CONCRETE BOOM PUMP TRUCK PRE-ACCEPTANCE

CHECKLIST

PLANT DETAILS
Plant Owner: Address: Ph:

Plant Make: Plant Model: Plant Serial No: Hours / KM’s:

Roads Reg No: Reg Expiry: Project Registration No: Project Asset No:

Last Service Date / Hrs: Next service Date / Hrs: CraneSafe Permit No: CraneSafe expiry date:

State (eg: WorkCover) Plant Registration No

MINIMUM REQUIREMENTS (If the minimum requirements are not met, a plant sticker will not be issued and the item of plant is not to commence work) 0

Verif Check Requirement Verify Chec Requirement

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Operator and Maintenance Manual available Plant Hazard Assessment Sighted & Current (within 2 yrs):

Logbook / Service Records (checked ok): Plant Hazard Assessment Inspection Date: / /

Audible Alarm and other Warning Devices fitted, operable and Daily Prestart Inspection Checklist is available for use.
suitable for site conditions

Fire Extinguisher Fitted and charged Operation instruction for machine setup on outriggers present

Pipe thickness check sheet

Revision No: 1 Document Number: JH-FRM-PAE-001-28 Page 1 of 3
When printed this document is an uncontrolled version and must be checked against the IMS electronic version for validity
Issue Date: 22/10/2014 Printed: 07/04/2014
 Verify Check Engine
Engine Mountings
Engine Guarding
Exhaust Guarding
Oil Leaks/levels checked
Coolant Leaks/levels checked
Verif Environmental
Verify Check Cabin Check Coolant System
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Cleanliness Clean, free of organic materials (mud, dirt, Vee Belt Condition
Door operational weeds or seeds) prior to arrival Air Cleaner System
Deadman Pedal /Switch operational Engine baffling or noise reduction equipment Battery Condition / Mounting
Handrails and ladders fitted and secure fitted as per manufacturers specifications
Verify Check Pump Components
Smoke from internal combustion engines
Seat – adjustments operational secure Turret
should not be visible for more than ten seconds
Seat belt fitted and in good working order Support Frame
Adequate dunnage on board
First Aid Kit available
Verif Hydraulics Pump gauges fitted are legible
Instruments operational & labelled Check
y Delivery Line, Hoses & Connections
UHF Radio Fitted (If not fitted, has a hand held Rams (check for excessive, wear, leaks and
radio been supplied) creep)
Hoses
Levers / Controls Operational Boom Pedestal
Connections
TYRES – Record Tread(check for (if
Depth excessive,
required)wear, leaks
Warning devices and other lights (flashing, Slew Ring
and creep)
head, tail, etc) are appropriate for the POS 1 (LF) ____mm
Front POS 2 (RF)
Stabilizers operational ____mm Transport Safe Guard
environment in which plant is being used.
(check environment noise criteria particularly if POS 3 (LF2) Rear Stabilizers operational
____mm POS 4 (RF2) ____mm Delivery Line, Hoses, Connections and
working out of hours) Boom Cylinder & safety values safety chains fitted
Pedals in good condition POS 5 (LR3) ____mm POS 6 (RR3) ____mm Dump valve operational if hoper gate
Air conditioning operational is fitted
POS 7 (LR4) ____mm POS 8 (RR4) ____mm
Wipers / Washers operational Hopper vibration system operational
Rear View Mirrors POS 9 (LR5) ____mm POS 10 (RR5) ____mm
Windows not damaged Instructions: Verify Box to be ticked by Owner / Supplier /
POS 11 (LR6) ____mm POS 8 (RR6) ____mm Operator prior to arrival onsite. Check Box to be ticked after
Warning Signs - SEAT BELT MUST BE
WORN visual inspection by the project
Warning Signs – DANGER – BEWARE
OVERHEAD WIRES
Verify Check Running Gear
Tyres / Wheels undamaged
Brakes are operational
Park brake is operational

PLANT OWNER / OCCUPIER

PLANT VERIFIER
I certify that the described plant has met the inspection criteria stipulated within this checklist and is being serviced and maintained in accordance with the manufacturer’s specifications

I certify that I have verified that the described plant has met the inspection criteria stipulated within this checklist and is being serviced and maintained in accordance with the manufacturer’s specifications

Name: Signature: Date:

Name: Signature: Date: