To be com leted b 0 erator TYPE OF DOCUMENT

Owner/supplier name: CONTROL OF Equl riEnzs

Address:
Phone number: Daily Pre-work checklist
Save v/or Ing Load {S\YL) Doo•n angle I.md cato<
Plant's Nake.
Plant's Nodel: / 20
Serial number:
inspection date: Operator name:
Signature:
 The mobi|e plant must compl y with manufacturer
specifications end Saudi reg u|ations.
The mobile plant operator muse inspect vfsuaI|y his planL before use
(on dai|y dasis) and fi|e these inspections reportsCothe Equipment
manugmrevcryvvcck.
When required, the operator must wear necessary Personal Protective
Equipments (Reflective vest, glasses, ear protections, safety shoes, g
loves...) Box rim , p ins, boJt°nq
An maintenance note book registering alI reparation and maintenance
cares must be kept into the cab. IL must be
G b
tvARn3HsoEVtcEs

rlazi'i rig
li9ti:
avai|ab|e in understandab|e |anguage for the operator.
The operator's emp| oyer must ensure that the operator
has suitab|e medica| fitness and technica| competencies G . Good condition / Present 6 . Bad condition / Missing
to d rive the p|a nt.

t
To ba completed by Contractor HsE Qepa tment
Checked by:
Dare : / y 20 Contraccor eepresenacive Slgnature:

TYPE OF DOCUNENT
CONTROL OF EQUIPMENTS
Daily Pre-work checklist
zs

rmeexnneusher
Ma inter›a n ce r ote boo 8
Se a-
Ceaeclt& mounnng
Ha n d|es
P•.dads
wtnc o w ./ wiaasc-een / W. per
Loa d PiJom e.nt i nd-cafior
EmergP.n cy S*opp in g But-on

Ha n h h o lbs
 Ha n h h o lbs

G D CABACCE¥P

G B EMGZM£
G H HYDRAULCGYKTEM
Exh ausi
Hyfi ran Jic eyJ: nde r.s
[a, CTABZL Z W DEVZCE Engi n e cover | guarc
hiyd raulic fitti ngfi
Hyd raw II r hose: Fngin e co o la r t, Ti
P' i it' re:u n II 0w d cw+uu
o il anc es

Hyd raull c Lug

cylinder* nuts

No fiydra rr| ie oi| | eakagc

n / Missing

TYPE OF DOCUNENT
CONTROL OF EQUIPMENTS
Daily Pre-work checklist
 O.wner/sUpp.her name.:.. Address: G B Mrzras sneeei
Phone .number: Plant's Make: PI'ant s.:.Model : Ci B wvneAuLic svsrrt*
Seria| number: Inspection date .
. Operator n'âme':
Sfgnature.

8 8'88^^8
@ The mobile plant must comply with manufacturer specifications sare wurkin$ L aa (swL) G 8
and SaUdi regUlaLions. G 6 canon meAnr G B ”
The mobile p|ant operator must inspect visua||y his p|ant before use (on Tlres Outrlggcm nan dh aIds

daily basis) and file these inspections reports to the Equipment manager Etep

every week.
y When required, the operator must wear necessary Persona.I
Protective Equipments (Reflective vest, glasses,
.ear pi otections, safety shoes, gloves...)
y An maintenance note book registering all. reparation and
maintenance cares must be kept into the cab. It must be available in
understandable language for the operator.

G B wnxezao oev1ccs
The operator's employer must ensure that the operator
has suitable medical fitness and Technical competencies g : wood condition / Present B : Bad condition / hissing
to drive the plant. comments:
 G B x ré&rs*oue G B oocuuenYATzoei G B
.Uuer man ual Pedals
Mirrors

G 8
G 6 canon meAnr G B ”"’ ”' G ’B pa Accass
Tlres Outrlggcm nan dh aIds

Etep

B : Bad condition / hissing

 TYPE OF DOCUMENT
CONTROL OF E@UIPM ENTS
Daily Pre-work checklist
CONTROL€ONSOLE

To be com leted b 0 ecator

Owner/supplier name: Address:
Phone number: P|ant's f'4ake: P|ant's Model G
R
3 HO P PE

Serial number:

U TO P PE R
a ACCESS
f1nnd to Ics

5tc p

Inspection date: / f 20
Operator name: Signature:

