2 - Hse - Bulldozer Inspection Form

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Project Title : Doc Doc

Development and Upgrading of the


Proposed Pan Borneo Highway in the Originated Revision
State of Sarawak.
PBHS/WPC10/2016/HSE-2
Mile 5 ~ Nyabau Flyover + Jln Bakun YRS
Pekerjaan Piasau Konkerit Junction – Sg. Tangap.
Sdn Bhd
18.08.2016

BULLDOZER INSPECTION FORM


Equipment Model Register Number
Date Inspection Inspected by
Next Inspection

Item to be Inspected OK Poor Action By Remarks


Equipment Features
Belting
Fuel Line
Radiator Cap, Hoses
Wiring & Battery Condition
Engine Oil
Mirror (Side & Rear Vision)
Brake Oil
Horn
Tranmission
Oil Level
Leakage if any
Hydraulic System
Oil Level
Hose Pipes
Leakage if any
Undercarriage
Chain Tension
Roller Oil Level
Final Drive Oil Level
Safety Devices
Safety Guard on Rotary areas
Safety Signal
Fire Extinguisher

Site and Equipment in charge Site Supervisor HSE Dept.

Name: Name: Name:

Signature: Signature: Signature:

Date: Date: Date:

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