DOCTOR CONCRETE GENERAL CONTRACTING LLC

PRE-MOBILIZATION INSPECTION CHECKLISIT

#VALUE! GENERATOR SET
To Complete by owner or Supplier
Sub-Contractor Name :
Equipment Type:
Plate or serial Number:
Manufacture Year:
Model:
Equipment Capacity:
Inspection date: / /
Sub-Con Inspector Name :
Sugnature:

1- The Mobile Plant Must Comply with manufacturer

Specfications and regulation.

The Mobile Plant operator must inspect visually his plant

2- before use(on daily basis) and file thses inpection reports to
equipment manager every week.

3- when required, the operator must wear necessary Personal

protective Equipments (reflective vest, glasses. Ear
protection,safety shoes, glaves…)

4- A Maintenance note book registering all repairation and

maintenance care mus be kept into the cab. It must be
Available in Understandable language for the operator.

5- The Operator's employer must ensure that the operator has

suitable medical fitness and technical competencies to drive
the plant.
G: Good Condition/ Present B: Bed Condition/ Missing
To Varified by Dr. Concrete HSE Department Comments:
Received by:
Date / / 2023
Receiver Signature
This form must be completed before to bring the mobile plant to Project Site. This form shows each items which will be inspected by Fleet & HSE personnel of project before entrance on site. The mobile plant will be authorized to enter onto
Project Site only if all these items are in good condition. Owner/supplier will be in requested to repair all defective or unsafe parts (HSE 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 HSE 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 Project managers, HSE and foremen.