TRIPPER INSPECTION CHECKLIST

(Pre-Mobilization/ Monthly/ Quarterly) Tick Appropriate ✓

A
Location Insurance Validity
H
B I
Vehicle Make/ Model Road Tax Validity

C J
Registration Number Road Permit validity

D K
Odometer reading Fitness Validity

E L
Contractor Name PUC Validity

F B.P. Vehicle in-

M Seating capacity
charge mob no.
G Battery make &
N
Inspection Date Invoice Details
Battery warranty
date

Driver Details:
O Driver Name Gate pass no.

P License Number Validity

Q License type
R Authorisation Card for Driving (for commercial drivers):
Validity & stamp of
Road safety
S HSE Ind. training DDT
date
T BTW date

PART 1: CHECKLIST FOR INSPECTION

In Status column, enter: ✓ - Pass x - Fail
Heavy vehicles older than 10 years from Date Of Registration shall not be inspected, as does not meet vintage criteria.

I NO – GO Criteria as per Balco Procedure for fleet management

STATUS RECHECKED
DEFECT
S.No. DESCRIPCTION (✓ - Pass; X (Date &
FOUND
-Fail) Sign)
1 Main horn provided and working properly (Audible)
2 Reverse Horn provided and working properly (Audible)
3 All tyres must be in good condition (Tread depth min 1.6mm)
Head lights, side indicators, back light provided & functioning
4
properly
5 Front & Reverse Camera
6 RUPD, SUPD & Fuel Tank Guards in place
7 Is the seat belt installed and working. (Retractable 3 points)
8 Brakes / hand brakes are in good condition
9 Are mirrors available and in good condition
10 Are wind shields intact and both wipers working
11 Availability & use of Wheel chocks. -one pair
12 Display of Safe Distance sticker (3 meters for coal, Ash & 5 meters for
rest of the plant area)
Availability of reflective stickers on vehicle (Front: white, Side:
13
Yellow, back: Red) min. 50mm Width
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Other Key Requirements as per Balco procedure for fleet

II
management
14 Is a fire extinguisher present inside the operator cabin 5 KG BIS
Marked DCP stored pressure portable type)
15 Availability of First aid kit (Dettol, Bunol, Bandage, cotton, band aid)
Hydraulic Equipped lifting wheel -Not to be kept in lifted condition
16
when fully loaded
17 Tilt sensor installed in cabin
18 Disabled vehicles marker (Reflective Warning Triangle)
19 No Dark Films on side Wind shields
20 Hazard Warning Switch is working condition
21 Mud Guards and Mud Flaps
22 Is any oil leakage
Visual condition (Battery Cover available & it is not good conductor of
23
electricity, any cracks, Bulge, leakage are not present)
24 Low Air Brake Pressure (Audio Visual Alarm)
25 Whether Jack, Tools,
26 Condition of Doors, Floor and Steps
27 Condition of Vehicle Body
28 Functional Speedometer
Driver Controls on Dashboard / Functional Speedometer in working
29
condition
30 Fuel Tanks leakage
31 Broken / Damage wheel nuts
32 Availability of spare tyre
33 Oil Leaks, Hydraulic Leaks, Coolant Leaks
34 Front, Rear & Side Registration Number Plate
35 Maintenance record availability
36 Whether Emergency Contact nos. posted and visible?
37 BP safety officer’s vehicle inspection checklist status
38 Fatigue register
39 GPS system installed
40 Driver fatigue monitoring system

PART 2: VEHICLE FITNESS FOR ACCEPTANCE

Vehicle is fit for use (See Re-Checked Column above) Yes / No

Vehicle Inspector Driver

Name: Name:

Signature: Signature:

PART 3: Re-Inspection after Rectification of Defects (if any)

S. No Defects Corrected Vehicle Inspector Vehicle Acceptance Driver
(Name & Sign) (Yes/No) (Name & Sign)