The following information is required from suppliers of plant prior to beginning work on site.
Subcontractor:
Company name
Notes
Subcontractor / Supplier Rep:
Subcontractor employee name
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Description of Plant/Equipment:
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Make & Model:
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Serial No.:
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Year of Manufacture:
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Plant Hazard Risk Assessment
Yes
No
N/A
Notes
Manufacturers Operators Manual available
Yes
No
N/A
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Preoperational Check Log Book available
Yes
No
N/A
Notes
Current Maintenance Records available (refer to operators manual for service intervals)
Yes
No
N/A
Notes
Registration of Plant Design information available (Registration No. ________________)
Yes
No
N/A
Notes
Compliance/ID plates fitted to machine
Yes
No
N/A
Notes
Maintenance and Inspection Reports on all pipes
Yes
No
N/A
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12 month inspection record available
Yes
No
N/A
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Quick release clamps fitted with a locking pin
Yes
No
N/A
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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
Reverse beeper working
Yes
No
N/A
Notes
Flashing light working
Yes
No
N/A
Notes
Fire extinguisher fitted with current test tag
Yes
No
N/A
Notes
Current Road Registration
Yes
No
N/A
Notes
Comments:
Notes
Signature of Person Completing this Form:
Sign
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