Inspection Date
LORRY Police Number
:
:
Owner :
INSPECTION STANDARD User :
(SK.725/AJ.302/DRJD/2004;PP/187/1999 )
INSPECTION METHOD INSPECTION RESULT
No CHECKLIST ITEM STANDARDS REASON
VISUAL FUNCTION OWNER USER EHFS
GENERAL
1 Wheels/tires Tire good condition, all wheel bolt complete with nut ●
2 Fuel tank cap Installed, secure, and standard ●
3 Fuel tank Not leaking ●
4 Battery All interfaces possible to spark and fire, must be isolated ●
5 Rear view mirrors Clear ●
6 Horn Working properly ●
7 Engine Working properly, and not leaking ●
8 Brakes and hand brake Working properly ●
9 Main lamp, brake lamp, turn signal Working properly ●
10 Wipers Working properly ●
11 Electrical switch off engine Available and working properly ●
12 Rewind alarm Available and working properly ●
SPECIFIC REQUIREMENTS
Driving license ‐ General B2, Defensive Driving Certificate, chemical
1 Trained driver ●
handling and fire extinguisher
2 B3 transportation permit (dishub) Available and valid ●
3 B3 sign Installed on all side of lorry ●
4 Stairs Reachable and complete with handrail ●
5 Lorry tank Not leaking ●
6 Tank temperature and pressure indicator Working properly ●
7 Cabin indicator Working properly ●
8 Fire extinguisher Minimum 2 pcs, and rating 80 BC ●
9 First aid Available, and not expired ●
10 Safety cone Available and minimum 2 pcs ●
11 Flame arrestor Available and installed ●
12 Spill kit Available (pads, boom) ●
Grounding tag (grounding cable wheen
13 Available and installed (not painted) ●
loading/unloading)
Special PPE Safety helmet min req. 2 unit ● ●
Safety glassES/goggles min req. 2 unit ● ●
Face shield min req. 2 unit ● ●
14 Half /full chemical face mask min req. 2 unit ● ●
Chemical suit min req. 2 unit ● ●
Chemical gloves req. 2 unit ● ●
Safety shoes or safety boot min req. 2 unit ● ●
INSPECTION STATUS PICTURE OF LORRY
PASSED HOLD REJECTED
INSPECTION DURATION TO
ADVICE AND RECOMMENDATIONS:
INSPECTION BY APPROVED BY
Name and Signature Name and Signature
