ABDUL MOHSEN A. H.

AL TAMIMI GROUP
South Ghawar UR Early Works & TCF Project
BI-10-14331/Contract No.: 6600045093; South Ghawar, K.S.A.
MANLIFT Inspection Checklist
Date: Time: Vehicle Maker: Vehicle Model:
Date of Third Party Inspection:
Inspected by: Door No: Plate No:
No. VERIFICTION (Operator & Equipment) INITIAL CHECKED FINAL CHECKED
1 Registration/Insurance
2 Equipment Certificate
3 Operator Aramco ID/Certificate
4 Operator Iqama/Driver license
EQUIPMENT PARTS C O N D I T I O N
No. ITEM TO BE CHECKED INITIAL CHECKED FINAL CHECKED
1 ENGINE (worn-out, air, separating, missing bolts)
2 WHEELS/TIRES (worn-out, damage)
3 A/C SYSTEM (worn-out, damage)
4 GAUGES (worn-out, damage)
5 HYRDAULIC/ELECTRICAL SYS (condition &cleanliness)
6 LIGHTS, Front & Rear (function, damage to lens, housing, or wiring)
7 HAZARD BEACON (tested and working properly, broken, bulb)
8 ALL HOSES (cracks, wear spots, leaks)
9 FOOT BRAKE (tested on grade & working properly)
10 HAND/PARKING BRAKE (tested on grade & working properly)
11 FIRE EXTINGUISHER (fully charged, sealed, damage, color code)
12 SEAT (adjustmen-height, weight, able to reach pedals)
13 SEATBELT (tested & working properly, frays, cuts, tears, snags, roping)
14 HORN, BACKUP ALARM, LIGHTS (operational, loud enough)
15 GAUGES, SWITCHES, CONTROLS (damage, function)
16 MIRRORS (damage, cleanliness, adjust for best visibility)
17 OVERALL CAB INTERIOR (cleanliness)
18 HOOK BLOCK/SAFETY LATCH/SHEAVES (In good condition, damaged)
19 OVERLOAD WARNING (Red & Green, Damaged)
20 LOCK PINS (EXTENDED & RETRACTED)
REMARKS: The inspector checked all the items are correct and any deficiencies are subject for repair/replace. Refer
below below
Approved: Yesstatus
No during the inspection areWith
indicated below:Yes No
Comments: Rejected: Yes No

Not Applicable: N/A

Equipment Inspector Name & Signature Mo./Day/Yr.

Concurred by SA/PMT Representative: Mo./Day/Yr. ApprovedApproved

by: by: