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EHS PLAN Document No.

PROJECT ACTIVITY Version : 00

Checklist for Welding Machine


Sr. Number & Model :- Checklist No. 23
RSPL / Contractor (Name) :- Date :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Ye
Sr.
Description s/ M T W T F S S REMARK
no.
No
Welding machine should be in good and
1
working condition.
Power cable should be free from damages and
2
connection taken through industrial plug.
Switches should be free from defects, e.g.,
3
uninsulated & damages, etc.
Welding led & return led connection should be
4
tightly by means of lugs/socket.
Welding led & return led should be free from
5
damages, e.g., cuts, naked, too many joint, etc.
Welding holder should be in good condition
6
and free from metal contact.
Earthing holder should be in good condition
7
and free from rust.
8 Welding machine should be grounded.
9 Keep fire extinguisher at working place.
Provide booth, made by fire retardant material
10
(if required).
11 Work carried out by competent person.
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name : Name :
Signature with Date & Time: Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Signature with Date & Time : Signature with Date & Time :
Checklist for Circular Saw
Sr. Number & Model :- Checklist No. 28
RSPL / Contractor (Name) :- Date :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr.
Description M T W T F S S REMARK
no.
1 Physical condition of body should be good & sound.
2 On/off switch should be in proper condition.
3 Fixed guard should be in good condition.
Auto adjustable guard should be functional
4
condition.
Wheel should free from defect and rotating
5
capacity should be marked.
Power cable should be free from damage and
6
connection taken through industrial plug.
7 Machine should be double insulated or grounded.
8 Always use designated key for changing wheel.
9 Machine operated by competent person.
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Bench Cutting Machine


Sr. Number & Model :- Checklist No. 18
RSPL / Contractor (Name) :- Date :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr.
Description M T W T F S S REMARK
no.
1 Physical condition of body should be good & sound.
2 On/off switch should be in proper condition.
3 Fixed guard should be in good condition.
4 Auto adjustable guard should be functional condition.
Cutting wheel should free from defect and rotating
5 capacity should be marked, standard quality of cutting
wheel used.
6 Positioning screw should be in working condition.
Power cable should be free from damage and connection
7
taken through industrial plug.
8 Machine should be double insulated or grounded.
9 Always use designated key for changing wheel.
10 Machine operated by competent person.
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Bar bending Machine


Vehicle Number & Model :- Checklist No. 17
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name:-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr.
Description M T W T F S S REMARK
no.
1 Physical condition of body should be good & sound.
Electrical connection should be taken through industrial
2
plug in proper manner.
3 Power cable should be free from damages.
Operating switch should be free from defects, e.g.,
4
uninsulated & broken, etc.
On/off or other switches should free from defects, e.g.,
5
uninsulated & broken, etc.
Emergency stop button should be mushroom headed
6
with red color.
7 Bar support should be properly fitted with machine.
8 Pins should be free from loose fitting.
9 Machine should be grounded.
10 Machine should be operated by competent person.
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Bar Cutting Machine


Sr. Number & Model :- Checklist No. 16
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr.
Description M T W T F S S REMARK
no.
Physical condition of body should be good &
1
sound.
2 Junction box of motor should be full packed.
Rotating part of machine should be covered by
3
fixed guard.
Operating leaver should be insulated with
4
nonconductive material.
5 Bar guard should be fixed with machine.

6 Machine should be grounded


Power cable should be free from damages and
7
connection taken through industrial plug.
8 Machine should be operated by competent person.

FIT / PARTIALLY FIT / UNFIT :-


Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

CONCRETE VIBRATAR INSPECTION CHEAKLIST

Sr. Number & Model :- Checklist No.


RSPL / Hired / Contractor (Name) :- Date :-
Operator Name :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr.
Description M T W T F S S REMARK
no.
1 Authorized operator with job specific PPEs.
2 Motor casing without any damage.
3 Sheathed 2-core power cable with Indl.plug top.
4 Power connections made thought 1.5ma ELCB.
5 Protected starter box/non-latching on-off switch.

