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Soil Handling Equipment Inspection

1) The document is a soil handling equipment inspection form used to inspect equipment such as bulldozers, backhoes, and graders before they enter a construction site. 2) It checks that the operator is licensed, the equipment is certified, and that systems like hydraulics, electrical, brakes, and safety devices are in good working condition. 3) Inspectors fill out the form and determine if the equipment is approved for use, requires repairs, or is not acceptable.

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Adhy Darmawan
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215 views2 pages

Soil Handling Equipment Inspection

1) The document is a soil handling equipment inspection form used to inspect equipment such as bulldozers, backhoes, and graders before they enter a construction site. 2) It checks that the operator is licensed, the equipment is certified, and that systems like hydraulics, electrical, brakes, and safety devices are in good working condition. 3) Inspectors fill out the form and determine if the equipment is approved for use, requires repairs, or is not acceptable.

Uploaded by

Adhy Darmawan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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INSPEKSI ALAT DAN PERALATAN

Form-I-004

SOIL HANDLING EQUIPMENT INSPECTION FORM

□ Bulldozer □ Backhoe/Excavator □ Road Roller/Vibro □ Power Shovel □ Drag-line


□ Clamshell □ Grader □ Scraper □ Wheel Loader
Type of Equipment : CARRY-IN CERTIFICATE
Equipment No. : Permit No. :

Manufacturer : Date :

Company User :
Approved by :
Certificate Number :

Month of Inspection : Reviewed by :


This form must be completed by the operator and company user before entering the equipment to be operated in the
site project area, and at any time of setting location. All equipment condition must meet to the safety regulation and
ADHI SHE Management Plan
Result column: (  ) Yes/Good, Acceptable, ( X ) Not/Bad, Not to use, ( NA ) Not applicable
No Check Item Result Remarks

1 Operator has a valid License


2 Equipment has valid certificate
3 Hydraulic system in good condition
4 Traveling system in good condition
5 All electrical system are in good
6 Brake system
7 Operations Handle
8 Back Mirror
9 Lighting Device
10 Alarm System
11 Safety device
12 Rigger man provided / qualified
13 Fork horn in good condition
14 Lubrication system
15 Safe Guards for moving parts
16 Oil leaking
17 Fuel Reservoir
18 Fire Extinguisher
19
20
21
22

INSPECTOR REPORT
INSPEKSI ALAT DAN PERALATAN

Corrective Action Required

Inspection Status:  OK

 Not OK

 Order for Repair

Subcontractor
Inspected by Date : Name : Signature :
Position :
Approved by Date : Name : Signature :
Position :
Contractor
Inspector Date : Name : Signature :
Position :
Reviewer Date : Name : Signature :
Position :
SHE Manager Date : Name : Signature :
Position :

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