MZK001 - ADT Tagging Inspection
MZK001 - ADT Tagging Inspection
MZK001 - ADT Tagging Inspection
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current
SPECIAL INSTRUCTION
1. The following documentation must accompany this tagging inspection
Brake test certificate
Fire extinguisher / Fire suppression system service certificate
PDS installation
2. Only TMM and equipment approved by the engineer or a person delegated will be used in the mine premises.
3. This inspection and approval form must be kept on machine file.
Vehicle Information
Vehicle Model
Fleet Number
Site
Date
Next Service
Hour Meter Reading
Tyre Inspection
No Inspection Survey Results Comments
FL FR
1 General Condition ML MR
RL RR
Inspection
No IN ORDER
Inspection Comments
YES NO
1 Air Conditioner
3 Articulation Lock
6 Body Panels
7 Brake Test
9 Check Articulation
Inspection
No IN ORDER
Inspection Comments
YES NO
19 Check Hydraulic Piping Condition And Clamps
21 Check Oscillation
26 Check Suspension
31 Dash
33 Door Windows
34 Electrical Windows
35 Elevation Lock
36 Emergency Brakes
37 Emergency Shutdown
41 Fire Extinguisher
43 Fleet Number
44 Floor Mat
47 Grill
48 Head Lights
49 Heater
50 Hooter
51 Indicators
Inspection
No IN ORDER
Inspection Comments
YES NO
54 Lockout Switch And Lock
55 Mirrors And Brackets
56 Mud Guards
57 PDS
58 Pre-Use Book
59 Rear Window
60 Reflective Stripes
61 Reverse Hooter
62 Roof Light
63 Safety Belts
65 Stop Blocks
66 Taillights
68 Windscreen
Damages Survey
Left Right
No Damages No Damages
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
Document Number: MZK 001
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current
No Damages No Damages
1 5
2 6
3 7
4 8
I ___________________________ declare that, I have inspected the above TMM on the ____/_____/20__
and found it fit /unfit to work at the mine.