Mobile Plant LOADER Form:

Issue No.:

Prestart Checklist Date:

WorkCover Certification – LL
Supplier Verification & Plant Details Verify Check CAB
Cleanliness
Plant Owner: Seat Condition OK Verify Check WARNING DEVICES
Operator Restraint Provided Horn
Address: Instruments Operational & Labelled Amber Flashing Beacon <2.4t SWL
Levers / Controls Operational Reversing Alarm
City/Suburb:
Pedals in Good Condition WARNING SIGNS (In Cabin)
ROPS AS2294 Verify Check
Phone:
Windows / Wipers / Washers SEAT BELTS MUST BE WORN
Plant Make: Rear View Mirrors Verify Check
Operator Instruction Verify Check WIRES
DANGER – BEWARE OVERHEAD
Plant Model: (available on plant) Exhaust
Verify Check
Serial No.:
Pivots Verify Check
Signature: Connecting Rods
Engine Guarding
Safety Pins
Date: (no excessive wear)

Verify Check
 Plant to conform to manufacturer’s specifications and Project
Support Group Regs. Hydraulics Tyres
Verify Check
 Plant Operator is to provide daily checksheets to Safety Dept. on
a daily basis Rams Wheels
 Where applicable, Personal Protective Equipment must be worn. Brakes
 Plant Log Book Detailing service history in accordance with
Hoses
Manufacturer’s specifications should be written legibly in Connections Park Brake
English. (check for excessive
 Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book wear, leaks and creep)
Verify Check

SAN R Use Only Handrails

Steps
Verify Check Crush Point Hazard Verify Check
NOTE: Sign only when all items have been checked Sign displayed both
SWL if used as Crane sides
Plant Check By: Lift point

Position:
Instructions:
Date: / / Note : Register if to be used on Public Roads Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by DMCI

This is to certify that the plant being supplied conforms to the relevant OH&S Legislation, and the requirements as detailed above. D.M. Consunji Inc.will check this Prestart Checklist to ensure the supplier has verified compliance to 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. D.M. Consunji, Inc. 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 OH&S Legalisation