Document Number: MZK 002

MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

GRADER

SPECIAL INSTRUCTION
1. The following documentation must accompany this tagging inspection
 Brake test certificate
 Fire extinguisher / Fire suppression system service certificate
 PDS installation
2. Only TMM and equipment approved by the engineer or a person delegated will be used in the mine premises.
3. This inspection and approval form must be kept on machine file.
Vehicle Information
Vehicle Model
Fleet Number
Site
Date
Next Service
Hour Meter Reading

Tyre Inspection
No Inspection Survey Results Comments

FL FR
1 General Condition ML MR
RL RR

Inspection
No IN ORDER
Inspection Comments
YES NO

1 Air Conditioner
2 Amber Strobe Light
3 Articulation Cylinders
4 Articulation Pins And Bushes
5 Axle Pins And Bushes
6 Batteries And Clamps
7 Batteries And Clamps
8 Blade A – Frame Trunnion Play
9 Blade Guides
10 Blade Lift Cylinders
11 Blade Liner, Cutting Edges & Overlays
12 Blade Side Shift Cylinder
13 Blade Tilt Cylinder
14 Body Panels
15 Circle Guides And Wear Plates
16 Coolant And Water Pump Leaks
17 Cooling Fan
18 Cooling System Hoses And Clamps
 Document Number: MZK 002
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

GRADER

Inspection
No IN ORDER
Inspection Comments
YES NO
19 Cylinder Trunnion Caps And Bolts
20 Dash
21 Diesel Cap
22 Door Latches And Sealing Rubbers
23 Door Windows
24 Engine Oil Leaks
25 Exhaust/Turbo System Leaks
26 Fan Belts, Guards And Pulleys
27 Fan Drive And Jockey Pulley
28 Fire Extinguisher
29 Fire Suppression
30 Fleet Number
31 Floor Mats
32 Gauges / WARNING LIGHTS
33 General Condition (Clean)
34 Grill
35 Head Lights
36 Heater
37 Hooter
38 Hydraulic Oil Piping And Leaks
39 Indicators
40 Inspect Hydraulic Tank And Cap
41 Inspect Live Testing Switch
42 Inspect Outer Air Cleaner
43 Intake Piping And Clamps
44 Leaning Wheel And Bar Bearings
45 Leaning Wheel Cylinder
46 Lights And Brackets
47 Lockout And Lock
48 PDS
49 Pre-Cleaner And Inspect Piping
50 Pre-Use Book
51 Pump Drive Prop Shaft
52 Radiator Core Clean
53 Radiator Pressure Cap
 Document Number: MZK 002
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

GRADER

Inspection
No IN ORDER
Inspection Comments
YES NO
54 Rear Window
55 Reflective Stripes
56 Reverse Alarm
57 Ripper Cylinder
58 Roof Light
59 Safety Belts
60 Seats And Movement
61 Steering Cylinders
62 Steering Tie Rod Ends
63 Taillights
64 Tandem Oil Leaks
65 Transmission Controls
66 Transmission Oil Leaks
67 Two Way Radio
68 Windows
69 Windscreen
70 Wiper Motor & Wiper Blades

Damages Survey
Left Right

No Damages No Damages
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
 Document Number: MZK 002
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

GRADER

Top View Damages

No Damages No Damages
1 5
2 6
3 7
4 8

Vehicle presented by Name: Signature:

Name:
Signature:
Vehicle inspected by
Date:

Vehicle is declared Fit to work Not Fit to Work

I ___________________________ declare that, I have inspected the above TMM on the ____/_____/20__
and found it fit /unfit to work at the mine.

GES Signature: ………………………………... Date: …………………….

Engineer Signature: …………………………. Date: …………………….