#
UPGRADE BUILDING RISK MITIGATION -RTR
BI-10-02062
SKID LOADER DAILY CHECKLIST
Equipment Model/Serial #: Equipment Certification Expiry Date: Inspection Month:
# سیریل/ سامان ماڈل سامان تصدیق نامہ ختم ہونے کی تاریخ معائنہ مونٹ
Date
Sat Sun Mon Tue Wed Thu Fri
General Body Condition
Fuel Tank Condition
Oil & Fuel Leakage
Engine Compartment Condition
Fan, Belt, Tension(If Applicable)
Acceleratror Lever Condition
be to Items
inspected سامان Moving Part Properly Guarded
معائنہ کیا جائے
Exhaust System
Tyre Condition
Handle Condition
Monthly Inspection Sticker
Inspected by Inspected by: (Heavy Checklist shall be filled & counter sign by
Equipment Operator) the operator on a daily basis.
Safety Officer Incharge to checked &
Checked & Verified by: (Incharge Safety
verify the condition of Equipment &
Officer)
counter sign on a daily basis.
filed. be to has checklist The fixed. be to has Checklist the of findings the All چیک لسٹ کے تمام نتائج کو طے کرنا ہوگا۔ چیک لسٹ دائر کرنا ہے۔
:Condition Good -In OK Legend ٹھیک ہے میں اچھی حالت میں
repair/replacement for Damaged, - OK NOT متبادل کے ل/ مرمت، نوٹ ٹھیک ہے نقصان پہنچا.
Applicable -Not N/A قابل اطالق نہیں
List of Heavy Equipement Deficiencies (if Any) for Immediate
Rectification
5
آپریٹر کا نام
Operator Name: Verified by (Safety Incharge):
میعاد ختم ہونے کی تاریخ/ # آپریٹر کا سرٹیفیکیشن حفاظتی دستخ
Operator Certification #/Expiry Date: / Safety Signature: