Mobile Engines COMPACTOR Form: HSE-INSP-0003

Issue No.:

Prestart Checklist Date:

Statement of Operator Competence - Required
Supplier Verification & Engine Details Verify CAB Verify Check WARNING DEVICES
Check Cleanliness Horn
Engine’s 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: ROPS AS2294
Windows / Wipers / Washers DANGER – SAFE WORKING LIMITS
Engine’s Brand: Rear View Mirrors
ON BATTERS
Operator Instruction Ratio 2 to 1
Engine’s Model: (available on plant) Eg only – As per Manufacturers Specifications
Serial No.: Verify Check
Exhaust
Signature: Verify Check Hydraulics
Verify Check
Date: Engine Guarding
Rams
Hoses
Connections
Verify Check
 Engines to conform to the manufacturer’s specifications and (check for excessive wear,
HSE Engines Regs. Brakes leaks and creep)
 Engines Operator is to provide daily check sheets on a weekly
basis Park Brake
 Where applicable, Personal Protective Equipment must be worn.
 Engines Log Book Detailing service history in accordance with
Manufacturer’s 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 Office Use Only

NOTE: Sign only when all items have been checked Verify Check
Crush Point Hazard
Engine’s Check By: Sign displayed both Verify Check
sides
Position: Handrails
Steps 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 Engines being supplied conforms to the relevant HS&E Legislation, and the requirements as detailed above. HSE Department will check this Pre-start Checklist to ensure the supplier has verified compliance to Legislative requirements and, to
register the Engines 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 Engines supplier to conform with the relevant HSE Legislation