Whsmp · OPW16/0021

                                                                                  Generic Initial Inspection Checklist
                                                                                                                               HB-HSEQ-F-033
                                                                                                                                   Version: 2



Project:                                                                Date:
Plant Operator:                                                         Current Metre Hours:
Mobile Number:                                                          Service frequency:
Licence Type:                                                 Last Service Date / Hours:
Licence Number:                                               Next Service Date / Hours:
Required Licence:                                             Plant Make:
Plant Registration No.:                                       Plant Model:


      HAZARDS              TYPE           HAZARDS              TYPE             HAZARDS           TYPE          HAZARDS               TYPE
                                                                        Struck by moving                   Ergonomic problems
Entanglement from                   Shearing of two
                                                                        and unexpected                     due to bad seating,
moving parts                        parts of plant items
                                                                        plant movements                    plant controls
                                    Electric shock and                  Slip trip or fall form
Failure of emergency                                                                                       Exposure to plant
                                    burns due to poor                   wet surfaces or lack
stop button                                                                                                noise
                                    maintenance                         of hand rails
                                    Explosion by plant
Crush by plant                                                          Exposure to high and               Unsafe plant
                                    operation dust, gas,
movements                                                               low temperatures                   operations
                                    vapours, liquids
Cuts, stabbed by                                                        Exposed to High
                                    Friction from moving                                                   Suffocation due to
projections or flying                                                   pressure fluids or
                                    dry surfaces                                                           lack of oxygen
objects                                                                 gases

Minimum requirements for plant on Hutchinson Builders Sites: (tick that the applicable documentation has been sighted)
           Plant to conform to manufacturer’s specifications and Plant Regulations
           Plant 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, and detailed Log Book

I hereby confirm that the above risk assessment of the plant has been undertaken to form an opinion that the plant is fit
for purpose;
• From the above results of the assessment and inspection above;
• Plant is maintained to a scheduled maintenance program, in accordance with the manufacturer’s recommendations;
 Records of this schedule can be viewed at:     Site Office      On Plant     In Cabin of Plant

I/we are fully aware of the responsibilities under State WHS Legislation in relation to plant assessment requirements.

Signed by person doing the assessment - Operator / Employer:
Name:                                             Position:                                                   Date:
Reviewed and accepted for plant to be used on site by Hutchinson Builders Site Management:
Name:                                             Position:                                                   Date:

    Accepted                                  Site compliance sticker attached to plant

    Accepted with Conditions: