SAP U & E Monthly Safety Inspection Checklist (Roller Compactor )

Equipment Name: Equipment Serial No: Date From:

Equipment 3rd Party Certificate Detail: Operator Details-Name: Date Till:
Certificate Issued Date: Operator 3rd Party Certificate Issue Date:
Valid Till: Expired Date:
Equipment Operational Manual: Equipment Maintenance Log:
Item Motor Vehicles OK NO OK N/A REMARKS
1 Cleanliness
2 Seats & Seatbelt Conditions
3 Operator Restraint Provided
4 Instruments Operational & Labelled
5 Levers / Controls Operational
6 Pedals in Good Condition
7 Brake (Hand/Foot)
8 Clutch
9 Steering
10 Windows / Wipers / Washers / Mirrors
11 Front & Reversing lights
12 Warning lights / Reflective Triangle
13 Battery
14 Back Up Alarm
15 Horn
16 Rear View Mirrors
17 Fire Extinguisher / First Aid Kits
18 Operator Instruction (available)
19 Turn Indicator
20 Reflective Orange Triangle
21 Handrails & Steps
22 Exhaust
23 Engine Guarding
Drivers free from leaks (Oil, Coolant,
24
Fuel…)
25 Transmission Control
26 Tyres, Front, Rear, Brakes
27 Wheel Mounting, Studs, Nuts
28 Drum/Tires/Wheels
29 Emergency Break
30 Parking Break

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 SAP U & E Monthly Safety Inspection Checklist (Roller Compactor )

Item Specific Equipment OK NO OK N/A REMARKS

1 Hydraulics:
2 Cylinders & Hoses
Connections (check for excessive wear, leaks and
3 creep)
4 Non-return valves
5 Warning Devices:
6 Horn
7 Motion Alarm
8 Flashing Amber Beacon
9 Warning Signs:
Danger: Beware Overhead Wires & Underground
10 Services
11 Crush point hazard sign
12 Seat Belts Must Be Worn
13 Rollers:
14 Pivots
15 Connections
16 Safety Pins
17 Rollers
18 Rotating Components Warning
19
20
21
22
23
24

Remarks
Safety Competent
Operator
Officer * Person**
Name and
Name and Name and
Signature
Signature Signature

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