GENERAL ELECTRICAL SAFETY

OHS-PR-09-10-F20 (A) FUEL DRIVEN EQUIPMENT INSPECTION

Operating Area: WOA Department: SEPDC

Project Name: Jeddah South UG & OHTL
Contractor Name: Al Ojaimi Project Type: UG & OHTL Contract No.: 4400013353

Notes: Do not “tick”. Write Ok or use the code of the specific deviation in the legend. If the Equipment is defective it must be tagged “Defective” and must be reported to the person responsible for the repair of the equipment. If the
equipment is beyond repair it must be destroyed and discarded. New equipment to replace the discarded equipment must be obtained to discourage the use of make shift equipment.
LEGEND: OK – ALL IN GOOD CONDITION, REP – ITEM NEEDS REPAIR/REPLACEMENT, C – COMMENTS
DEVIATIONS NOTED:
D1 EVIDENCE OF OIL/FUEL LEAKS D6 STOP/START/EMERGENCY BUTTONS FAULTY
D2 GUARDS NOT IN PLACE AROUND MOVING PARTS/DAMAGED D7 FIRE EXTINGUISHER FAULTY/NOT PROVIDED
D3 GUAGES/COUNTERS FAULTY D8 THROTTLE/BRAKE DEVICES DAMAGED/DEFECTIVE
D4 EXCESSIVE NOISE/HEAT FROM MACHINE D9 WARNING/INFORMATION SIGNAGE NOT DISPLYED ON MACHINE/INADEQUATE
D5 EXCESSIVE EXHAUST FUMES/SMOKE D10 DRIP TRAY DAMAGED/NOT PROVIDED
ID DETAILS EQUIPMENT DESCRIPTION TYPE OF FUEL JAN FEB MA APR MA JUN JUL AUG SEP OC NOV DEC
R Y T

1 WHEEL LOADER DIESEL OK OK OK OK

2 JCB DIESEL OK OK OK OK
3 CRAWLER CRANE DIESEL OK OK OK OK
4 RIGGING AUGER MACHINE DIESEL OK OK OK OK
5 GENERATOR DIESEL OK OK OK OK
6 VIBRO HAMMER GENERATOR DIESEL OK OK OK OK
7 VIBRO HAMMER GENERATOR DIESEL -- OK OK --
8 CRAWLER CRANE DIESEL -- OK OK --
9 CRAWLER CRANE DIESEL -- OK OK --
10 RIG MACHINE DIESEL -- OK OK --
11 WEILDING MACHINE DIESEL OK OK OK OK

Inspectors Name: ADILSHERZAMAN

Inspection Date: 3/4/22

OHS Forms Procedure Reference Revision Number Revision Date Approved By

FUEL DRIVEN EQUIPMENT INSPECTION OHS-PR-09-10-F20 (A) 0 MAY 2021 OHSMS
 GENERAL ELECTRICAL SAFETY
OHS-PR-09-10-F20 (A) FUEL DRIVEN EQUIPMENT INSPECTION

Operating Area: WOA Department: SEPDC

Project Name: Jeddah South UG & OHTL
Contractor Name: Al Ojaimi Project Type: UG & OHTL Contract No.: 4400013353

Signature
ID DETAILS ACTION ACTION BY DATE CLOSED OUT

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OHS Forms Procedure Reference Revision Number Revision Date Approved By

FUEL DRIVEN EQUIPMENT INSPECTION OHS-PR-09-10-F20 (A) 0 MAY 2021 OHSMS