Operators Name: Date of Inspection:

Vehicle no. Type:

GENERAL INSPECTION YES NO N/A
1. Does the operator hold suitable and valid licence for operating the equipment
2. Has the driver undergone safety induction and training before employed at site
3. Is good housekeeping maintained inside operators Cabin
4. Are there no loose electrical wiring inside the cabin
5. Is wind shield free from breaks and scratches
6. Rear view Mirror available
7. Condition of warning lights and signals adequate
8. First aid box available inside operators cabin
9. Availability of minimum one 2Kg CO2 Fire Extinguisher inside drivers cabin
10. Are all person involved lifting activity competent
CRANE/SIDE BOOM/ HYDRA YES NO N/A
11. Is the capacity of crane, lifting tools and tackles adequate to carryout lifting intended load
12. Vehicle and equipment Certificate issued by third party available
13. Condition of wire rope sling, webbing belts, tools and tackles visibly inspected before
every use
14. Is system available to remove damaged/ deformed tools and tackles from site
15. All hook block with safety latch must be available and rotating freely.
16. Speed limit restricted below 20km/h
17. Boom-Limit switch available
18. SWL marked over boom and lifting hook
19. SLI status-Motion cut/Overload cut off and Buzzer available
20. Tire pressure checked and without any wear and tear
21. Are quarterly inspection tags and colour coding followed
22. Swing radius and counterweight barricaded to prevent impact
23. Necessary care taken while working under OH electrical line, or while working in live
operation facilities
24. Guard provided to prevent body parts from getting crush between moving rotating parts
25. Do the riggers use tag line while marching the load
26. Necessary arrangement like diversion, warning signage’s made while working on Highway
27. Wooden sleepers and stoppers in good condition
Any Other observation:

SIGNATURE OF HSE INCHARGE

Name:__________________________ Designation:________________________ Signature:_____________________

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