186 HSE Checklists

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Project Checklis fo Equipmen lnspectio
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 26-AIR COMPRESSOR &
Note: Please write Yes or No in the given box and if sorne comments write in remarks column.
SN. Description Yes/No Remarks
1. Physical condition of compressor tank should be good #

and certified by TPI.
2. Pistan should be in good condition. #
3. Motor should be in good and working condition. #
4. lnspection date and due date should be clearly #
marked.
5. Pressure gauge should be in working state and free #
from defects.
6. Safety valve should be calibrated at regular interval. #
7. Any other valve should be free from defects and in #
working condition.
8. Rotating part should be covered with fixed guard. #
9. AII joints should be properly tighten. #
10. Compressor should be grounded as per IS 3043:1987. #
11. Power cable should be free from defects and #
connection taken through industrial plug.
12. Whip arrestar is in good condition. #
3
5
...
lnspection date VENUS

edate ,JI I ree ( C)lllfJrc~:-.,11
~/'
4 7
1
FIT PARTIALLY FIT I 1
UNFIT
lnspected By Reviewed By
Name: Name:
Signature with date: Signature with date:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 33-AMBULANCE &

1. Physical condition of ve hiele including brake and clutch. #
2. Condition of tire and availability of spare/stepney tire. #
3. Head & tail light and indicators are in working condition. #
4. Side mirror. #
5. Functional condition of emergency light and audible #
siren are in working condition.
6. Emergency contact number displayed. #
7. Availability and condition of stretcher. #
8. Availability of first aid kit with suitable medicine. #
9. Portable tire extinguisher. #
10. Medical oxygen cylinder with pressure gauge and #
availability of key to open the cylinder.
11. Condition of canister mask. #
12. Availability and condition of fan far ventilation. #
13. Driver has val id license far operating ambulance. #
6
5
ontact
No.
3
2
1
o 9
FIRST AID KJT-IT-.--..08
FIT PARTIALL Y FIT I 1

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 11-BAR BENDING MACHINE &
1. Physical condition of body should be good & sound. #

2. Electrical connection should be taken through #
industrial plug in proper manner.
3. Power cable should be free from damages. #
4. Operating switch should be free from defects, e.g., #
uninsulated & broken, etc.
5. On/off or other switches should free from defects, #
e.g., uninsulated & broken, etc.
6. Emergency stop button should be mushroom headed #
with red colour.
7. Bar support should be properly fitted with machine. #
8. Pins should be free from loase fitting. #
9. Machine should be grounded as per IS 3043:1987. #
10. Machine should be operated by competent person. #
8 7
9
3

UNFIT
Name: Name:
Signature with date:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 10-BAR CUTTING MACHINE &

2. Junction box of motor should be full packed. #
3. Rotating part of machine should be covered by fixed #
guard.
4. Operating leaver should be insulated with #
nonconductive material.
5. Bar guard should be fixed with machine. #
7. Power cable should be free from damages and #
8. Machine should be operated by competent person .. #
FIT PARTIALL Y FIT I UNFIT

1
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 32-BATCHING PLANT &

2. Staircase should be in good condition. #
3. Operator cabin should be free from dust #
accumulation.
4. Metal mesh should be provided on the aggregate and #
sand hopper.
5. Conveyor belt should be guarded, covered and pull #
cord should be installed.
6. Mixing chamber should be closed. #
7. Monkey ladder with cage should be available. #
8. Guardrail system should be in good condition. #
9. Lightening arrestar should be installed. #
10. Ali part of machine should be grounded. #
11. Power cable should be free from defect and #
connection taken through MCB and RCCB.
12. Fire extinguisher in operator cabin. #
13. Operated by only authorized operator. #
14. Emergency switch should be in working condition. #
15. Aviation light should be in working condition.
16. Hooter is in working condition.
1 6
4
.i •
11
5
2 3 --10

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 29-BENCH CUTTING MACHINE &

2. On/off switch should be in proper condition. #
3. Fixed guard should be in good condition. #
4. Auto adjustable guard should be functional condition. #
5. Cutting wheel should free from defect and rotating #
capacity should be marked, standard quality of
cutting wheel used.
6. Positioning screw should be in working condition. #
7. Power cable should be free from damage and #
8. Machine should be double insulated or grounded. #
9. Always use designated key far changing wheel.
10. Machine operated by competent person.
2
3
•
4
•
7
•
5
-
6
8

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 71-Bike &
1. Physical condition of vehicle is good. #

