DAILY PRE-START CHECKLIST FOR DUMP TRUCK

Equipment
Site Name Type of Work
Number
Manufacturer Model Capacity
Year Date of First Date of
Manufactured Use Inspection

2 1
Rearview Mirror Operator’s Vision

3 Parking Brake
6 Tire Brake
Wheel Assembly Horn

4
7 Cylinder Leakage Head Light
Fog Light

5
Access Step

8
Safety Stand
11
Reverse Alarm
9
Frame Bolts

12
Tailgate Lock

4
Tail Light
10
Leaf Spring

13 Certification 15 Oil Leakage 17 Fire Extinguisher 19 Alcohol Test

14 Permit to Work 16 Seat Belt 18 Banksman/Signal Man

Operator (Sig) Const. Team (Sig) HSE Personnel (Sig)

(Keep the copy of Daily Pre-Start Equipment Checklist on Site for the Job Duration. Submit a copy to the Project HSE Department, if requested/required)
Note: Mark appropriate boxes with:  Acceptable;  Unacceptable;  Need Further Check; NA Not Applicable

Form: HDEC-HSE-CE-002 (E)