DAILY PRE-START CHECKLIST FOR CONCRETE MIXER TRUCK

Site Name Type of Work Operator Name

Manufacturer Model Capacity

Year
Manufactured Date of First Use Date of Inspection

1
Operator’s Vision

2
Rearview Mirror
4
Rails & Access Steps

3
Head Light
Fog Light 5 Tire
Signal Light
Wheel Assembly

6
Reverse Alarm

7
Brake

Parking Brake 9
Chute
Horn

8
Shift Lever 3 10
Tail Light Stopper

11 Certification 13 Oil Leakage 15 Fire Extinguisher 17 Alcohol Test

12 Permit to Work 14 Seat Belt 16 Spotter

Supervisor Area HSE Construction Project

Manager Manager Manager Manager

(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-007 (E)