Date and time of induction

Operation

Subcontractor responsible

Operator/Person responsible

Operator's licence number

Plant Details

Plant Type

Notes

Plant Photos

Plant Make

Plant Model

Plant Registration

Plant Serial Number

All Plant

This section should be filled out for every piece of plant. If a question is not relevant select N/A

Is there a logbook available?

Yes

No

N/A

Is there an operator's manual available?

Yes

No

N/A

Are there maintenance records available?

Yes

No

N/A

Is there a risk assessment available?

Yes

No

N/A

Have SWMS been made available? Do they comply with the risk assessment?

Yes

No

N/A

Are proofs of competency available?

Yes

No

N/A

Has the 10 year inspection been done?

Yes

No

N/A

Is the plant complete, in good condition with no obvious defects?

Yes

No

N/A

Is all the necessary safety equipment and information provided with the plant?

Yes

No

N/A

Road Registered (if being driven on public roads)

Yes

No

N/A

Preoperational Check Log Book available

Yes

No

N/A

Concrete Pump

Skip the below questions if plant is not a Concrete Pump

Quick release clamps fitted with a locking pin

Yes

No

N/A

Notes

Rubber end delivery hose connected to boom with a safety chain, sling or other retaining device

Yes

No

N/A

Notes

Hopper guard fitted

Yes

No

N/A

Notes

Crane

Skip the below questions if plant is not a Crane

Load charts fitted in cabin

Yes

No

N/A

Notes

Reverse beeper working (for non-slewing crane)

Yes

No

N/A

Notes

Flashing light working (for non-slewing crane)

Yes

No

N/A

Notes

All lifting chains fitted with tags identifying SWLs, serial numbers and test dates

Yes

No

N/A

Notes

All other lifting equipment should have SWLs, serial numbers and test dates clearly marked

Yes

No

N/A

Notes

Fire extinguisher fitted with current test tag for cabin operated cranes

Yes

No

N/A

Notes

Crane Truck

Skip the below questions if plant is not a Crane Truck

Load charts fitted to crane

Yes

No

N/A

Notes

All lifting chains fitted with tags identifying SWLs, serial numbers and test dates

Yes

No

N/A

Notes

All other lifting equipment should have SWLs, serial numbers and test dates clearly marked

Yes

No

N/A

Notes

Test certificates for main wire rope, etc (12-monthly testing if fitted)

Yes

No

N/A

Notes

Earthmoving Equipment

Skip the below questions if plant is not Earthmoving Equipment

Roll Over Protection System (ROPS) / falling object protective structure (FOPS) fitted

Yes

No

N/A

Notes

Operator restraint fitted – either seatbelt or locking-bar

Yes

No

N/A

Notes

Seat belt within 5 year of plant manufacture date or 3 year installation date (CAT specific equipment)

Yes

No

N/A

Notes

Flashing light working

Yes

No

N/A

Notes

Reverse beeper working (if required)

Yes

No

N/A

Notes

Safe working loads (SWL) clearly marked and load chart displayed (if lifting)

Yes

No

N/A

Notes

Burst protection valves fitted if lifting (required for equipment with a rated capacity over one tonne)

Yes

No

N/A

Notes

All lifting chains fitted with tags identifying SWLs, serial numbers and test dates

Yes

No

N/A

Notes

All other lifting equipment should have SWLs, serial numbers and test dates clearly marked

Yes

No

N/A

Notes

EWP

Skip the below questions if plant is not EWP

Registration of Plant Design information available (Vic - All EWP’s, National – As required) (Design Registration No. __________________________)

Yes

No

N/A

Notes

Ten-year certification (major inspection completed if applicable, then every five years)

Yes

No

N/A

Notes

Motion beeper working

Yes

No

N/A

Notes

Flashing light working

Yes

No

N/A

Notes

Gate locks engaging – self-closing gate operational

Yes

No

N/A

Notes

Platform handrail / frame in good condition

Yes

No

N/A

Notes

Electrically tested and tagged (RCD & charging cables - if applicable)

Yes

No

N/A

Notes

Safe working load (SWL) of platform clearly marked

Yes

No

N/A

Notes

Safety Harness in good condition with inspection doc’s available (boom type MEWP)

Yes

No

N/A

Notes

Secondary guarding (safety crush) device fitted to the elevated work platform

Yes

No

N/A

Notes

Emergency stop and ground control function checked

Yes

No

N/A

Notes

Forklift

Skip the below questions if plant is not Forklift

Compliance/ID plates fitted to machine

Yes

No

N/A

Notes

Load chart/plate fitted and legible

Yes

No

N/A

Notes

Flashing light working

Yes

No

N/A

Notes

Reverse beeper working

Yes

No

N/A

Notes

Roll Over Protection System (ROPS) / falling object protective structure (FOPS) fitted

Yes

No

N/A

Notes

Seatbelt fitted

Yes

No

N/A

Notes

LPG bottle is securely fitted and no obvious signs of damage to fittings or hoses (if applicable)

Yes

No

N/A

Notes

Inspect mast components and tynes for damage, cracking, distortion or loose attachments

Yes

No

N/A

Notes

Telescopic Handler

Skip the below questions if plant is not Telescopic Handler

Registration of Plant Design information available (required if lifting capacity is greater than 10 tonnes or if configured to be used as an boom type elevated work platform) (Registration No. _____________________)

Yes

No

N/A

Notes

Compliance/ID plates fitted to machine

Yes

No

N/A

Notes

Ten-year certification (major inspection completed if applicable, then every five years)

Yes

No

N/A

Notes

Record of 12-month annual inspection available

Yes

No

N/A

Notes

Certificate on attachments or lifting devices (where applicable)

Yes

No

N/A

Notes

Load charts (available in the operators cabin)

Yes

No

N/A

Notes

Reverse beeper working / Flashing light working

Yes

No

N/A

Notes

Seatbelt fitted

Yes

No

N/A

Notes

Roll Over Protection System (ROPS) / falling object protective structure (FOPS) fitted

Yes

No

N/A

Notes

All lifting chains fitted with tags identifying SWLs, serial numbers and test dates

Yes

No

N/A

Notes

All other lifting equipment should have SWLs, serial numbers and test dates clearly marked

Yes

No

N/A

Notes