Saudi KAD Contracting Co.

PIPELINE DAYLIGHTING PHASE III PROJECT

CONTRACT NO: 6600030377/ BI-10-00024

Standard Manlift Inspection Checklist

Pre-shift Inspection
(The Manlift operator must complete this form at the beginning of each shift)
Date: __________________ Manlift#_______________Hour Meter _______________________

Inspection OK Not OK N/A Explanation

Basic Inspection (from ground):
Manufacturer's Manual (In place)
Platform/railing(bent,worn,damaged,locking)
Tires (worn, air, separating, missing bolts)
Fire extinguisher (fully charged sealed)
Horn (operational, load enough)
Restraining device (good repair, secure)
Hydraulic fluid (platform down)
Hoses ( good repair)
Internal combustion equipment
Propane tank (date, leak, secure)
Gas cap (secure)
Engine oil (check with engine off)
Radiator (do not check if hot)
Hoses and belts (good repair)
Battery (tight connections, cell levels)
Battery powered equipment:
Cables and connections (tight)
Cell levels (above plates)
Plugging control (smooth operation)
Basic inspection (on manlift):
Brake pin & linkage
Brake (firm, stops smoothly)
Steering (smooth operation)
Leaks (under manlift)
Controls (smooth operation)
Functions (up/down)
Directional controls (smooth operation)

Inspected by: ___________________________ Supervisor: ______________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

VEHICLE INSPECTION CHECKLIST

For The Week Of _________________________

Wind Shield & All

Fire Extinguisher
Reversing Alarm
Jumper Cable

Beacon Light
Light Signals
Head Lights

First Aid Kit

Brake Light

Water Igloo

Triangles
Seat Belt
Glasses

Mirrors

Tools
Door

Tire
SN Vehicle Type Remarks
No.

Driver Name: _____________________________

Driver License No : __________________________

 PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

CONCRETE PUMP SAFETY CHECKLIST

DATE : _________________
NOT
SN ITEMS OK N/A REMARKS
OK
PROPER OPERATIONAL CHECKLIST
1 Placement of pump truck established
2 Accessibility of pump truck adequate
3 Accessibility of concrete truck adequate
4 Enough ground support for pump truck and cement truck
5 Overhead structures or trees
6 Maintain minimum 10ft distance from power lines
7 Work area clear
8 Traffic control needed
PUMP TRUCK INSPECTION
1 Hose connector
2 Controls clearly marked
3 Location of emergency shuf off
4 Maintenance records
OPERATIONAL CHECKLIST
Size and strength of pump truck adequate and suitable to
1 withstand material load
Inspection of :
Hoses for cracks
2
Connectors
Hoses for debris
3 Is crew aware of who is in charge
4 Have hoses and connectors been inspected by qualified
person after connection
5 Is the back of pump protected with barriers or transition
covers
COMMUNICATION
1 Are hand signals understood by pump operator and crew
operators
2 Is radio being used and have good batteries

Operator Name: ______________________

Operator Signature: ______________________

License Number : ___________________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

TRAILER TRUCK DAILY INSPECTION CHECKLIST

DATE
OPERATOR BADGE NO
LOCATION
VEHICLE DOOR NO.

SN INSPECTION AREA SAT N.SAT N/A COMMENTS

BEFORE START UP
1 Check Oil Level & Water Level
2 Complete Walk Around Inspection
3 Check Tire Condition and Pressure
4 Seat and Seat Belt Condition
AFTER START UP (BEFORE MOVING)
1 Check Instrument are Correct Reading
2 Check the Break Air Pressure
3 Is the Reverse Warning Device OK?
4 Check the Front and Rear Light OK?
5 Is the Horn Working?
6 Filtration
AFTER MOVING OFF
1 Check the Breaks and Streering feel OK
2 Undertake a Brake Drive Test (Stop on
Incline when Loaded
3 Undertaking Parking Brake Test (Hold on
Incline when Loaded)
DURING OPERATION
1 Inspect for Oil, Water, or Fuel Leaks and
Usual Smell or Noise
2 Greases in Accordance with Manufacturers
Inspection
3 Clean the Tab
4 Fire Extinguisher Placed

Operator Name: ______________________ Supervisor Name: __________________________

Signature : ___________________________ Signature : _______________________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

GENERATOR DAILY INSPECTION CHECKLIST

Serial No:__________________ Fuel Type:___________ Date : _______________________________

Location:__________________

SN INSPECTION AREA SAT N.SAT N/A COMMENTS

1 All Gauges
2 Warning Lights/Shutdowns
3 All Electrical Controls
4 Fuel Regulation Diagram
5 Oil Pressure
6 Water Temperature
7 Fluid Leaks
8 Carburetor
9 All Coolant Heater
10 Battery Cable
11 Battery Water Level
12 Spark Plug wire
13 Change of Oil/ Filter
14 Belts for Tightness
15 Grounded
16 Fire Extinguisher Placed

Operator Name: ______________________ Supervisor Name: _____________________________

