Deccan Fine Chemicals (I)PVT.Ltd.

,Kesavaram & Rajavaram

SAFETY DEPARTMENT
CHECK LIST FOR EXCAVATOR
1 Name of the contractor
2 Entry purpose
3 Vehicle Number 6 Opreator Name
4 Third party certificate 7 Operator license (Number & Exp Date).

5 Vehicle valid insurance 8 Pollution control certificate details

SR. NO DESCRIPTION YES NO REMARKS

1 Front & reverse horn in working condition

Head & tail lamps (for working at night) in

2
working condition

3 Leakage of oil in hydraulic systems observed.

4 Bolts / connecting pins (bucket) are loose.

5 Rear view mirror without damage.

6 Hydraulic oil level available (max/min)

Structure beem condition without damage / cut /

7
crack

8 Diesel, oil and grease spillage observed.

10 Fire extinguisher available in operator cabin.

11 DOCUMENTS:

11.a Vehicle Insurance available (mention due date)

Operator license (heavy duty) available - Optional

11.b
as it is a track mounted

12 Others

Name Signature Date

Checked by Security department

Name Signature Date

Verified by Safety representative