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

Verify Check Requirement Verify Check Requirement

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: 06/06/2019
 CONCRETE BOOM PUMP TRUCK PRE-ACCEPTANCE CHECKLIST

Instructions: Verify Box to be ticked by Owner / Supplier / Operator prior to arrival onsite. Check Box to be ticked after visual inspection by the project

Verify Check
Cabin Verify Check Environmental Verify Check Engine
Cleanliness Clean, free of organic materials (mud, dirt, Engine Mountings
Door operational weeds or seeds) prior to arrival Engine Guarding
Deadman Pedal /Switch operational Engine baffling or noise reduction equipment Exhaust Guarding
fitted as per manufacturers specifications
Handrails and ladders fitted and secure Oil Leaks/levels checked
Smoke from internal combustion engines should
Seat – adjustments operational secure not be visible for more than ten seconds Coolant Leaks/levels checked
Seat belt fitted and in good working order Adequate dunnage on board Coolant System
First Aid Kit available Hydraulics Vee Belt Condition
Verify Check
Instruments operational & labelled Air Cleaner System
Rams
UHF Radio Fitted (If not fitted, has a hand held Battery Condition / Mounting
radio been supplied) Hoses
Verify Check Pump Components
Levers / Controls Operational Connections (check for excessive, wear, leaks
and creep) Turret
Warning devices and other lights (flashing,
head, tail, etc) are appropriate for the Front Stabilizers operational Support Frame
environment in which plant is being used. Rear Stabilizers operational Pump gauges fitted are legible
(check environment noise criteria particularly if
Boom Cylinder & safety values Delivery Line, Hoses & Connections
working out of hours)
(check for excessive, wear, leaks and
Pedals in good condition creep)
Air conditioning operational Boom Pedestal
TYRES – Record Tread Depth (if required) 0
Wipers / Washers operational Slew Ring
Rear View Mirrors POS 1 (LF) ____mm POS 2 (RF) ____mm
Transport Safe Guard
Windows not damaged
POS 3 (LF2) ____mm POS 4 (RF2) ____mm Delivery Line, Hoses, Connections and
Warning Signs - SEAT BELT MUST BE WORN safety chains fitted
Warning Signs – DANGER – BEWARE POS 5 (LR3) ____mm POS 6 (RR3) ____mm
Dump valve operational if hoper gate is
OVERHEAD WIRES fitted
POS 7 (LR4) ____mm POS 8 (RR4) ____mm
Verify Check Running Gear Hopper vibration system operational
Tyres / Wheels undamaged POS 9 (LR5) ____mm POS 10 (RR5) ____mm
Brakes are operational
Park brake is operational POS 11 (LR6) ____mm POS 8 (RR6) ____mm
PLANT OWNER / OCCUPIER PLANT VERIFIER

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

Name: Signature: Date: Name: Signature: Date:

Revision No: 1 Document Number: JH-FRM-PAE-001-28 Page 2 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: 06/06/2019