Signature : ___________________________ Signature : ___________________________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

SLING INSPECTION LOG

NOTE: EACH SLING HAVE A SEPARATE SLING INSPECTION LOG PAGE

SLING TYPE:__________________ SLING SERIAL #:______________________SAFE WORKING LOAD (SWL) : __________________________

SLING DESCRIPTION:___________________________________________________________________________________________________________
SLING IN-SERVICE DATE:__________________ SLING OUT-OF SERVICE DATE:______________________________________________________________

INSPECTION DATE RIGGER NAME, CERTIFICATE #, & SAUDI ARAMCO ID# REMARKS
 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

PORTABLE AIR COMPRESSOR SAFETY CHECKS

Location:__________________

SN DESCRIPTION Yes No REMARKS

1 Are compressors equipped with pressure relief valves and
pressure gauges?
2 Engine cut off shutdown device
Are safety chains or other suitable locking devices used at
3 couplings of high-pressure hose lines where a connection
failure would create a hazard?
4 Are air filters installed on the compressor intake?

5 Are compressors operated and lubricated in accordance with

the manufacturer's recommendations?

6 Are safety devices on compressed air systems checked

frequently?
7 Fitting, couplings and hoses
8 Are employees strictly prohibited from directing compressed
air towards a person?
9 Are employees prohibited from using highly compressed air
for cleaning purposes?
10 Fire Extinguisher
Are employees prohibited from using compressed air to
11 clean up or move combustible dust if such action could
cause the dust to be suspended in the air and cause a fire or
explosion hazard?
12 Color code of the month

Name of the Supervisor: _______________________________

Signature : __________________________________________
 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

BOBCAT DAILY INSPECTION CHECKLIST

Equipment No:__________________ Location:_____________ Date : _______________________________

SN INSPECTION AREA INSPECTION RESULT

WALK AROUND INSPECTION SAT N.SAT N/A COMMENTS
1 Tire Pressure
2 Tire Condition
3 Wheel Nuts
4 Cage
5 Counter Weight (If applicable)
6 Radiator
7 Transmission Line
8 Engine Oil Level
9 Hydraulic Oil Level
10 Diesel Level
IN CAB INSPECTION
1 Enter Handrails
2 Control Levers S
3 Gauges
4 Steering
5 Lights
6 Horn
7 Reverse Alarm
8 Warning Beacon
9 Battery Condition
10 Bucket
11 Bucket Cylinder
12 Air Filter
13 Fire Extinguisher Inspected

OPERATOR'S/SUPERVISORS COMMENTS

Operator Signature: ______________________ Supervisor Signature: ___________________________

License No.: __________________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

CAMP RANDOM ROOM INSPECTION SHEET

Building No:__________________ Room No.:____________Location : _____________________________
YES NO N/A COMMENTS
Outside housekeeping
Trash bins available outside
Adequate outside lighting
Fire protection outside
Adequate lighting entrance
Air conditioner working
Fridge working and clean
Water working with good pressure
Water leaks
Clean shower
Clean toilet
Clean sink and mirror
Clean floors and walls
Adequate towels
Adequate toilet paper
Adequate closets shelving and shoe shelves
Dirty laundry bags or bins
Waste basket bathroom and sleeping room
Adequate lighting in bath and sleeping room
Bath fan working
Room cleaning, laundry and bedding schedule
posted
No open flame cooking devices
Class ABC fire extinguisher in room,
Inspection date good
Emergency assembly map posted
emergency phone # posted
Room clean and tidy
Supply of drinking water
Adequate soap supply
Adequate toilet paper supply
Other

___________________________ ____________ ____________________________

Safety Officer Signature Date Verified by Safety Supervisor
PRINT ON BACK SIDE OF FORM FOR OTHER NOTES
 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

BOOM TRUCK DAILY INSPECTION CHECKLIST

Equipment No:__________________ Location:_____________Date : _______________________________

SN INSPECTION AREA INSPECTION RESULT

CARRIER SAT U.SAT N/A COMMENTS
1 Engine Oil
2 Radiator
3 Suspension
4 Tires
5 Wheels
6 Rotation System
7 Out Rigger
8 Mounting Bolt & Welds
9 Hydraulic Fluid Level
10 Carrier Structure
11 Fire Extinguisher
OPER.STATION & URRET
1 Gauges'
2 Controls & Labels
3 Hyraulic Cylinder
4 Hydraulic Hose
5 Warning Alarm
6 Service Break
7 Swing Break
8 Electrical System
9 Safety Equipment
BOOM
1 Sheaves
2 Wire Rope
3 Hook & Swivel
4 Boom Angle Indicator
5 Load Indicator
6 Anti Two Block System
7 Winch
8 Slide Pads
9 Deformation Crack
10 Boom Extension
11 Load Block

Operator Name: ______________________ Supervisor Name: _____________________________

Operator Badge No. ___________________ Badge No: ___________________________________

Signature : ___________________________ Signature : ___________________________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

FORKLIFT OPERATOR DAILY INSPECTION CHECKLIST

Equipment No:__________________ Location:_____________Date : ______________________

