INSPECTION CHECKLIST

Name of Equipment Supplier Vendor:

Equipment Type/ Name:

Inspection Done By:

Equipment Vendor Representative:

Check Points Status
Sl.No Check Points
Yes No NA
1 Equipment Identification number/ Serial number
2 Insurance Copy & Validity
3 Availability of TPI
4 TPI displayed in the machine
5 Operator Name & DL, DL Validity/ Experience Letter
5.1 Operator Medical
5.2 General Medical
5.3 Eye Test
5.4 Height Phobia Test
5.5 Blood Pressure
6 Display of Manufacture DO's & Don'ts
7 Display of Safe Working Load/ Capacity
8 Whether Manlifter Platform/ Bucket is in good condition

9 Whether the door/ inner side opening & Locking

Mechanism is in good condition

10 Whether condition of the bucket flor floor and hand

railing in good condition

11 Is the Bucket control Panel switches, brake, legible

marking and protection in good condition
12 Emergency Operation switch is working condition
Main Horn, Swing and marching horn in working
13 condition

14 Overhoist/ load cut off and waening devices is in

good condition
15 All meter , gauges is working
16 Fire Extinguisher availability
17 Condtion of Tyres/ wheel and bolt tightness
18 Availability of guard on all rotating parts
Whether the machine is free from leakages like Oil,
19 Fuel .

20 Whether the vendor has provided the maintence

report of last 3 months where machine has worked
 21 Availabilty and Caliberation done for
21.1 Load Sensor
21.2 Tilt Sensor
21.3 Angle Sesnor for Ultra Boom
Machine vendor to provide authorisation letter
22 from the machine manufacturer for doing
caliberation
The Equipment carrying engine number
was inspected on dated at by
of vendor representative was found satisfactory during the
project site.
Inspection Done By: Equipm

Note:
HECKLIST

Remarks
rrying engine number
at by
was found satisfactory during the inspection. The m

Equipment Vendor Represenatative