THE PETROLEUM PROJECTS & TECHNICAL ‫شركة المشروعات البترولية و اﻹستشارات الفنية‬

CONSULTATIONS CO. ‫اﻹدارة العامة للسﻼمة والصحة المهنية‬

HSE General Department ‫وحماية البيئة‬
‫بتـــروجــــــت‬
Heavy Equipment Daily Inspection Checklist
Grader Backhoe Loader Excavator Wheel Loader
Bobcat Concrete Pump Forklift Fork Loader
Tractor Pipe welder Bulldozer Boom Manlift
Other ………………….. Roller Compactor Scissor Manlift

Subcontractor ( name ) Rental ( Rental Company ) Petrojet

Location Equipment#
Manufacturer Operator
Model Driving License#
Heavy Equipment Operator License # License Expiry ‫ا‬
Heavy Equipment Operator License Expiry
Tick √ in case of proper condition of the item, tick x in case the item condition is improper and write N/A in case the item is
not applicable for the equipment
Condition
Iem ‫ا‬Sat. Sun. ‫ا‬Mon. Tue. Wed. Thu. Fri. Remarks
/ / / / / / / / / / / / / /
1 General Condition
2 Tires / Crawling
3 Battery (connections , Charge) condition
4 check on engine condition
5 Cab (doors/Mirrors/no curtains)
6 Seat Belts
7 Fire Extinguishers
8 Under Chassis leak check
9 Engine Oil Level
10 Hydraulic Oil Level
11 Fuel Leaks
12 Oil Leaks
13 Water Leaks
14 Hydraulic (oil leak – Hoses -…)
15 Gauges conditions
16 Lights - - Wipers
17 Horn – Back Alarm
18 Turn Signal
19 Beacon
20 Braking System Condition
21 Air filter condition
22 Exhaust condition
23 Outriggers
24 Outriggers pads
25 Boom, cylinders and connections
26 Calibration Certificate (Valid and available)
27 Operator attended a def. driving course

Operator Signature ( Inspector)

Equipment Supervisor:
Safety Rep Signature
Remark: No allowance for work before the remedy of any required repair ‫ ﻻ يتم العمل قبل اﻻنتهاء من الصيانة المطلوبة للمعدة‬-:‫ملحوظة‬
Record ‫حفظ النسخ‬ Original ‫اﻷصل‬: Safety Dept. ‫إدارة السﻼمة‬ 1st Copy ‫ النسخة اﻷولى‬:Maintenance Dept. ‫إدارة الصيانة‬
Issue No. (4) Issue Date: May2023 Revision No. (3) PJ-HSEMSF-8.1.8- 02
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