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  • Contractor Name - : Check Sheet Concrete Bucket Doc Number:-HSE-CL-28 Project Name

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    Vikas Yamagar
    851 views1 page
    This document is a checklist for inspecting a concrete bucket. It contains 8 items to check including the condition of supporting legs, handles, joints, secondary protection, shutter, bucket, and certification. For each item, the inspector notes whether photos were taken and marks Y/N to indicate if the item passed inspection. The checklist must be signed by the engineering incharge, safety department, and operator/signalman.

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    Original Title

    Concrete Bucket (2)

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    This document is a checklist for inspecting a concrete bucket. It contains 8 items to check including the condition of supporting legs, handles, joints, secondary protection, shutter, bucket, and certification. For each item, the inspector notes whether photos were taken and marks Y/N to indicate if the item passed inspection. The checklist must be signed by the engineering incharge, safety department, and operator/signalman.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    851 views1 page

    Contractor Name - : Check Sheet Concrete Bucket Doc Number:-HSE-CL-28 Project Name

    Uploaded by

    Vikas Yamagar
    This document is a checklist for inspecting a concrete bucket. It contains 8 items to check including the condition of supporting legs, handles, joints, secondary protection, shutter, bucket, and certification. For each item, the inspector notes whether photos were taken and marks Y/N to indicate if the item passed inspection. The checklist must be signed by the engineering incharge, safety department, and operator/signalman.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Check sheet Concrete Bucket Doc Number:-HSE-CL-28

    Project Name:
    Equipment No. Date of Inspection :
    Location: Next Due Date:

    7
    3

    5 1

    -Contractor Name Doc No.:


    SL NO CHECK ITEM PHOTOS Y/N SL NO CHECK ITEMS PHOTOS Y/N
    S
    Su
    Wah
    T
    M
    F S
    Su
    Wah
    T
    M
    F
    e e
    Supporting legs are in good
    condition free from any
    Shutter are free from
    1 crack/bend/dent/corrosion) & 5
    leakage
    erected in a firm and leveled
    ground

    Are Any Crack near joint of


    Shutter are free and
    2 Handle or it is found any 6
    easy to operate
    corrosion nearby

    Secondary Protection is in
    good condition and Rope
    3
    sling and D-shackle is
    certified.

    Bucket are free from


    7
    Concert

    Inter connecting joints of


    4 handle is free from corrosion
    and damage DOCUMENTS

    8
    Concrete Bucket is tested and certified by third party

    NAME SIGNATURE DATE


    Checked by Engineering Incharge

    NAME SIGNATURE DATE


    Checked by Safety Dept.

    NAME SIGNATURE DATE


    Chkd by Operator / Signalman

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