The mobi|e p|ant must comp|y with manufacturer specifications

and Saudi regu lotions.
The mobile plant operator must inspect visually his plant before
use (on daily basis) and fi|e rhese inspections reports to the
Equipment manager every week.
When req uired, the operator m ust wear necessary Persona I
Protective Equ ipments ( Rel'lectiv e vest, glasses, ca r
protections, safety shoes, glove s...)
An maintenance note book red istering alI reparation a nd
3 ¥VASDyWG DWVyCEG na: dncl d s
maintenance cares must be kept into the cab. It must be avai|ab|e
H a rn & Ba ck-up a |arm
in understandab|e |anguage for the operator. She p
The operator's employer must ensure that the operator rl ash nq |i qhI

has suita blc medical fitness and technical competencies G : Good condition / Present to drive Lhe : Bad condition / Missing
plant.
To be completed by Contractor NSE Department
Checked by :
Date : / / 20 Contractor Rcprcscnati ve Signature :
 ? MIXELtAM*OU5
SailI absorbu nt kit I la mu ri a nou nnt book
Sgnagc Pct
rams
.Hand| es

EM6IW
E

R nos battery b fluIe dc'wr s

na: dncl d s Lux nu to hydra u| ie ho*es

She p

: Bad condition / Missing

 TYPE OF DOCUNENT y •

CONTROL OF EQUIP I FENTS • •

To ba com leted b 0 erator Daily Pre-work checklist ,

Owner/supplier name: G B PLC N G BOOK G B HVDRAULZC OVOFEN G B ta¥ LLANzOUS
Fire exti ngu isher
Address: SpIII aba rbent kit
Phone number: Hydrau |ic cy |i nders
f 20
Plant's flake: nydraullc hoses
P|ant's Iflodel :
Serial number:
Inspection date:
Operator name: Signature:

The mobile plant must comply with manufacturer

specifications and Saudi requladons.
The mobfle p|ant operator must inspect visual ly his p|ant before use (on
dai|y basis) and fi|e these inspections reports to the Equipment manager
every week.
g When required, the operator must wear necessary Persona|
Protective Equipments (Reflective vest, glasses, ear protections, G B sZ0NAGE
G B HOPPER Ma/'e wnrkin$ Load (OWL} A8£LEIY O
safety shoes, gloves...J ñ B
Protectlve guard k aa ‹narts
An maintenance note book registering a|| reparation and maintenance G 6 weal+zno oevzces Hydraulic cylinders
cares must be kept into the cab. Jt must be available in understandable Hy0rau lie Rñings
language for the operator. Horn & 8a4wp Blarm
The operator's employer must ensure tbat the operator

has suitable medica| fitness and technical competencies c : cood condition / Present
to drive the p|ant.
To be completed by Contractor HSE Department
Checked by:
Da •: / / 2O Contractor Represenatlve Slgnature :
 y •

S • •
Eeat
t , S••atbel t & mountl nd El ectron'c dev ces
LZC OVOFEN G B ta¥ LLANzOUS handles
mdas
ONtAoLCON OtE
Hydrau |ic cy |i nders Co ntro I h B nd |es

nydraullc hoses
Tal ntenance note book

G R easine Emeqency stoppin g nu Eton

T•res
Exhaust
G 0arkin9 brakes
Engine cover / guaro
B
BaLtew & H'oId downs Hydraulic koscs Planohold
Fnpine cool a nt, o‹I aha
fiydrou |ic oi| |eve| s
No hydraulic oil leakage Step

G B sZ0NAGE
Ma/'e wnrkin$ Load (OWL} ñ B A8£LEIY OEV¥CE
k aa ‹narts
Hydraulic cylinders
Hy0rau lie Rñings

B Bad condition / hissing

To be completed by Operator TYPE OF DOCUMENT
Ow ner/suppIier name: Address:
Phone number:
CONTROL OF EQUIPMENTS
Plant’s take:
P| ant’s Mode| :
Daily Pre-work checklist
? D LOADE R
5eria| number; / 20
Inspection date: Operator
name: Boom
Signature: B iJcket

The mobi|e pl ant m ust comply with man ufactu rer specifications and Saudi red u|aFions.

