Week day Week No.

: HARADH &HAWIYAH FIELD GAS Daily Checklist Excavator

Remarks COMPRESSION PROJECT
S S M T W T F Company:
1.1 Equipment No: Model: Date From: To:
1.2
1. Cabin 2. Stick 3. Lights
1.3 1.1 Cleanliness 2.1 Pivots 3.1 Front lights
1.2 Seat Condition 2.2 Connections
1.4 1.3 Operator Restraint Provided 2.3 Safety Pins
3.2 Reversing lights
1.4 Instruments Operational & Labelled
1.5 1.5 Levers / Controls Operational
1.6 1.6 Pedals in Good Condition
4. Warning Signs (in cabin)
1.7 Windows / Wipers / Washers .

1.7 1.8 Rear View Mirrors 4.1 ‘DANGER: BEWARE OVERHEAD WIRES
1.9 Fire Extinguisher & UNDERGROUND UTILITIES’
1.8
1.9
2.1
5. Lifting 7. Hydraulics
5.1 SWL if used for
7.1 Cylinders & Hoses
lifting
2.2 7.2 Connections (check for excessive
leaks and creep)
2.3 7.3 Non-return valve

3.1
3.2 11 Warning Devices
4.1 .
11.1 Horn
5.1 11.2 Movement Alarm

6.1 6. Technical
6.1 Exhaust
6.2 6.2 Engine Guarding 10 Bucket
9. Tracks .
7.1 9.1 Tracks/caterpillar
8. Access chains.
10.1
10.2
Safety Pins
Quick hitch (where applicable)
7.2 8.1 Handrails & Steps 9.2 Upper/lower rollers (If Quick Hitch is fitted NO LIFTING
7.3
8.1
9.1 Checks performed by Equipment Operator Verification by Field Supervisor:
9.2 Name & Signature: Name & Signature:
10.1
10.2 Date: Date:
11.1
11.2 Instructions: - Indicate every day with ‘O’ if ok; ‘N’ if not ok; ‘---‘if not applicable. Initial in the last row
11.3 at the bottom every day.
- This checklist must be kept in the Equipment until the end of the week. After the last
initial day (= Friday), the checklist must be signed by the Equipment Operator and verified by
the Supervisor. The filled out form shall be filed by the HSE department.