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DAILY PRE-START CHECKLIST FOR EARTH DRILL

Equipment
Site Name Type of Work
Number
(Arabic) (Arabic)
(Arabic)
Manufacturer Model Capacity
(Arabic) (Arabic) (Arabic)
Year
Date of First Use Date of Inspection
Manufactured
(Arabic) (Arabic)
(Arabic)

1 Reverse Alarm 6 Horn


(Arabic) (Arabic)
Rearview Camera
(Arabic)

7 Air Suction Hose


(Arabic)

2 Fixed Drifter
(Arabic)

8 Rearview Mirror
(Arabic)

3 Mast Section
(Arabic)

9 Operator’s Vision
(Arabic)

4 Boom/Structure
(Arabic)

Head Light 10
5 Track Condition
(Arabic) (Arabic)

Certification Oil Leakage Banksman/Signal Man Alcohol Test


11 13 15 17
(Arabic) (Arabic) (Arabic) (Arabic)
Permit to Work Seat Belt Fire Extinguisher
12 14 16
(Arabic) (Arabic) (Arabic)
Operator Const. Team HSE Personnel
(Sig) (Arabic) (Sig) (Arabic)
(Arabic) (Sig)(Arabic) (Arabic) (Arabic)
(Keep the copy of Daily Pre-Start Equipment Checklist on Site for the Job Duration. Submit a copy to the Project HSE Department, if requested/required)
(Arabic)

Note: Mark appropriate boxes Acceptable; Unacceptable; Need Further Check; Not Applicable
with:(Arabic)  (Arabic)  (Arabic)
 (Arabic)
NA
(Arabic)

HDGSK JV HSE Rev.0

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