Form:

ARTICULATED DUMP TRUCK

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify Check

CAB

Plant Supplier
Phone Number
Plant Make

Date:
Verify Check

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational

Plate No.
Name

WARNING DEVICES

Verify Check

Horn
Reversing Alarm

WARNING SIGNS (In Cabin)

SEAT BELTS

Pedals in Good Condition

ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model

HSE-INSP-0001

Verify Check

Exhaust

Signature:
Date

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers 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 Use Only

Verify Check

Tyres
Wheels
Brakes
Park Brake

Hydraulics
Verify Check

NOTE: Sign only when all items have been checked

KEEP CLEAR
Handrails
Steps

Plant Check By:

Verify Check

(Signs on both sides

of vehicle)

Position:
Date:

Note : Register if to be used on Public Roads

Verify Check

Rams
Hoses
Connections
(check for excessive wear,
and leaks)

Instructions:
Verify Box to be ticked by Owner / Supplier / Operator prior to arrival on site.
Check Box to be ticked after visual inspection by HSE Department

This is to certify that the plant being supplied conforms to the relevant HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

BACKHOE

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify Check

Phone Number
Plant Make
Plant Model
Verify Check

Plate No.

Date:

CAB

Verify Check

Cleanliness
Seat
Operator Restraint
Instruments & Labelling
Levers / Controls
Pedals
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors

Plant Supplier

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

Verify Check

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

DANGER BEWARE OVERHEAD WIRES

& UNDERGROUND SERVICES

SWL
Crane Chart

Name

HSE-INSP-0002

Verify Check

Verify Check

Signature:

Exhaust

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Date

Verify Check

Engine Guarding
Verify Check

Verify Check

Quick Hitch
Safety Pins
(where applicable)

Plant to conform to manufacturers specifications and HSE Regs.

Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers 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 Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Verify Check

SWL
& Safety Pins

Hydraulics
Rams
Hoses
Connections
(check for excessive
wear and leaks)

Verify Check

Travelling Hitch

Hydraulics
Verify Check

Verify Check

KEEP CLEAR

Tyres
Wheels
Brakes
Park Brake

Verify Check

Verify Check

Connecting Rods

(Signs on both sides of vehicle)

Position:
Date:

SWL

Stabilisers

Verify Check

Handrails
Steps

Verify Check

Rams
Hoses
Connections
(check for excessive wear,
and leaks)

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation.

Form:

COMPACTOR

Mobile Plant
Prestart Checklist

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify

Issue No.:
Date:

CAB

Verify Check

Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational

Phone Number
Plant Make

Verify Check

Serial No.
Name
Signature:

WARNING SIGNS (In Cabin)

SEAT BELTS

Pedals in Good Condition

ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model

WARNING DEVICES
Horn
Reversing Alarm

Cleanliness

Plant Supplier

HSE-INSP-0003

Verify Check

DANGER SAFE WORKING LIMITS

ON BATTERS
Ratio 2 to 1
Eg only As per Manufacturers Specifications

Verify Check

Exhaust

Date

Verify Check
Verify Check

Rams
Hoses
Connections
(check for excessive wear,
and leaks)

Engine Guarding
Plant to conform to manufacturers specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Hydraulics

Verify Check

Brakes
Park Brake

HSE Office Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Crush Point Hazard

Sign displayed both
sides

Verify Check

Handrails
Steps

Position:
Date:

Verify Check

Instructions:
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 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 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

BULL DOZER

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence Required

Supplier Verification & Plant Details

Date:
Verify Check

Verify Check

Plant Supplier

Plant Make
Plant Model
Serial No.
Name
Verify Check

Signature:

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

CAB
Cleanliness

Phone Number

HSE-INSP-0004

Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Verify Check

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

DANGER BEWARE OVERHEAD WIRES

& UNDERGROUND SERVICES
Verify Check

Exhaust

Rams
Hoses
Connections
(check for excessive wear,
leaks and creep)

Date

Verify Check

Engine Guarding

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers 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 Use Only

NOTE: Sign only when all items have been checked

Verify Check
Verify Check

Plant Check By:

Position:
Date:

Pivots
Pins
Connections
Safety Pins

Tracks
Tracks Complete
Idlers Adjusted
Drivers Free from Leaks

Handrails
Steps

Verify Check

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will check this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

