TYPE OF DOCUMENT

ARTICULATED Rev.
CONTROL OF EQUIPMENTS
Pre-mobilization inspection checklist CRANE Date:

GATE LNG PROJECT

To complete by I/E to SHE Department TECHNIP G B LIFTING SYSTEM G B MISCELLANIOUS G B DOCUMENTATION G B CAB

Lifting hook Fire extinguisher User manual Seat

Inspector name:
Boom, pins, bolting Spill absorbent kit Maintenance note book Seatbelt & mounting
Subcontractor:
Electronic devices
Location: G B HYDRAULIC SYSTEM

Hydraulic cylinders Signage / Pictograms

Plant's Make:
Hydraulic hoses Handles
Plant's Model:
Hydraulic fittings Pedals
Serial number:

Inspection date: / / 20 Window / Windscreen / Wiper

Mirrors
Signature:
Load moment indicator

Emergency Stopping Button

Load charts
The mobile plant must comply with manufacturer
Specifications.

The mobile plant operator must inspect visually his plant G B SIGNAGE G B ENGINE

before use (on daily basis) and file these inspections Safe Working Load (SWL) Exhaust
reports to the Equipment manager every week.
Boom angle indicator STABILITY DEVICE Engine cover / guard
G B MOTION MEANS G B G B CAB ACCESS

When required, the operator must wear necessary Tires Outriggers Handholds Battery & Hold downs
Personal Protective Equipments (Reflective vest, glasses,
ear protections, safety shoes, gloves...) G B WARNING DEVICES
Rims Outrigger pads Step Hydraulic hoses

Engine coolant, oil and

Horn & Back-up alarm Lug nuts Hydraulic cylinders hydraulic oil level
An maintenance note book registering all reparation and
Flashing light Brakes Hydraulic hoses No hydraulic oil leakage
maintenance cares must be kept into the cab. It must be
available in understandable language for the operator. Lights, turn signals, stop
Parking brakes Hydraulic fittings
lamps, reversing lamps

The operator's employer must ensure that the operator

has suitable medical fitness and technical competencies
G : Good condition / Present B : Bad condition / Missing
to drive the plant.
Comments:

Received by:
Date: / / 20
Receiver Signature:

This form must be completed before to bring the mobile plant to Algiers Refinery Rehabilitation and Adaptation Project Site. This form shows each items which will be inspected by SHE personnel of SE before entrance on site. The
mobile plant will be authorized to enter onto Algiers Refinery Rehabilitation and Adaptation Project Site only if all these items are in good condition. Owner/supplier will be in requested to repair all defective or unsafe parts (SHE
department will be not be responsible of loss of time or productivity if this mobile plant is not authorized to enter on site ). When all defectives parts are corrected, a permanent or temporary site
access pass will be delivered. (A sticker will be display onto the cab windscreen for permanent mobile plant and a cardboard pass will be delivered for temporary mobile plant). The operator has to
attend the SHE induction course and receive a permanent or temporary site access badge. The operator must be equipped with all required personal protective equipments. He will have to respect
all instructions coming from HSE supervisorand foremen.