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DOCUMENT TITLE SAFETY INSPECTION CHECKLIST FOR BACKHOE LOADER (JCB)

Project Title:

JCB Make/ model: Inspection Date:

Registration Number: Next inspection Date:
Inspection Conducted By:

7
2

4
9

3 8 10
0
S.No Check Points Yes No Remarks
1 Front horn in working condition
2 Reverse horn in working condition
3 Head & tail lamps (for working at night) in working condition
4 Any Leakage of oil in hydraulic systems observed?
5 Are any Bolts / connecting pins in the loose condition in JCB?
6 Is the Rearview mirror without damage?
7 Is sufficient Hydraulic oil level available
8 Structure beam condition without damage / cut / Crack
9 Diesel, oil, and grease spillage were observed.
10 Outriggers in working condition
11. Legal Documents:
11(A) Registration Certificate available
11(B) Vehicle Insurance available
11(C) Driver license available
11(D) P.U.C available

The JCB has been checked for the above points and found fit ☐ for deployment or unfit ☐ for
deployment (mention the reasons If UN fit for deployment),

Name Signature Designation Date & Time

Checked by Operator :
Checked by Discipline Engineer :
Checked by SRR HSE Officer/supervisor:
Verified by the Project Manager/ in charge:
Verified by PMC/Client’s HSE Dep:

Safety inspection checklist for backhoe loader (JCB), Page 1