Galfar Engineering & Contracting SAOG HSESP-005-F/08; Rev.
EQUIPMENT INSPECTION CHECKLIST (Typical)
Equipment Make, Regn # / CC #: Date & Time:
Job # & Name: Location:
Inspected By: Accompanied By:
Sl # Description Yes No NA Remarks
1.0 Equipment Condition (visual & practical checks)
1.1 Rollover Protection Structure fitted. o o o
Seat Belts - fitted / in good condition / locking mechanism
1.2
functioning properly. o o o
Cabin protected to shield operator from falling / flying objects
1.3
(grills, canopies, screens, etc.) o o o
Tyre condition - not worn, no deep cracks of damages / right
1.4
pressure (as marked on wheel arch) / wheel chocks provided. o o o
1.5 Track chain / links are in proper condition o o o
Work attachments such as bucket, blade, ripper, chisel, etc., are
1.6
in good condition. o o o
1.7 Gauges & other instruments are functioning properly. o o o
1.8 Lamps, Rotating Amber light functioning properly. o o o
Safe means of access / egress provided (non-slippery
1.9
footsteps, handholds, etc.). o o o
Windscreen / mirrors are clean, in good condition, no cracks
1.10
and are positioned properly / wiper in working condition. o o o
Rotating parts (gears, drums, shafts, belts, etc) and hot
1.11
surfaces (such as exhaust pipes) are guarded. o o o
1.12 Seats are in good condition & suitably positioned. o o o
Fire Extinguishers / First Aid Box secured & maintained in
1.13
proper order. o o o
1.14 Air Conditioner fitted and in good working condition. o o o
Reverse Alarm & Horn & camera fitted and in proper working
1.15
condition. o o o
1.16 Fuel / Oil / other Fluids from the equipment not found leaking o o o
Equipment kept clear of spilt fuel, oil & other fluid, in particular
1.17
near exhaust & electical parts. o o o
1.18 Noise & exhaust emissions are within normal levels. o o o
1.19 General cleanliess found satisfactory. o o o
1.20 Others (specify): o o o
2.0 Checks Specific to Lifting Equipment
Lifting equipment inspection (every 12 months) / load test (every
2.1
48 months) certificates available and valid. o o o
Safe Working Load (SWL), due date for inspection & due date
2.2
for load test marked on the boom. o o o
Load chart indicating various operational configurations / limits
2.3
available and visible prominently from the operator position. o o o
Lifting equipment equipped with Boom Angle Indicator. Level
2.4
Indicator, Safe Load Indicator and are in working properly. o o o
Overrun prevention devices, over hoist & over load cut out
2.5
alarm, swing alarm available & working properly. o o o
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Galfar Engineering & Contracting SAOG HSESP-005-F/08; Rev. 0
Sl # Description Yes No NA Remarks
Ropes, pulleys & drum are properly lubricated are free from
2.6 Equipment Condition (visual & practical checks)
signs of wear & tear / any damages. o o o
2.7 Hook block provided with safety catch. o o o
2.8 Outriggers functioning properly. o o o
2.9 Others (specify): o o o
3.0 Checks Specific to Forklifts
Physical observation of forks satisfactory (no cracks, bend or
3.1
physical deformity). o o o
Lift mechanism operates smoothly (check by raising forks to
3.2
maximum height then lowering completely) o o o
Tilt mechanism operates smoothly (check by tilting mast all the
3.3
way forward and backward). o o o
Date of inspection (every 6 months) / load test (every 48
3.4
months) certificates available and valid. o o o
3.0 Procedural Compliance
Operations / User Manual & other relevant manufacturer
3.1
instructions available for reference. o o o
3.2 Valid Operating Permit available with the Operator o o o
Equipment maintenance / inspection stickers are available and
3.3
valid. o o o
Equipment logbook that contain the operating hours,
3.4
maintenance / repair history, etc., being updated regularly. o o o
3.7 Operator cabin free from loose materials that can pose a risk. o o o
Operating / Swing radius is clear off men / material / other
3.8
machinery, vehicle & equipment. o o o
3.9 Others (specify): o o o
Important Note:1.) Inspections carried out on lifting equipment using this checklist will only be supplementry to thorough
inspection carried out by authorised agencies on an annual basis, and not intended to substitute the same. 2.) Equipment
found with any defect shall be stopped for repair / rectification in consultation with the Responsible Supervisor / Workshop
In-charge.
Comments, if any:
Inspection carried out by: ______________________________ Signature with date: ________________
Agreed date for action completion: ______________________
Forward report to Line Manager / Responsible Supervisor / Workshop In-charge, considering level of intervention required.
Report Forwarded To: 1.) _______________________________ 2.) ________________________________
(To be signed by the Line Manager / Responsible Supervisor / Workshop In-charge on completion of action and returned
to the function who carried out the inspection, for close-out)
Actions identifed above have been completed
Name:_______________________________ Signature: _________________________Date: _________
Copies to be retained by: Line Mgr. / Responsible Supervisor, Workshop In-charge, Function who carried out the inspection / HSE
Advisory Staff in the Project / Unit.
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