The mobi|e p| ant operator must inspect visua ||y his p|ant before use (on dai|y basis} and fi|e these i nspections reports to the Equi pmcnt ma

When required, the opera tor must wear necessary Persona| Protective Equipments (Reflective G ? cA
vest, g lasses, ear protections, safety shoes, g|oves...) i iydiaullc cy Iind< rs
An mai ntena nce note book registering a II reparation and ma i ntenance ca res must be kept into the
Hyd rau|ie h ose*
cab. It m ust be ove i|a ble in understa ndable lang uage for the operator. n,d aul< ftnaes

The operator’s employer must ensure that the operacor B : Bad condition / Missing
has su itab|e medica| fitness a nd tech nica| competencies c : Good condition / Present to drive the
plant. Comments:
To be completed by Contractor HSE Department
Checked by:
Date: / / 20 Contractor Represenative Signature:

‹, R wARnins ocvcccr
ncrn & nack-k p at a z
Fla shiup light

|z mps, i e versi n g | a m ps
 0 B • CAB

IN I “fO.”v
? D I iZSCE LLANZOUS

i nspections reports to the Equi pmcnt manager every week.

G ? cAa Access E ri g i ne :oo|unt , o | a nd hydra u|iu o'| |eve

Nn hYc i aul c oil let kage
i iydiaullc cy Iind< rs

Hyd rau|ie h ose*

f1andhIIde
n,d aul< ftnaes

B : Bad condition / Missing

To be com leted b O erator TYPE OF DOCUMENT
Owner/supp|ier name! CONTROL OF EQUIPMENTS
Address :
Phone number: Daily Pre-work checklist
P|anE's I'dake! Plant's l‘dodel: / 20
Seria| number:
TnspeCtion date.
Operator name:
B|ac e fi|- Cylinders

P\iniJorm, T+iJpnIniJ

Signature : ’

The mobile plant operator m ust inspect visual Iy h'is plant before vse
(on da ily Gasis) a nd file these inspections reports to the Equipment
manager every week.
When required, the operator must wear necessary Persona |
Protective Equipments (Ref|ective vest, g|asses, ear pi otecti ons,
safety shoes, gl oves... ) G H HYDRAULICCYSTEM
I1yd rauI' c cyl'ndors
An maintenance note book registering alI reparation a nd
maintenance cares must be kept into the cab. It must be
avai|able in understandab|e |anguage for the operator.

WA RR I MG DEUIC ES

The operator’s emp|oyer must ensure that the operator D : Bad condition / Missi ng
has suita blc medical fitness and technical competencies G : Good condition / Present
to drive the plant. ‹ommentc:
To be completed by Contractor HSE Department
Checked by :
Date: / / 20 Contractor Represenative Sig nature:
 k1a. r re n a me note book
Seatbe|- & moun•:' r g
G 5 MISCELLANIOUS . t Hanc1|es
\ /indo' ,'’ W ndscreen / A'iper

’ T ecu expons/» via t›ng

Ov.erell fi/crauI c noses

G H HYDRAULICCYSTEM
I1yd rauI' c cyl'ndors undercarriar/e 5 a r.e coolant, oil and
fin h yd atJ| ir Di| |ea kap e
Id lers & Rol hrs

f r u ck
AsscmDl Y

D : Bad condition / Missi ng

 TYPE OF DOCUNENT
CONTROL OF EQUXPPIMNTS
Daily Pre-work checklist
G N $UCXPTACC808
To be com leted O erator
b
Owner/supplier name: nandnolos
Address: stop
Phone number: P|ant's
Make: Plant's Model *
Serial number: Inspection
date: Operator name:
Signature:

/ / 20

, i

The mobi|e p|ant must comp|y with manufacturer specifications and Saudi regulations. G B u¥DRAUL¥C gYsreM G
Handfiolos
The mobile plant operator must lnspect visually his plant hefore use (on daily basis) a»d file Bep
these inspections reports to the Equipment manager every week. 8 : Bad condition / Missing
When required, the operator must wear necessary Personal Protective Equipments (Reflective vest,
glasses, ear protections, safety shoes, gloves...)
An maintenance note bool‹ registering all reparation and maintenance cares must be kept into the cab.
It must 0e avaiIab|e in understandab|e language for the operator.
y The operator's employer must ensure that the operator
has suitable medical fitness and technical competencies G : Good condition / Present to drive the
plant.
To ba completed by Centractor NSE Department Hrim & Backs p a |arm

Checked by: FI ash•n9 |i ghr

Date: / / 20 Contractor Represenative Signature: Lights, rum *gnals, stop Iamps,
reversing lames
 TYPE OF DOCUNENT
CONTROL OF EQUXPPIMNTS
Daily Pre-work checklist
GB n3 CELLu4dg¥OUS G B socvuzn*a* o* G B
Fire exttns
°!sher User manua I Seat
f•1a.nt G n area nota book seatbeIt & mou.nt‹ng Electro nic devices
Slgnagc / Plctograms Hand| es
Pedals
window / w ndscreen / yyiper
Mirror's
G R

