Checklist Vibrator

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Form No.

: IMS-QK-HSE-3-0057-33
Rev.00 Monthly Vibrator Inspection Checklist
PROJECT: Contract No.:

Company: Job No.: For the Month of Date of Inspection:

Inspection item

Check guards are in pulleys, belts

connection are tight and no leaks

Check Vibrator Needle Condition


Serial No. /

Check fuel hose and hose


Item

Air Emission Test (Visual)


Operator's Name Identification Location Remarks
No.

Fuel level- Daily check


No.

Oil level- Daily check

Check the fuel leak

Noise level
and fans

evident

Inspected By: Additional Comments:

Name and Signature:

Note: This checklist is referenced in procedure number: IMS-QK-HSE-3-0057

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