6 Motor with protected power terminal box.

7 Protected guard on moving parts.


Vibrator case and frame/bottom condition.
8

9 Healthy needle hose and coupling.

Healthy needle nose and spring.

FIT / PARTIALLY FIT / UNFIT :-


Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Breaker


Sr. Number & Model :- Checklist No. 19
RSPL / Contractor (Name) :- Date :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description S M T W T F S Remarks
1 Breaker should be in good and working condition.
Power cable should be free from damages and
2
connection taken through industrial plug.
A flexible cord should be provided to keep cable
3
free from damage.
4 Handle should be provided for better control.
Bit should be in good condition and free from
5
defect.
Breaker should be double insulated otherwise
6
grounded.
7 Machine operated by competent person.

FIT / PARTIALLY FIT / UNFIT :-


Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Hydra / Farana


Vehicle Number & Model :- Checklist No. 11
RSPL / Hired / Contractor (Name) : Date :-
Operator Name & Licence no. :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description S M T W T F S
1 Hydra should be physically good & certified by TPI.
No damage in tire (Bolts, crack, cuts & air pressure,
2
etc.).
3 Registration number should be written.
Head & tail light and indicators are in working
4
condition.
5 No oil leakage in hydraulic part.
6 Safe work load (SWL) marked.
7 Sling drum should be in good condition.
Boom condition while full extension (free from
8
damage, crack & jamming, etc.).
9 Wire rope free from damage.
10 Hoist limit switch.
11 Safety latch in hook.
12 Safe load indicator should be in working condition.
13 Front & reverse horn.
14 Load chart available in operator cabin.
Vehicle having valid insurance paper, Operator
15 having license with valid date. & other necessary
documents (RC, PUC, Etc.)
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Dumper


Vehicle Number & Model :- Checklist No. 04
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name & Licence no. :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description M T W T F S S REMARK
Operator cabin should be fully covered and made
1
by sound quality of material.
2 Carrier should be in good condition.
No damage in tire (Bolts, crack, cuts & air pressure,
3
etc.).
4 Side mirror should be in good condition.
Head & tail light and indicators are in working
5
condition.
6 Wiper should be in running condition.

7 Wind shield/glass should be in proper condition.

8 Seatbelt should be available.


Red triangle/reflective tape should be fixed in front
9
of vehicle.
Hydraulic cylinder and hoses should be in good
10
condition and free from leakage.
11 Registration number should be written.

12 Front & reverse horn.


Normal break & emergency (hand) break should be
13 in
functional & operational condition.
14 Fire extinguisher in operator cabin.
Vehicle having valid insurance paper, Operator
15 having license with valid date. & other necessary
documents (RC, PUC, Etc.)
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Excavator


Vehicle Number & Model :- Checklist No. 02
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name & Licence no. :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description M T W T F S S REMARK
Engine and rotating part should be properly
1
covered.
Track frame should be in good and working
2
condition.
Crawler belt and shoes should be in good
3
condition.
Boom and arm should be free from defects like
4
corrosion, bend, etc.
Hydraulic cylinder and hoses should be in good
5
condition.
Bucket, cutter pins should be free from defects like
6
damage, corrosion, bend, etc.
Teeth should be free from defects like damage,
7
corrosion, bend, etc.
8 Side mirror should be in good condition.
Head & tail light and indicators are in working
9
condition.
10 Wind shield/glass should be in proper condition.

11 Wiper should be in running condition.

12 Swing horn should be in good condition.

13 Fire extinguisher in operator cabin.


Vehicle having valid insurance paper, Operator
14 having license with valid date. & other necessary
documents (RC, PUC, Etc.)
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Backhoe loader (JCB)


Vehicle Number & Model :- Checklist No. 01
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name & Licence no. :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description M T W T F S S REMARK
Machine should be physically good & certified by
1
competent authority.
No damage in tire (Bolts, crack, cuts & air pressure,
2
etc.).
Head & tail light and indicators are in working
3
condition.
4 Side mirror should be in good condition.
5 Wind shield/glass should be in proper condition.