G B u¥DRAUL¥C gYsreM G 8 cse aces G B u›oczo/t NMNG Cng:neco st/guaé

Handfiolos Times Battery & Ha |d downs
Bep Rim s &ngneoootan\ oit and
8 : Bad condition / Missing „q|;, ;||¿,
go jydrgulic oil leakage

Hydraulic cy Iti
dev

yg aulc
fftlngs
 TYPE OF DOCUMENT
CONTROL OF EQUIP I ENTS
Daily Pre-work checklist
/ 20

To be com leted b 0 erator

Owner/supp|ier name:
Address :
Phone number:
P|ant's Make.
Plant’s Nodel:
5eria| number:
I nspec£ion date

Operator name:
Signature:

M The mobi |e p|a nr must ccmp|y yviLh manufacLurer

specifications and Saudi regu|a£ ions.
R The mobi |e p|a nr uperaLor must InspecL viSua|| y his p|ant before use
(on dai |y basis) and fi|e these inspecLions reports Fa Lhe FQu ipment
manager every week.
When requ ired, the operator must wear necessary Persona I Protective
Eq ui pments (Reflecti\ie vest, glasses, ea r protections, safety shoes,
gloves. ..)
G I-'' IAtARN LNG 0 ESRC EN
An mai nt;cnancc note Oook rcgistcri ng a || roparation and maintenance carer
must be kept into tic cab. It must be availa ble in understandable la nguagc
for the operator.

The operator’s employ er must ensure that the operator

has su itable medical fitness and technical competencies to g : Good condition ,* Present drive the plant.
to be complebed by Contractor HSE Department Checked by:
Date : / / 20
Contractor Rcprescnativc Signature :

Norn R Dada-u n a|erm

Flash up liriht
Lis hts, turn *'gna|s, stop
 Fi •c cxtir g uis.be •

Sig°•s e ./ P ficgra ms
\i\' indow ,.'' ’//ind*c ozen ,+ A per

Ba I:u ry & Ha Id d aw no Nydi a u|ie h

oses
hydrau|ic oi| |e'ze|
St : r' 0 v eruII Und e arriu g< G D f4YDRA ULFC SYSTEM
N a fi /d a ulie cil lenPage

B : Bad cond it ion / Missing

a|erm

a|s, stop

Hyd rau lie cy lind eru Nyd rau|ic

homes
Hyd rau lie cy lind eru Nyd rau|ic
homes
 TYPE OF DOCUMENT
CONTROL OF EQUIP?•'IENTS
Daily Pre-work checklist
Safe Working Load fSWL}

To be com leted b O erator G B n¥9CELLANIO

Owner/supplier name: Fare extins•' sher
Address: Load Cna+t
Phone number:

Plant's Nake: GB
Plant's Nodel :
Serial number:
Inspection date: / 20
Operator name:

Signature: G B FIFDRAULICPWSTEM
'ydrauIIc cyI›ndets
R Tfie mobile plant must comply with manufacturer
specifications and Saudi regu |ations.
G The mobile plant operator must inspect visual ly his plant before
use (on daily basis) and fi|e these inspections reports to the
Equipment manager every week.
M When required, the operator must wear necessary Personal
Protective Equipments (Reflective vest, glasses, ear
protections, safety shoes, gloves... )
a An maintenance note book registering all reparafion and
maintenance cares must be kept Into the caD. It must be avai|
ab|e in understandable |anguage for the operator.
C The operator's employer must ensure that the operator G
R norn & Back-up
alarm

ughts, tu.m signals,

stop lamps, reverslng
Iam9s

hydraulic hoses

has suitad|e medica | fitness and technica| competencies to G : Good condition /Present B : 8ad condition / Nlssing
drive the plant.
To ba com¥datad by Contractor HSE Department
Checked by:
Date.: / / 20
Contractor Represenatlve Signature:
 G B n¥9CELLANIOUs G R oocuuEwcYlox G B cca
Fare extins•' sher Seal
spill absorbent kit Na inten ance noto book
Electron ie dcvi czs

Pedals

G B cue Access G B
Ha ndfl o10s Exhaust
s:ep En glue cover / 9uard Retrery + Hold downs
R‹ms Hydraulc hoes
Parking brakes Englne coolant, o:I and hydraulic oil level
No hydro+I|ic oi| |eakage

G B uyoRauwc some
Hvdraulir cy linde G
I-Iyd•'auIIc hoses B 800T
Safe Working Load SWL}
Bucket
Bucket
raeth

hydraulic hoses

B : 8ad condition / Nlssing