MOBILE PLANT EQUIPMENT CHECKLIST Form # HSEQ - MPEC Rev 2 -.docx
Project Information Project Name: Company Name: Location: Date : Plant / Equipment type: Plate No: Sr. Details Status Remarks Sr. Details Status Remarks 1 Operators cabin 1 Door locks ☐ OK ☐ Not OK 7 Windscreen wipers ☐ OK ☐ Not OK 2 Driver’s seat secure ☐ OK ☐ Not OK 8 Windscreen washer ☐ OK ☐ Not OK 3 Driver’s seat belt 3 point ☐ OK ☐ Not OK 9 Air-conditioned ☐ OK ☐ Not OK 4 Passenger seat secure ☐ OK ☐ Not OK 10 Rear view mirrors ☐ OK ☐ Not OK 5 All window laminated ☐ OK ☐ Not OK 11 First aid kit ☐ OK ☐ Not OK 6 Windscreen laminated ☐ OK ☐ Not OK 12 Fire extinguisher fitted ☐ OK ☐ Not OK 2 Engine 1 Oil leaks ☐ OK ☐ Not OK 6 hoses & drive belts ☐ OK ☐ Not OK 2 General condition ☐ OK ☐ Not OK 7 Fuel tanks, lines, filters ☐ OK ☐ Not OK 3 Injector condition ☐ OK ☐ Not OK 8 speed limiting ☐ OK ☐ Not OK 4 Engine mountings ☐ OK ☐ Not OK 9 Engine instruments ☐ OK ☐ Not OK 5 Cooling system ☐ OK ☐ Not OK 10 Exhaust system ☐ OK ☐ Not OK 3 Steering 1 Kingpins & bushes ☐ OK ☐ Not OK 6 idler arm bushing ☐ OK ☐ Not OK 2 Track rod ends ☐ OK ☐ Not OK 7 Steering box mounting ☐ OK ☐ Not OK 3 Torsion bar ☐ OK ☐ Not OK 8 Power steering ☐ OK ☐ Not OK 4 Tie rod ends ☐ OK ☐ Not OK 9 Road wheel alignment ☐ OK ☐ Not OK 5 steering clutches ☐ OK ☐ Not OK 10 Others ☐ OK ☐ Not OK 4 Brakes 1 Foot brake ( pedal rubber) ☐ OK ☐ Not OK 4 Brake disc and pads ☐ OK ☐ Not OK 2 Master cylinder (level) ☐ OK ☐ Not OK 5 Brake drums/ Linings ☐ OK ☐ Not OK 3 Transmission brake ☐ OK ☐ Not OK 6 Hand brake ☐ OK ☐ Not OK 5 Chassis 1 General condition ☐ OK ☐ Not OK 4 signs of rust, cracks, etc. ☐ OK ☐ Not OK 2 Cracks/ welded repair ☐ OK ☐ Not OK 5 Tracks & running gears ☐ OK ☐ Not OK 3 Roll over protection ☐ OK ☐ Not OK 6 Others ☐ OK ☐ Not OK 6 Electrical 1 Battery ☐ OK ☐ Not OK 5 Horn ☐ OK ☐ Not OK 2 Driving / operating lights ☐ OK
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MOBILE PLANT EQUIPMENT CHECKLIST Form # HSEQ - MPEC Rev 2 -.docx
- 1. MOBILE PLANT & EQUIPMENT CHECKLIST (To be completed on Weekly basis) Page 1 of 2 Form # HSEQ- MPEC (Rev 2 - Mar 23) Project Information Project Name: Company Name: Location: Date : Plant / Equipment type: Plate No: Sr. Details Status Remarks Sr. Details Status Remarks 1 Operators cabin 1 Door locks ☐ OK ☐ Not OK 7 Windscreen wipers ☐ OK ☐ Not OK 2 Driver’s seat