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QMS-TM-HSSE-CL/SF-001 Rev0

PILE DRIVING RIG INSPECTION CHECKLIST

PROJECT NAME DOC NO.


CONTRACTOR DATE
TYPE OF RIG RIG NO.
WEIGH OF DROP HAMMER HEIGHT OF RIG

NOT
ITEM DESCRIPTION INSPECTION PASS REMARK
PASS
1 PMA Certificate
2 Condition of structure
3 Condition of engine and cover guard
4 Leak condition of oil & boiler
5 Condition of wire rope sling of drop hammer should be use 3 clip
6 Condition of drop hammer have to fix pin
7 Condition wire rope sling for lifting pile
8 Condition wire rope sling for support drop hammer
9 Condition of support drop hammer
10 Condition of top hoist winch
11 Condition of carry sling hoist)
12 Condition of breaking system
13 Condition of crane rails must not be bent or broken
14 Condition of shackles
15 Cover guard for battery
16 Condition of Hydraulic Jack
17 Other

Inspector or Safety Officer comments:

Name of Request Date/Time


Contractor Safety officer Date/Time
Inspector Name Date/Time

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