DRUM ROLLER

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify

Date:

CAB

Verify Check

Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational

Phone Number
Plant Make

Verify Check

Serial No.
Name

WARNING SIGNS (In Cabin)

SEAT BELTS

Pedals in Good Condition

ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model

WARNING DEVICES
Horn
Reversing Alarm

Cleanliness

Plant Supplier

HSE-INSP-0005

Verify Check

DANGER SAFE WORKING LIMITS ON BATTERS

Ratio 4 to 1
Eg only As per Manufacturers Specifications

Verify Check

Signature:

Locating lock for

Low/Neutral/Lower Range
Pad lock provided

Date

Verify Check

Exhaust

Warning sign Hasp must be

locked in position before
operating

Verify Check

Engine Guarding

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

Tyres
Wheels
Brakes
Park Brake

HSE Use Only

Verify Check

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Verify Check

Hydraulics
Hoses
Connections
(check for excessive wear
and leaks)

Crush Point Hazard

Sign displayed both
sides

Verify Check

Handrails
Steps

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE 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. HSEManagement 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 HSE Legislation

ELEVATING WORK PLATFORM

Mobile Plant
Prestart Checklist

Knuckle Boom
Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify Check

Phone Number

HSE-INSP-0006

Issue No.:
Date:

WARNING DEVICES

Sub-con name

Form:

Verify Check

Out of Level Alarm

Plant Make
Plant Model
Verify Check

Serial No.

Hydraulics
Rams
Hoses
Connections
(check for excessive
Wear and leaks)

Name
Signature:

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

SWL / Crane Chart

Verify Check
Verify Check

Verify Check

Date

BASKET
Cleanliness
Operator Restraint
Instruments & Labelling
Levers / Controls
Pedals
Log Book
Deadman Switch
Operation Instruction
(available on plant)

Horn
Amber Flashing Beacon
Motion Alarms
Raise & Lower Alarms

WARNING SIGNS

Safety Harness & Lanyard

Harness Available
Verify Check

DANGER BEWARE OVERHEAD WIRES

&SERVICES

Hydraulics

Verify Check

Verify Check

Rams
Hoses

Exhaust
(if applicable)
Verify Check

Levers / Controls

Verify Check

Connections
(check for excessive wear,
leaks and creep)

Engine Guarding

HSE Use Only

Verify Check

Tyres
Wheels
Brakes
Park Brake

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

ELEVATING WORK PLATFORM

Mobile Plant
Prestart Checklist

Issue No.:

Scissor Lift
Statement of Operator Competence Required

Supplier Verification & Plant Details

Plant Supplier

Verify Check

Levers / Controls

Phone Number

Date:

WARNING DEVICES

Verify Check

HSE-INSP-0007

Verify Check

Horn
Amber Flashing Beacon (when onsite)
Reversing Alarm
Head, Tail & Turn Indicators

Cleanliness
Instruments & Labelling
Levers / Controls Basket & Base
Pedals
Log Book
Operation Instruction
(available on plant)

Verify Check

Plant Make

BASKET

Self Closing Gate

Plant Model

Verify Check

Serial No.
Safety Working Load

Name
Signature:
Verify Check

Date

Verify Check

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

WARNING & RESTRICTION SIGNS

Hydraulics

Verify Check

Rams
Hoses
Connections
(check for excessive
Wear and leaks)

Safety Prop
Under Scissor

Verify Check

Guarding Of
Scissor

Verify Check

Exhaust
(if applicable)

HSE Use Only

Verify Check

Tyres
Wheels
Brakes
Park Brake

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Verify Check

Engine Guarding

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

EXCAVATOR

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence - Required

Date:

WARNING DEVICES

Verify Check

Supplier Verification & Plant Details

Plant Supplier

Verify Check

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Phone Number
Plant Make
Plant Model

HSE-INSP-0008

Verify Check

Verify Check

Name
Signature:
Date

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

DANGER BEWARE OVERHEAD WIRES

& UNDERGROUND SERVICES

Hydraulics
Rams
Hoses
Connections
(check for excessive wear
and leaks)

Serial No.

