JACK HAMMER

HSE DEPARTMENT
SAFETY INSPECTION CHECK LIST Date: __/___/2016
Rev no:0
Project / Site
Date of Inspection
Identification Number
S/N
Contractor
Location Inspection
NO DESCRIPTION GOOD FAIR POOR N/A REMARKS
1 Swith on/off
2 Handle
3 Hose Condition
4 Clamp Hose Connection
5 Knife
6
7
8
9
10
11
12
13
14

Comments :

Inspected by

Name : Name : Name :

Position : Position : Position :

Sign : Sign : Sign :

 PetroChina International Jabung Ltd

CUTTING TORCH INSPECTION CHECKLIST

Project / Site
Date of Inspection
Identification Number
Contractor
Location Inspection
NO DESCRIPTION GOOD FAIR POOR N/A REMARKS
1 Type of Gas/Label identified
2 Regulator Gauge
3 Connection
4 Hose
5 Cap
6 Flashback arrestor /COV/NRV
7 Storage
8 Body Condition
9 Clamp
10 Torch Nipple
11
12
13
14
15
16
17

Comments :

Inspected by :

Name : Name : Name :

Position : Position : Position :

Sign : Sign : Sign :