2. No damage in tire (crack, cuts & air pressure, etc.). #
3. Side mirror should be in good condition. #
4. Head light and indicators are in working condition. #
5. Registration number should be written. #
6. Stand should be in proper condition. #
7. Horn is in working condition. #
8. Rider have valid and suitable license. #
9. Rider is using crash helmet during riding.
10. First aid kit should be available.
11. Break should be in functional & operational condition. #
6 1

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 8-BOOM PLACER &

1. Boom placer should be physically good. #
2. No damage in tire (Bolts, crack, cuts & air pressure, etc.}. #
4. Outrigger should be free from damages. #
5. Wind shield/glass should be in proper condition. #
6. Wiper should be in running condition.
8. Boom should be free from defects. #
9. Hydraulic cylinder and hoses should be in good condition and #
free from leakage.
10. Pipe should be free from defects e.g. bend, crack, etc. #
11. Red triangle/reflective tape should be fixed in front of vehicle.
12. Rotatory part of secondary engine should be covered with fix #
guard.
13. Front & reverse horn. #
15. Operator have suitable license/experience certificate. #
17. Normal break & emergency (hand} break should be in functional #
& operational condition.
18. Concrete hopper should be covered with mesh. #
10
6
4
1 3

UNFIT
Name: Name:
Name: Project
.
Code:
Checklist No
Model:
D Hired D Contractor D
Equipment Name & Number: 12-BREAKER &
Note: Pleasewrite Yes or No in the given box and if sorne comments write in remarks column.
1. Breaker should be in good and working condition. #

3. A flexible cord should be provided to keep cable free
from damage.
4. Handle should be provided for better control.
5. Bit should be in good condition and free from defect.
6. Breaker should be double insulated otherwise
grounded.
7. Machine operated by competent person. #
4
3
2
FIT PARTIALLY FIT I UNFIT

1
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 41-Bus &
1. Physical condition of vehicle is good. #

2. No damage in tire (Bolts, crack, cuts & air pressure, etc.). #
7. Seatbelt should be available. #
8. Reflective tape should be fixed in front of vehicle.
10. Door lock are good condition. #
13. Operator have val id and su ita ble license. #
15. Normal break & emergency (hand) break should be in #
functional & operational condition.
7 --©
3
9 2
4

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 24-CHAIN PULLEY BLOCK &
1. Chain pul ley block should be in good and working #

condition and certified by TPI.
2. Chain should be free from defects, e.g., crack, #
corrosion, etc.
3. Hook should be in good condition, not stretched #
more than 15% of its original shape.
4. Safety latch should be in hook. #
5. Safe working load should be marked and visible. #
6. Rotating part should be covered. #
4 ¡
5
J
'll
1

1
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 31-CIRCULAR SAW &

5. Wheel should free from defect and rotating capacity #
should be marked.

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 23-WINCH MACHINE &
1. Winch should be in good and working condition and #

certified by TPI.
3. Operating liver should be free from defects. #
4. Rape drum should have sufficient space to roll-in full #
slings.
5. Wire sling should be free from damages. #
6. Sling should be knotted in proper manner. #
8. Winch should be grounded as per IS 3043:1987. #
9. Winch machi ne should be properly fixed with hard #
structure.
11. SWL should be written. #
-----14
2
8
6

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 1-BACKHOE LOADER (JCB) &
1. Machine should be physically good & certified by #
competent authority.
7. Operator cabin and driver seat should be made by good #
& sound quality of material.
8. Hydraulic cylinders and hoses are in good condition and #
free from leakage.
10. Red triangle/reflective tape should be fixed in front of
vehicle.
13. First aid box in operator cabin.
14. Operator have valid and suitable license. #
6 5 7
©>---------
8
2

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 1-BACKHOE LOADER (JCB) &
1. Machine should be physically good & certified by #
7. Operator cabin and driver seat should be made by good #
& sound quality of material.
8. Hydraulic cylinders and hoses are in good condition and #
free from leakage.
vehicle.
13. First aid box in operator cabin.
6 5 7
©>---------
8
2

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 2-EXCAVATOR &

l. Engine and rotating part should be properly covered. #
2. Track trame should be in good and working condition. #
3. Crawler belt and shoes should be in good condition. #
4. Boom and arm should be free from defects like #
corrosion, bend, etc.
5. Hydraulic cylinder and hoses should be in good
condition.
6. Bucket, cutter pins should be free from defects, e.g., #
damage, corrosion, bend, etc.
7. Teeth should be free from defects, e.g., damage, #
corrosion, bend, etc.
9. Head & tail light and indicators are in working #
condition.
12. Swing horn should be in good condition.
13. Fire extinguisher in operator cabin.
14. Operator have suitable licence/experience certificate. #
10
® 1
,,® 1
(j
)
\~

