Mobile Plant

Prestart Checklist

ARTICULATED DUMP TRUCK

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify Check

CAB

Plant Owner:
Address:
City/Suburb:
Phone:
Plant Make:
Plant Model:

HSE-INSP-0001

Issue No.: 1
Date:

Verify Check

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS AS2294
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Form:

WARNING DEVICES
Horn
Reversing Alarm

Verify Check

WARNING SIGNS (In Cabin)

SEAT BELTS MUST BE WORN
Verify Check

Exhaust

Serial No.:
Signature:
Date:

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to plant group on a
weekly basis
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers 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

Tyres
Wheels
Brakes
Park Brake

Hydraulics
Verify Check

NOTE: Sign only when all items have been checked

Plant Check By:

KEEP CLEAR
Handrails
Steps

Position:
Date:

Note : Register if to be used on Public Rods

Verify Check

(Signs on both sides

of vehicle)

Verify Check

Rams
Hoses
Connections
(check for excessive wear,
leaks and creep)

Instructions:
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

This is to certify that the plant being supplied conforms to the relevant HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE Legislative requirements and, to
register the plant onto the site. The operator will be required to participate in ongoing training and perform work in accordance with the relevant Work Method Statement. Should the plant be found to not conform to the above, then it will be prevented from
commencing work on the site until the non-compliance is rectified. HSE Management will not reimburse the Owner / Supplier / Contractor for any down / lost time so caused from the non-conformance.
This form does not remove any liability for the plant supplier to conform with the relevant HSE Legislation