Horn
Amber Flashing Beacon
Motion Alarm

Verify Check

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Verify Check

SWL / Crane Chart

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

CAB

Verify Check

Quick Hitch
Safety Pins
(where applicable)
(If Quick Hitch is fitted
NO LIFTING POINTS
Allowed on back of bucket

Verify Check

Exhaust
Verify Check

Engine Guarding

HSE Use Only

Verify Check

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Hydraulics
Rams
Hoses
Connections
(check for excessive wear,
leaks and creep)

Tracks

Verify Check

Verify Check

Handrails
Steps

Tracks Complete
Idlers Adjusted
Drivers Free from Leaks

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE 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. 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 plant supplier to conform with the relevant RoK OH&S Legislation

Form:

GRADER

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify Check

Date:

CAB

Verify Check

Phone Number
Plant Make

Verify Check

Plate No.
Name

WARNING SIGNS (In Cabin)

SEAT BELTS

ROPS (Roll Over Protective Structure)

Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition

Plant Supplier

HSE-INSP-0009

Verify Check

SAFE WORK LIMIT ON BATTERS

Ratio 2 to 1 Ratio 2 to 1

e.g. only As per Manufacturers Specifications

Signature:

Verify Check

Hydraulics
Rams
Hoses
Connections
(check for excessive wear
and leaks)

Date

Verify Check

Exhaust
Verify Check

Engine Guarding
Plant to conform to manufacturers specifications and RoK Plant
Regs.
Plant Operator is to provide daily checksheets HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

Drive Guards

Verify Check

HSE Use Only

NOTE: Sign only when all items have been checked

Steering
Unions
Rods
Connections

Verify Check
Verify Check

Plant Check By:

Position:
Date:

/
Note : Register if to be used on Public Roads

Verify Check

Pivots
Pins
Connections
Safety Pins

Handrails
Steps

Tyres
Wheels
Brakes
Park Brake

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

FRONT END LOADER

Mobile Plant
Prestart Checklist

HSE-INSP-0010

Issue No.:

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify Check

Date:

CAB

Verify Check

Cleanliness

Plant Supplier

Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational

Phone Number
Plant Make

Verify Check

Pedals in Good Condition

ROPS
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model
Serial No.
Name

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

DANGER BEWARE OVERHEAD WIRES

Verify Check

Exhaust

Verify Check

Signature:

Verify Check

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Date

Engine Guarding

Verify Check
Plant to conform to manufacturers specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

Tyres
Wheels
Brakes
Park Brake

Hydraulics
Rams
Hoses
Connections
(check for excessive
Wear and leaks)

Verify Check

Handrails
Steps

HSE Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Verify Check

SWL if used as Crane

Lift point

Crush Point Hazard

Sign displayed both
sides

Verify Check

Position:
Date:

Note : Register if to be used on Public Roads

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will check this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

MOBILE CRANE

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence - Required

Supplier Verification & Plant Details

Verify Check

Phone Number
Plant Make

Boom

Verify Check

Plant Model

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Serial No.

Date:

CAB

Verify Check

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)
Log Book
SWL / Crane Chart

Plant Supplier

Name
Signature:

HSE-INSP-0011

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

WARNING SIGNS (In Cabin)

Verify Check

SEAT BELTS
Verify Check

DANGER BEWARE OVERHEAD WIRES,

PIPES and SERVICES

Date

Verify Check

Engine Guarding
Verify Check

Hambone & Wedge

Plant to conform to manufacturers specifications and Vic Plant
Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

Hydraulics
Rams
Hoses
Connections
(check for excessive
Wear and leaks)
Verify Check

HSE Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Verify Check

Position:
Date:

Verify Check

Exhaust

Verify Check

Tyres
Wheels
Brakes
Park Brake
Slings / Ropes / Chains (Tagged and in good working order)
Electrical Wiring (No visual signs of damage)
Steel or Timber Pads

Slew Radius / Barricading

for around Outriggers

Verify Check

Handrails
Steps

Verify Check

Outriggers & Rams

Operational
Instructions:
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 HSE 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 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. 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 plant supplier to conform with the relevant Legalisation

MULTI-WHEEL ROLLER

Mobile Plant
Prestart Checklist

Statement of Operator Competence - Required

Form:

HSE-INSP-0012

Issue No.:
Date:

Supplier Verification & Plant Details

Verify Check

Plant Supplier
Phone
Number

Verify Check

CAB
Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Make
Plant Model
Serial No.
Name