UNFIT
Name: Name:
Project
Checklis fo Equipmentlnspection
Name: Project Code
.
Checklist No Date:
Model
Hire D Contraco D
Equipment Name & Number: 18-POWER/SUB DISTRIBUTION PANEL &

1. Physical condition of panel should be good & sound. #
2. Panel should be kept on suitable stand. #
3. Junction boxes should be free from defects. #
4. AII connection should be taken through ELCB/RCCB/MCB. #
5. Connection socket should be covered with auto lock.
6. Switches and display should be properly covered.
7. A danger signage should be marked.
8. Panel should be grounded as per IS 3043:1987. #
9. Further connection far extension of cable should be taken #
through male-female connector.
10. In case of flammable atmosphere single length cable shall
be use.
11. Canopy should be provided to avoid water getting entered #
dueto rain or any other mea ns.
12. Rubber mat should be provided to stand during operation. #
13. Input power cable should be free from defects.
14. Power input and output cable should be passes through #
glands.

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 34-SKID STEER LOADER &

1. Machine should be physically good & should have valid TPI #
certificate.
7. Operator cabin should be made by good & sound quality of #
material.
8. Hydraulic cylinders should be in good condition and free #
from leakage.
9. Foot Step should be free from slip or tip hazard.
vehicle.
13. Operator have suitable license. #
3
6
5 1
FIT PARTIALLY FIT UNFIT

Name: Name:
Project Checklist for lnspectio
Name: . p
Make: r
o
•
J D
e
e
t
e
o
d
e
••
D
a
t
e
••
Mod
el:
Hired Con
16-TOWER CRANE &

Equipment Name
& Number:
Note: Please write Yes or No in the given box and if sorne
comments write in remarks column.
s D Yes/ Remar
N. No ks
e
s
e
r
•
1
p
t
•
1
o
l. Tower crane should be physically #
in good condition, free from
defects.
2. Foundation should be provided as #
per design.
3. Operator cabin should be in #
good condition, equipped with
wind glasses and wireless
D
communication.
4. Safe working load should be marked. #
5. Counter weight should be properly #
fixed.
6. Hydraulic cylinder, hoses should be in good condition and free from #
leakage.
7. Trolley condition should be good. #

8. Over hoist limit switch should be in working state. #
9. Limit switch should be provided far trolley motor. #
10 Sling should be free from defects. #

.
11 Safety latch should be in hook. #
.
12 Power cable should be free from damages and connection taken #
. through industrial plug.
13 Tower crane should be grounded as per IS 3043:1987 . #

.
14 Safe load indicator should be in working condition . #
.
15 Fire extinguisher in operator cabin.
.
16 Operator have suitable license/experience certificate . #
.
17 First aid kit should be available .
.
18 Tower crane should be physically #
. good & should have valid TPI.
19 Anemometer should be in working
. condition .
7
-
9 8 5
4
10 6
3
11 ----11
FI T P ARTIALLY FIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 39-Trailer &

1. Operator cabin should be fully covered and made by #
sound quality of material.
2. Carrier should be in good condition. #
vehicle.
8
4
2

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 6-TRANSIT MIXER &

1. Transit mixer should be physically in good condition. #
8. Red triangle/reflective tape should be fixed in front of vehicle.
9. Rotatory part of secondary engine should be covered with fix #
guard.
10. Rotating part of gear box should be covered by fixed guard. #
11. lnbuilt ladder should be proper with suitable guard. #
16. Normal break & emergency (hand) break should be in functional #
& operational condition.
6
- 45
11
~
/
Jl 0
7
1
8
2
3 4 9

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 21-WELDING MACHINE &
1. Welding machine should be in good and working #

condition.
connection taken through industrial plug and.
3. Switches should be free from defects, e.g., #
uninsulated & damages, etc.
4. Welding led & return led connection should be tightly #
by means of lugs/socket.
5. Welding led & return led should be free from #
damages, e.g., cuts, naked, too many joint, etc.
6. Welding holder should be in good condition and free #
from metal contact.
7. Earthing holder should be in good condition and free #
from rust.
8. Welding machine should be grounded as per IS #
3043:1987.
9. Keep fire extinguisher at working place. #
10. Provide booth, made by fire retardant material (if
required).
11. Work carried out by competent person. #

