- Note 1 If not undertaking lifting operations complete Part A only
- Note 2 If undertaking lifting operations complete Parts A and B
- Note 3 For shift changeover details complete Part C
AMachine Controller Checklist
Machine Controller details
OTP Operator details
Location details (Mileage / Signal / Point End etc)
to
to
Isolation limits defined & briefed
Plant details
* If equipment supplied is different to that planned the Machine Controller should review the equipment supplied to determine its suitability to perform the task.
Machine condition and briefing
All answers shall be “Yes” (or “N/A” where the option is provided) before any work is undertaken.
Action notes from previous questions
Signatures – Part A
Second signature row
Are lifting operations being undertaken?
If yes, complete Part B – Crane Controller Checklist.
BCrane Controller Checklist
All answers shall be “Yes” (or “N/A” where the option is provided) before any work is undertaken.
Note: For lifting operations involving multiple machines complete a checklist for each Machine and its operator.
Signatures – Part B
Staff involved in the lifting operation
Action / notes from previous questions
CShift Changeover
Complete on shift changeover where no changes to the checklist are required.