SN INSPECTION AREA INSPECTION RESULT

With Engine Off SAT U.SAT N/A COMMENTS
1 Fuel
2 Hydraulic Oil
3 Engine Oil
4 Radiator Coolant
5 Transmission Fluid
6 Tires
7 Forks Top Clip Retaining Pin and Heel
8 Hydraulic Hoses, Mast Chain, Cables
9 Over Head Guard
10 Battery
11 Engine Belt
12 Seat Belt, Buckle
13 Break Fluid
With Engine On
1 Accelerator
2 Service Break
3 Parking Break
4 Steering Operation
5 Drive Control ( Forward/Reverse)
6 Attachment Control
7 Horn and Lights
8 Gauges (Ammeter, Hour meter, Fuel
Level, Temperature
9 Fire Extinguisher Inspected
10 Hazard Beacon Light
11 Reverse Horn
12 Inspection Sticker

Operator Name: ______________________ Supervisor Name: _____________________________

Operator Badge No. ___________________ Badge No: ___________________________________

Signature : ___________________________ Signature : ___________________________________

 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024

Location_________________________
WEEKLY MOBILE WELDING MACHINE CHECKLIST
Make:__________________ Model:_______________ I.D. No. ______________________

No. Item OK No NA Needs Attention

1 Tire conditions

2 Oil leaks (engine)

3 Radiator (weak leaks)

4 Cooling Water Hoses

5 Exhaust System

6 Electrical Controls

7 Auxiliary (remote) connections

8 Welding Cable Conditions

9 Earth Bonding Connections

10 Machine Lifting Eye

11 Fire Extinguisher

12 Fuel lines (leaks)

13 Fuel Tank and Filler Cap

14 Pulley Guards in Position

15 Side screens in Position

16 Battery condition

17 ARAMCO clearance

18 Towing bar in good condition

19 Others

___________________________ __________________ _____________________________________

Safety Officer Signature Date Verified by PMT
 Saudi KAD Contracting Co.
PIPELINE DAYLIGHTING PHASE III PROJECT
CONTRACT NO: 6600030377/ BI-10-00024
CRANE OPERATOR DAILY INSPECTION CHECK LIST

Date: ____________________

Crane Operator Badge # Supervisor Badge # Organization Code: Telephone # Location

Manufacturer Equipment # Model Capacity

Carrier Hour Meter Start Hour Meter Finish Crane Hour Meter Start Hour Meter Finish

PHASE ITEM No. ITEM NAME OK NOT OK N/A DEFICIENCY

1.1 Inspection Sticker

1.2 Carriers Doors/ Panels. Mirrors
1.3 Spark Arrestor
1.4 Under-Chassis Leak Check
1.5 Air Reservoir
1.0 PRE-START WALK-AROUND CHECKS

1.6 Tire Condition-Pressure/Thread/Sidewalls

1.7 Tracks/Drive Chains
1.8 Deck-Housekeeping/ Leaks
1.9 Coolant Level (Radiator)
1.10 Engine Oil Level
1.11 Engine Oil Leak Check
1.12 Wire Rope-Condition/Drum Lay
1.13 Sheaves/Hook Block/Headache Ball
1.14 Swing-Away Jib
1.15 Cab-Doors/Glass/Mirrors/Housekeeping
1.16 Seat Belts
1.17 Load Chart(s)-Accessible/ Readable
1.18 Fire Extinguisher(s)-Mounted/Inspected
1.19 Hydraulic Oil Level
1.20 Battery-Terminals/Cables/Electrolite
1.21 Fan Belts

2.1 Engine Start

2.2 Voltmeter/Ammeter/Tachometer (RPM Gauge)
2.0 ENGINE START-UP CHECKS

2.3 Turn Signals/4-way Flasher Switch/Beacon Lights (s)

2.4 Horn/Lights/Wipers
2.5 Engine Oil Pressure Gauge
2.6 Transmission/Converter Temperature Gauges
2.7 Engine Coolant Temperature Gauge
2.8 Fuel Gauge Level
2.9 Braking System(s)
2.10 Transmission Oil Level
2.11 Air Filter/Restriction Condition
2.12 Hydraulic Filter Condition
2.13 Suspension System

3.1 Anti-Two Block/Two Block Damage Prevention

2.0 CRANE SAFETY DEVICE(S) &
HYDRAULIC SYSTEM CHECKS

3.2 Rated Capacity (Load/Limiter (RCL)

3.3 Outriggers/Stabilizers/Float Pads
3.4 Bubble Checks
3.5 Steering System
3.6 Rear Axle/Oscillation/Lockout System
3.7 Boom Extension/Lift Controls/Lift Operations
3.8 Hoist Controls/Hoist Operations
3.9 Positive Swing Lock/Swing Controls/Operations
3.10 Back-Up Alarm

Operator Name: Supervisor Name:

___________________________________ ________________________________ ____________________________ ____________________
(Please Print) Signature (Please Print) Signature