Title Page
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Document No:
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Prepared by:
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Conducted on:
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Site:
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Supervisor Name:
Visual Checklist
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Check the Oil Drain Tank.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Clean up Spills on Surfaced Areas or Tank Bunds.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check State of Fences and Gates.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check Storage Tank capacity to prevent possible overfilling.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Visually check the un-surfaced areas to ensure that there are no spills.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Maintenance of Mechanical lift.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Maintenance of Depollution equipment.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Maintenance of Fork Truck.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Maintenance of Electric Grinder.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check the Hydraulic Hoses on the Forklift.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check the Hydraulic Hoses on the Crane.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check the Depollution Rig and Tools.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
Extra Notes
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Is there anything else that needs to be called attention to?
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Please Sign Below.
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Please outline the issue below.
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Please Sign Below.
