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  • Daily Equipment Checklist: Document No: SANR-HSE Form 23 Revision: 0 Issue Date: July 1, 2014

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    RaymondGomezBlanco
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    This document is a daily equipment checklist used to inspect equipment. It lists various parts of the equipment such as the oil level, brakes, lights, battery, steering, tires, and hydraulic systems. For each item, the inspector must check for problems and mark any issues with an X, noting the problems in the remarks section. The operator and supervisor must then sign off on the inspection dates.

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    Daily Equipment Checklist

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    This document is a daily equipment checklist used to inspect equipment. It lists various parts of the equipment such as the oil level, brakes, lights, battery, steering, tires, and hydraulic systems. For each item, the inspector must check for problems and mark any issues with an X, noting the problems in the remarks section. The operator and supervisor must then sign off on the inspection dates.

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    © All Rights Reserved
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    Download as xlsx, pdf, or txt
    16 views4 pages

    Daily Equipment Checklist: Document No: SANR-HSE Form 23 Revision: 0 Issue Date: July 1, 2014

    Uploaded by

    RaymondGomezBlanco
    This document is a daily equipment checklist used to inspect equipment. It lists various parts of the equipment such as the oil level, brakes, lights, battery, steering, tires, and hydraulic systems. For each item, the inspector must check for problems and mark any issues with an X, noting the problems in the remarks section. The operator and supervisor must then sign off on the inspection dates.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 4

    Document No:

    Revision:
    Issue Date:

    DAILY EQUIPMENT
    CHECKLIST
    OPERATOR'S NAME:

    OPERATOR'S NAME:

    PROPERTY NUMBER:

    PROPERTY NUMBER:

    EQUIPMENT DESCRIPTION:

    EQUIPMENT DESCRIPTION:

    If no problems found write "OK", PROBLEMS FOUND ON VEHICLE


    MUST BE MARKED WITH AN "X" ( All items marked with an X
    indicate problems and must be reported to your foreman
    immediately )

    OIL LEVEL
    BRAKES

    LIGHTS

    WINDSCREEN
    BATTERY

    HYDRAULIC
    ENGINE
    TRANSMISSION
    PARK
    FOOT
    BRAKE
    PARK
    HEAD
    INDICATOR
    HAZARDS
    SCREEN
    WIPERS
    TERMINALS
    WATER

    STEERING

    TYRES

    LOADBIN
    HORNS
    EXHAUST

    SANR-HSE Form 23
    0
    July 1, 2014

    REMARKS

    If no problems found write "OK", P


    MUST BE MARKED WITH AN "X" ( A
    indicate problems and must be rep
    immediately )

    OIL LEVEL
    BRAKES

    LIGHTS

    WINDSCREEN
    BATTERY
    STEERING

    HUBS
    TYRES
    NUTS/STUDS
    PRESSURE
    SPARE

    TYRES

    LOADBIN
    HORNS
    EXHAUST

    V-BELTS
    RADIATOR
    FILTERS
    HYDRAULIC CYLINDERS
    OIL LEAKS
    AIR LEAKS
    DRAINS
    DIFFERENTIALS
    MIRRORS
    CONTROLS -

    PRESSURES

    TEMPERATURES

    SAFETY

    MACHINE CONDITION
    DRIVERS SIGNATURE
    SUPERVISORS SIGNATURE

    V-BELTS
    RADIATOR
    FILTERS
    HYDRAULIC CYLINDERS
    OIL LEAKS
    AIR LEAKS
    DRAINS
    DIFFERENTIALS
    REAR
    SIDE
    OIL
    AIR
    TRANSMISSION
    ENGINE
    TRANSMISSION
    SEATBELT
    STEPS
    EXTINGUISHER
    EQUIPMENT
    TRIANGLES
    WHEEL SPANNER
    JACK
    CLEAN
    DIRTY
    DAMAGE

    MIRRORS
    CONTROLS -

    PRESSURES

    TEMPERATURES

    SAFETY

    MACHINE CONDITION
    DATE:
    DATE:

    DRIVERS SIGNATURE
    SUPERVISORS SIGNATURE

    Document No:
    Revision:
    Issue Date:

    DAILY EQUIPMENT
    CHECKLIST

    SANR-HSE Form 23
    0
    July 1, 2014

    OPERATOR'S NAME:
    PROPERTY NUMBER:
    EQUIPMENT DESCRIPTION:

    If no problems found write "OK", PROBLEMS FOUND ON VEHICLE


    MUST BE MARKED WITH AN "X" ( All items marked with an X
    indicate problems and must be reported to your foreman
    immediately )

    OIL LEVEL
    BRAKES

    LIGHTS

    WINDSCREEN
    BATTERY

    HYDRAULIC
    ENGINE
    TRANSMISSION
    PARK
    FOOT
    BRAKE
    PARK
    HEAD
    INDICATOR
    HAZARDS
    SCREEN
    WIPERS
    TERMINALS
    WATER

    STEERING

    TYRES

    LOADBIN
    HORNS
    EXHAUST

    HUBS
    TYRES
    NUTS/STUDS
    PRESSURE
    SPARE

    REMARKS

    V-BELTS
    RADIATOR
    FILTERS
    HYDRAULIC CYLINDERS
    OIL LEAKS
    AIR LEAKS
    DRAINS
    DIFFERENTIALS
    MIRRORS
    CONTROLS -

    PRESSURES

    TEMPERATURES

    SAFETY

    MACHINE CONDITION
    DRIVERS SIGNATURE
    SUPERVISORS SIGNATURE

    REAR
    SIDE
    OIL
    AIR
    TRANSMISSION
    ENGINE
    TRANSMISSION
    SEATBELT
    STEPS
    EXTINGUISHER
    EQUIPMENT
    TRIANGLES
    WHEEL SPANNER
    JACK
    CLEAN
    DIRTY
    DAMAGE

    DATE:
    DATE:

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