SISHEN MINE

IMPLEMENTATION DATE 2018-10-01

TMM INSPECTION LIST FOR PUBLIC VEHICLES REV 05
DOC NO SHEQ-PAM-FORM-048

Name of driver: Company Name:

Emp. / ID No: Contact No:
Equipment Detail
OEM and type of TMM
OEM Model
Identification
Registration No. signage B & C-areas
A – Offices
Area of use A B C B – Plant
C – Pit or Red Area
Mark correct with “yes” or “  “ Mark wrong / incorrect with “no” or “  “ Mark not applicable with “NA” or “ - “
Inspection Detail Mark Additional data
Tyres, Rims, Nuts/Studs, thread A, B, C
Wheel-nut indicators (If applicable) A,B, C
Brakes - Service A, B, C Refer to Sheq-TMM-PRO-136 or SIMRET Brake Tester
Brakes - Park A, B, C Refer to Sheq-TMM-PRO-136 or SIMRET Brake Tester
Refer to ENG-SPEC-007 (12/24 VDC 65-75 FPM (Quad
Orange Rotary Light B, C flash)
Head Lights A, B, C
Tail Lights A, B, C C-area: Elevated lights at the back at least 1.8 m from ground level
Brake Lights A, B, C C-area: Elevated lights at the back at least 1.8 m from ground level
Indicators A, B, C C-area: Elevated lights at the back at least 1.8 m from ground level
Reverse Light or Reverse Hooter A, B, C Reverse Hooter where restricted vision
Mirrors / Reverse Camera A, B, C Reverse camera where restricted vision
Windscreen, Windows, Wipers A, B, C
Seats & Safety Belts A, B, C
Airbags B, C
Air conditioned Cabin (If applicable) C
Roll-over Protection (ADT approved) C
Anti-Collision Device (CAS) C
Controls (Pedals, speedometer, etc.) A, B, C
Spillages or Leaks (Oil, fuel, etc.) A, B, C
Expiry
Roadworthy Certificate(If applicable) A, B, C Date:
Expiry
Proof of Licence (Paper Disc) A, B, C Date:
Reflective taping B, C White front, Yellow sides and Red rear
Elevated Flag C 5 m from ground level for TMMs with a height less than 3.5 m
Red Triangles (x3) A, B, C
Horn or Siren A, B, C
Expiry LDVs 9kg and cars 2.5kg ABC-
Fire Extinguisher (If applicable) A,B, C Date: type
Chock Blocks C At least x 2
Odometer or Hours Reading A, B, C Km or Hours:
Service Record A, B, C Km or Hours: Date: Latest service
Pre-shift Inspection Book (If applicable) A,B, C
Medical Kit (If applicable) A,B, C Expiry Date:
Two-way radio C Refer to ENG-SPEC-007
Refer to Sheq-TMM-STD-
Towing bracket A, B, C GVM (kg) 010
Inspection Outcome
The TMM mentioned are hereby declared as: SAFE NOT SAFE to use on Sishen premises
Appointed 2.13.3.1 /2.13.3.2 /2.13.1 Engineer or Delegate to perform inspection:

Name, Engineer Signature Name, Inspection Official Signature

Emp. Number Engineer Date Emp. No Inspection Official Date

Refer to the Waypoint Document Management System for the latest version of the document. Copyright resides with the company. Page 1 of 2
 SISHEN MINE
IMPLEMENTATION DATE 2018-10-01
TMM INSPECTION LIST FOR PUBLIC VEHICLES REV 05
DOC NO SHEQ-PAM-FORM-048

Refer to the Waypoint Document Management System for the latest version of the document. Copyright resides with the company. Page 2 of 2