TYPE OF DOCUMENT

CONTROL OF EQUIPMENTS BACKHOE LOADER

DAILY PRE-WORK CHECKLIST
To be completed by the Operator
Owner/Suplier name:_____________________ SIGNAGE CAB ENGINE
G B G B G B
Adress: __________________________________ SAFE WORKING LOAD SEAT EXHAUST
LOAD CHART SEATBELT & MOUNTING ENGINE COVER
Phone No. : _____________________________ ELECTRONIC DEVICES BATTERY & HOLD DOWNS
SIGNAGE / PICTOGRAMS HYDRAULIC HOSES
Plant's Make: ____________________________ HANDLES ENGINE COOLANT, OIL AND HYDRAULIC OIL LEVEL
PEDALS No hydraulic oil leakage
Plant's Model: ___________________________ WINDOW / WINDSCREEN / WIPER
MIRRORS
Serial No: _______________________________ HYDRAULIC SYSTEM
G B DOCUMENTATION
Inspection Date: ____/_____/20____ HYDRAULIC CYLINDERS G B
HYDRAULIC HOSES USERS MANUAL
Operator's Name:_________________________ HYDRAULIC FITTINGS MAINTENANCE NOTE BOOK

Signature MISCELLANIOS
BACKHOE G B
●The mobile plant must comply with manufacturer specifications G B FIRE EXTINGUISHER
and Romanian regulations. PINS SPILL ABSORBER KIT
BOOM
●A maintenance note book registering all reparation and BUCKET
maintenance cares must be kept in his cab. It must be available BUCKET TEETH HYDRAULIC SYSTEM CAB ACCESS STABILITY DEVICE
in understandable language for the operator. SAFETY PINS G B G B G B
●The mobile plant operator must inspect visually his plant before LIFTING HOOK HYDRAULIC CYLINDERS HANDHOLDS OUTRIGGERS
use (on a daily basis) and file these inspection reports to the HYDRAULIC HOSES STEP OUTRIGGER PADS
equipment manager every week. HYDRAULIC FITTINGS HYDRAULIC CYLINDERS
●When required, the operator must wear necesary Personal MOTION MEANS HYDRAULIC HOSES
Protective Equiment (Reflective vest, glasses, ear protection, WARNING DEVICES G B HYDRAULIC HFITTINGS
safety shoes, gloves...) G B TIRES
HORN & BACK-UP ALARM RIMS
●A maintenance note book registering all reparation and FLASHING LIGHT LUG NUTS
maintenance cares must be kept in his cab. It must be available LIGHTS, TURN SIGNALS, STOP LAMPS, BRAKES
in understandable language for the operator. REVERSING LAMPS

●The operators's employer must ensure that the operator has

suitable medical fitness and technical competencies to drive the G: Good condition / Present B: Bad Condition / Missing
plant.
TO BE COMPLETED BY HSE DEPARTMENT Comments:
CHECKED BY: ______________________

DATE: ____/_____/20__
CONTRACTOR REPRESENTATIVE SIGNATURE