Form is successfully submitted. Thank you!Scissor/EWP TCRScissor Lift & EWP <11mDetailsPre-Start CheckSet up OperateShutdowmFinalCompany DetailsDateStart TimeAssessor NameGavin MichalowskyAndrew HawesAndrew McGuireSend toGavinAndrew MAndrew HCompanyPlease selectVisy 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 AddressPlease select168 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 AssessmentRe-AssessmentLicence/Certificate #Expiry DateState of issuePlease selectVICNSWQLDWASANZLicence ClassEmail Renewal Reminder ToUpload Licence/Certificate Upload% Completed02nd Image Upload% Completed0Equipment DetailsEquipment TypeScissor LiftModelPlease selectJBCToyotaCapacityPlease select8T10T12T15T18TPower TypeElectricDieselOther Information (if not in dropdown menu's) Unit 1 - Conduct Pre-Start ChecksOutcomeCompetentNot Yet CompetentIssue IdentifiedNoneSee 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 PlansOutcomeCompetentNot Yet CompetentIssue IdentifiedNoneSee CommentsAdditional Comments Unit 3 - Set Up OperationsIssue IdentifiedNoneTurn with load/forks raisedSee CommentsOutcomeCompetentNot Yet CompetentAdditional CommentsUnit 4 - Equipment OperationsIssue IdentifiedNoneSee CommentsFailed to lay forks flat on the groundOutcomeCompetentNot Yet CompetentAdditional Comments Unit 5 - Shutdown EquipmentIssue IdentifiedNoneDismounted incorrectlySee CommentsOutcomeCompetentNot Yet CompetentUnit 6 - Charging / RefuellingIssue IdentifiedNoneSee CommentsOutcomeNot AssessedCompetentNot Yet Competent Unit 7 - QuestionnaireAssistedPlease select12345678910Questions assisted with12345678910Additional CommentsOverall OutcomePlease selectCompetentNot Yet CompetentIssues IdentifiedPlease selectYesNoFinish Time Submit
