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M/S Kapoor Enterprises

VENDOR CODE: K635


FORM NO: TSL/WB/CSMS/K635/RBCHK REV: 00 EFFECTIVE DATE: 01.08.2021
MECHANIZED ROCK BREAKER CHECKLIST

Operator Name: Date:

Equipment Plate No.: Work Order No.:

Status Comments

Item OK NOT
Item To Check
No. OK
1 Engine Oil, Coolant Level
2 Oil, fuel and coolant leaks
3 Fan Blades and Belts
4 Turn Signal Light /Hazard light
5 Stop Light, Tail light,
6 Wheel Brake and hand break
7 Steering
8 Horn
9 Head light (high and low beam)
10 Wind shield wiper and washer
11 Tire condition and pressure
12 Side mirrors
13 Reversing alarm /Back-up light.
14 Battery
15 Fire extinguisher, Triangle, Jack and tire wrench , Spare tire
16 Seat belt (for driver)
17 Telescopic boom control for operation
18 Hydraulic level
19 Check for leaks on hydraulic lines ( hoses and cylinders)
20 Out rigger and jacks for proper operation
21 Outrigger matting (timber pad)
22 Slings and shackles
23 Monthly Color-Coding Inspection Sticker
24 Safety latch on hook

Operator Signature:
Note: OK – satisfactory / good X – not OK /defective N/A – Not applicable

Report to Area Supervisor/Foreman and have the mechanic fix noted defect/s on your equipment
/vehicle.
M/S Kapoor Enterprises
VENDOR CODE: K635
FORM NO: TSL/WB/CSMS/K635/RBCHK REV: 00 EFFECTIVE DATE: 01.08.2021
ROCK BREAKER ATTACHMENT CHECKLIST

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