FACILITIES CHECK SHEET

Appendix 5

The accredited training provider is to complete this document, to record and describe any premises at which

certification is offered that has not been inspected and approved by the authorised body ie client’s premises

Question

Remarks

1

Full physical address details of the premises, including name of organisation, street address, suburb/industrial area, city/ town and the location of the practical training/test route area at premises

2

Lifting machine code/s and description/s for which training is offered at the premises

3

Description of equipment used and identification number of equipment

4

The lifting machine capacity or rating

5

Description of any attachments fitted to the lifting machine

6

A general description of the duration training, re-certification done, and test route used at the premises

7

Describe any limitations to the training and test route that may deviate from the standard routes set out in the code of practice for a specific lifting machine code.

8

Describe any inherent dangers prevalent in the use of the lifting machine at the premises.

Signature of Client

Signature of assessor