GAMA GÜÇ SİSTEMLERİ MÜHENDİSLİK VE TAAHHÜT A. Ş.

DISI – MUDAWARRA TO AMMAN WATER CONVEYANCE SYSTEM PROJECT

FORM 0014: HEAVY MACHINERY INSPECTION

Section: Sub-Contract : Time & Date:

TYPE OF HGV: (Tick where applicable)

Tipper Heap Shovel

Bob Cat JCB Excavator

Pick Up Water Tanker Grader

Drum Roller Mobile/Crawler/tower Crane DOZERS

Owned Hired (if so, name of hiring company) :

PHYSICAL CHECKS: DLN:

Registration No.

Registration Certificate * Yes No Expired Valid Date:

Competency Cert/Driving License * Yes No Expired Valid Date:
Load Test Certificate * Yes No Expired Valid Date:
1 2-1 2-2 3 4 5 6-1 6-2
Vehicle Permitted To Drive Construction Agricultural
Private
passenger
Commercial
passenger &
Minibus &
cargo vehicle Trailer & semi
Motor Cycle Busses
vehicle vehicle vehicle cargo vehicle less than trailer
(5000)Kgs (7500)Kgs (20000) Kgs

(*)This report should be attached with the copy of the registration, operator/driver driving license and load test certificate where ever
applicable

Head Lights Sound Horn Reverse Horn Beacon Light

Side Mirrors Rearview Mirror Parking Break Reg. No. Plate

Safe Load Indicator Jib Radius Indicator Fire extinguisher & First aid box

Remarks: Not allowed for any tipper working in the site without reverse horn.
Inspected by: Name: Signature:.....................................................

Project Manager Remarks:

Signature

REPORT DISTRIBUTION (tick appropriate boxes):

HSE Supervisor Plant Coordinator Others (Specify) ………………………………………………...