BIGBEN CONSTRUCTION

SHES DEPARTMENT

BACKHOE INSPECTION CHECKLIST

PROJECT LOCATION: _________________________ MONTH OF: __________________________
EQUIPMENT DATA
TYPE BRAND
MODEL NO. YEAR
EQPT. NO. OPERATING WT.
SERIAL NO. BUCKET DATA
POWER Volume
INSPECTION RESULTS
Particulars 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1. Tires/Air Pressure/Rims & Wheel Bolts
2. Crawler Track (Pins)
3. Bucket Cylinder and Linkages
- Excessive Wear, Damage, Leaks, Lubricated
4. Stick, Boom, Cylinders
- Excessive Wear, Damage, Leaks, Lubricated
5. Car Body ( Cracks and Damage )
6. Under Carriage
- Wear, Damage, Tension
7. Engine Compartment
- No Leaks
- Fluid Levels
- Belts
- Electricals
- Trash or Dirt Build Up
- Loose Nuts & Bolts
8. Battery Compartment
- Cleanliness
-Battery Terminal Cover
9. Cab
- Steering Mechanism
- Fire Extinguisher
- Brakes (service & parking brakes)
- Windshield
- Wiper / Washer
- Pedals
- Gauges, Indicators, Switches, Controls
- Lights (front, beacon and rear lights)
- Seatbelt
- Travel Alarm
- Mirrors
- Doors
- Handholds
- ROPS
- Horn
10. Operational Test
- Travelling
- Boom Up / Down, Swing
- Dumping
11. Operator
QUALIFICATION: (Validity)
( )Lic: RC - ___________ ( )TESDA Accred. _______________
- .

Instructions: Mark all indicated rows: S = Satisfactory, NS – Not Satisfactory, N/A = Not Applicable.
Inspected by: (Name & Signature) Comments / Recommendations:
SAFE FOR USE
NOT SAFE FOR USE
CERTIFICATE VALIDITY: PREVIOUS STICKER ATTACHED:
Name of Company: (Indicate if subcon) 6 Months Others Validity: ______________
1 Year Control No.: ___________
Company Representative:

SHES FORM BBC NO. 022 Rev 0 (SHES F022)