Attachment (5) Equipment Safety Checklist.pdf

Attachment 05 Equipment Safety Checklists

MACHINERY AND MOBILE EQUIPMENT

(BACKHOES, DOZERS, SCRAPERS, EXCAVATORS, LIFT TRUCKS, etc.)

Contract Name and Number:

Contractor/Subcontractor:

Contractor Inspector:

Location:

Equipment name and number

Date:

Complete one checklist for each piece of equipment daily YES NO N/A

1. Where reduced visibility warrants, has all equipment been provided with additional lights or reflective markings? (18.A.05)

2. Are initial and daily/shift inspection records available? (18.A.03)

3. When machinery or equipment is found to be unsafe or when a deficiency which affects the safe operation of equipment is observed, is the equipment immediately taken out of service and its use prohibited until unsafe conditions have been corrected? (18.A.04)

4. Is machinery or equipment operated only by designated personnel?

(18.G.06)

5. Have inspections or determinations of road conditions and structures been made in advance to assure that clearances and load capacities are safe for the passage or placing any machinery or equipment? (18.G.08)

6. Are seats or equal protection provided for each person required to ride on the equipment? (18.G.01)

7. Is equipment operating on streets and highways equipped with headlights, taillights, brake lights, back light, and turn signals (visible from front and rear) and are they functioning? (18.A.05)

8. Is all equipment equipped with operable windshield wipers, and defrosting or defogging equipment and are they functioning? (18.A.03)

9. Does the unit have an emergency brake which will automatically stop the equipment upon brake failure? Is this system manually operable from the driver’s position? (18.B.04)

10. Is all maintenance (including preventive maintenance) and repairs done in accordance with the manufacturer’s recommendations and is it documented? (18.G.25)

11. Has adequate ventilation been provided when equipment powered by internal combustion engines is operating in enclosed areas? (18.G.14)

12. Are all vehicles which will be parked or moving slower than normal traffic on haul roads equipped with a yellow flashing light or flasher visible from all directions? (18.G.15)

13. Is all mechanized equipment shut down before and during refueling?

(18.G.10)

14. Are all towing devices used on any combination of equipment structurally adequate for the weight drawn and securely mounted? (18.G.28)

15. Have the wheels been chocked or track mechanisms blocked and the parking brake set when equipment is parked on an incline? (18.G.28)

16. Does the unit have a dry chemical or carbon-dioxide fire extinguisher with a minimum rating of 5-B C? (18.G.23)

17. Is there an effective, working reverse alarm? (18.B.01)

18. Is protection against hot surfaces, exhausts, etc., provided? (18.B.03)

19. Are platforms, foot walks, steps, handholds, guardrails, and toeboards designed, constructed, and installed on machinery and equipment to provide safe footing and access ways? (18.B.03)

20. Are exhaust or discharges from equipment directed so they do not endanger persons or obstruct operator vision? (18.B.06)

21. Are seatbelts installed and worn in all motor vehicles? (18.B.09)

22. Is roll over protection provided? (18.B.13)

23. Prior to each use, but no more often than daily, vehicles/equipment shall be checked by the operator to assure that the following parts, equipment, and accessories (as applicable) are in safe operating condition and free of apparent damage that could cause failure while in use: service brakes including trailer brake connections, parking system, emergency stopping system, tires, horns, steering mechanism, coupling devices, seat belts, operating controls, safety devices, accessories (lights, reflectors, windshield wipers, defrost, etc.). (18.A.03)

*Any defects identified should be immediately communicated to the contractor/subcontractor as well as a government representative. Equipment shall not be operated until deficiencies are resolved. *

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