EQUIPMENT INSPECTION RECORD

Operator Name Iqama Number

Equipment Brand Type Registration #

Yes No N/A Remarks

1 Equipment Documents
a Equipment Registration Available and Valid
b Third Party Certificate Available and Valid
c Equipment Insurance Available and Valid
2 Operator Documents
a Operator Iqama Available and Valid
b Operator Driving License Available and Valid
c Operator Third Party Certificate Available and Valid
3 Equipment Safety Devices
a Beacon Light Available
b Backup Alarm Working Properly
c Fire Extinguisher Available
d Seatbelt available and working properly
4 Equipment Condition
a Side Mirrors available and in good condition
b Windshields Condition
c Lights Condition
d Signal Lights Condition
e Horn is working properly
f Tires Condition
g Track Chain Condition
h Fuel Leakage
i Oil Leakage
j Seats Condition
k Safety Pin lock Conditions
l General Body Condition
5 For Lifting Equipment Only
a Outrigger / Stabilizer System in Good Condition
b Outriggers Pads in Good Condition
c Boom In Good Condition
d Sling Wire in Good Condition
e Forks in Good Condition (Forklift only)
f Computer Working Properly
g Load Movement Indicator (LMI) Working Properly
h Main and Auxiliary Hook Block in Good Condition
i Safety Latch for all Hooks in place and Functional
j All Pulleys in Good Condition
Additional Comments

The equipment was inspected and the condition found Satisfactory Unsatisfactory

Inspected By Signature Date