Form Submission is restrictedForm is successfully submitted. Thank you!FilterScissor/EWP TCRScissor Lift & EWP <11mDetailsPre-Start CheckSet up OperateShutdowmFinalCompany DetailsDateStart TimeAssessor NameGavin Michalowsky Gavin MichalowskyAndrew HawesAndrew McGuireSend toGavin GavinAndrew MAndrew HCompany Visy BoardVisy LogisticsVisy PlasticsVisy Bev CanVisy VBAMVisy CCPVisy Paper Mill VP2Visy Paper Mill VP3Visy Paper Mill VP4Visy Paper Mill VP5Visy Paper Mill VP6Visy Paper Mill VP7Visy Paper Mill VP8Visy RecyclingSelect Address168 Paringa Road, Murarrie, QLD, 4172 168 Paringa Road, Murarrie, QLD, 417213 Reo Crescent, Campbellfield, VIC, 3061110 Eastlake St, Carrara QLD 421116-20 Johansson Rd, Wingfield SA 5013Other Address (if not in dropdown menu)Operator DetailsOperator NameDOBAssessment1st Assessment 1st AssessmentRe-AssessmentLicence/Certificate #Expiry DateState of issue VICNSWQLDWASANZLicence ClassEmail Renewal Reminder ToUpload Licence/Certificate Upload% Completed02nd Image Upload% Completed0Equipment DetailsEquipment TypeScissor Lift Scissor LiftModel JBCToyotaCapacity 8T10T12T15T18TPower TypeElectric ElectricDieselOther Information (if not in dropdown menu's) Unit 1 - Conduct Pre-Start ChecksOutcomeCompetent CompetentNot Yet CompetentIssue IdentifiedNone NoneSee CommentsObservation Elements - Data plate – accurate/legible - Annual inspection verified - visual inspection of the structure for defects or damage - all controls and emergency stops - emergency controls and retrieval system - alarms - air, hydraulic and fuel system leaks - brakes, wheels and tyres - Placards/labels/decals - guardrails, including gates with self-closing action - personal protective equipment (PPE) - Engine – fluids/filters/belts/hoses (If applicable) - Batteries – clean/dry/secure/caps-cables/level - operate the EWP using the ground controls - any other items indicated in the operations manual. Powered Checks - Engine – starts/oil pressure - Battery – charge level - Gauges & instruments – hour meter/warning lights -Additional CommentsUnit 2 - Inspect Site and Work PlansOutcomeCompetent CompetentNot Yet CompetentIssue IdentifiedNone NoneSee CommentsAdditional Comments Unit 3 - Set Up OperationsIssue IdentifiedNone NoneTurn with load/forks raisedSee CommentsOutcomeCompetent CompetentNot Yet CompetentAdditional CommentsUnit 4 - Equipment OperationsIssue IdentifiedNone NoneSee CommentsFailed to lay forks flat on the groundOutcomeCompetent CompetentNot Yet CompetentAdditional Comments Unit 5 - Shutdown EquipmentIssue IdentifiedNone NoneDismounted incorrectlySee CommentsOutcomeCompetent CompetentNot Yet CompetentUnit 6 - Charging / RefuellingIssue IdentifiedNone NoneSee CommentsOutcomeNot Assessed Not AssessedCompetentNot Yet Competent Unit 7 - QuestionnaireAssisted 12345678910Questions assisted with12345678910Additional CommentsOverall Outcome CompetentNot Yet CompetentIssues Identified YesNoFinish Time Submit
