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TOTAL E & P INDONESIE

TUNU FIELD DEVELOPMENT


PROJECT - PHASE 9 - EPSC 2
GNT-28-9-080-P:F-04
DAILY VEHICLE SAFETY
PT. PUNJ LLOYD INDONESIA
INSPECTION REPORT

ITEM OK NOT OK ACTION REMARKS

Foot Brake

Parking Brake

Steering

Shock Absorbers

Chassis

Body

Wheels / Tyres

Headlights

Tail Lights

Stop Lights

Indicator Lights

Wiper/Washer

Indicator Lights

Mirrors

Seat Belts

Horn

Safety Device

Other

Sign of Driver Sign of Dept. Supervisor


TOTAL E & P INDONESIE
TUNU FIELD DEVELOPMENT PROJECT,
TUNU 11 S / EPSC 5
DP HSE : F -04
DAILY VEHICLE SAFETY INSPECTION
PT. PUNJ LLOYD INDONESIA REPORT
Date of Inspection : Location:
Serial Number Vehicle :

ITEM OK NOT OK ACTION REMARKS

Foot Brake
Hand Brake
Steering
Shock Absorbers
Chassis
Body
Wheels / Tyres
Headlights
Tail Lights
Stop Lights
Wiper/Washer
Mirrors
Seat Belts
Horn
Safety Device
Signal Lights
Lacing
Coupled Trailler
Break Trailler
SWL Trailler
First Aid Kit
Hand Tools
Tyres Part
Signal Lights go back
Triple Sign
Seating Arrangements
Cabin Light
Windows
Door
Cover Battery
Fuel Tank
Electric Connections
Jack
Safety Belt Pipe
Driver Lincense
Fire Extinguisher
Other

Sign of Driver Inspected by, Sign of Dept. Supervisor

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