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No : FORM-03-OHSE-63
EXCAVATION Revision : 00
Date : 15 Nov 2017
INSPECTION CHECKLIST Page : 1 of 1

Project/Site :
Date of Inspection :
S/N of equipment :
Contractor :
Location of inspection :

No Description Good Poor N/A Remarks


1 Operator Certificate ( SIO ) / SIO Operator
2 Third party Certificate ( SILO )
3 Wiper
4 SWL Marked on the Arm ( If Use for Lifting )
5 Horn
6 Emergency Shutdown System ( ESD )
7 Hydraulic System and Hose Condition
8 Lightings
9 Spark Arrester
10 Safety Sign ( At Counter Weight )
11 Cabin Condition
12 Battery ConnectIon and Protective Cover
13 Fire Extinguisher
14 Engine and Fuel System ( leak )
15 Tire or Track Condition
16 Mirror
17 Maintenance log Book
18 Air conditioner
19 Insulation of Exhaust Pipe
20 Housekeeping
21 Fuel level
22 Oil level & pressure
23 Water level & fan belt
24 Hour meter and gauges
25 Electrical Cable and Insulation
26 Reverse Alarm
27 Coolant level
28 Transmission oil level and pressure
29 Air cleaner
30 Lifting system components
31 Windshield
32 Door and Windows
33 Jack
34 First Aid Kit
35 Color Code
36 Sticker Inspection
37 Stairways & handrail
38 Seat Belt

Inspected by CTR (OHSE & Authorized Person) Acknowledged by OHSE Dept


Name : Name : Name :
Position : Position : Position :
Sign : Sign : Sign :

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