Document Number: MZK 014

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

ENGINEER’S TMM TAGGING & APPROVAL FORM

SERVICE TRUCK

SPECIAL INSTRUCTION
1. The following documentation must accompany this tagging inspection
 Brake test certificate
 Fire extinguisher / Fire suppression system service certificate
 Pressure Vessel Certification
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
POS 1 (LF) POS 2 (RF)
POS 3 (LF2) POS 4 (RF2)
POS 5 (LR3) POS 6 (RR3)
Inspection
No IN ORDER
Inspection Comments
YES NO
1 Air Cleaner System
2 Air conditioning operational
3 Battery Condition / Mounting
4 BRAKE TEST
Clean, free of organic materials (mud, dirt, weeds
5
or seeds) prior to arrival
6 Cleanliness
7 Coolant Leaks/check levels
8 Coolant System
9 Deadman Pedal /Switch operational
10 Door operational
Engine baffling or noise reduction equipment
11
fitted as per manufacturers specifications
12 Engine Guarding
13 Engine Mountings
14 Exhaust Guarding
15 FIRE EXTINGUISHER / FIRE SUPRESSION
16 First Aid Kit, triangle and road reflectors available
17 Handrails and ladders fitted and secure
18 Instruments operational & labelled

Inspection
 Document Number: MZK 014
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

SERVICE TRUCK

No IN ORDER
Inspection Comments
YES NO
19 Levers / Controls Operational
20 LOCK OUT
21 Oil Leaks/check levels
22 Park brake is operational
23 PDS
24 Pedals in good condition
25 PRE-USE
26 Rear View Mirrors
27 Running Gear
28 Seat – adjustments operational secure
29 Seat belt fitted and in good working order
Smoke from internal combustion engines should
30
not be visible for more than ten seconds
31 Tyres / Wheels undamaged
UHF Radio Fitted (If not fitted, has a handheld
32
radio been supplied)
33 V-Belt Condition
Warning devices and other lights (flashing, head,
tail, etc) are appropriate for the environment in
34
which plant is being used. (check environment
noise criteria particularly if working out of hours)
Warning Signs - Danger – Beware Overhead
35
Wires
36 Warning Signs - Seat belt must be worn
37 Windows not damaged
38 Wipers / Washers operational

Damages Survey
Front Back
 Document Number: MZK 014
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

SERVICE TRUCK

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

Damages
Left View Right View

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

Vehicle presented by Name: Signature:

Vehicle inspected by Name: Signature:
 Document Number: MZK 014
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

SERVICE TRUCK

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: …………………….