SAUDI ARAMCO RE-ROUTE PIPELINE IN

RASTANURA AREA
CHAIN BLOCK CHECKLIST: DAILY

COMPANY: China Petroleum Pipeline Bureau BI # 10 - 01443 Contract No.: 6600037860

NAME OF COMPETENT PERSON TO INSPECT: CHAIN BLOCK NO: MONTH & YEAR:

…………………………………………………………………… ……………………….………. ………………… / 20…….

POINTS TO BE CHECKED Start Date:…...…/………/20……. End Date:…...…/………/20…….

Sat Sun Mon Tue Wed Thu Remark

• Correct Color Code / tag

• No physical damage

• Casings not damaged or cracked

• Chain not kinked or damaged

• Hand chain not damaged or kinked

• Smooth action, no binding when

operated

• All bolts tight

• No cracks in hook

• No damage to hook latch

• Hook not bent or distorted.

• Other (describe):

Appointed person checked:

Appointed Operator certified:

Safety Officer checked on date:

Safety Supervisor to sign:

REMARKS: To Standard.
OK
May be Used
Physical Damage
PD
Do Not Use