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 23-WINCH MACHINE &
1. Winch should be in good and working condition and #

certified by TPI.
3. Operating liver should be free from defects. #
4. Rape drum should have sufficient space to roll-in full #
slings.
5. Wire sling should be free from damages. #
6. Sling should be knotted in proper manner. #
8. Winch should be grounded as per IS 3043:1987. #
9. Winch machi ne should be properly fixed with hard #
structure.
11. SWL should be written. #
-----14
2
8
6

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 31-CIRCULAR SAW &

should be marked.

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 5-CONCRETE MIXER &
1. Mixer machi ne should be physically fit. #

2. Rotating part & IC engine should be covered with fix #
guard.
3. No damage in tire (crack, cuts & air pressure, etc.). #
4. Rotating part of gear should be covered. #
5. Proper handle lock should be available. #
6. Handle should be free from defect.
7. Mixer machi ne should be with proper handle to #
control the movement.
8. Spark arrestar should be installed, if machine is
operating in flammable atmosphere.
1
4 2
3
5
7
UNFIT
Name: Name:
Name: Project
.
Code:
Checklist No
Model:
Equipment Name & Number: 7-CONCRETE PUMP &
Note: Pleasewrite Yes or No in the given box and if sorne comments write in remarks column.

1. Concrete pump should be physically in good condition. #
4. Dangerous or moving part should be covered with fix guard. #
5. Panel/switch board should be covered properly.
6. Emergency stop button should be mushroom headed with #
red colour.
7. Concrete hopper should be in good condition.
8. Suitable mesh should be kept on hopper to avoid getting in #
touch with moving part.
9. Clamp should be proper for tight joint of pipe. #
10. Hook should have sufficient strength to carry self-load
during shifting.
11. In case of electrically operated, electrical connection should be #
taken in proper manner.
12. In case of electrically operated, machine should be #
grounded as per IS 3043:1987.
13. Concrete pump should be operated by competent person. #
14. Concrete pipe should be free from damages. #
10----
8 1
6
9 7 2
FIT P ARTIALL Y FIT I 1

UNFIT
Name: Name:
Name: Project
.
Code:
Checklist No
Model:
Hired D Contractor D
Equipment Name & Number: 17-DIESEL GENERATOR &

1. Physical condition of DG should be good. #
2. Door of DG should be in good condition, so that #
rotatory part of machine could cover.
3. Display panel should be in good condition.
4. Emergency stop button should be mushroom headed #
with red colour.
5. DG should be grounded as per IS 3043: 1987. #
6. Power supply panel provided with ELCB/RCCB/MCB. #
7. Spark arrestar should be installed, if DG is operating in
flammable atmosphere.
8. Diesel tank should free from leakage. #
9. DG should be keep on aggregate/gravel stone.
10. Keep C02, BCP tire extinguisher/sand bucket near DG. #
11. Fitness and pollution certificate should be taken from
12. DG operated by competent person. #
13. Spill observant kit or drip tray available.
14. lnsulated rubber mat available. #'
: 7 . - ..; ...
... -
1
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. ..
. .,·

UNFIT
Name: Name:
Name: Project
.
Code:
Checklist No
Model:
Equipment Name & Number: 13-DRILL MACHINE &
1. Drill machine should be in good and working #

condition.
from damage.
4. Dead man switch should be in working condition. #
6. Drill bit should be in good condition and free from
defect.
7. Always use designated key for removing and changing
drill bit.
8. Drill machine should be double insulated otherwise
grounded.
6
7
2
5 4

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 3-DUMPER &

1. Operator cabin should be fully covered and made by #
2. Carrier should be in good condition. #
vehicle.
10. Hydraulic cylinder and hoses should be in good condition #
and free from leakage.
11 (S
"-"'
UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 4-EARTH COMPACTOR {ROLLER) &

1. Earth compactar should be physically in good condition. #
3. No damage in compacting roller.
4. Dangerous and moving part should be covered with fix #
guard.
5 6
1
4
8
7
2 3

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 22-ELECTRICAL PUMP/MOTOR &
1. Physical condition of pump should be good. #

3. Cable entry point should be fully packed, so that #
water can't enter.
4. Junction box of motor should be free from defects. #
5. On/off switch should be properly insulated. #
guard.
5 3
6
4
7 2

