CITI CORP Project Management Group

CHECKLIST FOR HAMMERING DRILL MACHINE

Project Name: CI1 CoPP Equipment No.:

UAFDmlo
Contractor Name: Onifd Actes Inspection Date:
280202
Equipment Spocs.: mll macbine Next Inspection Date:

SL NO DESCRIPTION YES NO REMARKSS

Equipment double insulated. (written in the

1
machine body) e
Equipment free from any defect like broken handle,
2
broken parts etc
- te

3 Electrical cable free from defects. e

industrial plug top available and in working
Te
condition.

5 Drilling Bit without any damage. Pe

Drilling bit holder is availabe and in working

condition

Switch in working condition

Name Signature Date

Checked by Contractor Safety Officer Maruti WaJe
Name Signature Date
Checked by Client Electrician
Reviewed Accepted... Rejected.
Name Signature Date
Checked by Client

Page 1 of 1
 CITI CORP Project Management Group

CHECKLIST FOR HAMMERING DRILL MACHINE

Project Name: Equipment No.:

Contractor Name:
eii Corp_ Inspection Date:
nitou Aceg
Equipment Specs.: a l l Olc Next Inspection Date:
la8log|2iA

SL NO DESCRIPTION YES NO REMARKs

Equipment double insulated. (written in the

machine body)

Equipment free from any defect like broken handle,

2
broken parts etc

3 Electrical cable free from defects.

industrial plug top available and in working

condition.
5 Drilling Bit without any damage.

Drilling bit holder is availabe and in working

6
condition

Switch in working condition

Name Signature Date
Checked by Contractor Safety Officer

Name Signature Date

Checked by Client Electrician

Reviewed
Accepted.. Rejected.
Name Signature Date
Checked by Client

Page 1 of 1