SPTL-MSI-HSE-FR-16

Doc Ref No:

Revision No: 01

INSterlitePower SAFETY CHECK LIST VEHICLE/CAB Releae Date:05/05/2019

Project Name: K8-SaP-VA Line/section: DK 23.

:63/ 0.J 9OII.
Channel partner M OE8 TAINLOg
TUV.3004WD)Vehicle teg 10 No: K-A@-J2.34-|
Vehicle Make/Model: MfHIINDAADescrlption Ohservations (Yes Action taken
SI No
/ No)

s the vehicle's Registration Certificate, Insurance&& PUC Certificate E

available?
Is the driver having valid Driving License or Competence
Ye
Certificate?
Has the driver undergone Medical Check-up & found fit for
deployment?
4 Are seat belts available & in working condition? y ES
Is First aid box & Fire extinguisher available in vehicle? YES
6Is Emergency Contact No. displayed inside vehicle? YEB
s the horn & reverse horn working?
s the propelling brake & hand brake working properly?

9
Is the rear view mirror clear & adjusted properly?

10 Is the wind shield wiper blades working? yES.

11Is the directional turn signals working properly?
12Is the head light lamps working properly? yeR
13 s tyre thread condition good &having adequateworking pressure?
Is the wind shield without any cracks or physical damage?
14
Is the various warning indicators like Speed, oil, coolant,etc. in yE
15 working condition?

Is the rotating parts guarded/covered adequately?

Is the doors lock working properly to prevent unauthorized YES
1Loperation
Is the vehicle body having any physical damage which may affect
18 the safety of passengers or load?

19
s the hydraulic system having any leakage?

20
Isthe battery & engine working properly & vehicle starts without
E
any external effort?

21 s the air conditioning system working properly? yEB

s the Retro reflective Triangular stickers available on front & rear
22 side? E.
23 Any other remarks, mention here. MA
Channel Partner Engineer/ Supervisor SPTL
Name & AOITSPAVL
Name &signatureSUtEBH MuRY, signature .
 SPTL-MSI-HSE-FR-16
Doc Ref No:

I/Sterlite Power SAFETY CHECK LIST VEHICLE/CAB Revision No: 01

Release Date:05/05/2019

Project Name: 3-SLP-PTA Line/section: K-32

Channel partner: M TRANKOO. Date: 1SO09/0022

Vehicle Make/Model: AAX ARG&O - 0 0 0 ) .
Vehicle Reg 1D No.: KlASS- 16 26
I No Description [Ohservatlons(Yes Action taken
/ No)

1
s the vehicle's Registration Certificate, Insurance & PUC Certificate yE
available?
s the driver having valid Driving License or Competence YEB
2 Certificate?
Has the driver undergone Medical Check-up & found fit for YEX
3
deployment?
4 Are seat belts available & in working condition?
5 Is First aid box & Fire extinguisher available in vehicle? yE
6 Is Emergency Contact No. displayed inside vehicle? yEB
7Isthe horn & reverse horn working? yER
Rs the propelling brake & hand brake working properly?
9 is the rear view mirror clear & adjusted properly? yE
10Is the wind shield wiper blades working? yER
turn signals working properly?
11 s the directional YER.
12 s the head light lamps working properly? YEX.
12s tyre thread condition good & having adequate working pressure?
Is the wind shield without any cracks or physical damage? YES
14

15
Is the various warning indicators like Speed, oil, coolant,etc.
working condition?
in
y E.
I s the rotating parts guarded/covered adequately? YEX
Is the doors lock working properly to prevent unauthorized
17 operation?_

may affect
Is the vehicle body having any physical damage which NO
18 the safety of passengers or load?

s the hydraulic system having any leakage? NO.

19

s the battery & engine working properly & vehicle starts without
YE
20 any external effort?

21 s the air conditioning system working properly? E

Is the Retro
22 side?
reflective Triangular stickers available on front & rear YEB
here.
23 Any other remarks, mention
SPTL
Channel Partner Engineer / Supervisor Name&
signatureuDIP p2a ature SMSITYL