Heavy Vehicle Accreditation Declaration "*" indicates required fields Date* DD slash MM slash YYYY Your Name* First Last Your Address* Street Address Address Line 2 Town/City State Post Code Willyung Farms Heavy Vehicle Accreditation PoliciesFatigue Management Statement Policy* I, as the owner of this company and my nominated drivers, are committed to ensuring a safe and healthy work environment. My nominated drivers and I will not be in a fatigued state or under the influence of alcohol or drugs at any time while we are in charge of, or operating, any equipment owned or operated by myself, or any company. My nominated drivers and I accept and will only operate in accordance with the Occupational Safety and Health Act and Western Australian Heavy Vehicle Accreditation.To ensure that I meet this policy in all respects, my nominated drivers and I will monitor our fitness for duty prior to commencement of work. I and my nominated drivers will comply with the nine Fatigue Management Module standards: scheduling, rostering, fitness for work, workplace conditions, training and education, responsibilities, documentation and records, management of incidents and internal review.Maintenance Management Statement Policy* In order to provide a safe, reliable transport service, I and my nominated drivers understand, and are committed to the need to maintain safe, reliable and roadworthy vehicles through a suitably planned and executed maintenance program in accordance with Western Australian Heavy Vehicle Accreditation.When operating under permit my nominated drivers and I will only use vehicles that are covered by a Maintenance Management System meeting Western Australian Heavy Vehicle Accreditation requirements. This Maintenance Management Program is structured on and adheres to the requirements of Western Australian Heavy Vehicle Accreditation. I and my nominated drivers will comply with the eight Maintenance Management Module standards: daily vehicle checks, scheduled vehicle servicing, responsibilities, records and documentation, internal review, training and education, effective fault reporting, identifying priorities and repair of faults. Dimension & Loading Management Statement Policy* I, as the owner of this company and my nominated drivers, are committed to provide a safe, reliable transport service. My nominated drivers and I understand and are committed to the need to ensure all of my vehicles entering the public road system are compliant with any regulatory requirements in regards to load, mass and dimensions in accordance with Western Australian Heavy Vehicle Accreditation.estern Australian Heavy Vehicle Accreditation.To ensure that I meet this policy in all respects, I and my nominated drivers will monitor all loads and vehicle configurations before they enter the public road system. I and my nominated drivers will comply with the five Dimension and Loading management standards: responsibilities, vehicle loading, records and documentation, internal review and training and education. Mass Management Statement Policy* I, as the owner of this company and my nominated drivers, are committed to provide a safe, reliable transport service. My nominated drivers and I understand and are committed to the need to ensure all of my vehicles entering the public road system are compliant with any regulatory requirements in regards to operating vehicle combinations in excess of the prescribed mass limits, under approved concessional loading schemes in accordance with Western Australian Heavy Vehicle Accreditation.To meet this policy in all respects, I and my nominated drivers will monitor all loads transported by my vehicle(s) to ensure they will only be loaded to the limits allowed under the Accredited Mass Management Scheme permit issued to the vehicle(s), before they enter the public road system. I and my nominated drivers will comply with the seven Mass management standards: eligibility requirements, vehicle control, vehicle loading – mass, responsibilities, records and documentation, internal review and training and education. DRIVER’S RESPONSIBILITIES • Ensure vehicle has sufficient ratings to conform to the higher mass limits • Ensure load is positioned so vehicle’s gross mass is within allowable limits • Ensure load is positioned so vehicle’s axle distributions are within allowable limits • Ensure load is appropriately restrained • Ensure appropriate permits are in place and understood before the journey commences • Ensure proposed route is approved for the particular vehicle combination and permit • Ensure auditable records are kept of each journey undertaken to show all standards have been adhered to Statement of Responsibilities* I am solely responsible for the management, operation and overall compliance of my Dimension and Loading Management, Mass Management, Maintenance Management and Fatigue Management Systems that have been implemented to meet the requirements of Western Australian Heavy Vehicle Accreditation.All tasks required by the systems will be undertaken by me and I have a thorough and clear understanding of the requirements for Dimension and Loading, Mass Management, Maintenance Management and Fatigue Management as stated in the Dimension and Loading Management Module Standards, Mass Management Module Standards, Maintenance Management Module Standards and the Fatigue Management Module Standards of Western Australian Heavy Vehicle Accreditation. DRIVER’S RESPONSIBILITIES • Fit for Duty • Daily Vehicle Checks • Daily Trip Sheet Recording • Dimension and Loading Checks • Fault Recording and Reporting • Accident/Incident form completion Signature*
