HDPE MACHINE CHECK LIST

Doc Ref: MS-DD-3000-HSE-PRO-0022 Form No: MS-DD-3000-HSE-FRM-0119

Date: 10 April 2020 MANYAR SMELTER PROJECT Revision No: 00

Equipment No.: Log Book: Y / N Date:

Registration No.: Model Y / N Owner’s Manual: Y / N
Make: Classified Plant Engine no.:
() Inspected & Satisfactory (NA) Not Applicable (X) Requires and / or Repair
STATUS
NO ITEM REMARKS
GOOD FAIL N/A
1 Basic Frame
22 Planning Tool
3 Heating Plate
4 Fixed clamp
5 Movable clamp
6 Swing check manual
7 Temperature controller
8 Pressure gauge
9 Power cable
10 Hydraulic unit
11 Electrical cables and plug
12 Circuit breaker
13 Oil tank
14 Machine cover
15 Spark plug
16 The overall structure
17 Name plate

Inspected By (competent person):

Subcontractor: Date:
CONTRACTOR USE ONLY
Mobilization of the equipment based on the information provided is approved  Not approved 
Contractor Representative (Print Name) ________________________________________________
Contractor Representative Signature ___________________________________________________
Date ____ / ____ / ____