Delta Company Ltd.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Electrical Equipment in Hazardous Locations (Flame Proof) Quarterly Inspection

• AREA

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

• Select date

  Date

• 2017

• Schedule of Checks (Quarterly)

  Select 3rd Quarter 2nd Quarter 1st Quarter 4th Quarter

  • 3rd Quarter
  • 2nd Quarter
  • 1st Quarter
  • 4th Quarter

• Inspector

  Select Aju Thomas Amal Muraly Sindarth Khrisnan Archie Pulmano Darwin Llantada Michael Dave Herrero Allan Rey Rizalde Bryle Cyril Besinga Ryan Cabarlo Charlie Villanueva Charles Subong Jaafar Lagayan Bahar Ali Muhammad Rainerio Bacon

  • Aju Thomas
  • Amal Muraly
  • Sindarth Khrisnan
  • Archie Pulmano
  • Darwin Llantada
  • Michael Dave Herrero
  • Allan Rey Rizalde
  • Bryle Cyril Besinga
  • Ryan Cabarlo
  • Charlie Villanueva
  • Charles Subong
  • Jaafar Lagayan
  • Bahar Ali Muhammad
  • Rainerio Bacon

• Notes: Do not “tick”. Write Ok or use the code of the specific deviation in the legend. If the Equipment is defective it must be tagged “Defective” and must be reported to the person responsible for the repair of the equipment. If the equipment is beyond repair it must be destroyed and discarded. New equipment to replace the discarded equipment must be obtained to discourage the use of make shift equipment.

• Equipment ID No.:

• Type of Equipment:

• Location:

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

Inspections

• Electrical Equipment

• M1 Equipment has metal cracks or broken glass

  Ok

  Lost of Missing

  Repaired

• M2 Cable and cable entries unsafet

  Ok

  Lost of Missing

  Repaired

• M3 Portable electrical equipment unsafe

  Ok

  Lost of Missing

  Repaired

• M4 Cable armouring not properly earthed

  Ok

  Lost of Missing

  Repaired

• M5 Clamps in poor condition

  Ok

  Defective

• M6 Joints in conduit runs and fittings not secured

  Ok

  Lost of Missing

  Repaired

• M7 Metal equipment not earthed and certified for use

  Ok

  Lost of Missing

  Repaired

Classification of Equipment

• C1 Equipment unsuitable for the specific hazardous locations

  Yes

  No

• C2 Illegal modifications or makeshifts repair had been made

  Yes

  No

• C3 Equipment sealed according to requirement

  Yes

  No

• C4 Total installation of equipment considered unsafe

  Yes

  No

Inspector Initials and Date

• Inspector

  Sign

• Inspector

  Select Aju Thomas Amal Muraly Sindarth Khrisnan Archie Pulmano Darwin Llantada Michael Dave Herrero Allan Rey Rizalde Bryle Cyril Besinga Ryan Cabarlo Charlie Villanueva Charles Subong Jaafar Lagayan Bahar Ali Muhammad Rainerio Bacon

  • Aju Thomas
  • Amal Muraly
  • Sindarth Khrisnan
  • Archie Pulmano
  • Darwin Llantada
  • Michael Dave Herrero
  • Allan Rey Rizalde
  • Bryle Cyril Besinga
  • Ryan Cabarlo
  • Charlie Villanueva
  • Charles Subong
  • Jaafar Lagayan
  • Bahar Ali Muhammad
  • Rainerio Bacon

• Date and time

  Date