Mevbuilt Inc.

Block 1 Lot 9 Manchester Industrial Subdivision, Don Julio Gregorio Street, Sauyo Road
Novaliches, Quezon City

GONDOLA INSPECTION CHECKLIST

Project Name and Location: Date:
Permit No.:
Location to be use:

Brand/Model Number: Serial Number: Capacity:

YES NO NA REMARKS
A. OPERATOR
Are the operators attended the Safety Orientation conducted by Gondola Supervisor?

Are the operators authorised to use the Gondola?

Are Thrid Party Inspection Certificate available?
Operator's certificate is displayed at the hoist?
B.GENERAL REQUIREMENTS
Are ground floor barricaded?
Are warning signboard placed?
Are warning signboard "safe working load" displayed?
C.WIRE ROPE/LIFELINE/COUNTERWEIGHT/CONTROL BOX
Are wire rope inspected prior using?
Are lifelines anchorage point secured?
Are lifelines free from kinks and damages?
Are counterweights secured/free from other workers/watchman?
Are control box in the Gondola covered and locked?
D.COMMUNICATION
Operator and watchman should have 2 way radio
E.SAFETY REQUIREMENTS
Are operator and passenger equipped with good condition and compatible
PPE for harness and rope grab?
Watchman should be visible within the working radius
Power supply properly harnessed?
Is there adequate lighting for the working area?

Note: 1. Permit must be accomplished before operating. Permits are on per activity basis
INSPECTED BY: NAME: SIGNATURE
MBI/SUBCON OPERATOR
MBI/SUBCON WATCHMAN
MBI SAFETY OFFICER