Format Dump Truck

Inspection

DATE : _______________________

ACCEPT ACCEPT WITH NOTE NOT ACCEPT

SUB-CONTRACTOR : EQUIPMENT :

TAG NO. :

CLIENT : SERIAL NO. :

MODEL / TYPE :

LOCATION : ENGINE NO. :

POLICE NO. : MANUFACTURE :

KM / TRIP : YEAR BUILT :

CONDITION
DESCRIPTION COMMENTS
OK NO
GENERAL :
1. Body & Chassis
2. Paint
3. Engine Condition
4. Radiator and fan & Cover
5. Transmission
6. Propeller Shaft
7. Differential
8. Axle (Incl: Oil Quality, Oil Quantity)
9. Final Drive
10. Alternator & Relay
11. Electric Wire & Fuses
12. Air Filter & Fuel Filter
13. Horn & Wiper (Rubber Water Pump)
14. Lamp (Head Lamp, Turn Lamp,
Reverse Lamp, Brake Lamp)
15. Centre Pin & Steering Cylinder
16. Breaking System (Parking Break)
17. Fire Extinguisher
18. First Aid Kit
19. Reverse Alert/Alarm
20. Emergency lamp
21. Hydraulic Pump
22. Cabin ( Seat & Seat Belt )
23. Shift Lever & Transfer Case Shift
24. Instrument Panel
Lever
25. Air Conditioner ( Air Heater )
26. Power Steering
27. Fuel System ( Fuel Tank, Hose, Pump)
28. Exhaust & Muffler

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 Format Dump Truck
Inspection

29. Windshield
30. Air Tank & Air Hose
31. Undercarriage
32. Rush Protection
33. Hazard Lamp
34. Air Brake
35. Shock Breaker
36. Doors (Seal & Rubber), Key, Handle
37. Electrical Cable
38. Tool Kit
39. Side Protection
40. Tires & Spare Tires (Off Road Type)
41. PTO Condition
42. Hydraulic Tank
43. Stopper Rubber
44. Spring, Bushing
45. Bucket cargo, Tail gate
46. Rood dump cylinder
47. Safety Pin Lock
48. Rotary Lamp

FLUID:
49. Fuel level
50. Engine oil level & Oil Quality
51. Transmission oil level
52. Hydraulic/ power steering oil level

REMARK:

Inspected by, Witness by, Checked by, Acknowledge by,

Operator / Mechanic HSE Inspector RES Coord. HSE Coordinator

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