TYPE OF DOCUMENT

CONTROL OF EQUIPMENTS EXCAVATOR

DAILY PRE-WORK CHECKLIST

To be completed by the Operator

Owner/Suplier name:_____________________ DOCUMENTATION MISCELLANIOS
HYDRAULIC SYSTEM G B G B
Adress: __________________________________ G B USERS MANUAL FIRE EXTINGUISHER
HYDRAULIC CYLINDERS MAINTENANCE NOTE BOOK SPILL ABSORBER KIT
Phone No. : _____________________________ HYDRAULIC HOSES
HYDRAULIC FITTINGS CAB
Plant's Make: ____________________________ G B
SEAT
Plant's Model: ___________________________ SEATBELT & MOUNTING
ELECTRONIC DEVICES
Serial No: _______________________________ SIGNAGE / PICTOGRAMS
HANDLES
Inspection Date: ____/_____/20____ PEDALS
WINDOW / WINDSCREEN / WIPER
Operator's Name:_________________________ MIRRORS
BACKHOE
Signature G B
PINS
●The mobile plant must comply with manufacturer BOOM
specifications and Romanian regulations. BOCKET
BOCKET TEETH G B ENGINE
●A maintenance note book registering all reparation and SAFETY PINS EXHAUST
maintenance cares must be kept in his cab. It must be available LIFTING HOOK ENGINE COVER/GUARD
in understandable language for the operator.
BATTERY & HOLD DOWNS
●The mobile plant operator must inspect visually his plant HYDRAULIC HOSES
before use (on a daily basis) and file these inspection reports to MOTION MEANS No Hydraulic Oil Leakage
the equipment manager every week.
G B ENGINE COOLANT, OIL
●When required, the operator must wear necesary Personal AND HYDRAULIC OIL LEVEL
OVERALL UNDERCARRIAGE
Protective Equiment (Reflective vest, glasses, ear protection, WARNING DEVICES IDLERS & ROLLERS
safety shoes, gloves...)
G B DRIVE SPROCKETS CAB ACCESS
HORN & BACK-UP ALARM TRACK ASSEMBLY G B
●A maintenance note book registering all reparation and FLASHING LIGHT HANDHOLDS
maintenance cares must be kept in his cab. It must be available LIGHTS, TURN SIGNALS, STOP LAMPS, STEP
in understandable language for the operator. REVERSING LAMPS

●The operators's employer must ensure that the operator has

suitable medical fitness and technical competencies to drive the G: Good condition / Present B: Bad Condition / Missing
plant.

TO BE COMPLETED BY HSE DEPARTMENT Comments:

CHECKED BY: ______________________

DATE: ____/_____/20__

CONTRACTOR REPRESENTATIVE SIGNATURE