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:
Notes
Serial No.:
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Plant Hazard Risk Assessment
Yes
No
N/A
Notes
Manufacturers Operators Manual available
Yes
No
N/A
Notes
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
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
Road Registered (if being driven on public roads)
Yes
No
N/A
Notes
Comments:
Include any project specific items that maybe required to be fitted to the plant from the project risk assessment document.
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Signature of Person Completing this Form:
Sign
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