CONCRETE PUMP PRE-MOBILISATION CHECKLIST

CHECKLIST

Vehicle Information
Asset No. / Registration No. Asset description
Pump SMU (hrs/M2) Truck SMU (hrs/m2)
Project name Date of reading
Contractor/supplier Manufacturer/Model
Is the machine classified as a road-going ‘heavy vehicle’ for the purposes of heavy vehicle laws? Yes No
If you answered ‘Yes’ to this question please inform project person responsible for logistics.

Owner / Laing
PART A – Laing O’Rourke Minimum Requirements for Plant Supplier O’Rourke
YES NO Approved
All operator controls return to neutral and are clearly marked ☐ ☐ ☐
Fire extinguisher (class ABE), minimum 4.5kg and tested and tagged within 6 months. Date: ☐ ☐ ☐

Lockable battery isolation switch with identification decal ☐ ☐ ☐

Emergency stop button/s that immediately stop all movements and pumps c/w identification decal. ☐ ☐ ☐
Guarding (lockable door and/or limit switch and/or guarding over parts) ☐ ☐ ☐
Wheel chocks with carrying mounts (for rubber tyred equipment) ☐ ☐ ☐
Dunnage in good condition and code compliant (Min width 200mm x thickness 75mm). ☐ ☐ ☐
Earth Safety chain available (for placing boom) ☐ ☐ ☐
Safe access (three points of contact) ☐ ☐ ☐
Safety decal in place: “Warning do not stand on grates” ☐ ☐ ☐
Safety decal in place: “Warning Never allow hands near the concrete valve. Stop the engine / motor & realise ☐ ☐ ☐
accumulator pressure (where fitted) before cleaning / servicing concrete valve assembly”
Safety decal in place: “Danger: do not operate unless: within 1m of the fixed controls” ☒ ☐ ☐
Safety decal in place: “Caution: concrete placing boom not to be used as a crane” ☐ ☐ ☐
Safety decal in place: “Danger beware of overhead electrical hazards” ☒ ☐ ☐
Air compressor pressure relief valve within test date (if applicable) ☐ ☐ ☐
Air receiver within test date (if applicable) ☒ ☐ ☐
Hopper grating must be interlocked (agitator cannot be put in motion unless the grating is in the fully closed). ☐ ☐ ☐
Concrete hopper grating bars no greater than 75mm apart ☒ ☐ ☐
Concrete hopper grating bars 100mm (at least) from the top surface of the grating to any moving part. ☒ ☐ ☐
All pipeline segments are clearly identified with a permanently fixed unique identification mark or number ☒ ☐ ☐
Pipe clamps have locking pins such as R-type or equivalent. ☐ ☐ ☐
End hose secured by a safety chain, sling or other retaining device (when connected to a boom) ☐ ☐ ☐
Hold Point: Confirm Project specific / Client addition requirements Signature:

☐ ☐ ☐
PART B – Condition of Plant & Equipment Owner / Laing
Supplier O’Rourke

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 YES NO Approved

General cleanliness inside and out is acceptable ☐ ☐ ☐

Free from damage (list in comments) ☐ ☐ ☐

Braking and steering system functional ☐ ☐ ☐

Exhaust system in good condition ☐ ☐ ☐

Free of visible oil / water leaks ☐ ☐ ☐

Check hydraulic and fuel system hoses and fittings for wear or damage ☐ ☐ ☐

Tyres in good condition and within wear limits ☐ ☐ ☐

The plant or equipment has been inspected prior to arrival at the workplace ☐ ☐ ☐

Plant/Equipment is free from any weeds or seeds: ☐ ☐ ☐

Owner / Laing
PART C – Compliance Documentation for Plant (either in paper form or electronic) Supplier O’Rourke
(available at the time of mobilisation)
YES NO Approved
Operators Manual specific to make and model: truck, pump and pump motor ☐ ☐ ☐
Plant Risk Assessment specific to make and model ☐ ☐ ☐
Daily Pre-start book specific to plant type & concrete pump log book (or combined book) ☐ ☐ ☐
Maintenance history (minimum of 3 months records) ☐ ☐ ☐
Major Service Records; annual and six-yearly ☐ ☐ ☐
Change management documents available for any modifications ☐ ☐ ☐
Worksafe Plant registration of item and design registration (truck mounted concrete placing boom) ☐ ☐ ☐
Single wall pipes: monthly line thickness test results (pipe log book shall record wall thickness and pressure details) ☐ ☐ ☐
Double wall pipes: testing as per OEM recommendations (normally metres pumped)
Hold Point: Confirm Project specific / Client addition requirements Signature:

☐ ☐ ☐
Comments: For items ticked No give reason in the comments section below
Notes on minimum requirements exceptions; list additional included asset or serial numbers; any further information:

Pre-mobilisation declaration (Equipment owner / supplier)

Date of Hours / Km Ignition, toolbox and panel keys present Yes
final at final with machine?
report: report: No

I declare that this machine is in a safe condition, is free from defect and is fit for purpose:
Name: Position: Signature: Date:
Signed and accepted by project:

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Name: Position: Signature: Date:

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