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Relocate Jazan-Abha Refined Products Pipeline BI# 10-

00875 Contract# 6600045122


WEEKLY EXCAVATOR INSPECTION CHECKLIST

Operator’s Name: SAG License #:


Certificate #. Date: To:
Vehicle No:

Item CONDITION
Item to be Checked
No. SAT SUN MON TUE WED THU FRI
1 Fluid Level
2 Hydraulic Leakage
3 Operating Levers
4 Lights
5 Hazard Beacon
6 PWAS
7 Windows
8 Horn
9 Tires/Tracks
10 Seatbelt
11 Fire Extinguisher
12 Foot Break
13 Hand Break
14 Mirrors
15 Visibility
16 Attachments (Bucket/Blade/Ripper)
17 (SAG) Licensed
18 SA/SPSP Certification
19 3rd party equipment inspection
20 SICIM Inspection Sticker
21 PPE’S
NOTE: Failure to comply such above conditions, work shall not proceed without prior instructions.
Remarks:

 - Ok X - Not Ok N/A- Not Applicable

Operator Signature:
Supervisor/Foreman:
Verified By: Safety Officer
JAPL-F-HE-002
Relocate Jazan-Abha Refined Products Pipeline BI# 10-
00875 Contract# 6600045122
WEEKLY EXCAVATOR INSPECTION CHECKLIST

Operator Signature:
Supervisor/Foreman:
Verified By: Safety Officer
JAPL-F-HE-002

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