SHE MANAGEMENT SYSTEM DOC NO : CL 05
REV. 00
INSPECTION CHECKLIST FOR EXCAVATOR/BACK HOE
DATE : 01 DECEMBER 2022
ON SITE MOBILIZATION MONTHLY
NO. FROM TO
(Please tick appropriate box)
EQUIPMENT
MODEL NO
COMPANY
PROJECT
DATE OF INSPECTION
NEXT INSPECTION
NO CHECK ITEMS RESULT REMARKS
a Do the indicators of temperature of cooling water, oil
and oil pressure correctly operate?
b Does the engine start smoothly without abnormal sound?
c Is there any trouble for fuel supplying devices?
(jet pump, smudge, leakage)
d Is there trouble for lubricant device?
(Oil volume,smudge, leakage)
e Is there any defect for cooling defect?
(water volume, tension belts, blocking for cores)
f Is the exhaust gas system in good condition?
g Are level handles, brake pedals, brake lock in good
operating condition?
h Are the clutch and brake for driving in good conditon?
I Are the main clutch and mission in good condition?
j Is the winch in good operatable condition?
k Are cables, lamps, alarms free from damage?
l Are tension of truck-link,driving chains adequate?
Seat belt (damage, missing)
m Are hoses, pipes not damaged and no leakage?
n Are there no crack, defacement, or deformation in soil
plates, bucket frame, ripper and arms?
o Are all bolts and fastener surely tightened?
p Reverse / slew audio/visual alarms and side mirrors available?
q Availibility of fire extinguisher
OBJECT : BULLDOZER, SCRAPER, TRACTOR SHOVEL, POWER SHOVEL BACK HOE ETC
Inspected by : ____________
(Name & Signature)
Company Name : _______________________
Witnessed by : ____
(Name & Signature)