EQUIPMENT INSPECTION RECORD

Highway 392 East Upgrade. WO 51 & 52

CONTRACTOR WO # 51 – 52
Operator Name Iqama Number
Equipment Brand Type Registration #
Year Manufactured Neom Veri- Fi

Yes No N/A Remarks

1 Equipment Documents
a Equipment Registration Available and Valid
b MOT inspection available and valid Only For Trailers
c Third Party Certificate Available and Valid Only For Equipment
d Equipment Insurance Available and Valid
2 Operator Documents
a Operator Iqama Available and Valid
b Operator Driving License Available and Valid Only For Trailers
d Operator Third Party Certificate Available and Valid Only For Equipment
3 Equipment Safety Devices
a Beacon Light Available
b Backup Alarm Working Properly
c Fire Extinguisher Available
d Seatbelt available and working properly
4 Equipment Condition
a Side Mirrors available and in good condition
b Windshields Condition
c Lights Condition
d Signal Lights Condition
e Horn is working properly
f Tires Condition
g Track Chain Condition
h Fuel Leakage
i Back Door Lock (Trailers)
j Seats Condition
k Safety Pins / locks Condition
l General Body Condition
m AC Condition
n Brake Actuator
o First Aid Box
5 For Lifting Equipment Only
a Outrigger / Stabilizer System in Good Condition
b Outriggers Pads in Good Condition
c Boom In Good Condition
d Sling Wire in Good Condition
e Forks in Good Condition (Forklift only)
f Computer Working Properly
g Load Movement Indicator (LMI) Working Properly
h Main and Auxiliary Hook Block in Good Condition
i Safety Latch for all Hooks in place and Functional
j All Pulleys in Good Condition
6 Induction details

Additional Comments

The equipment was Inspected and condition found

Satisfactory Amber (Valid up to ) Unsatisfactory

Inspected By Signature Date

Doc No. NP/NEOM/OSH/PRO/54/Form 05 Revision No: 01 Issue Date: 10-SEP-2022