DUMP TRUCK INSPECTION FORM

Doc. No. 26071-JO-HSE-PMOB-064

Effective Date 28 August 2021
Revision No. 002

Contractor : Register number :

Plate number : Model / Type :
Make : Chassis number :
Engine s/n : Date inspection :
Odometer : Location :

Period of Inspection : Premobilization Thirds months Others……………

DOCUMENT OPERATOR AND EQUIPMENT S R X

Driver Government Driving Licence (SIM)
STNK - Vehicle Document
KEUR - Inspection
Vehicle tax

OPERATOR’S CAB S R X
Step, Door Handle, Latches
Seat, Seatbelt, Cleanliness
Windshield, Cab Glass
Windshield Wiper, Washer
Sun Visor
Speedometer
Tachometer
Audio, Visual Alarms
Indicators, Gauges
Switches
Rear View Mirrors, Right, Left
Raised Cab Safety Support
ELECTRICAL SYSTEM S R X
Headlights, Low / High Beam
Signal / Hazard Lights, Front, Rear
Tail Lights, Brake Lights
Horn
Back Up Lights / Alarm
Electrical System Wiring
Batteries, Covers, Hold Downs
Battery Terminals, Cables
ENGINE S R X
Oil Leaks
Coolant Leaks
Fuel Leaks
Fan, Guards, Belts
Abnormal Exhaust Smoke
Exhaust System, Leaks, Silencer
Radiator, Leaks, Cap, Gasket, Piping
AIR SYSTEM S R X
Compressor, Oil Leaks, Pumping Oil
Air Tanks, Mountings, Safety Valve
Tues, Hoses, Drain Valves

FUEL TANK S R X
Leaks, Cap, Gasket
Mounting Brackets, Straps
 DUMP TRUCK INSPECTION FORM
Doc. No. 26071-JO-HSE-PMOB-064
Effective Date 28 August 2021
Revision No. 002

Fuel Lines, Connections, Leaks

DRIVE TRAIN S R X
Clutch, No slippage, Free Play, Noise
Transmission, Mountings, Seals, Leaks
Works in all Gears, Ranges, Noise
Power Take Off, oil leaks, shaft, noise
Drive Shafts, Universal Joints, Hangers Front, Rear
Front Differential Axle Housing, Mounting Bolts
Hubs, Spindles, Differential Lock, Seals, Leaks
Pinion Bearings, Mounting Bolts
Rear Differential Axle Housing, Mounting Bolts
Hubs, Spindles, Differential Lock, Seals, Leaks
Pinion Bearings, Mounting Bolts
STEERING SYSTEM S R X
Steering Wheel, Linkage, King Pins, Tie Rod Ends
Steering Hydraulic Pump, Leaks
Steering Box, Oil Leaks, Mounting
BRAKE SYSTEM S R X
Air Hydraulic
Steering Axle
Brake Chambers, Linings, Adjusters.
Brake Tubes, Hoses
Brake (continued)
Front Differential Axle
Brake Chambers, Drums, Linings, Adjusters
Brake Tubes, Hoses
Rear Differential Axle
Brake Chambers, Drums, Linings, Adjusters
Brake Tubes, Hoses
Brake Test
Parking Brake Test
SUSPENSION
Steering Axle, King Pins
Spring Assembly, Bushings, U-Bolts, Hangers
Front Differential Axle
Spring Assembly, Bushings, U-Bolts, Hangers
Rear Differential Axle
Spring Assembly, Bushings, U- Bolts, Hangers
HYDRAULICS SYSTEM S R X
Hydraulic Pump, Leaks, Noise, Shaft
Control Valves, Oil Leaks, Hoses
Hydraulic Tank, Oil Leaks, Cap, Seals
Tank, Mountings, Straps
Dump Hoist Cylinder, Oil Leaks
Hoses, Piping, Leaks
Hinge Pins, Locks
DUMP BODY S R X
Raised Body Safety Support
Structural Cracks, Hinge Pins, Locks
Safety Cover, Tarpaulin
Tailgate, Hinge Pins, Locks, Latch, Proper Seal
Dump Body, Sub Frame Structural Cracks
SAFETY S R X
Fire Extinguisher, Capacity, Date Charged
 DUMP TRUCK INSPECTION FORM
Doc. No. 26071-JO-HSE-PMOB-064
Effective Date 28 August 2021
Revision No. 002

ENVIRONMENTAL S R X
Emergency Spill Kit
TIRES S R X
Steering Axle, Condition, Matched Sizing
Rear Axles, Condition, Matched Sizing
Wheels, Rims, Lock Rings
Mounting Nuts, Studs
Mud Flaps
Wheel chock

TIRES SIZE PLY TYPE

PERCENTAGE LEFT

FRONT REAR

Note :
Use additional Pages if necessary to describe findings indicated in “X” and “R” check boxes

Comment :

Inspection result : Passed Hold Rejected

Inspected by

Inspector 1 Inspector 2 Owner/User