WARNING DEVICES
Horn
Amber Flashing Beacon
Motion Alarm

Verify Check

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

Exhaust

Signature:

Verify Check

Engine Guarding

Date
Verify Check

Handrails
Steps

Plant to conform to manufacturers specifications and Vic Plant

Regs.
Plant Operator is to provide daily checksheets to HSE Where
applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

Tyres
Wheels
Park Brake

HSE Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

ROLLER Smooth or Pad Foot

Mobile Plant
Prestart Checklist

Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify Check

CAB

Address:
City/Suburb:
Phone:
Plant Make:
Plant Model:

WARNING DEVICES

Verify Check

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

DANGER SAFE WORKING LIMITS ON BATTERS

Ratio 4/1
Eg only As per Manufacturers Specifications

Exhaust

Signature:

Verify Check

Locating lock for

Low/Neutral/Lower Range
Pad lock provided

Verify Check

Engine Guarding

Warning sign Hasp must be

locked in position before
operating

Verify Check
Plant to conform to manufacturers specifications and Vic Plant
Regs.
Plant Operator is to provide daily checksheets to HSE
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Tyres
Wheels
Brakes
Park Brake

NOTE: Sign only when all items have been checked

Verify Check

Rubber Mounts (Drum)

Verify Check

Crush Point Hazard

Sign displayed both
sides

HSE Use Only

Verify Check

Drum Cleaning Rakes

Verify Check

Handrails
Steps

Verify

Plant Check By:

Position:
Date:

Date:

Horn
Amber Flashing Beacon
Reversing Alarm

Verify Check

Serial No.:

HSE-INSP-0013

Issue No.: 1

Verify Check

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Owner:

Form:

Hydraulics
Rams
Hoses
Connections
(check for excessive
wear and leaks)

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

SCRAPER Twin Engine

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify

CAB

Date:

Verify Check

Cleanliness

Plant Supplier

Plant Make

WARNING SIGNS (In Cabin)

Verify Check

Pedals in Good Condition

ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model
Serial No.
Name

WARNING DEVICES
Horn
Reversing Alarm

Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational

Phone Number

HSE-INSP-0014

SEAT BELTS
Verify Check

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Verify Check

Exhaust

Signature:

Verify Check

Exhaust

Date

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers 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 Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Verify Check

Verify Check

Handrails
Steps

Hydraulics

Verify
Tyres
Wheels
Brakes
Park Brake

Rams
Hoses
Connections
(check for excessive
Wear and leaks)

/
Note : Register if to be used on Public Roads

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

SCRAPER

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify Check

Date:

CAB

Phone Number
Plant Make
Plant Model
Serial No.
Name

Horn
Reversing Alarm
Verify Check

WARNING SIGNS (In Cabin)

SEAT BELTS

Hydraulics Verify Check

Rams
Hoses
Connections
(check for excessive
Wear and leaks)

Verify Check

Signature:

WARNING DEVICES

Verify Check

Cleanliness
Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational
Pedals in Good Condition
ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Supplier

HSE-INSP-0015

Exhaust

Date

Verify Check

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book
Verify Check

Handrails
Steps

HSE Use Only

NOTE: Sign only when all items have been checked

Plant Check By:

Verify Check

Verify Check

Tyres
Wheels
Brakes
Park Brake

Rams
Hoses
Connections

Position:
Date:

/
Note : Register if to be used on Public Roads

Hydraulics

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will check this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. Company 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 HSE Legislation

Form:

SKID STEER LOADER

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify Check

Date:

CAB

Verify Check

Cleanliness
Seat
Operator Restraint
Instruments & Labelling
Levers / Controls

Plant Supplier
Phone Number
Plant Make

WARNING SIGNS (In Cabin)

Verify Check

SEAT BELTS MUST BE WORN

Verify Check

ROPS (Roll Over Protective Structure)

Operator Instruction
(available on plant)

Serial No.
Name
Verify Check

Signature:
Date

Verify Check
Plant to conform to manufacturers specifications and HSE Plant
Regs.
Plant Operator is to provide daily checksheets HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

Pedals
Protective Mesh
Rear View Mirrors

Plant Model

HSE-INSP-0016

DANGER BEWARE OVERHEAD WIRES

& UNDERGROUND SERVICES
Verify Check

Exhaust

Hydraulics
Rams
Hoses
Connections
(check for excessive wear
and leaks)

