Scribd
Upload
30 views2 pages

HSE Boom Placer Inspection

The document is a Boom Placer Safety Inspection Checklist designed to ensure the safety and operational readiness of the equipment. It includes various checkpoints regarding the vehicle's condition, operator details, and necessary certifications. The checklist requires inspection results to be recorded as 'Yes', 'No', or 'NA' for each item listed.

Uploaded by

Samir Pawar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
30 views2 pages

HSE Boom Placer Inspection

The document is a Boom Placer Safety Inspection Checklist designed to ensure the safety and operational readiness of the equipment. It includes various checkpoints regarding the vehicle's condition, operator details, and necessary certifications. The checklist requires inspection results to be recorded as 'Yes', 'No', or 'NA' for each item listed.

Uploaded by

Samir Pawar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Document No.

SAE/EHS/14

Boom Placer Safety Inspection Checklist Rev. No. 00


Rev. Date 00

Project Name: Inspection date:


Contractor Agency Name: Site/Location:
Inspected by: Designation:

Vehicle and Operator Details


Make and Model:

Vehicle RC No.

Insurance validity:

PUC Validity:

Fitness Certificate:

Third Party Inspection

Driving License validity

Driver/Operator Name:

Sr.
Yes/No/
No Check Points Remarks
NA
.
1 Is Boom Placer physically sound and in good condition.?
2 Are all tires/wheels free from damage, cut, cracks.?
3 Is Wind shield without damage.?
Are all mirrors (rear, side etc.) in good condition and
4
properly positioned.?
5 Are Head lights, Taillights, and indicators functional.?
Are front horn and reverse horn available and
6
functional.?
7 Is Boom physically sound and without any defect.?
8 Are Wipers/Washers operational.?
Are Outriggers in working condition and free from
9
damage.?
Are Hydraulic cylinder and hoses free from leakage and
10 in working condition without any defect (Like Jam, corroded,
etc.)
11 Is Pipe free from defects.?
12 Are Rotatory parts or moving parts covered with guard.?
13 Are Red triangle and reflective tape fixed at proper place?
Are Normal brake and hand (Emergency) brake in working
14.
condition.?

FIT: UNFIT:
Document No. SAE/EHS/14

Boom Placer Safety Inspection Checklist Rev. No. 00


Rev. Date 00

Signature:

You might also like