1
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 9-ELECTRICAL VIBRATOR &

3. Junction box of motor should be free from defects. #
4. On/off switch should be properly insulated. #
guard.
6. Needle should be tightly connected with motor.
7. Needle should be free from damages.
5 4
1
3
2
8 7
FIT PARTIALL Y FIT UNFIT

Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 37-EOT CRANE &
1. Machine should be physically good & should have valid #

TPI certificate.
2. SWL should be visible on either side. #
3. Wire sling should be free from damage. #
4. Hook latch must be installed in hook. #
5. Power cable should be free from defect. #
6. Remate should be in good condition. #
7. Audible horn should be in working condition. #
8. Operator have suitable license/experience certificate. #
9. Deflection test should be carried out. #
10. Safe access and egress should be provided. #

UNFIT
Name: Name:
Checklist for Equipment
Project Code:
Project Name:
Date:
Checklist No .
Model:
Make:
Hired D Contractor
Equipment Name & Number: 28-FIRE EXTINGUISHER &

l. Fire extinguisher always keep on trolley, it will be

easy for movement.
2. Keep Sand bucket. #
3. Sand bucket should be covered to avoid mixing of
foreign material.
4. Fire extinguisher should be kept at waist level height
for quick access.
5. Fire extinguisher should be free from defects and #
regularly tested.
6. lnspection date and due date should be clearly #
marked.
7. Hose and hose connection are in good condition. #
8. Check pressure gauge at regular interval for any #
pressure drop.
7
6 4
1
5

lnspected By Revie By
•
Name: Name:
Checklist for Equipment
Project Code:
Project Name:
Date:
Checklist No .
Model:
Make:
Hired D Contractor
Equipment Name & Number: 36-GANTRY CRANE &

l. Machine should be physically good & Should have #

valid TPI certificate.
2. SWL should be visible on either side. #
3. Walkaway should be in good condition and free from
obstruction.
4. Access ladder should be provided with cage. #
5. Proximity sensor should be in working condition. #
6. Operator cabin should be in good condition and #
clean.
7. Wire sling should be free from damage. #
8. Hook latch must be installed in hook. #
9. Guardrail system should be provided. #
10. Rotating part of motor should be covered. #
11. Wire sling drum should be under canopy. #
12. Audible horn should be in working condition. #
15. Deflection test should be carried out. #

lnspected By Revi _ .. _ · By
Name: Name:
Project
Checklis fo Equipmentlnspection
Name: Project Code
.
Checklist No Date:
Model
Hire D Contraco D
Equipment Name & Number: 19-GAS CUTTING SET &

1. Cylinder should be kept in trol ley. #
2. Always keep in upright position. #
3. Properly secured. #
4. Valve protection cap. #
5. Regulator should be free from any defect. #
6. Pressure gauge should be in proper condition. #
7. Provide flash back arrestar. #
8. Provide industrial clip.
9. Hose condition should be good with colour coded. #
10. Joint should be firm and free from defect, e.g., oily, rust & #
leakage, etc.
11. Torch should be in good condition. #
12. Use proper PPEs far the Job, e.g., Leather hand gloves & #
safety goggles, etc.
13. Keep fire extinguisher at working place. #
14. Provide booth, made by fire retardant material (if
required).
15. Work carried out by competent person. #
7
4
/
5

UNFIT
Name: Name:
Name: Projec Code
.
t
Checklist No
Date:
Hire D Contracto D
Equipment Name & Number: 35-GRADER &
1. Machine should be physically good & should have valid #

TPI certificate.
7. Canopy above driver seat should be made by good & #
8. Hydraulic cylinders should be in good condition and free #
from leakage.
vehicle.
10. Front & revers horn. #
6 7
1
3
5 2
8

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 27-GRIT/SAND BLASTING SET &
1. Hopper is made by sound quality of material. #

2. Pressure gauge in working condition. #
3. AII joints should be properly tighten and free from #
.
corrosion.
4. lnlet and outlet valve should be functional. #
5. Blasting hose should have adequate strength and free #
from cuts or damages.
6. Nozzle should be in good condition with dead man #
switch.
7. Blasting hood must be provided for blaster with #
physical particle filtration.
8. Whip arrestar is in good condition. #
, _-

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 14-HYDRA &
1. Hydra should be physically good & certified by TPI. #

