Week Starting / / Operator Signature

Plant Defect Sheet

Plant Make & Model - I.D. no;

Item / M / T / W / T / F / Sa / Su / Problem
Visual Checks – Bucket/ Attachment Point
Quick Hitch
Lifting Points
Damages to lines/hoses
Wear & Tear
Safety Pins , Struts & Chains
Glass/ Mirrors/ Lights/ Camera
Handrails/ footsteps/FOPS/ ROPS
Tracks/ Tyres
Exhaust
Cleanliness / ___
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Lubricants – Engine Oil
Water/Coolant Level
Transmission/Gear Oil
Fuel Level
Hydraulic Oil
Brake/ Clutch Fluid
Filters / ___
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Operational Checks - Seatbelt
Lights, Beacon,wipers,
Dead man/ Handbrake working
Travel in both directions
Test Movement and Weight alarms
Travel left/right
Lower/Raise Skip/ Jib or Boom / ___
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QUESTIONS TO ASK!

· Have you the correct PPE?

· Are you competent and trained to operate the Machine?

· Is all the paperwork in order?

o Machine certified and approved to work

o Operators Manual and Load Chart available (SWL)

o Permits in place

o Risk Assessment & Method Statement read, signed and understood

o Appropriate Licence when working on or near the public highway

· Work area cordoned off?

· All site personnel briefed on work to be carried out?

IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS ‘NO’, THEN CONSULT YOUR SUPERVISOR