Form No : 011/SA/CRD/00/1
Date : 21/05/2011
SIMPLEX INFRASTRUCTURES LIMITED
DAILY INSPECTION OF CRAWLER CRANE
Name of the Site : Make/Model :
Contract No : Identification No :
For the Month of : Owned By : Company / Contractor
Contractor Name (if hired) :
Sl.No. CHECK LIST 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
1 ENGINE CONDITION
2 CLUTCH
3 BRAKE
4 PHE MATICK / HYDRAULIC SYSTEM
5 GUARDS/COVERS/DOORS
6 LIMIT SWITCHES
7 LIGHTS
8 CONDITION OF BOOM
9 CONDITION OF PULLEYS
10 PROVISION OF HOOK LATCH
11 CRAWLER AND CRAWLER SHOES
12 CONDITION OF BATTERY
13 OPERATING LEVERS
14 GAUGES & WARNING DEVICES
15 CONDITION OF WIRE ROPES
WORKING CONDITION OF SLI (SAFE
16
LOAD INDICATOR)
17 OPERATOR FITNESS
18 REMARKS
19 OPERATOR SIGNATURE
Form No : 011/SA/CRD/00/1
Date : 21/05/2011
20 SITE ENGINEER SIGNATURE
21 HSE PERSON SIGNATURE