excessive wear)
Rams
Hoses
Connections
(check for excessive wear,
leaks and creep)
Verify Check
HSE Use Only
NOTE: Sign only when all items have been checked
Tyres
Verify Check
Wheels
Brakes
SWL / Crane Chart Park Brake
Plant Check By:
Position:
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department
Date: / /
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Verify Check
Verify Check Tracks
Rams
Mobile Plant
Prestart Checklist
TRACK LOADER Form: HSE-INSP-0017
Statement of Operator Competence – Required
Issue No.:
Date:
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Serial No.
Name
Signature:
Date
Verify Check CAB Verify Check WARNING DEVICES
Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Horn
Amber Flashing Beacon
Reversing Alarm
Levers / Controls Operational Verify Check
WARNING SIGNS (In Cabin)
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
SEAT BELTS
Verify Check
Windows / Wipers / Washers
DANGER – BEWARE OVERHEAD WIRES
Rear View Mirrors & UNDERGROUND SERVICES
Operator Instruction
Verify Check
(available on plant)
Verify Check
Exhaust
Connecting Rods &
Safety Pins
Verify Check
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
SWL if used as Crane Engine Guarding
Lift Point
Verify Check
Pivots
Connecting Rods
Safety Pins
(no excessive wear)
Verify Check
Brakes
Park Brake
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Date: / /
Verify Check Hydraulics
Tracks Verify Check Verify Check
Handrails
Steps
Hoses
Connections
Tracks Complete
Tracks Complete Idlers Adjusted
Idlers Adjusted Drivers Free from Leaks
Drivers Free from Leaks
(check for excessive
Wear and leaks)
Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department.
18. nofri.ide@gmail.com
KEEP CLEAR
AIR OPERATED TAILGATE
Mobile Plant
Prestart Checklist
TRUCK and TRAILER
Articulated Vehicle
Statement of Operator Competence – Required
Form:
Issue No.:
Date:
HSE-INSP-0018
Supplier Verification & Plant Details
Plant Supplier
Phone Number
Plant Make
Plant Model
Serial No.
Name
Signature:
Date
Verify Check
Verify Check
WARNING DEVICES
Horn
Amber Flashing Beacon (when onsite)
Reversing Alarm
Head, Tail & Turn Indicators
Air / Hydraulics
Rams
Hoses
Connections
(check for excessive wear and leaks)
Hoist Control from Cabin
Tail Gate Control from Cabin
Verify Check
WARNING SIGNS (In Cabin)
SEAT BELTS
Exhaust
Verify Check
Verify Check CABIN
Cleanliness
Seat
Seat Belts
Instruments & Labelling
Levers / Controls
Pedals
Windows / Wipers / Washers
Rear View Mirror
Current Registration Sticker
Verify Check
Plant to conform to manufacturer’s specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE .
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturer’s specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
HSE Use Only
NOTE: Sign only when all items have been checked
Plant Check By:
Position:
Date: / /
Verify Check Steering Tyres
No Cuts or Splits
Good Tread Condition
Handrails
Steps
Verify Check
Towing Hitch
Connecting Rods
Safety Pins
(no excessive wear
visible
Instructions:
Verify Check
Tyres
Wheels
Brakes
Park Brake
Verify Check
Not Recaps Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department