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SNAMPROGETTI SAUDI ARABIA CO. LTD.

FORM-SPSA-MARJAN-HSE-061-E
MIP PKG-10 Gas Treatment & Sulfur Recovery Rev. 00 Date: 29 Dec 2020

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VEHICLE DAILY INSPECTION CHECKLIST Ref. Doc: WI-SPSA-HSE-025-E
FORM-SPSA-HSE-061-E

Month & Year: Chassis No.: Vehicle Type:


Plate Serial #.: Brand: Model #: Driver/Operator’s Name:

S/N DESCRIPTION 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Condition of vehicle bodywork, windscreen,
1
windows, lights
2 Condition of windscreen wiper blades
Cleanliness of windscreen, windows, mirrors,
3
lights, number plate
4 Condition of tires & inflation pressure
5 Availability of spare tire & jack
6 Engine oil level
7 Coolant level
8 Windscreen wash level
9 Brake/clutch fluid
10 Power steering fluid
11 Condition of battery
12 Engine free of leaking
13 Beacon light
14 Radiator tank free of leaking
15 Battery terminal/electrolyte
16 Condition & function of seat belt
17 Mirror adjustment
18 First aid kit
19 Warning triangle (early warning device)
20 Break Lights
21 Head lights
22 Reverse Alarm
23 Horn
24 Service brake in good condition
25 Hand brake in good condition
26 Fuel Tank condition and cover
Condition of Fuel Hose/Pipe against any leak or
27
spill
28 Fire extinguisher
29 Failure tools / tool box are available
30 Driver`s high visibility vest

DRIVER’S INITIAL

SAFETY OFFICER / EQUIPMENT COORDINATOR

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