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    L2-CI-CF-OI-5-8 Vehicle Pre-Use Inspection

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    martintiger
    This document provides a checklist for inspecting vehicles and equipment prior to use. The inspection checklist includes 42 items to check such as lights, tires, fluid levels, safety equipment, and cleanliness. Inspectors are asked to check off items as available (A), good (G), not required (NR), or bad/broken (B). Any remarks about the inspection should be noted in the remarks section. The inspected and acknowledged signatures are required at the bottom to confirm completion of the inspection.

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    © All Rights Reserved
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    L2-CI-CF-OI-5-8 Vehicle Pre-Use Inspection

    Uploaded by

    martintiger
    28 views2 pages
    This document provides a checklist for inspecting vehicles and equipment prior to use. The inspection checklist includes 42 items to check such as lights, tires, fluid levels, safety equipment, and cleanliness. Inspectors are asked to check off items as available (A), good (G), not required (NR), or bad/broken (B). Any remarks about the inspection should be noted in the remarks section. The inspected and acknowledged signatures are required at the bottom to confirm completion of the inspection.

    Original Description:

    Vehicle pre use inspection

    Original Title

    8. L2-CI-CF-OI-5-8 Vehicle Pre-Use Inspection

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    This document provides a checklist for inspecting vehicles and equipment prior to use. The inspection checklist includes 42 items to check such as lights, tires, fluid levels, safety equipment, and cleanliness. Inspectors are asked to check off items as available (A), good (G), not required (NR), or bad/broken (B). Any remarks about the inspection should be noted in the remarks section. The inspected and acknowledged signatures are required at the bottom to confirm completion of the inspection.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    28 views2 pages

    L2-CI-CF-OI-5-8 Vehicle Pre-Use Inspection

    Uploaded by

    martintiger
    This document provides a checklist for inspecting vehicles and equipment prior to use. The inspection checklist includes 42 items to check such as lights, tires, fluid levels, safety equipment, and cleanliness. Inspectors are asked to check off items as available (A), good (G), not required (NR), or bad/broken (B). Any remarks about the inspection should be noted in the remarks section. The inspected and acknowledged signatures are required at the bottom to confirm completion of the inspection.

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    Corporate Form NO.

    : L2-CI-CF-OI-5-8
    Element 5: Operation Integrity Rev.:1.0
    Vehicle Pre Use Inspection Date: Sep. 1,2018

    Inspection date : ______________________ Automotive/equipment type :


    Location : ______________________ Ligth Veh Foco/Crane truck
    Operation : ______________________ Crew Bus SILO no : ____________________________
    Serial Number : ______________________ Cargo Exp date : ____________________________
    Manufacture Year : ______________________ Dozer Mobile/Crane
    Manufacturer : ______________________ Tandem SILO no : ____________________________
    Model : ______________________ P Mover Exp date : ____________________________
    KM/Speedometer : ______________________ Trailer/Lowbed Vacuum truck ________________________
    Contractor : ______________________ Ground Anchor Certificate No : ________________________
    Others Exp date : ________________________

    A NR A NR
    Car, Document & Equipment G B G B

    1 . Front Plate / Plat No. Depan 29 . Tire wrench / Kunci roda


    2 . Rear Plate / Plat No. Belakang 30 . Spare tire / Ban serap
    3 . Government Licence / SIM 31 . Triangles / Segitiga pengaman
    4 . Company Driving Permit / SIO Outer Mirror / Kaca spion luar
    5 . STNK ‐ Pajak 32 . Right / Kanan
    6 . Inspection Book / Buku Kir ( Just for Pick Up) 33 . Left / Kiri
    Head lights or high beam / lampu besar jauh 34 . Cleanliness / Kebersihan
    7 . Right / Kanan Engine Inspection :
    8 . Left / Kiri 35 . Engine oil / Oli mesin
    Head low beam/ Lampu besar dekat 36 . Radioator cooling water / Air radioator
    9 . Right / Kanan 37 . Brake oil / Mintak rem
    10 . Left / Kiri 38 . Windshield wiper water/ Air pembersih kaca
    Front flasher lights / Lampu tanda belok depan 39 . Baterry liquid / Air Baterai
    11 . Right / Kanan 40 . Fan belt / Tali Kipas
    12 . Left / Kiri 41 . Tire pressure : front left / right /
    Rear flasher light / Lampu tanda belok belakang 42 . back left / right /
    13 . Right / Kanan

    14 . Left / Kiri

    Brake or Stop Light / Lampu Mundur

    15 . Right / Kanan

    16 . Left / Kiri
    Corporate Form NO.: L2-CI-CF-OI-5-8
    Element 5: Operation Integrity Rev.:1.0
    Vehicle Pre Use Inspection Date: Sep. 1,2018

    Back‐up light / Lampu rem

    17 . Right / Kanan

    18 . Left / Kiri

    19 . Vehicle number light / Lampu Plat Nomor

    20 . Hazard light / Lampu bahaya Remark / Keterangan :

    21 . Horn / kLakson

    22 . Seat Belt / Sabuk pengaman

    23 . Hand Brake / Rem tangan

    24 . Cabin Mirror / Kaca Spion dalam

    25 . First aid / P3K

    26 . Jack / Dongkrak INSPECTED BY ACKNOWLEDGED BY

    27 . Jack Handle / Pemutar Dongkrak

    28 . Portable FirEx / Racun Api

    Remarks / Keterangan : Please check ( √ ) at the box / Beri tanda (√ ) pada kotak

    A = Available / Ada G = Good / Baik

    NR = Not Required / Tidak Ada B = Bad ( Broken) / Rusak

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