EARTH-COMPACTOR ROLLER CHECKLIST BEFORE ENTRY
S.No Check Point Details Yes No Date Of Inspection :
Vechile Emergency Details Cum Operation Certificate
Earth compactor or roller should be physically sound and in good Contractor/Company Name :
1
condition.
Name :
2 No damage in tire. Vechicle Number :
Compacting roller should be free from damage and move Vechiche Name :
3
freely.
4 Moving parts should be covered with fix guards. Emergency Contacts :
Head lights, Tail lights, indicators, front horn and reverse
5 horn are in Documents Yes No Date Of Validity
working condition.
Side mirrors should be clean and in correct position without Licence (Driving / Operation)
6
damage
Third Party Inspection (TPI)
7 Wind shield should be in proper condition. Form - 38
8 Wipers should be in working condition. Insurance
Fire extinguisher and First Aid Box should be available in Registration
9
operator cabin.
10 Operator should have valid and suitable license. Pollution Certificate (PCB)
If Any Remarks
20 Fit For Usage : Yes No
Do not use mobile while driving Contractor Sign :
Note :
వేగ పరిమితి/ வேக வரம்பு / Spped Limit : 10 Km/h Inspected By Sign :
CRANE CHECKLIST BEFORE ENTRY
S.No Check Point Details Yes No
1 Hydra shall be sound and in good condition.
Tire should be Free from damage (cuts,
2
cracks, ware & tare etc.).
Head lights, tail lights and indicators are
3
in working condition.
4 Side mirrors should be in good condition.
5 Wire rope of the crane free from damage.
6 Safe Work Load (SWL) Marked and visible.
Hoist Limit Switch available and in
7
working condition.
8 Sling drum should be free from damage.
Safety Latch available and in working
9
condition.
Windscreen and wiper should be in good
10
condition.
Boom should be in good condition without
11 any damage, no crack, smooth working
etc. (Check by extending it fully).
Oil leakage should not be there in
12
hydraulic part.
13 Registration number should be visible.
14 Working safe load indicator.
Front, Reverse horn should be in working
15
condition.
16 Load Chart Available in Operator cabin.
First Aid Kit should be available in
17
operator cabin (with in expiry date).
Fire Extinguisher available (in good
18
condition, pressure within range)
Operator`s cabin and driver seat should
19
be in good condition.
Reflective tape should be fixed at proper
20
places.
Do not use mobile while driving
Note :
వేగ పరిమితి/ வேக வரம்பு / Spped Limit : 10 Km/h
ST BEFORE ENTRY
Date Of Inspection :
Vechile Emergency Details Cum Operation Certificate
Contractor Name :
Name :
Vechicle Number :
Vechiche Name :
Emergency Contacts :
Documents Yes No Date Of Validity
Licence (Driving /
Operation)
Third Party Inspection
(TPI) Form - 38
Insurance
Registration
Pollution Certificate
(PCB)
If Any Remarks
Fit For Usage : Yes No
Contractor Sign :
Inspected By Sign :
EXCAVATOR CHECKLIST BEFORE ENTRY
Contractor: Inspection Date:
Vechile Number: Capacity:
Vechile Type:
S.No Check Point Details Yes No Remarks
Engine and rotating part should be
1
properly covered.
Track frame should be in good and
2
working condition.
Crawler belt and shoes should be in
3
good condition.
Boom and arm should be free from
4
defects like corrosion, bend, etc.
Hydraulic cylinder and hoses should
5
be in good condition.
Bucket, cutter pins should be free from
6 defects, e.g., damage, corrosion,
bend, etc.
Teeth should be free from defects,
7
e.g., damage, corrosion, bend, etc.
Swing horn should be in good
8
condition.
Head & tail light and indicators are in
9
working condition.
Wind screen should be in proper
10
condition.
11 Wipers should be in working condition.
Swing horn should be in good
12
condition.
13 First Aid Box available.
14 Fire Extinguisher available.
Operator Licence Validity:
Insurance Validity:
Operator have valid and suitable
15 PUC Validity:
license as per legal requirement.
Form-38 Validity:
RC Validity:
Fit For Usage : Yes No
Inspector Name: Dep & Designation:
RY
n Date:
Remarks
Licence Validity:
e Validity:
dity:
Validity:
ty:
Sign & Date:
TRANSIT MIXER CHECKLIST BEFORE ENTRY
Contractor:
Vechile Number:
Vechile Type:
S.No Check Point Details Yes No
1 Transit Mixer should be physically
sound and in good condition.
2 No damage in tire.
3 All mirror should be in good condition
and properly positioned.
4 All Rotatory part should be covered
with fixed guard.
5
Registration number should be visible.
6 Wind shield should be without
damage.
Head lights, Tail lights, indicators, front
7 horn and reverse horn are in working
condition.
8
Wiper should be in working condition.
9 Red triangle and reflective tape should
be fixed at proper place.
10 Permanent ladder should be provided
and should be in good condition.
11 Fire extinguisher and First Aid Box
should be available in operator cabin.
13 Normal and hand (Emergency Break)
should be in working condition.
Operator have valid and suitable
14
license as per legal requirement.
Fit For Usage : Yes No
Inspector Name: Dep & Designation:
Sign & Date:
CKLIST BEFORE ENTRY
Inspection Date:
Capacity:
Remarks
Operator Licence Validity:
Insurance Validity:
PUC Validity:
Form-38 Validity:
RC Validity:
BACKHOE LODAER CHECKLIST BEFORE ENTRY
S.No Check Point Details Yes No Date Of Inspection :
Vehicle condition should be sound and certified by competent Vechile Emergency Details & Operation Certificate
1
authority.
2 Free from damage in tyres (Air pressure, cuts, cracks, etc.). Contractor Name :
3 Head lights, tail lights and indicators are in working condition. Name :
4 Side mirrors should be in good condition. Vechicle Number :
5 Windscreen should be in good condition. Vechicle Name :
6 Wipers should be in working condition. Vechicle Capacity
7 Operator`s cabin and driver seat should be in good condition. Emergency Contacts :
Hydraulic cylinders and hoses are in good condition and there Documents Yes No Date Of Validity
8
should not be any leakage.
Licence (Driving /
9 Outrigger should be free from damage. Operation)
Third Party Inspection
10 Reflective tape should be fixed at proper places. (TPI) Form - 38
11 Front and Reverse horn in working condition. Insurance
12 First Aid Box available. Registration
Pollution Certificate
13 Fire Extinguisher available. (PCB)
14 If Any Remarks: Yes
Fit For Usage :
No
Contractor / IIEPL
Do not use mobile while driving Responsible Person
Sign :
Note :
వేగ పరిమితి/ வேக வரம்பு / Spped Limit : 10 Km/h Inspected By Sign :
