Heavy Plant and Equipment Inspection

Checklist
Doc Ref: MS-DD-3000-HSE-PRO-0003 Form No: MS-DD-3000-HSE-FRM-0026
Date: 28 March 2020 MANYAR SMELTER PROJECT Revision No: 00

Equipment No.: Log Book: Y /N Date:

Registration No.: Model Y / N Owner’s Manual: Y / N
Make: Classified Plant VIN:
Engine No.: Speedometer / Odometer Reading Checklist: Y / N
Noise Survey Report Attached Y N Plant does not exceed 85dB (a) Limit Y N Sound Insulation or Silencer/s fitted Y N
Where plant or equipment necessary for specific activities cannot meet the 85 dB(A) maximum noise limit. Subcontractor shall present a noise control plan to the Contractor Field SHES Manager and request written approval for the use of
that plant or equipment, prior to mobilizing plant or equipment.
() Inspected & Satisfactory (NA) Not Applicable (X) Requires and / or Repair
MANDATORY EQUIPMENT  NA X OPERATIONAL CHECKS  NA X ELECTRICAL CHECKS  NA X
High beam Brakes Park / clearance lights
Low beam : auto activate Park brake Number plate light
Tail lights Steering Indicators
Brake lights Vibrations / rattles Dash lights
Driver Improvement Motor (Black Box) Clutch / gearbox operation Interior light
Safety Flag min 42 mtr above ground Acceleration / performance Gauges / warning lights
Window Tinting 80-90% BODY CHECKS  NA X CABIN CHECKS  NA X
Sleeper berth if fitted is restrained Panel damage / rust Upholstery
Uniquely identifiable front and sides Paint Pedal rubbers
Safe Access / Egress maintenance / emergency Door operation Window operation
Anti-slip access points Boot / tailgate operation Glass condition
Boarding / disembarking faculty Canopy / tonneau cond. Sun visors
Guards on moving parts and hazardous parts Tow bar Mirrors
Enclosed / sealed cabin (aircon) Bull bar
Speed Alerts UNDERBODY  NA X
Isolation / Lockout point Exhaust condition / leaks WHEELS CHECKS  NA X
Audible Reversing alarm Prop shaft / universals Hub bearings
Seat adjustments & Headrests Springs / shackles Tires / Rims incl. Spare
Chock blocks for rubber tired plant Ball-joints / tie-rod ends Rims internal external inspection
Rollover protection (ROPS) AS 2294.1 Fuel lines Wheel nuts
Fall object protection (FOPS) AS 2294.1 Brake pipes / hoses LUBRICATION CHECKS  NA X
Communication (two way radio) ENGINE CHECKS  NA X Engine oil
Seat Belts Oil leaks – nil Transmission oil
Horn Engine oil clean Differential oil
Revolving flashing light All fluid levels checked Grease points
First Aid Kit Fuel leaks Brake / Clutch fluid
Fire Extinguisher (9kg) (2 x for service / fuel trucks) or a fire
suppression system Moving parts guarded Inc. access to engine bay Air Filter
Jack & wheel brace Coolant leaks – nil Drip trays
Windscreen condition Hoses condition
Signage clear and legible Radiator condition
Windscreen wipers Belts condition List of approved fluids attached
Spill Kit Engine mounts condition
Battery condition
Comments:

Inspected By (competent person):

Subcontractor: Date:
CONTRACTOR USE ONLY
Mobilization of the equipment based on the information provided is approved  Not approved 
Contractor Representative (Print Name) ________________________________________________
Contractor Representative Signature ___________________________________________________
Date ____ / ____ / ____
 Heavy Plant and Equipment Inspection
Checklist
Doc Ref: MS-DD-3000-HSE-PRO-0003 Form No: MS-DD-3000-HSE-FRM-0026
Date: 28 March 2020 MANYAR SMELTER PROJECT Revision No: 00