Samson Phaswana - SD

• Trackless Mobile Machines

  Date

• 19/08/2022

  Date

• Samson Phaswana

• Workshop
  Address

CAT 950G

NO GO ITEMS - REPAIR IMMEDIATELY

• Is the operator hold a valid workplace driving license?

  Yes

  No

  N/A

• Are the warning devices such as main hooter and reverse hooter working properly?

  Yes

  No

  N/A

• Are all wheel nuts tight, and wheel nut tag attached on all wheel nut?

  Yes

  No

  N/A

• Is the fire extinguisher available on the machine, and is it in good condition and ready for use?

  Yes

  No

  N/A

• Is the a seat belt in the machine, is it working properly, is the operator using it?

  Yes

  No

  N/A

• Are the drive lights in good condition, working properly and are they on while machine is on operation?

  Yes

  No

  N/A

• Is the strobe light in good condition and working properly?

  Yes

  No

  N/A

• are the brake lights working properly and cover not broken?

  Yes

  No

  N/A

• Is the operator of the machine tested brake before exit to workplace?

  Yes

  No

  N/A

• Is the operator have and wears required PPE?

  Yes

  No

  N/A

GO BUT 🚶‍♀️ ITEMS - REPAIR WITHIN 3 WORKING DAYS

• Yes

  No

  N/A

• Is the windshield in good condition, not broken, provide a good vision?

  Yes

  No

  N/A

• Are mirror in good condition, and provides a good vision?

  Yes

  No

  N/A

• Are the tyres in good condition and have enough pressure?

  Yes

  No

  N/A

• Is the Pre Cleaner cleaned?

  Yes

  No

  N/A

• Is the machine greased?

  Yes

  No

  N/A

• Is the bucket of the machine secured?

  Yes

  No

  N/A

• Is the machine contaminate the environment with oil excessive oil leaks?

  Yes

  No

  N/A

• Is the machine wiring safe, no open wires or hanging cable?

  Yes

  No

  N/A

• Are all guards on the machine secured properly?

  Yes

  No

  N/A

OTHER DEVIATION

• The bush on the link of the front part and the back part of the machine has broken.

  Good

  Fair

  Poor

  N/A

• Signature

  Sign