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HSE-NTI-MC-EXC-REV00

Excavator

Project Title Date


Contractor Frequency Weekly

Manufacturer Operator Name


Model No. IC/Passport No.
Capacity Contact Number

Bucket
Bucket teeth is in good condition
Unidentified rustiness that affect integrity of the bucket
Bucket and rink bolt are secured with anti-slip clip

Arm / Chipper
Arm Hydraulic and hose are good without leak or damage
Unidentified rustiness that affect integrity of the arm
Arm-boom bolt and hydraulic joint are secured

Boom Result
Boom Hydraulic and hose are good without leak or damage Safe to Use
Unidentified rustiness that affect integrity of the boom Unsafe to Use
Arm-boom bolt and hydraulic joint are secured

Cabin (External) Cabin (Internal)


Cabin structure is good without water leak Operator Seat is good with seat belt
Driver Mirror good and no sign of crack All maneuverer stick functioning
Access and ladder to cabin is good and clean Fire extinguisher available
Spotlight, side mirror, rotation blinker and Service and maintenance logbook available
honk in good condition

Engine Engine
Engine cover are good and locked Engine idling in normal condition
Unidentified oil leak around engine area All hoses and belts in good condition
Engine oil maintained and changed frequently Overall engine compartment is good
Unidentified excessive Carbon emission on Diesel filling area are clean and secure
engine exhaust (white smoke)

Counterweight Track Frame


All bolt and joint are secured Rotational teeth in good condition
Unidentified damage on counterweight Unidentified damage on tracks
structure
Turning joint (swing table) are good
Remark
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Inspected by: Operators Name: Verified by: PH Name:

Signature ……………………………… Signature ………………………………

 Green / Red tag shall display on machinery after inspection


 Excavation checklist and operator health declaration shall attach with the checklist

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