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Forklift Monthly

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NESMA & PARTNERS CONTRACTING CO.

DAILY INSPECTION CHECKLIST MONTH:


HAWIYAH UNAYZAH GAS RESERVOIR STORAGE PROJECT
Contract No. 6600038843 | BI 10 - 14224 Telescopic Forklift YEAR:
Operator Name Registered No.: Nesma Equipment No. Maker: Model:
Employee Number TP Insp. Expiry: Monthly Inspection Date SERVICE HOUR READING DATE OF SERVICE/MAINTENANCE
License Number: Licence Expiry: Next Inspection Date Last: Next: Last: Next:
S/N ITEM TO BE CHECKED (what are you looking for?) 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
MIRRORS RIGHT & LEFT (broken, cracked,missing & ‫المرايا‬
1
cleanliness)
HEADLIGHTS (normal & bright; tested & working ‫المصابيح األمام‬
2
properly, broken)
TAIL LIGHTS/BRAKE LIGHT (tested & working ‫ ضوء‬/ ‫المصابيح الخلفية‬
3 ‫الفرامل‬
properly, broken)
INDICATORS/TURN SIGNAL (tested and working ‫ إشارة‬/ ‫المؤشرات‬
4 ‫االنعطاف‬
properly, broken)
REVERSING LIGHTS (tested and working properly, ‫أضواء السيارة الخلفية‬
5 ‫أثناء الرجوع للوراء‬
broken)
6 REVERSING ALARM (operational, loud enough) ‫عكس إنذار‬
7 WINDOWS (clean, damage, front & top) ‫شبابيك‬
WINDSHIELD WIPER BLADES (Arm & rubber blade ‫مساحة الزجاج األمامي‬
8
intact)
FORKS (damage, crackS, locking pins in place &
9 ‫شوكات‬
secure)
HAZARD BEACON (tested and working properly,
10 ‫منارة الخطر‬
broken)
11 TYRES (worn-out, inflation pressures, wheel nuts) ‫اإلطارات‬
12 DIFFERENTIALS (oil leaks, cracks in housing) ‫التفاضالت‬
13 STEPS & HANDRAIL (Damage, cleanliness) ‫خطوات ودرابزين‬
STABILIZER ARMS, CYLINDERS (Damage, cylinder
14 ‫ االسطوانات‬، ‫المثبتات‬
rod, missing bolts)
BATTERY/TERMINALS (cable connections, water,
15 ‫ المحطات‬/ ‫البطارية‬
clean-no corrosion)
16 FOOT BRAKE (tested on grade & working properly) ‫فرامل القدم‬
HAND/PARKING BRAKE (tested on grade & working
17 ‫فرامل اليد‬
properly)
ENGINE COOLANT (fluid level, engine off & check
18 ‫سائل تبريد المحرك‬
when cold)
ENGINE OIL (fluid level, engine off & check when cold)
19 ‫زيت المحرك‬
HYDRAULIC OIL (fluid level, engine off & check when ‫مبرد الزيت الهيدروليكي‬
20
cold)
21 RADIATOR (fin blockage, leaks, cleanliness) ‫المشعاع‬
22 ALL HOSES (cracks, wear spots, leaks) ‫مجموعة الخراطيم‬
OVERALL ENGINE COMPARTMENT (trash or dirt
23 ‫مقصورة المحرك الشاملة‬
buildup, leaks)
24 SEAT (adjustment, pedal travel) ‫مقعد‬
SEATBELT & MOUNTING (damage, wear,
25 ‫حزام المقعد‬
adjustment,)
FIRE EXTINGUISHER (fully charged, sealed, color
26 ‫طفاية حريق‬
code)
27 HORN (operational, loud enough) ‫تنبيه‬
CONTROLS, GAUGES LENSES (proper function,
28 ‫المفاتيح‬
cleanliness)
29 OVERALL CAB INTERIOR (cleanliness) ‫المفاتيح‬
PROXIMITY WARNING ALERT SYSTEM
30 ‫المرايا‬
(PWAS)(working properly)
POSITIVE DISABLEMENT/ISOLATION MECHANISM
31 (Y/N ) ‫نظام إنذار التقارب‬

OPERATOR / DRIVER:

SAFETY OFFICER:

REMARKS

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