SAFETY CHECK LIST FOR LOADER CUM BACKHOE
Name of Site : Make / Model :
Reg No : Date :
Inspected By : Company Name :
Sl.
Check Points OK Not OK Remarks
No.
1 Engine condition
2 Clutch / brake
3 Hydraulic Leakages
4 Guards and Covers of Rotating Parts
5 Front Light
6 Backlight
7 Both Side Mirror
8 Fastener pin of Loader side
9 Seat Belt
10 Front Horn
11 Auto Reverse Horn
12 Tyre Condition and pressure
13 Operating levers / steering
14 Wipers Blade
15 Warning light on top of Cabin
16 Reflective Tape around the Cabin
17 Front Glass and Side Window
18 Both Side Indicator
21 Back Camera
22 Insurance
23 PUC
24 Road Tax
25 Operator Licence
26 Eye Test of Operator
27 Fire extinguisher Provided
28 First Aid Box
29 Any Other Points
This JCB Equipment has been checked for the above points and
Found FIT for deployment Found UN FIT for deployment
__________________ _______________
(Checked By) (Safety Officer)
Page 1 of 1