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DTH Infra Engg. (P) Ltd.

Civil and Structural Works for Installation Of


“Indresidh” Demonstration Plant at Panipat

Format No:. IOCL/LTHE/DTH/HSE/FO/11


Daily Boom Lift Checklist

Company: __________ SWL ____________ Month: ______________

TPI Validation______________ Operator Name____________

ITEMS TO CHECK Checked Sign Remarks


By
Date Time Contr Hydraulic Emergency Body/Tyre Platform/Railin Cable/Battery
ol Leakage stop condition g condition
Panel

01

02

03

04

05

06

07

Checked by contractor Engineer/Supervisor

Rev. Prepared Reviewed Checked & Approved

Signature

Name Mr. Hemant Sharma Mr. Azad Singh Mr. Rajeev Kumar Sharma

Designation HSE Lead (DTH) RCM (DTH) RCM (LTHE)

Date

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