5. No oil leakage in hydraulic part. #
6. Safe work load (SWL) marked. #
7. Sling drum should be in good condition. #
8. Boom condition while full extension (free from damage, #
crack & jamming, etc.).
9. Wire rape free from damage. #
10. Hoist limit switch. #
11. Safety latch in hook. #
12. Safe load indicator should be in working condition. #
15. Operator should have valid license (heavy duty). #
16. Load chart available in operator cabin.
8
7 9
11
1
6
5 3
2 4

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 25-LIFTING TOOLS & TACKLES &
1. Wire sling should be free from defects, e.g., #

corrosion, crack, cuts & oily, etc.
2. Use thimble for making 1-shape.
3. Wire rope should be knotted with proper clamp. #
4. Web sling should be free from defects, e.g., cuts, #
abrasion, knot, hole & oily, etc.
5. 1-shape should be free from damages. #
6. D-shackle should be in good condition and its tace #
should not expand more than 15% of its original
shape.
7. Suitable 1-bolt should be used. #
8. Lifting tools & tackles should be used having su ita ble #
strength & capacity.
9. Lifting too Is & tackles should be handle and store in #
safe manner.
--~6
----'s

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 15-MOBILE CRANE &

1. Physical condition of body should be in sound manner. #
2. No damage in tire (Bolts, crack, cuts & air pressure, etc.}. #
5. Safe work load {SWL) marked. #
6. Hoist limit switch. #
7. Wire rape free from damage. #
8. Safety latch in hook. #
9. Outrigger with spreader mat should be in good and working #
condition.
10. Sprit level should be installed. #
11. Boom condition while full extension (free from damage, crack & #
jamming, etc.}.
12. No oil leakage in hydraulic part. #
13. Safe load indicator should be in working state. #
14. Front, reverse and swing horn. #
16. Operator should have va lid and suitable license. #
17. Crane simulator should be in working condition. #
19. Crane should be physically good & should have valid TPI. '#
11 1
4 5
6
8 9
3
2 10

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 30-PEDESTAL GRINDER &

3. Wheel guard should be in good condition. #
4. Tool rest should be available at distance of 3 mm #
from rotating wheel.
5. Eye guard and spark deflector should be available. #
should be marked.

UNFIT
Name: Name:
Name: Projec Code
.
Checklist No t
Date:
Hire D Contracto D
Equipment Name & Number: 20-PORTABLE GRINDER &
1. Grinding machine should be in good and working #

condition.
from damage.
4. Motor capacity should be marked in RPM.
5. Dead man switch should be in working condition. #
7. Wheel guard should be properly installed with #
machine, so that gap between guard and wheel
should not be more than 3mm.
8. Grinding/cutting wheel should free from defect and #
rotating capacity should be marked.
9. Grinding machine should be double insulated
otherwise grounded.
10. Always use designated key for removing and changing
wheel.
12. RPM of wheel should be more than RPM of motor. #
3
5
7
2
1

UNFIT
Name: Name:
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SN. Description Yes/No Remarks

1. Physical condition of compressor tank should be good #

lnspection date VENUS

SN. Description Yes/No Remarks

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Physical condition of body should be good & sound. #

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Physical condition of body should be good & sound. #

FIT PARTIALL Y FIT I UNFIT

SN. Description Yes/No Remarks

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Physical condition of body should be good & sound. #

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Physical condition of vehicle is good. #

FIT PARTIALLY FIT I 1

SN. Description Yes/No Remarks

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Breaker should be in good and working condition. #

FIT PARTIALLY FIT I UNFIT

SN. Description Yes/No Remarks

1. Physical condition of vehicle is good. #

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Chain pul ley block should be in good and working #

FIT PARTIALL Y FIT I UNFIT

SN. Description Yes/No Remarks

1. Physical condition of body should be good & sound. #

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Winch should be in good and working condition and #

FIT PARTIALLY FIT I 1

FIT PARTIALLY FIT I 1

FIT PARTIALLY FIT I 1

SN. Description Yes/No Remarks

FIT PARTIALLY FIT I 1

SN. Description Yes/No Remarks

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

FIT PARTIALLY FIT UNFIT

16-TOWER CRANE &

7. Trolley condition should be good. #

9. Limit switch should be provided far trolley motor. #

10 Sling should be free from defects. #

13 Tower crane should be grounded as per IS 3043:1987 . #

SN. Description Yes/No Remarks

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

FIT PARTIALL Y FIT I 1

SN. Description Yes/No Remarks

1. Welding machine should be in good and working #

Download Task Risk Assessment & Risk Assessment