DOC. NO.

FM-019-27-00
DES Services
DATE: 1/1/2019

MOBILE EQUIPMENT CHECK LIST

Project Name: Project #:

Vehicle / Equipment Registration No.: Model / Manufacturer:

Date of Inspection: Time of Inspection:

Location:
Sr. # Nature of Inspection Condition Remarks
1 General
1.1 Engine smoke & sound
1.2 Hydraulic leakage
1.3 Fuel tank cover & body
1.4 Equipment body
1.5 Battery securing

2 Horn
2.1 Reverse
2.2 Swing
2.3 Main

3 Light
3.1 Head Light
3.2 Tail Light
3.3 Break Light
3.4 Reverse Light
3.5 Signal Indicator
3.6 Parking Light
3.7 Cabin Light
3.8 Hazard Light
3.9 Boom Light

4 Tyre
4.1 Condition
4.2 Pressure
4.3 Size & Shape
4.4 Spare Wheel

5 Brakes
5.1 Hand Brakes
5.2 Working condition & Type of System

6 Guages
6.1 Speedometer
6.2 Fuel Guages
6.3 Oil Guages
 DOC. NO. FM-019-27-00
DES Services
DATE: 1/1/2019

MOBILE EQUIPMENT CHECK LIST

7 Seat Bealts
7.1 2 Points
7.2 3 Points
8 Mirrors
8.1 Rear View
8.2 Side View
8.3 Wind Screen
8.4 Rear cabin glass
8.5 Window glasses
8.6 Wipers & Washers
9 Tools
9.1 Jack
9.2 Timber Blocks
9.3 Wheel Spanner
9.4 Tools Box
9.5 Tommy Bar
10 Documents
10.1 Registration
10.2 Third party inspection
10.4 Operator's Qualification card
11 Fire Extinguisher
11.1 Type & Capacity
11.2 Inspection Date
11.3 Next Inspection Date

12 First Aid Kit

13 Driver's Cabin
13.1 Loose material /electric cables
13.2 Clothes/ Rags
13.3 A/C Condition

14 Equipment Status
14.1 Outriggers & paddings
14.2 Wire Rope
14.3 Rope Drum
14.4 U Bolt/Saddle position & Direction
14.5 Load Chart
14.6 Anti Two- Blocking (ATI)
14.7 Main block & Jib ball
14.8 Safe load indicator
14.9 Angle indicator
14.10 Sling, Shackles, Ropes

15 Operator's Condition
 DOC. NO. FM-019-27-00
DES Services
DATE: 1/1/2019

MOBILE EQUIPMENT CHECK LIST

15.1 Physical
15.2 Medical
 DOC. NO. FM-019-27-00
DES Services
DATE: 1/1/2019

MOBILE EQUIPMENT CHECK LIST

Recommendations/ Conclusions:

Checking Authority Verified By:

HSE Representative I/C HSE

Overall Condition:

Legend:

Conditi Good G
Fair F
Poor P
 DOC. NO. FM-019-27-00
DES Services
DATE: 1/1/2019

MOBILE EQUIPMENT CHECK LIST