6 Wiper should be in running condition.


Operator cabin and driver seat should be made by
7
good & sound quality of material.
Hydraulic cylinders and hoses are in good condition
8
and free from leakage.
9 Outrigger should be free from damages.
Red triangle/reflective tape should be fixed in
10
front of vehicle.
11 Front & reverse horn.

12 Fire extinguisher in operator cabin.


Vehicle having valid insurance paper, Operator
13 having license with valid date. & other necessary
documents (RC, PUC, Etc.)
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Transit Mixer


Vehicle Number & Model :- JCB Checklist No. 07
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name & Licence no. :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description M T W T F S S REMARK
Transit mixer should be physically in good
1
condition.
No damage in tire (Bolts, crack, cuts & air
2
pressure, etc.).
3 Registration number should be written.
Head & tail light and indicators are in working
4
condition.
5 Side mirror should be in good condition.

6 Wind shield/glass should be in proper condition.

7 Wiper should be in running condition.


Red triangle/reflective tape should be fixed in
8
front of vehicle.
Rotatory part of secondary engine should be
9
covered with fix guard.
Rotating part of gear box should be covered by
10
fixed guard.
Inbuilt ladder should be proper with suitable
11
guard.
12 Front & reverse horn.

13 Fire extinguisher in operator cabin.


Normal break & emergency (hand) break should
14
be in functional & operational condition.
Vehicle having valid insurance paper, Operator
15 having license with valid date. & other necessary
documents (RC, PUC, Etc.)
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Concrete Pump


Vehicle Number & Model :- Checklist No. 08
RSPL / Hired / Contractor (Name) :- Date :-
Operator Name & Licence no. :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description M T W T F S S REMARK
Concrete pump should be physically in good
1
condition.
No damage in tire (Bolts, crack, cuts & air pressure,
2
etc.).
3 Outrigger should be free from damages.
Dangerous or moving part should be covered with
4
fix guard.
5 Panel/switch board should be covered properly.
Emergency stop button should be mushroom
6
headed with red color.
7 Concrete hopper should be in good condition.
Suitable mesh should be kept on hopper to avoid
8
getting in touch with moving part.
9 Clamp should be proper for tight joint of pipe.
Hook should have sufficient strength to carry self-
10
load during shifting.
In case of electrically operated, electrical
11 connection should be taken in proper manner and
machine should be grounded.
Concrete pump should be operated by competent
12
person.
13 Concrete pipe should be free from damages.
FIT / PARTIALLY FIT / UNFIT :-
Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :
EHS PLAN Document No. :

PROJECT ACTIVITY Version : 00

Checklist for Portable Grinder


Sr. Number & Model :- Checklist No. 21
RSPL / Contractor (Name) :- Date :-

Note: Please write Yes or No in the given box and if some comments write in remarks column.
Sr. no. Description M T W T F S S REMARK
Grinding machine should be in good and working
1
condition.
Power cable should be free from damages and
2
connection taken through industrial plug.
A flexible cord should be provided to keep cable free
3
from damage.
4 Motor capacity should be marked in RPM.
5 Dead man switch should be in working condition.

6 Handle should be provided for better control.


Wheel guard should be properly installed with machine,
7 so that gap between guard and wheel should not be
more than 3mm.
Grinding/cutting wheel should free from defect and
8
rotating capacity should be marked.
Grinding machine should be double insulated otherwise
9
grounded.
Always use designated key for removing and changing
10
wheel.
11 Machine operated by competent person.

12 RPM of wheel should be more than RPM of motor.

FIT / PARTIALLY FIT / UNFIT :-


Inspected By Reviewed By
Name: Name:
Signature with Date & Time : Signature with Date & Time :

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