ABDUL MOHSEN A. H.

AL TAMIMI GROUP
Jafurah Upstream TCF Project
BI-11-19034 /Contract No.: 6600050449; Jafurah, K.S.A.
Diesel Tank Daily Inspection Checklist
Registered No.: 03-186/ 2347 XRA Maker: ISUZU Model: 2020
Date Start: from: to: Operator Certification No. DATE OF THIRD PARTY INSPECTION

Operator: AMIT KUMAR 2304884204 Last: N/A Next: N/A

B.I. No Project Name: South Jafurah Type:
C O N D I T I O N
SER ITEM TO BE CHECKED (what are you looking for?)
SAT SUN MON TUE WED THU FRI

CURRENT ODOMETER READING →

1 TYRES टायस�(worn-out, inflation pressures, wheel nuts)
2 STEPS & GRABRAIL कदम और ग्रैब्रेल(condition & cleanliness)
3 ALL HOSES सभी होसेस(cracks, wear spots, leaks)
4 BUCKETS & HYDRAULIC बा�
ी और हाइड�ोिलक(wear, damage cracks)
5 SPEEDOMETER/GAUGES �ीडोमीटर / गेज(working properly)
6 HORN सींग(operational, loud enough)
7 FOOT BRAKE पैर ब्रेक(tested on grade & working properly)
8 HAND/PARKING BRAKE हाथ/पािक�ग ब्रेक(tested on grade & working properly)

9 SEAT सीट(adjustment)
10 SEATBELT सीट बे�(tested & working properly, frays, cuts, tears, snags, roping)

11 HEADLIGHTS हेडलाइट्स(normal & bright; tested & working properly, broken)

12 BRAKE LIGHT ब्रेक लाइट(tested & working properly, broken)

13 INDICATORS संकेतक (tested and working properly, broken)
14 REVERSING ALARM �रविस�ग अलाम�(operational, loud enough)
15 WINDSHIELD िवंडशी�(broken, cracked,missing & cleanliness)
16 EARLY WARNING DEVICE (PWAS) प्रारंिभक चेतावनी उपकरण(properly installed & working)

17 HAZARD BEACON खतरा बीकन(tested and working properly, broken)

18 MIRRORS दप�ण (broken, cracked,missing & cleanliness)
19 2 FIRE EXTINGUISHER 2 अि�शामक(fully charged, sealed, color coded)
20 OVERALL CAB INTERIOR ओवरऑल कैब इंटी�रयर(cleanliness)
21 SIGNAGES साइनेज़(capacity litersc faded)
22 FUEL PUMP HOSE NO LEAKS ईंधन पंप नली कोई �रसाव नहीं(Good Condition)

REMARKS

Driver/Operator Signature: End Date:

Equipment Coordinator Signature: End Date:

HSE Team Representative/Signature: End Date: