TITLE SSHEQ Inspection NBR.

OF PAGES 2 PAGE 1 OF
CONTROL EFFECTIVE
MLC-OP-LSQ-FM-15 01/03/2021
.NBR DATE

Date Driver Name

Area ID Number

Trailer number :Type Door Number

D Description Yes No Description Yes No

r Safety helmet First Aid Box
i S
v af Fire Extinguisher )2(
Safety Shoes
e et 6KG
r HV Vest (Reflectorized) y Triangles )2(
D
Safety Glasses e Jack
C
vi
h Safety gloves Wheel Spanner
c
e
Uniform (Pants & Shirts) e Speed Limiter
c
k Face Mask VTS/ GPS Device

T Description T Description Trailer

Cleanli
k c u r

k c e h c r le ai r

nessTr
Yes No Yes uck
Appea
rance
No
k c e h C

Horn / Reverse Alarm Tire & Pressure

Seat Belt Spare Tire
Wind shield damages Brake Lights
Mirrors(Left & Right) Air Connector
Lights(Head, Rear) Electrical Cable
Safety lights Container Twist Lock
Fuel Tank(Leak/Damages) Trailer Tool Box
Leaks Trailer stopper ( Chock)
Battery Landing gear
Side, rear barriers & Side, rear barriers &
reflective tape reflective tape

Dr

_________________________________________________________________________________________Remarks

_________________________________________________________________________________________________

______________________________ :INSPECTOR'S NAME

_______________________________:SIGNATURE
 TITLE SSHEQ Inspection NBR. OF PAGES 2 PAGE 2 OF
CONTROL EFFECTIVE
MLC-OP-LSQ-FM-15 01/03/2021
.NBR DATE

F
i
f
t
h

W
h
e
e
l
&

G
r
e
a
s
i
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g
Loa Descri Y No
d ption e
Sec s
ure
me
nt
Tires
&
Spare Tires Proper Lashing
Press
ure
Mezan Card  Chains ,
Istimara  Plastic belts
Driver's License  Side sticks
Insurance  U-saddle
Number Plate(2) Twist locks

_________________________________________________________________________________________Remarks

_________________________________________________________________________________________________

______________________________ :INSPECTOR'S NAME

_______________________________:SIGNATURE