Mobile Plant LOADER Form:

Issue No.: 1

Prestart Checklist Date:

Supplier Verification & Plant Details Verify Check CAB Verify Check WARNING DEVICES
Cleanliness Horn
Plant Owner: Seat Condition OK Amber Flashing Beacon <2.4t SWL
Operator Restraint Provided Reversing Alarm
Address: Instruments Operational & Labelled
WARNING SIGNS (In Cabin)
Levers / Controls Operational Verify Check
City/Suburb:
Pedals in Good Condition SEAT BELTS MUST BE WORN
Phone: Windows / Wipers / Washers Verify Check
Rear View Mirrors DANGER – BEWARE OVERHEAD WIRES
Plant Make: Operator Instruction
(available on plant) Verify Check
Plant Model: Exhaust
Verify Check
Serial No.: Verify Check
Pivots
Signature: Engine Guarding
Connecting Rods
Safety Pins
Date: (no excessive wear)
Verify Check

 Plant to conform to manufacturer’s specifications and RoK Plant Tyres

Regs. Hydraulics Wheels
Verify Check
 Plant Operator is to provide daily checksheets to plant group on a
weekly basis Rams Brakes
 Where applicable, Personal Protective Equipment must be worn. Park Brake
 Plant Log Book Detailing service history in accordance with Hoses
Manufacturer’s specifications should be written legibly in Connections
English.
 Contractor must produce proof of competence of operator, e.g., (check for excessive
Certificate of Competence, Licence, Detailed Log Book wear, leaks and creep)
Verify Check

Handrails
Steps
Verify Check Crush Point Hazard Verify Check
NOTE: Sign only when all items have been checked Sign displayed both
SWL if used as Crane sides
Plant Check By: Lift point

Position:
Instructions:
Date: / / Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite.
Note : Register if to be used on Public Roads
Check Box to be ticked after visual inspection by HSE Department

This is to certify that the plant being supplied conforms to the relevant RoK OH&S Legislation, and the requirements as detailed above. HSE Department will check this Prestart Checklist to ensure the supplier has verified compliance to RoK 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. 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