DUQM Refinery Project EPC Package One

DAILY MOBILE EQUIPMENT INSPECTION CHECKLIST FOR THE MONTH OF 2020

Contractor Name: _______________________ NO: DRP001-PUC-PRO-Z-000-039-TMP01
Equipment Name TRD Sticker No. Competent Person Name ID #

Symbol 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 1 1 1 1 2 2 2 23 24 25 26 27 28 29 30 31
No Check 5 6 7 8 9 0 1 2
1 Operator PPE

2 All Mirror in good condition

3 Operator Cabin Clean

4 Fire Extinguisher

5 Tires

6 Battery

7 Back up Alarm & Horn

8 Glass & Windows Wiper

9 Fan Belt
10 Lights (Head, Break & Single)

11 Engine Oil Level/ Hydraulic oil

12 Fuel Level

13 LMI & Anti two block Function

14 Lord Chart Available

15 Outrigger

16 Hose Connection and Fittings

17 Seat Belt

18 Beacon Light
19 Gauge

20 First Aid kit

21 Break System

22 Road Test (Forward & Back)

23 Tools (Hydraulic Jack)

24 ROP Document
25 Valid Drivers License
26 Vehicle Registration/Malkiya
Checked by: Signature
Acknowledged by: Sub-Contractor Safety Name
/Sign

Verified by: Sub- Contractor Equipment Inspector (End of Month) Received by: Trd Equipment Inspector (End of Month)
Name: ___________________________________ Name: _________________________________________
Signature: ________________________________ Signature: _______________________________________
Date: ____________________________________ Date: ___________________________________________ Legend
Good √
Poor ×
Not Applicable N/A
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