WEEKLY GRADER INSPECTION CHECKLIST

Operator’s Name: Badge Number:

Vehicle No: Date Start:
Project Location:

Item CONDITION
Item to be Checked
No.
SAT SUN MON TUE WED THU FRI
1 Fluid Level
2 Hydraulic Leakage
3 Operating Levers
4 Lights
5 Hazard Beacon
6 PWAS
7 Windows
8 Horn
9 Tires/Tracks
10 Seatbelt
11 Fire Extinguisher
12 Foot Break
13 Hand Break
14 Mirrors
15 Visibility
16 Attachments (Bucket/Blade/Ripper)
17 (SAG) Licensed
18 SA/SPSP Certification
19 3rd party equipment inspection
20 Service Sticker
21 Company logo
22 PPE’S
Operator Signature
Safety Officer Signature
Foreman/ Supervisor Signature
NOTE: Failure to comply such above conditions, work shall not proceed without prior instructions.
Note:
 - Ok Not Ok X N/A- Not Applicable