secure ☐ OK ☐ Not OK 8 Windscreen washer ☐ OK ☐ Not OK 3 Driver’s seat belt 3 point ☐ OK ☐ Not OK 9 Air-conditioned ☐ OK ☐ Not OK 4 Passenger seat secure ☐ OK ☐ Not OK 10 Rear view mirrors ☐ OK ☐ Not OK 5 All window laminated ☐ OK ☐ Not OK 11 First aid kit ☐ OK ☐ Not OK 6 Windscreen laminated ☐ OK ☐ Not OK 12 Fire extinguisher fitted ☐ OK ☐ Not OK 2 Engine 1 Oil leaks ☐ OK ☐ Not OK 6 hoses & drive belts ☐ OK ☐ Not OK 2 General condition ☐ OK ☐ Not OK 7 Fuel tanks, lines, filters ☐ OK ☐ Not OK 3 Injector condition ☐ OK ☐ Not OK 8 speed limiting ☐ OK ☐ Not OK 4 Engine mountings ☐ OK ☐ Not OK 9 Engine instruments ☐ OK ☐ Not OK 5 Cooling system ☐ OK ☐ Not OK 10 Exhaust system ☐ OK ☐ Not OK 3 Steering 1 Kingpins & bushes ☐ OK ☐ Not OK 6 idler arm bushing ☐ OK ☐ Not OK 2 Track rod ends ☐ OK ☐ Not OK 7 Steering box mounting ☐ OK ☐ Not OK 3 Torsion bar ☐ OK ☐ Not OK 8 Power steering ☐ OK ☐ Not OK 4 Tie rod ends ☐ OK ☐ Not OK 9 Road wheel alignment ☐ OK ☐ Not OK 5 steering clutches ☐ OK ☐ Not OK 10 Others ☐ OK ☐ Not OK 4 Brakes 1 Foot brake ( pedal rubber) ☐ OK ☐ Not OK 4 Brake disc and pads ☐ OK ☐ Not OK
- 2. MOBILE PLANT & EQUIPMENT CHECKLIST (To be completed on Weekly basis) Page 2 of 2 Form # HSEQ- MPEC (Rev 2 - Mar 23) Remarks: Inspected By: Signature: Reviewed By HSE Manager / In charge: Signature: Note: For Concrete pump truck additional CONCRETE PUMP & EXTENSION PIPELINE INSPECTION CHECKLIST must be attached. 2 Master cylinder (level) ☐ OK ☐ Not OK 5 Brake drums/ Linings ☐ OK ☐ Not OK 3 Transmission brake ☐ OK ☐ Not OK 6 Hand brake ☐ OK ☐ Not OK 5 Chassis 1 General condition ☐ OK ☐ Not OK 4 signs of rust, cracks, etc. ☐ OK ☐ Not OK 2 Cracks/ welded repair ☐ OK ☐ Not OK 5 Tracks & running gears ☐ OK ☐ Not OK 3 Roll over protection ☐ OK ☐ Not OK 6 Others ☐ OK ☐ Not OK 6 Electrical 1 Battery ☐ OK ☐ Not OK 5 Horn ☐ OK ☐ Not OK 2 Driving / operating lights ☐ OK ☐ Not OK 6 Reverse horn/ alarm ☐ OK ☐ Not OK 3 Instruments warning lights ☐ OK ☐ Not OK 7 Reversing light ☐ OK ☐ Not OK 4 Revolving flashing lights ☐ OK ☐ Not OK 8 Others ☐ OK ☐ Not OK 7 Vehicle & Operator Documents 1 Vehicle Registration ☐ OK ☐ Not OK 4 Manufacturer’s Handbook ☐ OK ☐ Not OK 2 Company authorization ☐ OK ☐ Not OK 5 Service Records ☐ OK ☐ Not OK 3 Operator License & Third Party certificate ☐ OK ☐ Not OK 6 3rd Party Plant or Equipment Certificates ☐ OK ☐ Not OK