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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
nofri.ide@gmail.com
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: / /
nofri.ide@gmail.com
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
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: / /
nofri.ide@gmail.com
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.
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

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Heavy-Equipment-HSE-Checklists-hseprof-com.docx

  • 1. nofri.ide@gmail.com 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
  • 2. nofri.ide@gmail.com f 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
  • 3. nofri.ide@gmail.com nofri.ide@gmail.com f 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
  • 4. nofri.ide@gmail.com 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
  • 5. nofri.ide@gmail.com 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: / /
  • 6. nofri.ide@gmail.com 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: / /
  • 7. nofri.ide@gmail.com 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: / /
  • 8. nofri.ide@gmail.com 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: / /
  • 9. nofri.ide@gmail.com 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
  • 10. nofri.ide@gmail.com 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
  • 11. ] nofri.ide@gmail.com 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
  • 12. nofri.ide@gmail.com 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: / /
  • 13. nofri.ide@gmail.com 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
  • 14. nofri.ide@gmail.com 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: / /
  • 15. nofri.ide@gmail.com 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: / /
  • 17. nofri.ide@gmail.com 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