Daily Checklist Sky Lift

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Health And Safety Management Plan

Tittle Project: KLM 03 Project

Made & Model: ____________________ Registration No.:__________________ Monthly Inspection:_______________

Ownership: KIDE / Contractor / Other, specify ____________________(circle the applicable)

Equipment Name & Number: 14 - Sky Lift &


Note: Please write tick √ or X in the given box and if some comments write in remarks column
No. Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Checklist before operating

1 Check water level in the radiator and engine belts

2 Check level of diesel, hydraulic fluid, fuel tank

3 Check level of distilled water and battery

4 Check condition of bed/ hammer/ blade

6 Check condition of machine body

Checklist after operating

1 Sound of engine and exhaust

2 Check monitor, scale and all gauge

3 Leakage of hydraulic oil system

4 Lever and control buttons are working properly

Locking and breaking system of bed/ hammer/


5
blade
Operation of bed/ hammer/ blade (extension ,
6
shrink, swing)
7 Truck tire condition

8 Alarm is working properly/ light/ horn

Checklist for working area

1 Working area is far from transmission line

2 Separate working area and post a precaution sign

3 No person nearby the working range

4 Provide a signal man wearing orange safety vest

Inspected signature Operator

Verify signature Site Supervisor / Safety Supervisor


Name:
Inspected by Operator Reviewed by Subcon EHS Verifyed by KIDE EHS
Name : Name : Name :
Sign & Date: Sign & Date: Sign & Date:

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