Verify Check

Engine Guarding

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Hydraulics

Verify Check

Rams
Hoses
Connections
(check for excessive wear,
leaks and creep)

HSE Use Only

Verify Check

Tyres
Wheels
Brakes
Park Brake

NOTE: Sign only when all items have been checked

Verify Check

Plant Check By:

SWL / Crane Chart

Position:
Date:

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. Company 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 HSE Legislation

Form:

TRACK LOADER

Mobile Plant
Prestart Checklist

Issue No.:

Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify Check

Date:

CAB

Verify Check

Cleanliness

Plant Supplier

Plant Make

Verify Check

Pedals in Good Condition

ROPS (Roll Over Protective Structure)
Windows / Wipers / Washers
Rear View Mirrors
Operator Instruction
(available on plant)

Plant Model
Serial No.
Name

WARNING DEVICES
Horn
Amber Flashing Beacon
Reversing Alarm

Seat Condition OK
Operator Restraint Provided
Instruments Operational & Labelled
Levers / Controls Operational

Phone Number

HSE-INSP-0017

WARNING SIGNS (In Cabin)

SEAT BELTS

Verify Check

DANGER BEWARE OVERHEAD WIRES

& UNDERGROUND SERVICES

Verify Check
Verify Check

Signature:

Exhaust

Connecting Rods &

Safety Pins

Date
Verify Check

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE.
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Engine Guarding

Verify Check

Pivots
Connecting Rods
Safety Pins
(no excessive wear)

Verify Check

Brakes
Park Brake

HSE Use Only

Verify Check

NOTE: Sign only when all items have been checked

Plant Check By:

Position:
Date:

Verify Check

SWL if used as Crane

Lift Point

Hydraulics
Rams
Hoses
Connections
(check for excessive
Wear and leaks)

Verify Check

Tracks
Tracks Complete
Idlers Adjusted
Drivers Free from Leaks

Tracks

Verify Check

Verify Check

Tracks Complete
Idlers Adjusted
Drivers Free from Leaks

Handrails
Steps

Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE will check this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation

Form:

TRUCK and TRAILER

Mobile Plant
Prestart Checklist

Issue No.:

Articulated Vehicle
Statement of Operator Competence Required

Supplier Verification & Plant Details

Verify Check

Plant Supplier
Phone Number

Date:

WARNING SIGNS (In Cabin)

WARNING DEVICES

HSE-INSP-0018

Verify Check
Verify Check

Horn
Amber Flashing Beacon (when onsite)
Reversing Alarm
Head, Tail & Turn Indicators

Cleanliness
Seat
Seat Belts
Instruments & Labelling
Levers / Controls
Pedals
Windows / Wipers / Washers
Rear View Mirror
Current Registration Sticker

SEAT BELTS

Plant Make
Verify Check

Plant Model

Air / Hydraulics
Rams

Verify Check

Exhaust

Hoses
Connections
(check for excessive wear and leaks)
Hoist Control from Cabin

Serial No.
Name
Signature:

CABIN

Tail Gate Control from Cabin

KEEP CLEAR
AIR OPERATED TAILGATE

Date

Verify Check

Plant to conform to manufacturers specifications and HSE Plant

Regs.
Plant Operator is to provide daily checksheets to HSE .
Where applicable, Personal Protective Equipment must be worn.
Plant Log Book Detailing service history in accordance with
Manufacturers specifications should be written legibly in
English.
Contractor must produce proof of competence of operator, e.g.,
Certificate of Competence, Licence, Detailed Log Book

Verify Check

Tyres
Wheels
Brakes
Park Brake

HSE Use Only

Towing Hitch
NOTE: Sign only when all items have been checked

Plant Check By:

Verify Check

No Cuts or Splits

Position:
Date:

Verify Check

Steering Tyres
Good Tread Condition
Not Recaps

Handrails
Steps

Verify Check

Connecting Rods
Safety Pins
(no excessive wear
visible
Instructions:
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 HSE Legislation, and the requirements as detailed above. HSE Department will assess this Pre-start Checklist to ensure the supplier has verified compliance to HSE 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. 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 plant supplier to conform with the relevant HSE Legislation