PLANT PRE ACCEPTANCE CHECKLIST

SECTION 1. PLANT DETAILS

Plant/Description: Skid Steer Registration # 64812D
(If applicable):
Manufacturer: Kubota Year of 2016
Manufacture:
Serial Number: 11985 Model: SSV65
List of Modifications N/A
and/or Attachments:
Current Hours / Kms.: Date of 10/10/2022 Next Service 1550Hrs
Last Due:
Service:
Owned by: All Pavement Type of VOC
Solutions Licence/
Ticket
required to
operate:
Intended Use: Loading Tipper Location/Work Campbell
trucks Area: Town
Date to commence on site: 23/10/2023 Duration on
site:
Supply Type:
(Tick what applies)

Section 2. Documentation Yes No N/A Need Comments

Actions
Plant Risk Assessment 
Operators Manual 
All hot surfaces guarded (engine and exhaust). 
Tracks /tyres in good condition 
Plant has arrived clean and free from all loose soil, mud, 
weeds and other vegetation
Load charts in operators manual (if plant is used for 
lifting)
Rated Capacity (in kg). clearly marked 
Certification of quick hitch attachment /lifting points 
Equipment certification 
Registration Plate attached to Machine 
Reverse Camera 
Reverse/motion beeper working (must be 
broadband/squawker)
Flashing Beacon installed and fully functioning 
Horn Functioning 
All controls labelled and functioning 
Emergency Stops clearly marked and fully functioning 

FM-087 Plant Pre-Acceptance Checklist Rev 1 Page 1 of 2

 PLANT PRE ACCEPTANCE CHECKLIST
Fire Extinguisher onboard, tagged and within required 
dates for testing (every 6 months)
Roll Over Protection (ROPS) fitted 
Level 1 Falling Object Protection (FOPS) fitted 
(protection of small tool, bricks, handtools etc)
Level 2 Falling Object Protection (FOPS) fitted (trees, 
rocks, heavy objects. Equipment used in demolition)
Item Registration (if applicable) 

• mobile cranes more than 10 tonnes

• truck mounted concrete placement units with
delivery booms

Design Registration (if applicable) 

• concrete placing booms

• prefabricated scaffolding
• boom type elevating work platforms
• mobile cranes with a rated capacity of greater
than 10 tonnes

Burst protection installed for all equipment used for lift 

( including backhoe/excavator)
Excavator Height/Slew Restrictors installed and fully 
functioning
Two-way radio 
Access/Egress Points allow for 3 points of contact 
All windows/glass fitted and undamaged 
Hand Brake Alarm fitted 
Wheel Chocks available 
Seat Belts fitted 
No visible signs of fuel or oil leaks 
First Aid Kit available, and location clearly identified 
Major services undertaken on the following plant 
Concrete boom - 6 years,
Mobile cranes, piling and drill rigs, EWP, Scissor Lifts, Boom Lifts,
Vehicle Mounted Lifts - 10 years
Annual inspection 

SUMMARY OF THINGS TO BE ADDRESSED AND RESOLVED

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TO BE CLOSED OUT BY ________________________________________________ DUE DATE __/___/____

FM-087 Plant Pre-Acceptance Checklist Rev 1 Page 2 of 2