TYPE OF DOCUMENT

CONTROL OF EQUIPMENTS MOTOR GRADER

DAILY PRE-WORK CHECKLIST
To be completed by the Operator
Owner/Suplier name:_____________________ HYDRAULIC SYSTEM DOCUMENTATION MISCELLANIOS
G B G B G B
Adress: __________________________________ HYDRAULIC CYLINDERS USERS MANUAL FIRE EXTINGUISHER
HYDRAULIC HOSES MAINTENANCE NOTE BOOK SPILL ABSORBER KIT
Phone No. : _____________________________ HYDRAULIC FITTINGS
CAB
Plant's Make: ____________________________ G B
SEAT
Plant's Model: ___________________________ SEATBELT & MOUNTING
ELECTRONIC DEVICES
Serial No: _______________________________ SIGNAGE / PICTOGRAMS
HANDLES
Inspection Date: ____/_____/20____ PEDALS
WINDOW / WINDSCREEN / WIPER
Operator's Name:_________________________ MIRRORS

Signature

●The mobile plant must comply with manufacturer specifications

and Romanian regulations.
G B ENGINE
●A maintenance note book registering all reparation and EXHAUST
maintenance cares must be kept in his cab. It must be available ENGINE COVER/GUARD
in understandable language for the operator. BATTERY & HOLD DOWNS
●The mobile plant operator must inspect visually his plant before HYDRAULIC HOSES
use (on a daily basis) and file these inspection reports to the BLADE CAB ACCESS No Hydraulic Oil Leakage
equipment manager every week. G B G B ENGINE COOLANT, OIL
●When required, the operator must wear necesary Personal BLADE LINKAGE HANDHOLDS MOTION MEANS AND HYDRAULIC OIL LEVEL
Protective Equiment (Reflective vest, glasses, ear protection, BLADE AND END BITS STEP G B
safety shoes, gloves...) WARNING DEVICES TIRES
G B RIMS
●A maintenance note book registering all reparation and HORN & BACK-UP ALARM LUG NUTS
maintenance cares must be kept in his cab. It must be available FLASHING LIGHT BRAKES
in understandable language for the operator. LIGHTS, TURN SIGNALS, PARKING BRAKES
STOP LAMPS, REVERSING
●The operators's employer must ensure that the operator has
suitable medical fitness and technical competencies to drive the G: Good condition / Present B: Bad Condition / Missing
plant.
TO BE COMPLETED BY HSE DEPARTMENT Comments:
CHECKED BY: ______________________

DATE: ____/_____/20__
CONTRACTOR REPRESENTATIVE SIGNATURE