Mobile Plant DRUM ROLLER Form:

Issue No.: 1

Prestart Checklist Date:

Statement of Operator Competence - Required
Supplier Verification & Plant Details Verify CAB Verify Check WARNING DEVICES
Check Cleanliness Horn
Plant Owner: Seat Condition OK Reversing Alarm
Operator Restraint Provided
Address: WARNING SIGNS (In Cabin)
Instruments Operational & Labelled Verify Check

City/Suburb: Levers / Controls Operational SEAT BELTS MUST BE WORN

Pedals in Good Condition Verify Check
Phone: Windows / Wipers / Washers
DANGER – SAFE WORKING LIMITS ON BATTERS
Rear View Mirrors
Plant Make: Operator Instruction Ratio 4 to 1
(available on plant) Eg only – As per Manufacturers Specifications
Plant Model:
Verify Check
Serial No.: Locating lock for Verify Check
Low/Neutral/Lower Range
Exhaust
Signature: Pad lock provided

Date: Warning sign – Hasp must be

locked in position before
operating Verify Check
Engine Guarding
 Plant to conform to manufacturer’s specifications and RoK Plant
Regs.
 Plant Operator is to provide daily checksheets to plant group on a
weekly basis Verify Check
 Where applicable, Personal Protective Equipment must be worn.
 Plant Log Book Detailing service history in accordance with Tyres
Manufacturer’s specifications should be written legibly in
English. Wheels
 Contractor must produce proof of competence of operator, e.g., Brakes
Certificate of Competence, Licence, Detailed Log Book
Park Brake

Verify Check

Verify Check Hydraulics Crush Point Hazard Verify Check

NOTE: Sign only when all items have been checked Sign displayed both
Hoses sides Handrails
Plant Check By: Connections Steps
(check for excessive wear,
Position:
leaks and creep)
Instructions:
Date: / / Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Check Box to be ticked after visual inspection by HSE Department

This is to certify that the plant being supplied conforms to the relevant RoK OH&S Legislation, and the requirements as detailed above. HSE Dept will assess this Pre-start 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. 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 RoK OH&S Legislation