Document No: DIV-HSE-100-00

Date Revised: 05 January 2021

Title: HSE Checklist
Owner:

CEMENT MIXER INSPECTION CHECKLIST

INSPECTORS NAME: MANAGER NAME:

SUPERVISOR NAME: SITE:

Inspection Date Date Date Date Date Date

1. Check Unit Numbers, Meter working properly
2. Is the Cement Mixer located at a safe and secure location?
3. Check around the body for any cracks, dents or corrosion?
4. Is the Cement Mixer properly cleaned? It should be dust free.
5. Is there fuel or oil leaks?
6. Are the working parts of the Cement Mixer covered?
7. Is the area around the Cement Mixer Enclosed and secure?
8. Cement Mixer vibrating when running?
9. Is the Motor and moving parts properly guarded?
10. Is loading and unloading done safely?
11. Is the pathway to the Cement Mixer clear of obstacles.
Has the operator been trained on how to safely use the
12.
Concrete Mixer?

Are there any corrective actions required?

By when are these corrective actions required?

Confirmation of corrective action.

Inspector’s Initials

Supervisor’s Initials

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